A patient has been treated for an acute attack of P. vivax malaria. For relapse prevention, the nurse expects the provider to order which medication?
a. Chloroquine (Aralen Phosphate)
b. Doxycycline (Vibramax)
c. Primaquine phosphate
d. Quinine (Qualaquin)
ANS: C
The agent of choice for preventing relapse of P. vivax malaria is primaquine, which is highly active against the hepatic forms of P. vivax. Chloroquine is the drug of choice for treating mild to moderate acute attacks of either type of malaria. Doxycycline is used for chloroquine-resistant malaria. Quinine has little effect on hepatic forms of malaria, so it is not useful for relapse prevention.
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