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Dengue / Dengue Hemorrhagic Fever
Drugs For Dengue / Dengue Hemorrhagic Fever
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Dengue / Dengue Hemorrhagic Fever
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What are the symptoms of Dengue and Dengue Hemorrhagic Fever? |
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Text 
High fever
Severe headache
Backache
Joint pains
Nausea and vomiting
Eye pain
Rash Dengue hemorrhagic fever is characterized by: Fever that lasts from 2 to 7 days with General signs and symptoms of Nausea, Vomiting, Abdominal pain and headache, followed by: Hemorrhagic manifestations
Bleeding nose or gums
Internal bleeding The blood vessels may start to leak which may lead to failure of the circulatory system and shock followed by death. |
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Posted by:
Tewari55
Posted on: 07/23/2010 The platelet count is not the only important determinant of bleeding. Indications for blood/platelet transfusion as recommended in clinical practice guidelines are: In cases with significant clinical bleeding, which require blood transfusion. Usually bleeding is > 10% of total blood volume (> 6-8 ml/kg of ideal body weight) In adults with underlying hypertension or coronary heart diseases and platelet 1.3-1.5, which is the result of liver failure: Major contributing factor for massive bleeding. There is no evidence to support the use of blood components such as platelet concentrates, fresh frozen plasma or cryoprecipitate. Its use could contribute to fluid overload. Important instructions for treatment of DHF as per WHO/SEARO guidelines: If the patient’s condition becomes worse despite giving 20ml/kg/hr crystalloid solution for one hour, replace crystalloid solution with colloid solution such as Dextran or Plasma. As soon as improvement occurs, replace with crystalloid. In case of severe bleeding; give blood transfusion @ 20ml/kg for two hours. Then give crystalloid IV fluids @ 10 ml/kg/hr for a short time (30 - 60 minutes) and later reduce the speed. If hematocrit falls, give blood transfusion 10 ml/kg and then give crystalloid IV fluids at the rate of 10 ml/kg/hr. The volume of blood administered should be just enough to raise the red blood cell concentration to normal. |
As my Mother in ICU>Please Reply