When a patient presents with fever, check the temperature with thermometer. It is an important record. Most fevers encountered in General Practice are viral, self limiting and require only symptomatic treatment.
Prescription Card – Fever symptomatic treatment
Tab Paracetamol stat & S.O.S.
Inj. Febrinil 2 cc IM if fever > 100°F or 38°C
Tab Ibuprofen / Diclofenac 1 bd/ tds if bodyache or combinations with NSAIDS.
a. Ibuprofen + Paracetamol eg. Combiflam
b. Tramadol + Paracetamol e.g. Ultracet,
4. Tab Cetirizine 1 OD if colds (Antihistamines)
Cold compresses or ice bag – over forehead, axillae, neck etc.
Bed rest with blanket.
Semi solid or liquid diet, Avoid cold water.
Avoid exposure to wind. Avoid bath – only sponging.
Take soft foods – Rice or Sago, Kheer , Soft rice with milk/ghee/ plain Daal, Boiled vegetables (Cauliflower, Beet, Cabbage). You may take little lime pickle or papad for taste but no chillies. Don’t take any oily or fried foods.
Take plenty of water and fluids every 2-3 hrs. Take plain water, Limewater, Coconut water or ORS water. Take milk with Horlicks or Bournvita. With the meals you may take soups, Buttermilk. But avoid Cold drinks, Cold water, Ice-cream.
For snacks you can take Plain Idli with butter, Bread butter, Toast-jam, Gujarati Plain Khakra, or Cornflakes. Take fruits like Apple, Bananas, Pear, Citrus fruits, Watermelon. You may also take dry fruits & Biscuits.
Remember however, your responsibilities doesn’t end here, you should always be aware of other common causes of fever, and warning signals that will tell you that this may not be simple viral fever. Especially when there is epidemic of malaria, typhoid, infective hepatitis or influenza. You should always rule out these conditions first, before labelling the fever as viral.