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CDC DengueCase Management

orClinicians

NADHIRA PUSPITA A

YUNINGTYAS

PADURAKSA, !"#

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7/25/2019 CDC Dengue Case Management for Clinicians (power point)

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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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