Does It Include Urgent Criteria To Be Taken To Health Facilities?
Hello wr.wb u0026amp; good night doctorMy mother (50th) a week ago went to the dentist because she complained of a toothache (lower left molars which was at the end of the patch, but the patches were long gone and then let go and the remaining teeth had been left a little) from the doctor’s examination results give Clindamicin cap and mefenamic acid therapy, then suggest to be referred to sp. oral surgery because of the location of the teeth at the tip, the remaining teeth are slightly and the position is slightly tilted. After taking the medicine for several days my mother always complained that her mouth felt bitter, and her pain was only subside after taking medicine. This afternoon my mother suddenly had a fever, after taking 2 drugs from the dentist and she still felt my cold, then I gave paracetamol 500mg 1/2 tab. After that my mother’s heat went down and began to feel good, but this afternoon she defecated and 3x to the toilet. What I want to ask the doctor, is this urgent criteria to be taken to the health facilities because in the midst of a corona outbreak situation like this frankly I was a little worried to bring him to the health facilities, and if “yes ” please enter a doctor, I should see a general practitioner or certain specialist doctor. Thank you in advance, Thank you wr.wb and good night
Hello Eka Puspita,
Fever is an increase in body temperature that can accompany almost all types of diseases, especially diseases caused by infection. Infections in the respiratory tract, infections in the skin, infections in the urinary tract, and infections in the digestive tract can all cause fever.
In the midst of the current Covid-19 outbreak, we need to be wiser in determining which signs of disease require an immediate examination by a doctor and which ones you can delay while doing independent treatment at home. You can overcome fever at home by:
Taking a fever-lowering drug (safest) is Paracetamol. Adjust the dosage listed on the package. Paracetamol can be taken routinely 3-4 times a day and if the children have a fever that can even be given an interval of 4 hours.
Compress the body of a fevered patient with a warm compress.
Drink enough water (in elderly people with chronic diseases such as congestive heart failure, follow the doctor's advice about the amount of fluid you can drink / day) and rest.
When high fever, avoid covering the body with a thick blanket or thick clothes.
Diarrhea in elderly patients is very risky to cause dehydration (lack of fluids) and electrolyte disturbances. The main treatment is rehydration, which is to give a replacement fluid as much as possible tried orally (drinking) using ORS (electrolytes have been adjusted) or a salt sugar solution. Give the amount of fluid released each diarrhea (liquid chapter) or can be more if the patient still feels thirsty. In adults, diarrhea can be given attapulgit or activated charcoal (stool hardener), give it according to the recommended dosage on the package. Do not exceed the maximum recommended dosage. Drugs other than attapulgit to stop diarrhea, it should be avoided if the cause of diarrhea has not been ascertained.
If you live in an area with local transmission or have contact with positive Covid-19 patients around you that are marked with a red dot (can be seen on the Covid-19 distribution map), you should call the 119 ext 9 or 112 hotline or other Covid-19 hotline number provided by the local government. The symptoms of Covid-19 can resemble many other infectious diseases, which are predominantly with fever> 38 ° C as well as respiratory symptoms (cough, sore throat, runny nose, shortness of breath), but there are also positive patients with Covid-19 with symptoms of fatigue, bone-joint pain, and diarrhea.
Perform periodic temperature measurements at home, if the temperature> 38oC for 3 days in a row or hyperpyrexia (temperature> 40oC) quickly take your mother to the nearest health facility. Other symptoms that require you to bring your mother are:
The patient looks weak and difficult to develop
BAK volume is greatly reduced or absent at all> 12 hours
Watery BAB accompanied by blood
Vomiting continuously and can not drink at all
Severe shortness of breath (characterized by rapid breathing frequency, the patient is uncomfortable lying down, there is a pull / hollow in the chest when breathing, wheezing sound)
When traveling to the health facilities try to carry out the following points:
Use a mask
Avoid using public transportation (crowded)
Avoid crowds or contact with other people, do physical distancing with a minimum distance of 1-2 meters with other people.
Wash your hands thoroughly and do not touch your face with your hands that have not been washed thoroughly
Thus the explanation from me, hopefully useful.