| Written by Dr.Md.Redwanul Huq (Masum) |
| Monday, 20 June 2011 15:33 |
1.Treatment for dengue fever:
| Febrile Phase |
Management |
| Duration 2 – 7 days |
- Bed rest
- Keep the body temperature below 39° C
- Paracetamol – yes
- Aspirin – No
- Ibuprofen or any other NSAID – should not be used in treatment for dengue fever
- Oral Rehydration Therapy (ORT)
- Folow-up the patient for any change in TPC / Hct.
|
| Afebrile Phase(Critical phase ) |
Management |
| Duration 2 – 3 days |
- Bed rest
- Check TPC / Hct
- Oral fluids & electrolyte therapy
|
| Convalescence Phase |
Management |
| Duration 7 – 10days after critical stage |
- Normal diet
- No special advice
- No restrictions
|
2.Treatment of Dengue Haemorrhagic Fever (DHF) Grade I & II:
| Febrile Phase |
Management |
| Duration 2 – 7 days |
- Bed rest
- Keep the body temperature below 39° C
- Paracetamol – yes
- Aspirin – No
- Ibuprofen or any other NSAID – No
- Oral Rehydration Therapy (ORT)
- Folow-up the patient for any change in TPC / Hct.
|
| Afebrile Phase(Critical phase ) |
Management |
| Duration 2 – 3 days |
- Bed rest
- Oral Rehydration Therapy (ORT)
- Check TPC / Hct
- If Hct rise is > 20% follow the Volume Replacement Flow Chart for Patients with DHF Grade I & II given below-
|
Volume Replacement Flow Chart for Patients With DHF Grade I & II:
* Improvement-Haematocrit falls, Pulse rate & Blood Pressure stable, Urine output rises.
** No improvement-Haematocrit or Pulse rate rises,Pulse Pressure <20 mm Hg, Urine output falls.
*** Unstable vital signs- Urine output falls, Signs of Shock.
| Convalescence Phase |
Management |
| Duration 2-3days after critical stage |
- Normal diet
- No need of medication.
|
3.Treatment of Dengue Haemorrhagic Fever (DHF) Grade III & IV:
| Febrile Phase |
Management |
| Duration 2- 7 days |
- Bed rest
- Keep the body temperature below 39° C
- Paracetamol – yes
- Aspirin – No
- Ibuprofen or any other NSAID – No
- Oral Rehydration Therapy (ORT)
- Folow-up the patient for any change in TPC / Hct.
|
| Afebrile Phase(Critical phase ) |
Management |
| Duration 2 days after febrile phase |
- Bed rest
- Check TPC / Hct
- Follow the Volume Replacement Flow Chart for Patients with DHF Grade III & IV given below-
|
Volume Replacement Flow Chart for Patients With DHF Grade III & IV:
- Give Platelet rich plasma transfusion when TPC is < 5×10^3 – 10X10^3/µl.
| Convalescence Phase |
Management |
| Duration 2-3days after recovery from critical/shock stage |
- Rest for few days
- Normal diet
- No need of medication.
|
To know the Generic and Trade names of the above mentioned drugs and their available formulations in Bangladesh click here.
