Homecare Guidelines for Influenza (H1N1, Seasonal)
Keep away from others as much as possible to prevent making others sick. Do not go to work or school while ill.
The following guidelines are intended for patients who have already discussed their symptoms with their InterMed provider. These guidelines are not for self diagnosis or treatment. Your InterMed physician recommends that you call them with any questions or concerns. H1N1 information can also be found at www.cdc.gov.
- Keep away from others as much as possible to prevent making others sick. Do not go to work or school while ill.
- Stay home for at least 24 hours after fever is gone, except to seek medical care or for other necessities. (Fever should be gone without the use of a fever-reducing medicine.)
- Get plenty of rest.
- Drink clear fluids such as water, broth, sports drinks, (electrolyte beverages for infants) to keep from being dehydrated.
- Cover coughs and sneezes. Wash hands often with soap and water. If soap and water are not available, use an alcohol-based hand sanitizer.
- Wear a facemask – if available and tolerable – when sharing common spaces with other household members to help prevent spreading the virus to others. This is especially important if other household members are at high risk for complications from influenza.
- Avoid touching eyes, nose or mouth. Germs spread this way.
When to Seek Emergency Medical Care
Adults: Seek medical care immediately if the sick adult exhibits:
□ has difficulty breathing or chest pain
□ has purple or blue discoloration of the lips
□ is vomiting and unable to keep liquids down
□ has signs of dehydration such as dizziness when standing, absence of urination
□ has seizures (for example, uncontrolled convulsions) is less responsive than normal or becomes confused
Children: Seek medical care immediately if the sick child exhibits:
□ fast breathing or trouble breathing
□ bluish or gray skin color not drinking enough fluids
□ severe or persistent vomiting
□ not waking up or not interacting
□ being so irritable that the child does not want to be held
□ flu-like symptoms improve but then return with fever and worse cough
□ lack of tears when they cry
□ have seizures
Always seek medical advise or treatment for any other concerning conditions not specified above.
Tamiflu (oseltamivir) and Relenza (zanamivir)
□ Take medication as prescribed and read package insert, you may feel better before the infection is gone.
□ Call your physician if symptoms do not improve, worsen or if you experience:
chest pain, hemoptysis, hematuria, confusion or pleuritic pain, decrease in urine
□ Stop using oseltamivir if you experience an allergic reaction and seek
medical attention immediately if you experience:
hives, difficulty breathing, swelling of face, lips, tongue or throat, a red and blistering or peeling rash
□ Rare side effects:
sudden confusion, delirium, hallucinations, unusual behavior, thoughts of self injury. (mostly in children)
□ Less serious side effects
Nausea, vomiting, diarrhea, dizziness, headache, nosebleed, eye redness or discomfort, insomnia, cough, wheeze
□ Other medications that may interact with oseltamivir
some prescription medications, vitamins, minerals, herbal products. If you have concerns with this discuss with your pharmacist