Influenza

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1. Treatment

    1. Cap oseltamivir 30 mg for 7 days

        1. or syrup oseltamivir 60 mg/5/ml

        2. or cap Flubivir 75 mg

        3. or cap Tamiflu 30/45/75 mg

1. Symptom therapy only

    1. Serum N/S 500-1000 cc IV infusion

    2. Amp apotel 1gr (10-15mg/kg) INF

    3. Amp ketorolac IV

    4. Amp B-complex

2. Approach

    1. if suspicious of pneumonia, take CXR

    2. Vaccination in high risk group:

        1. Vaccine Influvac #1

            1. >3y/o 1 Amp

            2. <1y/o 1/2 amp

            3. <12y/o for first time, repeat 1 month later

            4. for pregnancy, in 2nd and 3rd trimester

            5. safe in breast feeding

            6. contra indicated in dose who are sensitive to Egg’s protein

        2. may cause GBS

        3. use in

            1. health care workers

            2. old age

            3. immunodeficient

            4. chronic disease