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TropMed > Dengue Fever/Dengue Hemorrhagic Fever > Flashcards

Dengue Fever/Dengue Hemorrhagic Fever Flashcards

1
Q

Etio Dengue Fever/Dengue Hemorrhagic Fever

A

Virus dengue flaviviridae serotipe DEN-1, DEN-2, DEN-3, DEN-4

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2
Q

Vektor Dengue Fever/Dengue Hemorrhagic Fever

A

Aedes aegypti → kota
Aedes albopictus

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3
Q

Klinis Dengue Fever/Dengue Hemorrhagic Fever

A

Demam pelana/bifasik <7 hari
Nyeri retroorbita
Myalgia, atralgia, cephalgia
Perdarahan spontan

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4
Q

Klasifikasi Dengue Fever/Dengue Hemorrhagic Fever

A

DF & DHF → Perdarahan spontan & torniquet test (+) → petekie, gusi berdarah, BAB berdarah, mimisan, dll

DF vs DHF → kebocoran plasma o/k Hipoabluminemia → Syok

  1. Cari tanda kebocoran plasma
  2. Cari tanda perdarahan spontan
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5
Q

Dengue Fever

A

Infeksi primer
Kebocoran plasma (-)
Ht ↑ 5-10%
Trombosit <150.000

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6
Q

Tx Dengue Fever

A

Rawat jalan, minum banyak, simptomatik, edukasi warning sign

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7
Q

PP Awal Dengue Fever

A

Darah rutin (trombosit ↓, Ht ↑)

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8
Q

PP Tepat Dengue Fever

A

NS-1 (Hari 1-3)
IgM (Hari 4-6)
IgG (Hari 7) → DF/DHF → infeksi primer (+) hari ke-7, infeksi sekunder (+) sebelum hari ke-7

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9
Q

DHF

A

Infeksi sekunder

Kebocoran plasma (+), salah satu dari:
1. Ht ≥45%
2. Efusi, asites, organomegali
3. Tanda-tanda syok
4. Ht ↑ ≥20%

Trombosit <100.000 → tidak jadi patokan kebocoran plasma

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10
Q

Grade DHF (4)

A

DHF Grade I
DHF Grade II

DSS
DHF Grade III
DHF Grade IV

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11
Q

DHF Grade I

A

Torniquet test/rumple leed (+)

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12
Q

Tx DHF Grade I

A

Kristaloid 7 ml/kgBB/jam IV

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13
Q

DHF Grade II

A

Perdarahan spontan (+) → petekie, mimisan, gusi berdarah

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14
Q

Tx DHF Grade II

A

= DHF Grade I

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15
Q

DHF Grade III

A

= Pre syok

Hipotensi
Nadi lemah
Tekanan nadi ≤20 mmHg (TDS-TDD)

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16
Q

Tx DHF Grade III

A

Kristaloid 10-20 ml/kgBB/30-60 menit IV

17
Q

DHF Grade IV

A

= Syok

Nadi teraba (-)
TD terukur (-)

18
Q

Tx DHF Grade IV

A

Kristaloid 20 ml/kgBB/15-30 menit IV

TropMed (10 decks)

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