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2 million deaths per year worldwide occur in children under 5 years of age in sub-Saharan African countries about 400 million new cases per year worldwide
"mal
aria" (meaning "bad air" in Italian) was first used in English in 1740 by H. Walpole when describing the disease C. Laveran in 1880 was the first to identify the parasites in human blood In 1889, R. Ross discovered that mosquitoes transmitted malaria
Plasmodium
The classic and most used diagnostic test for malaria is the blood smear on a microscope slide that is stained (Giemsa stain) to show the parasites inside red blood cells
slide of a Giemsa stained smear of red blood cells showing Plasmodium malariae and Plasmodium falciparum parasites. SOURCE: CDC/Steven Glenn, Laboratory & Consultation Division
Nursing Diagnosis: High body metabolism due to immune response (interaction of antigen & wbc) as evidenced by Pyrexia & shivering
Nursing Intervention
TSB Ventilation Temp
Nursing Diagnosis: Nausea, vomiting due to cerebral malaria, effect of bilirubin on the liver
Nursing Intervention Anti emetic per prescription Measure volume of vomitus as output & record
Nursing Intervention Adjust fluid intake to output. More fluid orally, if no vomiting Urine output to watch oliguria.
Nursing Intervention Urine output to watch oliguria. (Normal=30ml/hou r Urine dipstic for proteinuria & hematuria
Nursing DX Potential anemia due to hemolysis of RBC & Platelets, as evidenced by heamturia
Nurse Interventions Hb monitoring Iron preparates e.g. Pregamol HP diet, Vitamins & Minerals Avoid injuries
Nursing DX
Nurse Interventions
Potential cerebral Malaria (swelling of brain cells, suppression of vital centres e.g. cardiac, respiratory centres as evidenced by headache, confusion
Monitoring of consciousness level Quite environment Vital signs monitoring if not Observe consciousness level. Safety measures