8. Medications
Inj fepanil 100ml iv bid
Inj monocef 1gm iv bid
Inj pantoprazole 40mg iv bid
Tab doxycycline 100mg po bid
Tab dolo 650mg po tid
Inj ondansetron 4mg iv tid
Tab zincovit po once daily
16. ASSESSMENT
Diagnosis : Based on the subjective and objective evidences
the diagnosis was found to be Acute febrile illness with
Dengue ns1+ with Thrombocytopenia.
Etiology:- viral infection spread through mosquito bite.
Assessment if therapy is indicated :
Yes therapy for this patient is absolutely essential to prevent
further complications like dengue haemorrhagic fever that can
cause an enlarged liver and in some cases can lead to shock.
17. Standard therapy
Treatment is concerned with relief of signs and
symptoms.
pain relievers such as NSAIDS are necessary.
Acetaminophen and codeine may be given for severe
headache and for joint and muscle pain (myalgia)
Patients hospitalized for dengue may receive
continuous iv fluids.
Carioca papaya leaf extract has been shown to be an
effective treatment for dengue fever.
18. Drug category Dose Frequency
Inj Paracetamol NSAID 1gm iv Bid
Inj Ceftriaxone 3rd gen
cephalosporins
1gm iv Bid
Inj Pantoprazole Proton pump
inhibitor
40 mg iv OD
Inj ondansetron 5HT3 antagonist 4mg iv Tid
Cap doxycycline Tetracycline
antibiotics
100mg po Bid
20. GOALS OF TREATMENT
GENERAL GOALS :
To reduce morbidity and mortality,
To improve quality of life,
To prevent and treat complications
PATIENT SPECIFIC GOALS :
To prevent the further complication of dengue
hemorrhagic fever, shock etc
21. LIFE STYLE MODIFICATIONS :
Wear a protective clothing.
Use mosquito repellant.
Dispose of garbage on regular basis.
Diet :- low fat, low fiber, and non carbonated.
Use fruits such as kiwi, pomegranate.
Use vegetables such as carrot and beet root.
Take adequate rest.