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