Medical Treatment Therapy for Viral Encephalitis

a. General Therapy:
1 Bed rest total.
2 When the estimated infection due to enteroviruses personal hygiene should be observed.
3 Headache and high heat necessary to handle the administration of antipyretics to be given acetaminophen / paracetamol.

4 If there is a rise in intracranial can be done:
        i. Patient's head is elevated ± 300
       ii. Limit fluid administration
       iii. Do hyperventilation until PCO2 to 25 mmHg
       iv. Medicine:
              - Mannitol -> given intravenously at a dose of 1.5-2.0 g / kg over 30-60 minutes, repeated every 8-12 jam. Gliserol, through a nasogastric tube, 0.5-1.0 ml / kg diluted with two parts orange juice, may be repeated every 6 hours for a long time
             - Dexamethasone 2 -> 0.15 to 1.0 mg / kg / day in 3 divided doses iv.
5 When seizures, can be given:
       i. Phenytoin
       ii. Phenobarbital 5-8 mg / kg / 24 hours. If seizures occur frequently, should be given Diazepam (0.1-0.2 mg / kg) IV, in the form of infusion for 3 minutes.
6 Fixing homeostasis: intravenous fluids D5 - 1/2 or D5 S - 1/4 S (depending on age) and oxygen administration.


b. Special treatment.
1. CausativeTreatment . Prior to successfully get rid of bacterial etiology of parenteral antibiotics. Treatment for encephalitis due to herpes simplex virus infection is intravenous acyclovir, 10 mg / kg to 30 mg / kg per day for 10 days.
2. Interferon
These substances inhibit viral replication. Can be given intravenously,  intraventricular, or intrathecal on rabies.

Drugs choice therapy for Viral Encephalitis

c. non-pharmacologic
1 Physiotherapy and rehabilitative efforts
2 high-calorie protein food