Dengue Fever

Dr. Bhaskar Shenoy, Dr. Archana M
More..
print
Dengue Fever - Complications
• Major bleed-GI bleed and vaginal haemorrhages due to poorly managed DSS culminating into multi organ dysfunction and consequential DIVC. 10ml/kg of fresh PRBC or 20ml/kg of fresh whole blood can be transfused. (stored blood loses 2,3 di phosphoglycerate which depletes oxygen carrying capacity of haemoglobin resulting in functional tissue hypoxia). (5)
• Respiratory distress-Acute pulmonary edema, severe metabolic acidosis from severe shock, ARDS and polyserositis (severe ascites and pleural effusion)due to fluid overload cause respiratory distress. Oxygen supplementation and furosemide 0.1-0.5 mg/kg/dose IV once or twice daily in fluid overloaded patient with respiratory distress helps.(5)
• Dyselectrolytemia, blood glucose disturbances-Hyponatremia, hypokalemia, hyperkalemia, serum calcium imbalances and metabolic acidosis are suspected due to incorrect use of hypotonic solutions, diarrhea and vomiting. Both hypo and hyperglycemia can occur. (5)
• Organ impairments- Hepatitis, encephalopathy, encephalitis, and cardiac abnormalities can occur (5).


References
Dengue Fever Dengue Fever 06/28/2016
<< How Is Dengue Fever Managed? Dengue Fever - Patient Education >>
ask a doctor
Ask a Doctor
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0