الضنك مع علامات التحذير: عندما لا يستعيد الإنعاش الأولي بالسوائل التروية

References

• The dengue patients with warning signs and high-risk groups are considered to be as moderately ill and classified as Group B.
• Includes dengue with warning signs or all special populations.
• Grade B with warning signs in adults (systolic pressure maintained + signs of reduced perfusion), HCT high.
• Refractory hypotension, consider inotropes after 2nd bolus.
• Detailed investigation to rule out: 1. cardiogenic shock; 2. septic shock; 3. metabolic cause; 4. organ dysfunction.