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CDC DengueCase Management
orClinicians
NADHIRA PUSPITA A
YUNINGTYAS
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ASS$SSM$NT
DiagnosisDugaan %
Tinggal&'e(ergian )e *aera+ en*emis *emam *engan *ua *ari ge-ala 'e
Mual&munta+ .erca) )emera+an N/eri 0)e(ala, mata, otot, sen*i1 Torni2uiet test (ositif 3eu)o(enia Tan*a4tan*a 'a+a/a
Tan*a'a+a/a
N/eri (erut +e'at Munta+ (ersistent Per*ara+an mu)osa Pem'esaran +e(ar 5 cm Tan*a )linis )e'ocoran (lasma Gelisa+ Pening)atan HCT *ii)uti *engan (enurunan ra(i* ang)a trom'osit
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)e'.
Assessment
Tan(a tan*a.a+a/a
Gru( A
Pasien ra6at-alan
Tan*a 'a+a/a*isertai )on*isi
'eri)ut %
Ke+amilan
.alita
Dia'etes Melitus
3ansia
Gagal gin-al
Kea*aan social /ang 'uru)
Gru( .
Pasien ra6at ina(
Tan*a 'a*an sala
*ariKe'ocoran ('erat *enga
atau *istress(erna(asan
Per*ara+an
Kegagalan o
Gru(
Pasien ra6
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D$NGU$ MANAG$M$NT D78s ANDD7N8Ts DONT use corticosteroids % )orti)osteroi* ti*a) *iin*i)
*a(at mening)at)an resi)o (er*ara+an saluran cerna,+i(ergil)emia, imnunosu(resif
DONT give platelet transfusions for low platelet cotransfusi trom'osit ti*a) mengurangi resi)o (er*ara+an '+an/a a)an menam'a+ masa ra6at ina(
DONT give 0,45% saline % NaCl !, 9:; ti*a) 'ole+ *i'e'a+)an se'agai cairan maintenance )arena *a(at 'ocor ))etiga *an mem(er'uru) ascites *an efusi (leura
DONT assume that ! "uids are necessar# % (ertamaa(a)a+ (asien *a(at *ila)u)an inta)e cairan secara oral< Kcairan infus saat ter*a(at (ening)atan status +emo*inam(ening)atan out(ut urinital sesetia( 9 -am, +emato)rit *imonitor setia( #4" -am
DO recogni$e and treat earl# shoc % earl/ s+oc) 0atau
*i)enal se'agai com(ensate* atau normotensi>e s+oc)1 **engan 'er)urangn/a selisi+ sistole *an *iastole 0men*e)ammHg1, mening)atn/a *en/ut -antung, (enurunan 6a)tu ()a(iler, serta a)ral *ingin
DO administer colloids for refractor# shoc % (asien /res(on *engan 4? 'olus cairan isotonis se'ai)n/a *i'eri)a*ari(a*a tam'a+an sairan isotonis
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