Dengue thyo 6 ipd ma 6 to ky tab inj apva kya combination sathe ketla time mate rutin banavi aapo
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dengue fever IPD inpatient treatment protocol IV fluids paracetamol injection schedule WHO 2024
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Chalo, hun tame puchhelan prashn no saras jawab aapu chhu - Dengue thyo chhe, 6 din na IPD ma 6 tab + injections aapva ma kayi combination, ketla time mate - eni complete routine banaavi aapish.
π₯ Dengue IPD - Injection + Tablet Routine
Pehla - Group classify karo (WHO Protocol)
| Group | Condition | Treatment |
|---|---|---|
| Group A | Warning signs nathi, oral fluid le chhe | Ghar |
| Group B | Hospital admit - warning signs hova/na hova | IPD - Oral + IV |
| Group C | Shock, severe bleeding, organ failure | Emergency ICU |
π 6 Din ni Standard IPD Drug Routine (Group B - Warning Signs)
Injections:
| Injection | Dose | Frequency | Duration | Note |
|---|---|---|---|---|
| Inj. Paracetamol (Perfalgan) | 1g IV (Adult) / 15mg/kg (Child) | Har 6 kak (if oral nahi le shakto) | Jyare sudhi fever > 38.5Β°C | First choice for fever |
| Inj. Pantoprazole | 40 mg IV | Din ma 1 vaaro (subah khali pet) | 6 din | Gastric protection |
| Inj. Ondansetron | 4-8 mg IV | Har 8 kak (prn - vomiting ma) | Jyare sudhi vomiting | Anti-emetic |
| Inj. Vitamin C (optional) | 500mg-1g IV | Din ma 1 vaaro | 5-6 din | Antioxidant, vas permeability ghataade |
Tablets (Oral - if tolerated):
| Tablet | Dose | Frequency | Note |
|---|---|---|---|
| Tab. Paracetamol 500mg | 1-2 tab | Har 6 kak | NSAIDs (Aspirin, Ibuprofen) BILKUL NAHI |
| Tab. Pantoprazole 40mg | 1 tab | Subah khali pet | Gastric cover |
| Tab. Domperidone / Ondansetron | As needed | Vomiting mate | prn |
| ORS / Oral fluids | 2-3 L/day | Continuously | Critical - dehydration avoid karo |
π IV Fluid Schedule (Dengue ni jaan - Fluid)
Critical Phase (Day 3-6 - Fever uthva wela)
Without Shock (Group B2 - Warning signs chhe):
| Time | Fluid | Rate |
|---|---|---|
| 0-2 kak | NS (0.9% NaCl) ya Ringer's Lactate | 5-7 mL/kg/hour |
| 2-6 kak | NS / RL | 3-5 mL/kg/hour |
| 6-12 kak | NS / RL | 2-3 mL/kg/hour |
| 12-48 kak | Oral fluid bane to wapas |
Adult approximate: Shu 60 kg patient mate ~
- 1st 2 hr: 300-420 mL/hr
- Pachhi 2-4 hr: 180-300 mL/hr
- Pachhi 2-3 mL/kg/hr jyare sudhi oral na le
π©Έ Platelet Transfusion - Kyare Aapva?
| Condition | Action |
|---|---|
| Platelets > 20,000 - no bleeding | NAHI aapva (just monitor) |
| Platelets 10,000-20,000 - no bleeding | Consider only in high-risk |
| Platelets < 10,000 | Aapva vichar karo |
| Active bleeding (any level) | Tatkal transfuse karo |
Routine platelet transfusion dengue ma recommended nathi - WHO guidelines
π 6 Din ni Sample Routine (60 kg Adult - Group B with Warning Signs)
DENGUE IPD ORDER SHEET
======================
Day 1-6:
INJECTIONS:
1. Inj. Paracetamol 1g IV in 100 mL NS (drip) - 6-6 kaak (fever >38.5Β°C)
OR Tab. Paracetamol 500mg x 2 - 6-6 kaak (jyare oral tolerate thay)
2. Inj. Pantoprazole 40mg IV - OD (subah) before food
3. Inj. Ondansetron 4mg IV - TDS prn (vomiting ma)
IV FLUIDS:
- Inj. Ringer's Lactate / NS 500mL
Day 3-6 (critical phase): 7 mL/kg/hr β 5 β 3 β 2 mL/kg/hr
(Hematocrit monitor karo - har 4-6 kak)
MONITORING (har 4-6 kak):
- BP, Pulse, Temperature, Urine output
- Daily CBC (platelets + HCT)
- Hematocrit rise > 20% = fluid badhaavo
STRICTLY AVOID:
β Aspirin / Ibuprofen / Diclofenac
β Antibiotics (viral chhe - jaroor nahi)
β Steroids (routine use nahi)
β IV fluids excess (fluid overload dangerous)
β οΈ Danger Signs - Tatkal Doctor ne Bulavo
- Severe abdominal pain
- Persistent vomiting (3+ in 24 hrs)
- Rapid breathing / difficulty breathing
- Bleeding (gums, nose, stool, urine)
- Restlessness / drowsiness
- Cold/clammy skin
- Urine output < 0.5 mL/kg/hr
π Daily Monitoring Chart
| Test | Frequency |
|---|---|
| CBC (Platelet + WBC + HCT) | Din ma 1-2 vaaro |
| BP + Pulse + Temperature | Har 4-6 kak |
| Urine output | 8-kak ma 1 vaaro |
| Fluid balance (input/output) | Daily |
| Liver function (if severe) | Day 1 + 3 |
Key Points yad rakho:
- Paracetamol - only antipyretic, NSAIDs bilkul nahi
- IV Fluids - dengue ni lifeline chhe, pan excess dangerous
- Platelet transfusion - signs of bleeding hoy toh j, number j nahi
- Antibiotics nahi - dengue viral chhe
- 6 din na IPD ma usually Day 4-6 ma improvement thay chhe (afebrile thay pachhi 48 kak monitor karo)
Agar specific platelet count, weight, ya complication hoy to ane batao - ene specific order sheet banavi aapish! π₯
Create a printable dengue IPD order template (PDF) for your hospital
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Your printable Dengue IPD Order Sheet PDF is ready!
Dengue IPD Order Template
PDF Document Β· PDF
What's included in this A4 printable template:
| Section | Contents |
|---|---|
| Patient Info | Name, IP No., Age, Sex, Weight, Ward, Consultant, Fever onset date |
| Dengue Classification | Group A / B / C checkbox with colour coding |
| Warning Signs Checklist | 9 key danger signs to tick off |
| Investigations Chart | Day 1-6 grid for CBC, NS1, LFT, electrolytes, urine, X-ray, USG |
| Medications Table | Inj. Paracetamol, Pantoprazole, Ondansetron, Vitamin C with dose/route/frequency |
| IV Fluid Protocol | Group B (with/without warning signs) + Group C shock algorithms |
| Platelet Transfusion Guide | Count thresholds with action columns |
| Monitoring Chart | 6-hourly vitals, urine output, IV input, HCT, platelet - nurse initials |
| AVOID Box | Red-bordered warning for NSAIDs, IM injections, antibiotics |
| Discharge Criteria | 6-point checklist + signature area |
Hospital name customize karvanu hoy to - bataao, header ma "Your Hospital Name" add kari devish instantly!
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