Malaria is still one of the most prevalent protozoan diseases in the world. The mosquito infects the human and the parasite passes through two phases. The tissue phase causes no clinical symptoms in the human and the erythrocytic phase invades red blood cells and causes chills, fever, and sweating, In the United States the 1000 cases reported annually are almost all from international travel. Quinine was the only antimalarial drug from 1820 to the early 1940s when synthetic antimalarial drugs were developed. Chloroquine is commonly prescribed. If drug resistance develops quinine is used in combination with an antibiotic such as tetracycline.

Nursing process related to treating patients who have malaria.

• Assessment

° Assess patient's hearing (drugs may affect 8th cranial nerve) ° Assess for visual changes (should have frequent ophthalmic examinations)

• Nursing diagnoses ° Risk of infection

° Risk for impaired tissue integrity ° Risk for sensory disturbances (auditory and visual)

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