Dengue fever - When to refer for admission? #2

~ Autopublish entry ~

DF (dengue fever) ni terjadi dalam 3 fasa tau :

1. Febrile phase
2. Critical phase
3. Recovery phase - Rujuk [SINI]

Bila doctor nak kene refer patient masuk wad?

Bace kriteria masuk wad ikut bawah ni ea ..

1.       Symptoms :
Warning signs
Bleeding manifestations (pendarahan)
Inability to tolerate oral fluids
Reduced urine output
Seizure (sawan)

2.       Signs :
Dehydration
Shock
Bleeding
Any organ failure (kegagalan organ)

3.       Special situations :
Patient with co-morbidity
(kencing manis, darah tinggi, sakit jantung, renal failure, chronic liver disease)
Elderly
Pregnancy
Social factors that limit follow-up
Tinggal jauh dari klinik/hospital, tinggal bersendirian)

4.       Lab :
Rising HCT diikuti penurunan platelet

***
Dehydration tu ada cara nak assess – samada mild, moderate atau severe dehydration.
Shock – Nadi terlalu laju , diikuti low blood pressure.
HCT – haematocrit (slalu yang doctor asik sebut darah pekat tu..die maksudkan HCT lah)
Kita tak tengok platelet je tau – kene tengok HCT &  WBC (sel darah putih) skali.

Skarang dah tau kan. Bukan semua kes yang suspect DF kene masuk wad ea.

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