حمى الضنك مع احتقان السوائل: تورم الجفون والاستسقاء والتطور إلى ضيق التنفس

References

• The most common complication is fluid overload
• Early signs and symptoms include puffy eyelids, distended abdomen (ascites), tachypnoea, and mild dyspnoea
• All hypotonic solutions should be stopped
• In the early stage of fluid overload, switch from crystalloid to colloid solutions as bolus fluids. Dextran 40 is effective as 10 mL/kg bolus infusions, but the dose is restricted to 30 mL/kg/day because of its renal effects.
• Voluven may be effective (osmolarity = 308 moSmol) and the upper limit is 50 mL/kg/day.