Dengue Fever

Dr. Bhaskar Shenoy, Dr. Archana M
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).

Dengue Fever Dengue Fever 06/28/2016
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