Undifferentiated fever: paracetamol + monitoring
Dengue without warning signs: Plenty of fluids + monitor for warning sign (avoid NSAID)
Dengue with warning signs:
Hospitalization & IV fluids are given: RL/NS @ 7 ml/kg over one hour f/b @ 5ml/kg over next one hour f/b 3ml/kg for 24-48 hour. When good oral intake & vitals stable reached, child is discharged. If initial haematocrit rises after IV fluids, rate is increased to 10 or 15ml/kg over next hour
Warning signs:
● Abdominal pain or tenderness
● Persistent vomiting
● Clinical fluid accumulation
● Mucosal bleed
● Lethargy, restlessness
● Liver enlargement >2 cm
● Rapid haematocrit rise and platelet fall
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