INTRAVENOUS GLUCOSE INFUSIONSGIVEN BY GENERAL PRACTITIONERS TO PATIENTS OF COMMON FEVERS
O P Kapoor
Hon. Visiting Physician, Jaslok Hospital and Bombay Hospital, Mumbai,
Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
All these years I used to criticise G. Ps for admitting patients of common fever to administer IV glucose in the nursing homes.
I would still not recommend any IV glucose in patients who can take liquids by mouth (because of the side effects - rigors because of contaminants or even anaphylactic type of reactions). But I have second thoughts that GPs may be doing the right thing!! This reasoning is based on the following facts which have been brought out during the last few years:-
In the three above common fevers, thus giving IV glucose can be justified, but it should be understood that such patients cannot be treated in small nursing homes and will certainly need hospitalisation and that too possibly in an ICU. This is because of the other associated complications which can occur in such patients. Hundreds of routine patients of vivax malaria or viral hepatitis or typhoid certainly need no glucose.