s. 9. 10. 11. 12. give/prescribe a pu!l"ely aspirin solution. 7. 1. 3 If aspi,·i n is to be given, give/prescribe an antacid wbkh is to he ta ken wilh ench dose of aspirin. 7. 2 Advise the patient or his companion to follow general instruction on the management of a patient with fever. Do the following i I Ute patient has pale lips, nail beds and/or inner aspect of the eyelid: 8. l Give/prescribe over-the-counter medicine for anemia specifying accurat ely the method of preparation, the dose and frequency of 8. 2 intake. 8. 1. 1 Give/prescribe iron preparation like one containing ferrous sulfate or ferrom; fumarate 8. 1. 2 Advise the patient to take the medicine after meals. 8. 1. 3 Advise tl1c pa Lient to iron preparation for at least one month. Advise the patient to eat iron-rich food like leafy vegetables, liver, kidney, lec1n meat, etc., If dizziness is mild and is not accompan ied by any other signs or symptoms or if the patient has not enough sleep for the past several days, give/prescribe over-thc-countet· multivjt. imins preparation, preferably one that contains some iron. Specify the method of preparation, the dose and tbe frequency of intake. Advise patient to come back for follow-up after one week or earlierif other symptoms develop. Do home visit if patient fails to come back for follow-up. Do the following during the follow-up vis. it: 12. 1 Ask if there was improvem ent in the patient's condition after the management has been started. 12. 2 If there were some improvement, advise the patient to stop the medication except if the patient is tak;ng iron preparation or multivitamins. 12. 3 lf there was no improvement, ask if any new symptom developed since the last visit. 12-4 Examine the patient for any new signs which could have developed since the last visit. PLAN 8: 1. Refer the patient to: 1. 1 An ophthalmologist within 24 to 48 hours if any of the following are present: 1. 1. 1 Double vision. 1. 1. 2 Patient sees black spots or white spots. 1. 1. 3 Incoordination of the eye movements. 1. 2 An ear specialist within 24-48 hours if anv of the following are present: · 1. 2. 1 Mild hearing loss 1. 2. 2 Ringing 01· buzzing in the ear 1..2. 3 Ear pain and/or discharge 1. 3 An optometrist within the week if the follovting signs and symptolll5 41. S 