29yr old female, 5 month pregnant, Doctor has advise to take gudcef CV 200 bd, sos dolo 650, fever since last 3 days up and down ,every 6 hrs fever upto 101.9fer., also given codeine orally and ceftriaxone 1gm iv 3 doses, pt got relief after these therapy for 1 day but from last night severe coughing not even getting sleep, every 10mins sudden restlessness cough no any other previous history, please treatment and management???...can we give any nebulizer or any other treatment? early 2 days platelet decrease but then increases as shown in below report

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Give CEPHALEXIN 750 mg 1-1 as safe antibiotics along with symptomatic Rx

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Dear dr Vijay P Lady is pregnant and in 2nd trimester At this stage she has contacted a VIRAL INFECTION as reports suggest I will never give or suggest to give a combination of drug with CLAVONIC ACID OR DICLOXACILIN as these are contraindicated hence iwill suggest to stop them Lady is anaemic and platelets are showing down trend though initial iGg and iGm are negative Treat as viral fever only Ceftriaxozone is right choice i will prefer azithromycin along with it So far nebulisation is concerned that is most prefered way yes you can choose ambroxol+salmetrol nebulisation sos budenoside inhalation Cough suppressants use carefully no codeine prepositions You can add Acebrophylin Antipyretics Or add cough syp from alternative medicines

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Check her vitals and SPO2. Add Osceltamivir to Ceftriaxone. Is there any h/o travel recently? Salbutamol nebulization and deriphylline can be given. Even short course of steroids can be given under antibiotic coverage for symptomatic relief. Get physician's opinion also.

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ADVISE X RAY CHEST PA VEIW WITH ABDOMINAL SHIELD

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Aviation Flu..in view of history.

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Nice case for learning pregnancy care sir.

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Syr with Salbutamol combination will be affective. Apart from that tell her to have sips of ginger tea and warm milk. To keep her self hydrated. Tell her to avoid going to crowded places as TB is common in India. Tell her to drink Zeera water to get rid of allergy. Next two days she can continue that antibiotic.

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If possible, get chest cxray done with abd shield. Consider oseltamivir in view of viral etiology. Continue nebulization and steam inhalation.

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Rule out Swineflue in this case. Can give nebuliser in this case. Salbutamol containing syrup are safer options here. Clarithromycin can be option as antibiotics.

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Can nabulize can give rotacap thru rotahalers Seroflow & Duoline t d s

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