50/M with VIRAL PYREXIA 2° to URTI
A 50/M came to casuality with c/o fever since 7 days, on and off, high grade, not relieving with medication a/w Generalized weakness Cough since 7 dayson and off No H/o vomitings, loose stools,pain abdomen No H/o chest pain,palpitations, wt loss,evening riseof temp N/k/c/o DM,HTN,TB,asthma O/E: Pt c/c/c No pallor/Icterus/cyanosis/koilonychia/generalised lymphadenopathy/pedal edema Temp-100.6 F Pr-80bpm BP-70/40 mmhg Rr-21/min Spo2-98% @RA GRBS-140 mg/dl Cvs-s1 s2 +,no murmurs R/S- bae+,nvbs Cns-no fnd P/A-soft,nt Diagnosis: Viral pyrexia 2° to URTI with hypotension Rx: Ivf.NS,RL @150ml/hr continously T.PCM 650mg po sos Inj.NEOMOL 1g IV sos(if temp >101°f) Inj.PAN 40MG IV OD T.AUGMENTIN 625mg po bd Strict temperature monitoring 4th hrly Strict BP monitoring 2nd hrly Plenty of oral fluids Strict I/O monitoring
