flashcards_dengue

Question 1

Is Dengue a notifiable disease?

Answer 1

Yes, Dengue is a notifiable disease.

Question 2

What is the management for WHO group A (no warning signs) in Dengue?

Answer 2

Tolerating adequate fluid volume, passing urine every 6hrs, sent home, rest and take oral fluids (rehydration products), monitor for warning signs, paracetamol and tepid sponging can be used to reduce fever.

Question 3

What should be done for WHO group B (developing warning signs) in Dengue?

Answer 3

Hospital admission, IV/oral fluids, monitor for progression of warning signs, discharge once patient is afebrile for >48hrs.

Question 4

What is the management for WHO group C (established warning signs) in Dengue?

Answer 4

Hospital admission to ICU, consider blood transfusion, IV 0.9% NaCl (maintenance + 5% fluid deficit): 100ml/kg for first 10kg, 50ml/kg for second 10kg, 20ml/kg for >20kg, monitoring for worsening signs, investigation for other causes.

Question 5

When should a Dengue patient be discharged from the hospital?

Answer 5

Once the patient is afebrile for >48hrs.