29/10/2019
⛑DENGUE FEVER 🧲
मरीज़ को plateles तभी चढ़ाए जाते हैं, जब count 10000 से कम हो और रक्त का रिशाव हो शरीर में कहीं से ।
मरीज़ को dehydrated ना होने देना ही पहला और आख़री इलाज है ।
It is a myth that all dengue patients require platelet transfusion. In fact unnecessary transfusion causes more harm and puts the patient at risk of complications. Transfusion must only be done if a person's platelet count is less than 10,000, and he has active bleeding.
drink plenty of fluids, and take a pain reliever with acetaminophen. Don't take aspirin
Platelet deficiency is not the cause of death in people suffering from Dengue
According to International guidelines, unless a patient’s platelet count is below 10,000, and there is spontaneous, active bleeding, no platelet transfusion is required. The outbreak of dengue in the City and Hospital beds are full and families are seen running around in search of platelets for transfusion. However what most people do not realize is that the first line of treatment for dengue is not platelet transfusion. It, in fact, does more harm than good if used in a patient whose counts are over 10,000.
The primary cause of death in patients suffering from dengue is capillary leakage, which causes blood deficiency in the intravascular compartment, leading to multi-organ failure. At the first instance of plasma leakage from the intravascular compartment to the extravascular compartment, fluid replacement amounting to 20 ml per kg body weight per hour must be administered.
Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected female Aedes aegypti mosquito. Common symptoms of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc. Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids.
Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.
The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided.
DENGUE NS1-Best test is NS1
——————————————
Please don’t panic ...
Platelets transfusion के धन्धे को बंद करें।