MANAG EMENT PROTOCOL FOR PROBLEM ON DIZZINESS: ADULT PATIENT (Logic Tree No. 24) PLAN A: 2. 3. 4. s. 6. 7. Determine knowledge of the patient and/or his companion on the management oft J1e problems presented. Based on 1. 0. do the following i( dizziness is accompani ed by mild hearing loss, runny nose and/or nasal obstruct ion: 2. 1 Gi"c/prescribc over-the-co unter medicine for colds specifying accurnle ly the dose and frequency of intake. 2..1. 1 Gi"e/pre. scribe a decongesta nt 2-. 1. 2 Ad,isc patient not lo drive or operate a machine while under medication since the medicine 1nay make him sleepy. B~ed on 1. 0, g-h-e the patient candy, sugared water or any s,veetened drink (aside from softdrin k) if the dizziness occurred several hours after a mea I or intake of medicine for diabetes (dizziness is most likely be due to low blood sugar). Based on 1. 0, gi\'e/prcscribe over-the-counter medicin e or herbal medicine fordininess if the :,-ymptom occnrs only when the patient rides a vehicle or uny mo~ing object. Specify accurately the method of preparation (specifically for herbal medicine), the dose ;ind frequency of intake. 4-1 Gi\'e/prescribe medicine for dizziness like those containing betahistine, mecli7. ine, dimcnhydrina te 4-2 Advise patient to take medicine 30 to 60 minutes before traveling 4-3 Inform patient that the medicine can make him sleepy so he must not drive a vehicle or operate a machin e while under medication. If_ dizziness is observed when pati. ent suddenly cba nges position, advise him to move or change position slowly, for example if he is lying down he should sit do\-,1 first before sttmding nnd avoid changing directly from lying l)OSilion to a standing p(,sition. ~ased on 1. 0. do the following if dininess is accompanied by one-sided eadachc "ith or "ill10ut an aura. 6·1 Ad\'isc the patient to rest in a dark room until the attack is over. 6·2 Give/prescribe over-the-counter medicine for headache, specifying ~ccurately the method ofp Teparatio n, the dose and frequency of intake. 6. 2. 1 Give/pr~cri he a paracetamol preporation. 6. 2. 2 Advise patient 10 take the medicine as soon as the aura is felt or seen if such is present. Do t11e follov,ing if there is a fever: 7·1 Gi"e/prlc'scrihe over-the-c ounter medic. inc or hcrbnl medicine for fever $1~ecifying at·c·urately the method of preparation (specifically for herhal medil'im. :). the dose and freqncncy of intake.. 7. L. J Giv<. '/prescribe a paracetamol preparntinn unless patient is alleqtic: to it. 7. 1. 2 If the patient is a. llergic to the above mentioned suhstance --