SYMPTOMS SECONDARY
Further symptoms occurred on 3rd hospital day-5, is a moment of danger in the disease dengue hemorrhagic fever. Body temperature will fall, so as if the child was not recovered because of a fever again. That need to be considered today, is the child's behavior. When the fever disappears, the child looked fresh and willing to play and want to eat / drink usually includes mild dengue fever, but if the fever disappears, but as children grow weak, like sleep, and do not want to eat / drink anything especially with abdominal pain, this is an early sign of shock. A state of shock is a very dangerous situation because of all the organs of the body will be starved of oxygen and this can cause death within a short time.
Signs of shock should be properly identified if we take care of children suspected of suffering from dengue fever, or children who have a high fever for 3 days or more. Children looked nervous shock or when the child becomes unconscious, breathing rapidly as if shortness of breath. The whole body felt cold and damp, cold feeling of the most easily recognized when we touched the feet and hands of patients. Lips and nails looked bluish blood vessels described in the end of contract as compensation to pump more blood to the heart. Children will feel thirsty, and urinating less or no urine at all. Shock will easily occur if the child prior to the shock, less or not drink.
If the shock has been described previously not treated properly it will follow next symptom is bleeding from the GI tract. Gastrointestinal bleeding may be mild or severe depending on how long the shock occur until treated appropriately. Decreased levels of oxygen in the blood will trigger the occurrence of bleeding, shock occurs gradually lower the oxygen levels in the blood of the more powerful bleeding occurred. At first gastrointestinal bleeding is not visible from the outside, because going on in the stomach. Which will appear only belly growing bulge and pain when touched. Next will be vomiting blood and blood defecate / poop black. In the event of bleeding the patient will be very painful, but when the shock has long been suffering in general are not aware anymore. Other bleeding that can occur is bleeding in the lungs. Children will be more crowded again, maikn nervous, and very pale. Further accelerated by the death of bleeding in the brain.
On the sixth day of illness and so on, is a time of healing. Current fever had disappeared and the temperature became normal again, no longer met the new bleeding, and appetite comes back. In general, after someone recovered from an illness the child is still looking weak, face slightly swollen belly with a little tense, but a few days later the body condition of the child will recover to normal without any symptoms remaining. As a sign of healing sometimes occur red spots overall in both feet and hands with white spots in between, the child complained of itching in these spots. So, if the rash has come a very broad at the foot and the boy's hand sign the child has recovered and no longer need to be treated.
First Aid on Dengue Hemorrhagic Fever Patients
A person who is suffering from dengue fever in the beginning will suffer a high fever. In this feverish state of the body more dehydrated due to evaporation occurs more than usual. More body fluid decreases when children are vomiting constantly or do not want to drink. So the most important first aid is to drink as much as possible.
Give kirakira drinking 2 liters (8 cups) in a day or 3 tablespoons every 15 minutes. Beverages provided such child according to the taste of white water, sweet tea, syrup, fruit juice, milk, oralit, softdrink, can also be given a lot of diet nutricious currently available. By providing drinking lots of fluids in the body is expected to remain stable. To monitor that the fluid is not less, note the amount of urine of children. If the child urinate a lot, at least 6 times in one day means the amount of fluid the child drinks enough.
High fever that will also reduce the body fluids and can cause seizures in children who have a history of seizures when high fever, therefore, must be given febrifuge. To reduce fever, give febrifuge. For type-lowering drugs should be selected this summer from drug groups or asetaminophen paracetamol, do not be kind of aspirin asetosal or because it may stimulate the stomach so that it will aggravate if there is bleeding of the stomach. Compresses can help when a child has a fever is too high should be given a warm compress and not a cold compress, since cold compresses can cause the child to shiver. In addition to children who have a history of febrile seizures in addition to fever-lowering drugs can be given anti-seizure medication.
At the beginning of the fever hospital 1-3 days, the symptoms often resemble other illnesses such as strep throat, measles, or typhoid fever (typhus), therefore, necessary control over the doctor if the fever remained high 3 days continuously especially as children grow weak and listless. To distinguish from other diseases as mentioned above, the current required blood tests can be done. Blood tests required to determine whether the blood tends to be thick or more. If things are still good kids, it means there is no sign of the gravity and blood laboratory results were normal, then the child can be treated roads. Gravity can still occur during the child was still feverish, so that the blood tests often need to be repeated again.
When do patients have to be taken to the hospital?
A person who is suspected of having dengue fever will experience a shock hazard if and heavy bleeding. To prevent these things, it is recommended that patients being treated in hospital. Someone must be treated if the suffering is recommended hospitalization. Someone must be treated if suffering from symptoms below:
1. Fever too high (more than 390C or more)
2. Continuous vomiting
3. Can not or do not want to drink the recommended
4. Seizures
5. Heavy bleeding, vomiting or dysentery
6. Great abdominal pain
7. Symptoms of shock, anxiety or unconscious, breathing quickly, the whole body palpable and moist, bluish lips and nails, the child feels thirsty, urinating less or not at all
8. Laboratory results showed increased blood viscosity and or decrease in the number of platelets.
source web dr-anak.com/demam-berdarah-dengue.html
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