7. DEFINATION:
Dengue (DENG-gey) fever is a mosquito-borne disease that occurs in tropical
and subtropical areas of the world. Mild dengue fever causes a high fever, rash,
and muscle and joint pain. A severe form of dengue fever, also called dengue
hemorrhagic fever, can cause severe bleeding, a sudden drop in blood pressure
(shock) and death. caused by a family of viruses transmitted by
infected mosquitoes.
SIGNS AND SYMPTOMS
High fever and severe headache,
joint pain,
muscle and bone pain,
rash,
and mild bleeding.
8. dengue fever can damage the lungs, liver or
heart.
Blood pressure can drop to dangerous levels,
causing shock and, in some cases, death
9.
10.
11. Acetaminophen (Tylenol, others) can alleviate
pain and reduce fever.
Avoid pain relievers that can increase bleeding
complications — such as aspirin, ibuprofen
(Advil, Motrin IB, others) and naproxen sodium
(Aleve, others).
severe dengue fever need:
Supportive care in a hospital
Intravenous (IV) fluid and electrolyte replacement
Blood pressure monitoring
Transfusion to replace blood loss
12. Wear long-sleeve shirts and long pants.
Treat clothes with repellents like permethrin.
Use mosquito repellent like DEET
Consider using mosquito net
Windows and doors screens are closed to
avoid allowing mosquitoes
Avoid areas with standing water.
13. A female patient was admitted in vishwa bharathi hospital with
a chief complaints of:
c/o fever & vomithing since 3 days
Associated with body pains
Personal history : mixed diet
16. S.N
O
DRUGS GENERIC
NAME
DOSE ROA FREQU
ENCY
1st
da
y
2nd
day
3rd
da
y
4th
da
y
5th
da
y
6th
day
1 DOLO Paracetamol 650mg Oral TID
2 PANTOP Pantoprazole 40mg Oral OD
3 T.caripil Carica
papaya
leaf
1.1g
m
Oral TID
4 VOMISET Ondanserton 2ml Oral BD sos sos
5 t.capode
m
cefpodoxi
me
200m
g
oral BD
18. cefpodoxime+ pantoprazole=increase gastric
pH may reduce the oral bioavailability of
cefpodoxime.
Management:
Avoid Co administration with H2-receptors
antagonists, proton pump inhibitors. An
alternative antibiotic may be considered.
19. Patients with dengue fever should monitor
platelet count and hematocrit value daily.
Monitor patient temperature daily.
20. Oral rehydration therapy recommended for Patients
with moderate dehydration caused by high fever and
vomithing
Avoid spicy and fatty food
Include leafy vegetables in diet
Keep your hands and surrounding clean