Dengue thyo 6 ipd ma 6 to ky tab inj apva kya combination sathe ketla time mate rutin banavi aapo

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Searching the Web

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.

🏥 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

💊 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 > 38.5°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

💉 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

🩸 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

📋 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 >38.5°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 → 5 → 3 → 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:
❌ Aspirin / Ibuprofen / Diclofenac
❌ Antibiotics (viral chhe - jaroor nahi)
❌ Steroids (routine use nahi)
❌ IV fluids excess (fluid overload dangerous)

⚠️ 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

📊 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! 🏥

Create a printable dengue IPD order template (PDF) for your hospital

Reading File

Running Command

ls -la /home/daytona/workspace/ 2>/dev/null || echo "workspace empty or not found"

Running Command

mkdir -p /home/daytona/workspace/dengue-ipd && python3 -c "from reportlab.lib.pagesizes import A4; print('reportlab ok')" && echo "ready"

Writing File

~/dengue-ipd/generate_pdf.py

from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm, cm
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.platypus import (SimpleDocTemplate, Paragraph, Spacer, Table,
                                TableStyle, HRFlowable, KeepTogether)
from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_RIGHT
from reportlab.platypus import Flowable
import os

OUTPUT = "/home/daytona/workspace/dengue-ipd/Dengue_IPD_Order_Template.pdf"

# ── Colours ────────────────────────────────────────────────────────────────────
RED       = colors.HexColor("#C0392B")
DARKRED   = colors.HexColor("#922B21")
ORANGE    = colors.HexColor("#E67E22")
YELLOW    = colors.HexColor("#F9E79F")
LIGHTYEL  = colors.HexColor("#FEF9E7")
BLUE      = colors.HexColor("#1A5276")
LIGHTBLUE = colors.HexColor("#D6EAF8")
GREEN     = colors.HexColor("#1E8449")
LIGHTGRN  = colors.HexColor("#D5F5E3")
GREY      = colors.HexColor("#F2F3F4")
MIDGREY   = colors.HexColor("#BDC3C7")
WHITE     = colors.white
BLACK     = colors.black

doc = SimpleDocTemplate(
    OUTPUT,
    pagesize=A4,
    topMargin=10*mm, bottomMargin=10*mm,
    leftMargin=12*mm, rightMargin=12*mm,
    title="Dengue IPD Order Template",
)

W = A4[0] - 24*mm   # usable width

styles = getSampleStyleSheet()

def style(name, **kw):
    s = ParagraphStyle(name, **kw)
    return s

hdr_title  = style("HdrTitle",  fontSize=16, fontName="Helvetica-Bold",
                    textColor=WHITE, alignment=TA_CENTER, spaceAfter=0)
hdr_sub    = style("HdrSub",    fontSize=9,  fontName="Helvetica",
                    textColor=WHITE, alignment=TA_CENTER, spaceAfter=0)
sec_hdr    = style("SecHdr",    fontSize=9,  fontName="Helvetica-Bold",
                    textColor=WHITE, alignment=TA_LEFT,   spaceAfter=0)
normal     = style("Norm",      fontSize=8,  fontName="Helvetica",
                    textColor=BLACK, leading=11)
bold       = style("Bold",      fontSize=8,  fontName="Helvetica-Bold",
                    textColor=BLACK, leading=11)
red_bold   = style("RedBold",   fontSize=8,  fontName="Helvetica-Bold",
                    textColor=RED, leading=11)
small      = style("Small",     fontSize=7,  fontName="Helvetica",
                    textColor=colors.HexColor("#555555"), leading=10)
small_b    = style("SmallB",    fontSize=7,  fontName="Helvetica-Bold",
                    textColor=BLACK, leading=10)
center_n   = style("CenN",      fontSize=8,  fontName="Helvetica",
                    alignment=TA_CENTER, leading=11)
center_b   = style("CenB",      fontSize=8,  fontName="Helvetica-Bold",
                    alignment=TA_CENTER, leading=11)
warn       = style("Warn",      fontSize=8,  fontName="Helvetica-Bold",
                    textColor=RED, alignment=TA_CENTER)

# ── Helper: section-header row ─────────────────────────────────────────────────
def sec_row(text, bg=BLUE, cols=1):
    cell = Paragraph(text, sec_hdr)
    t = Table([[cell]], colWidths=[W])
    t.setStyle(TableStyle([
        ("BACKGROUND", (0,0), (-1,-1), bg),
        ("TOPPADDING",  (0,0), (-1,-1), 3),
        ("BOTTOMPADDING",(0,0),(-1,-1), 3),
        ("LEFTPADDING", (0,0), (-1,-1), 6),
    ]))
    return t

def spacer(h=3):
    return Spacer(1, h*mm)

def checkbox(label, indent=0):
    pad = "\u00a0" * indent
    return Paragraph(f"{pad}\u25a1\u00a0 {label}", normal)

def line_field(label, w_label, w_field):
    """Returns a 2-col table: label | underline box"""
    t = Table([[Paragraph(label, bold), ""]], colWidths=[w_label, w_field])
    t.setStyle(TableStyle([
        ("LINEBELOW", (1,0),(1,0), 0.5, MIDGREY),
        ("BOTTOMPADDING",(0,0),(-1,-1),2),
        ("TOPPADDING",  (0,0),(-1,-1),2),
    ]))
    return t

story = []

# ══════════════════════════════════════════════════════════════════════════════
# HEADER
# ══════════════════════════════════════════════════════════════════════════════
header_data = [[
    Paragraph("🏥  DENGUE FEVER – IPD ORDER SHEET", hdr_title),
    Paragraph("Based on WHO Dengue Management Guidelines 2024", hdr_sub),
]]
# Stack vertically
hdr_table = Table([
    [Paragraph("🏥   DENGUE FEVER – IPD ORDER SHEET", hdr_title)],
    [Paragraph("Based on WHO Dengue Management Guidelines  |  Revised 2024", hdr_sub)],
], colWidths=[W])
hdr_table.setStyle(TableStyle([
    ("BACKGROUND", (0,0),(-1,-1), DARKRED),
    ("TOPPADDING",  (0,0),(-1,-1), 6),
    ("BOTTOMPADDING",(0,0),(-1,-1), 6),
    ("LEFTPADDING", (0,0),(-1,-1), 8),
    ("RIGHTPADDING",(0,0),(-1,-1), 8),
    ("ROUNDEDCORNERS", [4]),
]))
story.append(hdr_table)
story.append(spacer(3))

# ══════════════════════════════════════════════════════════════════════════════
# PATIENT INFO
# ══════════════════════════════════════════════════════════════════════════════
story.append(sec_row("  PATIENT INFORMATION", bg=BLUE))

pi_data = [
    [Paragraph("Patient Name:", bold), "", Paragraph("IP No.:", bold), "",
     Paragraph("Date of Admission:", bold), ""],
    [Paragraph("Age:", bold), "", Paragraph("Sex:", bold), "",
     Paragraph("Weight (kg):", bold), ""],
    [Paragraph("Ward / Bed No.:", bold), "", Paragraph("Consultant:", bold), "",
     Paragraph("Date of Fever Onset:", bold), ""],
]
pi_col = [W*0.13, W*0.2, W*0.08, W*0.12, W*0.17, W*0.3]
pi_table = Table(pi_data, colWidths=pi_col)
pi_table.setStyle(TableStyle([
    ("BACKGROUND", (0,0),(-1,-1), GREY),
    ("LINEBELOW", (1,0),(1,-1), 0.5, MIDGREY),
    ("LINEBELOW", (3,0),(3,-1), 0.5, MIDGREY),
    ("LINEBELOW", (5,0),(5,-1), 0.5, MIDGREY),
    ("TOPPADDING",  (0,0),(-1,-1), 4),
    ("BOTTOMPADDING",(0,0),(-1,-1), 4),
    ("LEFTPADDING", (0,0),(-1,-1), 4),
]))
story.append(pi_table)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# DENGUE CLASSIFICATION
# ══════════════════════════════════════════════════════════════════════════════
story.append(sec_row("  DENGUE CLASSIFICATION  (tick one)", bg=ORANGE))

cls_data = [
    [
        Paragraph("\u25a1  GROUP A – Dengue without warning signs\n(Manage at home / OPD)", normal),
        Paragraph("\u25a1  GROUP B – Dengue with / without warning signs\n(Hospital admission)", normal),
        Paragraph("\u25a1  GROUP C – Severe Dengue\n(ICU / Emergency management)", normal),
    ]
]
cls_table = Table(cls_data, colWidths=[W/3]*3)
cls_table.setStyle(TableStyle([
    ("BACKGROUND", (0,0),(0,-1), LIGHTGRN),
    ("BACKGROUND", (1,0),(1,-1), LIGHTBLUE),
    ("BACKGROUND", (2,0),(2,-1), YELLOW),
    ("BOX",  (0,0),(-1,-1), 0.5, MIDGREY),
    ("INNERGRID", (0,0),(-1,-1), 0.5, MIDGREY),
    ("TOPPADDING",  (0,0),(-1,-1), 5),
    ("BOTTOMPADDING",(0,0),(-1,-1), 5),
    ("LEFTPADDING", (0,0),(-1,-1), 6),
]))
story.append(cls_table)
story.append(spacer(2))

# Warning signs checklist
story.append(sec_row("  WARNING SIGNS – Check all that apply", bg=colors.HexColor("#7D6608")))
ws_data = [
    [checkbox("Abdominal pain / tenderness"),
     checkbox("Persistent vomiting ( >3 episodes / 24 hrs)"),
     checkbox("Clinical fluid accumulation (ascites / pleural effusion)")],
    [checkbox("Mucosal bleed (gums / nose)"),
     checkbox("Lethargy / restlessness"),
     checkbox("Liver enlargement > 2 cm")],
    [checkbox("Rapid BP drop / narrow pulse pressure"),
     checkbox("Rising HCT + rapid platelet fall"),
     checkbox("Reduced urine output < 0.5 mL/kg/hr")],
]
ws_table = Table(ws_data, colWidths=[W/3]*3)
ws_table.setStyle(TableStyle([
    ("BACKGROUND", (0,0),(-1,-1), YELLOW),
    ("TOPPADDING",  (0,0),(-1,-1), 3),
    ("BOTTOMPADDING",(0,0),(-1,-1), 3),
    ("LEFTPADDING", (0,0),(-1,-1), 4),
]))
story.append(ws_table)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# INVESTIGATIONS
# ══════════════════════════════════════════════════════════════════════════════
story.append(sec_row("  INVESTIGATIONS", bg=BLUE))

inv_data = [
    [Paragraph("Test", bold), Paragraph("Day 1", center_b), Paragraph("Day 2", center_b),
     Paragraph("Day 3", center_b), Paragraph("Day 4", center_b),
     Paragraph("Day 5", center_b), Paragraph("Day 6", center_b)],
    [Paragraph("CBC (Platelet, WBC, HCT)", normal),"","","","","",""],
    [Paragraph("NS1 Antigen (Day 1–5)", normal),"","","","","",""],
    [Paragraph("Dengue IgM / IgG", normal),"","","","","",""],
    [Paragraph("Liver Function Test (LFT)", normal),"","","","","",""],
    [Paragraph("Serum Electrolytes", normal),"","","","","",""],
    [Paragraph("Blood Urea / Creatinine", normal),"","","","","",""],
    [Paragraph("Blood Sugar (RBS)", normal),"","","","","",""],
    [Paragraph("Urine Routine & Microscopy", normal),"","","","","",""],
    [Paragraph("Chest X-Ray (if effusion suspected)", normal),"","","","","",""],
    [Paragraph("USG Abdomen (if ascites/hepatomegaly)", normal),"","","","","",""],
]
inv_col = [W*0.38, W*0.1, W*0.1, W*0.1, W*0.1, W*0.1, W*0.1]
inv_table = Table(inv_data, colWidths=inv_col, rowHeights=[14]*len(inv_data))
inv_style = TableStyle([
    ("BACKGROUND", (0,0),(-1,0), BLUE),
    ("TEXTCOLOR",  (0,0),(-1,0), WHITE),
    ("FONTNAME",   (0,0),(-1,0), "Helvetica-Bold"),
    ("FONTSIZE",   (0,0),(-1,-1), 7.5),
    ("ALIGN",      (1,0),(-1,-1), "CENTER"),
    ("VALIGN",     (0,0),(-1,-1), "MIDDLE"),
    ("GRID",       (0,0),(-1,-1), 0.4, MIDGREY),
    ("ROWBACKGROUNDS", (0,1),(-1,-1), [WHITE, GREY]),
    ("TOPPADDING",  (0,0),(-1,-1), 2),
    ("BOTTOMPADDING",(0,0),(-1,-1), 2),
    ("LEFTPADDING", (0,0),(-1,-1), 4),
])
inv_table.setStyle(inv_style)
story.append(inv_table)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# MEDICATIONS
# ══════════════════════════════════════════════════════════════════════════════
story.append(sec_row("  MEDICATIONS  (√ = ordered  |  cross out if not required)", bg=GREEN))

# Sub-header: Antipyretic
med_hdr1 = Table([[Paragraph("  ANTIPYRETIC / ANALGESIC", style("mh", fontSize=7.5,
    fontName="Helvetica-Bold", textColor=WHITE))]],
    colWidths=[W])
med_hdr1.setStyle(TableStyle([("BACKGROUND",(0,0),(-1,-1), colors.HexColor("#1A5276")),
    ("TOPPADDING",(0,0),(-1,-1),2),("BOTTOMPADDING",(0,0),(-1,-1),2),
    ("LEFTPADDING",(0,0),(-1,-1),6)]))
story.append(med_hdr1)

med_cols = [W*0.04, W*0.29, W*0.14, W*0.12, W*0.13, W*0.28]
med_hdr_row = [Paragraph("", center_b),
               Paragraph("Drug", center_b), Paragraph("Dose", center_b),
               Paragraph("Route", center_b), Paragraph("Frequency", center_b),
               Paragraph("Special Instructions", center_b)]

def med_row(drug, dose, route, freq, note, bg=WHITE):
    return [Paragraph("\u25a1", center_n),
            Paragraph(drug, normal), Paragraph(dose, center_n),
            Paragraph(route, center_n), Paragraph(freq, center_n),
            Paragraph(note, small)]

meds_antipyretic = [
    med_hdr_row,
    med_row("Tab. Paracetamol 500 mg",         "500 mg – 1 g",  "Oral",    "Q6H (prn fever)", "Max 4 g/day | Give if temp >38.5°C", GREY),
    med_row("Inj. Paracetamol (Perfalgan) 1 g", "1 g in 100 mL NS", "IV drip", "Q6H (prn)",  "If oral not tolerated | over 15 min"),
    med_row("Inj. Pantoprazole 40 mg",          "40 mg",         "IV",      "OD (morning)",   "Before food | Gastric protection", GREY),
    med_row("Tab. Pantoprazole 40 mg",           "40 mg",         "Oral",    "OD",             "Switch when oral tolerated"),
]
m1 = Table(meds_antipyretic, colWidths=med_cols, rowHeights=[14]*len(meds_antipyretic))
m1.setStyle(TableStyle([
    ("BACKGROUND",(0,0),(-1,0), LIGHTBLUE),
    ("FONTNAME",  (0,0),(-1,0), "Helvetica-Bold"),
    ("FONTSIZE",  (0,0),(-1,-1), 7.5),
    ("ALIGN",     (0,0),(-1,-1), "CENTER"),
    ("ALIGN",     (1,0),(1,-1),  "LEFT"),
    ("ALIGN",     (5,0),(5,-1),  "LEFT"),
    ("VALIGN",    (0,0),(-1,-1), "MIDDLE"),
    ("GRID",      (0,0),(-1,-1), 0.4, MIDGREY),
    ("ROWBACKGROUNDS",(0,1),(-1,-1),[WHITE,GREY]),
    ("LEFTPADDING",(1,0),(1,-1), 4),
    ("LEFTPADDING",(5,0),(5,-1), 4),
    ("TOPPADDING", (0,0),(-1,-1),2),("BOTTOMPADDING",(0,0),(-1,-1),2),
]))
story.append(m1)

# Anti-emetic
med_hdr2 = Table([[Paragraph("  ANTI-EMETIC", style("mh2", fontSize=7.5,
    fontName="Helvetica-Bold", textColor=WHITE))]],
    colWidths=[W])
med_hdr2.setStyle(TableStyle([("BACKGROUND",(0,0),(-1,-1), colors.HexColor("#145A32")),
    ("TOPPADDING",(0,0),(-1,-1),2),("BOTTOMPADDING",(0,0),(-1,-1),2),
    ("LEFTPADDING",(0,0),(-1,-1),6)]))
story.append(med_hdr2)

meds_antiemetic = [
    med_row("Inj. Ondansetron 4 mg",   "4–8 mg",  "IV slow",  "Q8H (prn vomiting)", "Over 2–5 min | Children: 0.1 mg/kg", GREY),
    med_row("Tab. Domperidone 10 mg",  "10 mg",   "Oral",     "TDS (before meals)", "Switch when oral tolerated"),
]
m2 = Table(meds_antiemetic, colWidths=med_cols, rowHeights=[14]*len(meds_antiemetic))
m2.setStyle(TableStyle([
    ("FONTSIZE",(0,0),(-1,-1),7.5),
    ("ALIGN",   (0,0),(-1,-1),"CENTER"),
    ("ALIGN",   (1,0),(1,-1),"LEFT"),
    ("ALIGN",   (5,0),(5,-1),"LEFT"),
    ("VALIGN",  (0,0),(-1,-1),"MIDDLE"),
    ("GRID",    (0,0),(-1,-1),0.4,MIDGREY),
    ("ROWBACKGROUNDS",(0,0),(-1,-1),[WHITE,GREY]),
    ("LEFTPADDING",(1,0),(1,-1),4),
    ("LEFTPADDING",(5,0),(5,-1),4),
    ("TOPPADDING",(0,0),(-1,-1),2),("BOTTOMPADDING",(0,0),(-1,-1),2),
]))
story.append(m2)

# Optional add-ons
med_hdr3 = Table([[Paragraph("  SUPPORTIVE / OPTIONAL", style("mh3", fontSize=7.5,
    fontName="Helvetica-Bold", textColor=WHITE))]],
    colWidths=[W])
med_hdr3.setStyle(TableStyle([("BACKGROUND",(0,0),(-1,-1), colors.HexColor("#4A235A")),
    ("TOPPADDING",(0,0),(-1,-1),2),("BOTTOMPADDING",(0,0),(-1,-1),2),
    ("LEFTPADDING",(0,0),(-1,-1),6)]))
story.append(med_hdr3)

meds_supp = [
    med_row("Inj. Vitamin C (Ascorbic Acid)",   "500 mg–1 g",   "IV",    "OD",               "In 100 mL NS over 30 min | Optional", GREY),
    med_row("Tab. Vitamin C 500 mg",            "500 mg",        "Oral",  "OD",               "Alternative to IV Vit C"),
    med_row("Inj. Calcium Gluconate 10%",       "10 mL",         "IV slow","BD (if cramps)",  "Dilute in 50 mL NS | For muscle cramps", GREY),
    med_row("Inj. Furosemide 40 mg",            "40 mg",         "IV",    "Prn",              "ONLY if fluid overload – not routine"),
]
m3 = Table(meds_supp, colWidths=med_cols, rowHeights=[14]*len(meds_supp))
m3.setStyle(TableStyle([
    ("FONTSIZE",(0,0),(-1,-1),7.5),
    ("ALIGN",   (0,0),(-1,-1),"CENTER"),
    ("ALIGN",   (1,0),(1,-1),"LEFT"),
    ("ALIGN",   (5,0),(5,-1),"LEFT"),
    ("VALIGN",  (0,0),(-1,-1),"MIDDLE"),
    ("GRID",    (0,0),(-1,-1),0.4,MIDGREY),
    ("ROWBACKGROUNDS",(0,0),(-1,-1),[WHITE,GREY]),
    ("LEFTPADDING",(1,0),(1,-1),4),
    ("LEFTPADDING",(5,0),(5,-1),4),
    ("TOPPADDING",(0,0),(-1,-1),2),("BOTTOMPADDING",(0,0),(-1,-1),2),
]))
story.append(m3)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# IV FLUID PROTOCOL (2-column layout)
# ══════════════════════════════════════════════════════════════════════════════
story.append(sec_row("  IV FLUID PROTOCOL  (Critical Phase: Day 3–6)", bg=colors.HexColor("#1A5276")))

fl_left_data = [
    [Paragraph("GROUP B – Without Warning Signs", style("flhd", fontSize=7.5,
        fontName="Helvetica-Bold", textColor=WHITE, alignment=TA_CENTER))],
    [Paragraph("Oral fluids preferred. IV only if vomiting:", normal)],
    [Paragraph("• NS 0.9% or Ringer's Lactate", normal)],
    [Paragraph("• Maintenance rate: 1.5–2 mL/kg/hr", normal)],
    [Paragraph("• Monitor HCT every 6–8 hrs", normal)],
    [Paragraph("• Switch to oral when tolerated", normal)],
    [Paragraph("IV Fluid selection:", small_b)],
    [Paragraph("☐ 0.9% Normal Saline (NS)   ☐ Ringer's Lactate (RL)", small)],
]

fl_right_data = [
    [Paragraph("GROUP B – With Warning Signs", style("flhd2", fontSize=7.5,
        fontName="Helvetica-Bold", textColor=WHITE, alignment=TA_CENTER))],
    [Paragraph("Isotonic crystalloid (NS / RL):", normal)],
    [Paragraph("• 0–2 hrs:   5–7 mL/kg/hr", normal)],
    [Paragraph("• 2–6 hrs:   3–5 mL/kg/hr", normal)],
    [Paragraph("• 6–12 hrs:  2–3 mL/kg/hr", normal)],
    [Paragraph("• Check HCT before & after each phase", normal)],
    [Paragraph("• If HCT rising >10% → increase rate", small)],
    [Paragraph("• If HCT falling + clinical improvement → taper", small)],
]

fl_left  = Table(fl_left_data,  colWidths=[(W/2)-4])
fl_right = Table(fl_right_data, colWidths=[(W/2)-4])

for t, bg in [(fl_left, LIGHTGRN), (fl_right, LIGHTBLUE)]:
    t.setStyle(TableStyle([
        ("BACKGROUND",(0,0),(-1,0), GREEN if t is fl_left else BLUE),
        ("TEXTCOLOR",  (0,0),(-1,0), WHITE),
        ("BACKGROUND",(0,1),(-1,-1), bg),
        ("TOPPADDING", (0,0),(-1,-1),3),
        ("BOTTOMPADDING",(0,0),(-1,-1),3),
        ("LEFTPADDING",(0,0),(-1,-1),5),
        ("BOX",(0,0),(-1,-1),0.5,MIDGREY),
        ("FONTSIZE",(0,0),(-1,-1),7.5),
    ]))

fl_outer = Table([[fl_left, fl_right]], colWidths=[(W/2)-2, (W/2)-2],
                  hAlign='CENTER')
fl_outer.setStyle(TableStyle([
    ("LEFTPADDING",(0,0),(-1,-1),0), ("RIGHTPADDING",(0,0),(-1,-1),0),
    ("TOPPADDING",(0,0),(-1,-1),0),  ("BOTTOMPADDING",(0,0),(-1,-1),0),
    ("ALIGN",(0,0),(-1,-1),"LEFT"),
]))
story.append(fl_outer)
story.append(spacer(2))

# Shock / Group C box
story.append(sec_row("  GROUP C – SEVERE DENGUE / SHOCK (Compensated & Uncompensated)", bg=RED))
gc_data = [
    [Paragraph("Compensated Shock (narrow pulse pressure ≤20 mmHg / cold extremities):", bold),
     Paragraph("Uncompensated Shock (hypotension):", bold)],
    [Paragraph("• 1st bolus: NS/RL 10 mL/kg IV over 15–30 min → reassess\n"
               "• Improvement → reduce to 5–7 mL/kg/hr → 3–5 → 2–3 over 6–12 hrs\n"
               "• No improvement → 2nd bolus 10 mL/kg IV → reassess\n"
               "• HCT rising + no improvement → consider colloid (Dextran 40)", normal),
     Paragraph("• 1st bolus: NS/RL 20 mL/kg IV over 15–30 min → reassess\n"
               "• Repeat up to 3 boluses (20 mL/kg each) if persistent shock\n"
               "• Check HCT: if falling → consider blood transfusion (fresh whole blood / PRBC)\n"
               "• HCT stable/rising → colloid (Dextran 40) 10 mL/kg/hr", normal)],
]
gc_t = Table(gc_data, colWidths=[W/2, W/2])
gc_t.setStyle(TableStyle([
    ("BACKGROUND",(0,0),(-1,0), YELLOW),
    ("FONTNAME",  (0,0),(-1,0), "Helvetica-Bold"),
    ("BACKGROUND",(0,1),(-1,1), colors.HexColor("#FDEDEC")),
    ("GRID",      (0,0),(-1,-1), 0.4, MIDGREY),
    ("FONTSIZE",  (0,0),(-1,-1), 7.5),
    ("TOPPADDING",(0,0),(-1,-1), 3),("BOTTOMPADDING",(0,0),(-1,-1),3),
    ("LEFTPADDING",(0,0),(-1,-1),4),
    ("VALIGN",    (0,0),(-1,-1),"TOP"),
]))
story.append(gc_t)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# PLATELET TRANSFUSION
# ══════════════════════════════════════════════════════════════════════════════
story.append(sec_row("  PLATELET TRANSFUSION GUIDELINES  (WHO 2024)", bg=colors.HexColor("#7B241C")))

plt_data = [
    [Paragraph("Platelet Count", bold), Paragraph("Clinical Condition", bold),
     Paragraph("Action", bold), Paragraph("Ordered (√)", center_b)],
    [Paragraph("> 50,000 /µL", normal), Paragraph("No bleeding", normal),
     Paragraph("No transfusion – monitor", normal), ""],
    [Paragraph("20,000–50,000 /µL", normal), Paragraph("No active bleeding", normal),
     Paragraph("Usually not required – clinical judgment", normal), ""],
    [Paragraph("10,000–20,000 /µL", normal), Paragraph("No bleeding, stable", normal),
     Paragraph("Consider if rapid fall or high-risk procedure", normal), ""],
    [Paragraph("< 10,000 /µL", normal), Paragraph("Any", normal),
     Paragraph("Transfuse – 1 unit/10 kg body weight", style("act", fontSize=8,
         fontName="Helvetica-Bold", textColor=RED)), ""],
    [Paragraph("Any count", normal), Paragraph("ACTIVE BLEEDING (mucosal / visceral)", normal),
     Paragraph("TRANSFUSE IMMEDIATELY", style("act2", fontSize=8,
         fontName="Helvetica-Bold", textColor=RED)), ""],
]
plt_col = [W*0.2, W*0.3, W*0.4, W*0.1]
plt_t = Table(plt_data, colWidths=plt_col, rowHeights=[14]*len(plt_data))
plt_t.setStyle(TableStyle([
    ("BACKGROUND",(0,0),(-1,0), colors.HexColor("#7B241C")),
    ("TEXTCOLOR", (0,0),(-1,0), WHITE),
    ("BACKGROUND",(0,-1),(-1,-1), colors.HexColor("#FDEDEC")),
    ("GRID",      (0,0),(-1,-1), 0.4, MIDGREY),
    ("FONTSIZE",  (0,0),(-1,-1), 7.5),
    ("ROWBACKGROUNDS",(0,1),(-1,-2),[WHITE,GREY]),
    ("ALIGN",     (3,0),(3,-1), "CENTER"),
    ("VALIGN",    (0,0),(-1,-1),"MIDDLE"),
    ("TOPPADDING",(0,0),(-1,-1),2),("BOTTOMPADDING",(0,0),(-1,-1),2),
    ("LEFTPADDING",(0,0),(-1,-1),4),
]))
story.append(plt_t)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# VITAL SIGNS / MONITORING CHART
# ══════════════════════════════════════════════════════════════════════════════
story.append(sec_row("  MONITORING SCHEDULE", bg=BLUE))

mon_data = [
    [Paragraph("Parameter", bold)] + [Paragraph(t, center_b) for t in
     ["6 AM","10 AM","2 PM","6 PM","10 PM","2 AM", "Comments"]],
    [Paragraph("Temperature (°C)", normal)]+[""]*7,
    [Paragraph("Pulse Rate (/min)", normal)]+[""]*7,
    [Paragraph("Blood Pressure (mmHg)", normal)]+[""]*7,
    [Paragraph("Respiratory Rate (/min)", normal)]+[""]*7,
    [Paragraph("SpO₂ (%)", normal)]+[""]*7,
    [Paragraph("Urine Output (mL)", normal)]+[""]*7,
    [Paragraph("IV Fluid Input (mL)", normal)]+[""]*7,
    [Paragraph("Platelet Count", normal)]+[""]*7,
    [Paragraph("Hematocrit (%)", normal)]+[""]*7,
    [Paragraph("Nurse Initials", normal)]+[""]*7,
]
mon_cols = [W*0.25] + [W*0.09]*6 + [W*0.21]
mon_t = Table(mon_data, colWidths=mon_cols, rowHeights=[13]*len(mon_data))
mon_t.setStyle(TableStyle([
    ("BACKGROUND",(0,0),(-1,0), BLUE),
    ("TEXTCOLOR", (0,0),(-1,0), WHITE),
    ("FONTSIZE",  (0,0),(-1,-1), 7.5),
    ("ALIGN",     (1,0),(-1,-1),"CENTER"),
    ("VALIGN",    (0,0),(-1,-1),"MIDDLE"),
    ("GRID",      (0,0),(-1,-1), 0.4, MIDGREY),
    ("ROWBACKGROUNDS",(0,1),(-1,-1),[WHITE,GREY]),
    ("LEFTPADDING",(0,0),(-1,-1),4),
    ("TOPPADDING",(0,0),(-1,-1),1),("BOTTOMPADDING",(0,0),(-1,-1),1),
]))
story.append(mon_t)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# STRICTLY AVOID BOX
# ══════════════════════════════════════════════════════════════════════════════
avoid_data = [
    [Paragraph("⚠  STRICTLY AVOID IN DENGUE", warn)],
    [Paragraph(
        "❌  Aspirin / Ibuprofen / Diclofenac / Naproxen (NSAIDs)  "
        "❌  Intramuscular (IM) injections (bleeding risk)  "
        "❌  Antibiotics (unless secondary bacterial infection confirmed)  "
        "❌  Routine steroids  "
        "❌  Excess IV fluids (causes pulmonary oedema / fluid overload)",
        style("avoid", fontSize=7.5, fontName="Helvetica", textColor=RED, alignment=TA_CENTER)
    )],
]
avoid_t = Table(avoid_data, colWidths=[W])
avoid_t.setStyle(TableStyle([
    ("BACKGROUND",(0,0),(-1,-1), YELLOW),
    ("BOX",(0,0),(-1,-1),1.5,RED),
    ("TOPPADDING",(0,0),(-1,-1),4),("BOTTOMPADDING",(0,0),(-1,-1),4),
    ("LEFTPADDING",(0,0),(-1,-1),6),
]))
story.append(avoid_t)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# DISCHARGE CRITERIA + SIGNATURES
# ══════════════════════════════════════════════════════════════════════════════
dc_data = [
    [Paragraph("DISCHARGE CRITERIA (all must be met)", style("dchd", fontSize=8,
        fontName="Helvetica-Bold", textColor=BLUE)),
     Paragraph("DOCTOR'S SIGNATURE", style("dchd2", fontSize=8,
         fontName="Helvetica-Bold", textColor=BLUE))],
    [Paragraph(
        "\u25a1  Afebrile for at least 24–48 hrs (without antipyretics)\n"
        "\u25a1  Clinical improvement (no vomiting, tolerating oral fluids)\n"
        "\u25a1  Platelet count trending up and > 50,000/µL\n"
        "\u25a1  Stable HCT, no active bleeding\n"
        "\u25a1  Good urine output (> 0.5 mL/kg/hr)\n"
        "\u25a1  No warning signs for 48 hrs post-defervescence",
        normal),
     Paragraph(
        "Consultant: _________________________\n\n"
        "Date: ________  Time: ________\n\n"
        "Resident / JR: ______________________\n\n"
        "Nurse in charge: ____________________",
        normal)],
]
dc_t = Table(dc_data, colWidths=[W*0.55, W*0.45])
dc_t.setStyle(TableStyle([
    ("BACKGROUND",(0,0),(-1,0), LIGHTBLUE),
    ("FONTNAME",  (0,0),(-1,0), "Helvetica-Bold"),
    ("BACKGROUND",(0,1),(-1,1), GREY),
    ("GRID",      (0,0),(-1,-1), 0.5, MIDGREY),
    ("FONTSIZE",  (0,0),(-1,-1), 7.5),
    ("VALIGN",    (0,0),(-1,-1), "TOP"),
    ("TOPPADDING",(0,0),(-1,-1),4),("BOTTOMPADDING",(0,0),(-1,-1),4),
    ("LEFTPADDING",(0,0),(-1,-1),6),
]))
story.append(dc_t)
story.append(spacer(2))

# ══════════════════════════════════════════════════════════════════════════════
# FOOTER
# ══════════════════════════════════════════════════════════════════════════════
footer = Table([[
    Paragraph("This template is based on WHO Dengue Management Guidelines (2024) & Indian NVBDCP Protocol. "
              "Doses must be adjusted for paediatric patients (weight-based). "
              "Clinical judgment takes precedence over this template.",
              style("ft", fontSize=6.5, fontName="Helvetica-Oblique",
                    textColor=colors.HexColor("#666666"), alignment=TA_CENTER)),
]], colWidths=[W])
footer.setStyle(TableStyle([
    ("TOPPADDING",(0,0),(-1,-1),3),("BOTTOMPADDING",(0,0),(-1,-1),3),
    ("LINEABOVE",(0,0),(-1,0),0.5,MIDGREY),
]))
story.append(footer)

# ══════════════════════════════════════════════════════════════════════════════
# BUILD
# ══════════════════════════════════════════════════════════════════════════════
doc.build(story)
print(f"PDF created: {OUTPUT}")

Running Command

cd /home/daytona/workspace/dengue-ipd && python3 generate_pdf.py 2>&1

Running Command

ls -lh /home/daytona/workspace/dengue-ipd/Dengue_IPD_Order_Template.pdf

Your printable Dengue IPD Order Sheet PDF is ready!

Dengue IPD Order Template

PDF Document · 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

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