In an attempt to dispel myths and create awareness about the ongoing dengue outbreak in the city, IMA, HCFI and Indian Oil Corporation have released a set of guidelines for the management of the disease.
Simple Dengue Fever:
Over ninety-five percent people suffer from simple dengue fever, which is not as threatening as severe dengue fever.
In simple dengue fever there is no capillary leakage, the person requires only oral fluids, 100 ml per hour, and is advised to visit a local doctor
Additionally, the patient is recommended to drink 500 ml water at the time of diagnosis. Only those patients with dengue fever who have vomiting should be given intravenous fluids
Severe Dengue Fever:
Those suffering from severe dengue develop capillary leakage and intravascular dehydration. Also, they suffer from a rapid fall in the platelet count along with rapid rise in their hematocrit levels They will have rapid fall in platelets along with rapid rise in hematocrit levels
Persistent vomiting, nausea, extreme exhaustion and lethargy are some of the symptoms of dengue. Along with these symptoms, a victim might suffer unrelieved abdominal pain and mental irritability and confusion.
These people require close daily observation.
Dengue patients are kept under close observation and are recommended to consume 1500 ml fluids (20 ml per kg) immediately
And in case, when they cannot consume liquids orally, then intravenous fluids are a must
Formula of 20 to identify high-risk cases of Dengue fever:
If there is a rise in pulse by 20
Fall in upper blood pressure by 20
Rise in hematocrit by 20 percent
Rapid fall in platelets to less than 20,000
Petechiae (red spot) count of more than 20 in one inch after tourniquet test
If the difference between upper and lower blood pressure is less than 20, then such cases should be given 20 ml of fluid per kg immediately and then shifted to nearest medical center for medical assistance
What you need to do in case symptoms are prevalent?
The follow-up tests are required to witness the rise in hematocrit and significant fall in the level of platelets.
The tests are required to be screened simultaneously.
Platelets transfusions are not required unless there is active bleeding and platelet count is less than 10,000
Keep a tab on hematocrit levels are crucial as their count decides the adequate requirement of fluids required by the body
It is important to remember the following:
Capillary leakage only occurs when the fever is on the verge of subsiding.
The initial 48 hours, including 24 hours after fever is over, are crucial, and the patient requires plenty of fluids as a sub-treatment
Signs of itching or rash usually occur post the capillary leakage period is over
When is urgent admission required?
If the patient is unable to consume or tolerate the consumption of liquids
Patients with underlying comorbid conditions
Infants or elderly people
Patients suffering from uncontrolled diabetes