Dengue V.luna
Dengue V.luna
Dengue V.luna
Diagnostic Tests:
•Tourniquet/ Rumpel Leede Capillary Fragility Test
(presumptive)
-A blood pressure cuff is applied and inflated to a
point between the systolic and diastolic blood pressure
for five minutes. The test is positive if there are more
than 20 petechiae per square inch (a petechiae is a
small red or purple spot on the body, caused by a
minor haemorrhage).
MEDICAL TREATMENT:
•ANTI PYRETIC (NO NSAID AND ASPIRIN=SE:
BLEEDING)
•IV FLUID THERAPY
•BLOOD TRANSFUSION
•O2 THERAPY
NO SHOCK: D5LR, D5.9PNSS, PLR
WITH SHOCK: IVF CRYSTALLOIDS + PLR/PNSS
20ML/KBW IV IN LESS THAN 20 MINS
NO IMPROVEMENT: COLLOIDS (DEXTRAN)
10ML/KBW IN 40 MINS
STILL NO IMPROVEMENT: FRESH FROZEN PLASMA
15ML/KBW IN 2HRS.