Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment questions for doctor specialist Home Care pain and fever adults pain and fever children vomiting warning signs Prevention bites Complications Underlying Cause Transmission Types Anatomy

Eastern Equine Encephalitis Home Care

Home care for equine encephalitis includes:

Eastern Equine Encephalitis Pain and Fever Adults

Medications commonly used to control pain and fever in adults with equine encephalitis include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Eastern Equine Encephalitis Pain and Fever Children

Common medications used at home for pain and fever in children with equine encephalitis include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Eastern Equine Encephalitis Vomiting

Home care for vomiting in someone with equine encephalitis:

  • Drink clear liquids only, such as water, sports drinks, fruit juice and dilute tea. Sports drinks are best. The absence of food allows the intestines to rest.
  • Drink small quantities of fluids frequently. In general, two tablespoons of fluid every 5 minutes is an effective strategy.
  • Avoid milk and dairy products for 3 days.
  • Avoid liquids that irritate the stomach, such as citrus juice, alcohol and coffee.
  • If nausea or vomiting continues despite the above, consider one of the nonprescription medicines listed below.
  • Once vomiting and nausea resolves, start bland foods first. If you tolerate bland food, then you can resume a normal diet.

Nonprescription medications for vomiting include:

Eastern Equine Encephalitis Warning Signs

Continue to Eastern Equine Encephalitis Prevention

Last Updated: Feb 17, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Eastern Equine Encephalitis References
  1. Aguilar PV, Greene IP, Coffey LL, et al. Endemic Venezuelan equine encephalitis in northern Peru. Emerg Infect Dis. 2004 May;10(5):880-8. [15200823]
  2. Deresiewicz RL, Thaler SJ, Hsu L, Zamani AA. Clinical and neuroradiographic manifestations of eastern equine encephalitis. N Engl J Med. 1997 Jun 26;336(26):1867-74. [9197215]
  3. Estrada-Franco JG, Navarro-Lopez R, Freier JE, et al. Venezuelan equine encephalitis virus, southern Mexico. Emerg Infect Dis. 2004 Dec;10(12):2113-21. [1566384]
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