Hand,%20foot%20-and-%20mouth%20disease Treatment
Pharmacotherapy
Symptomatic Therapy
Antipyretics
- May be given if patient is febrile
Analgesics
- May be given to patients complaining of pain
- Recommended for patients w/ central nervous system (CNS) involvement suffering from headaches
Anticonvulsants/Sedatives
- Eg Midazolam, Phenytoin
- May be considered for patients w/ seizures or frequent myoclonic jerks
Mouthwash/sprays
- Soothes oral discomfort & pain
Specific Therapy
Intravenous Immunoglobulin (IVIg)
- Recommended for patients w/ encephalitis, acute flaccid paralysis & autonomic nervous system dysregulation
- May be considered for patients w/ brainstem encephalitis
Inotropes
- Eg Dobutamine Dopamine, Epinephrine, Milrinone
- Decreased left ventricular ejection fraction (EF) & cardiopulmonary failure warrants inotropic agent support
- Dobutamine
- Cold sweating, mottled skin, tachycardia, tachypnea, & hypertension
- Patients should be treated w/ IV immunoglobulin
- Milrinone
- Should be given to patients w/ pulmonary edema because of both inotropic & vasodilator properties
Antibiotics
- May be used for patients w/ suspected bacterial disease until infection has been ruled out