1. Dengue is a systemic and dynamic disease that requires close monitoring as its clinical manifestations and lab results change rapidly, especially during the critical plasma leakage phase. 2. Failure to properly interpret these changes can lead to delays in treatment and potentially life-threatening shock. 3. Proper fluid management is essential to prevent shock, with careful monitoring needed to guide adjustments to intravenous fluid regimes over the 24-48 hour critical period and subsequent recovery phase.