When is inpatient care indicated for dengue?

Updated: May 03, 2019
  • Author: Darvin Scott Smith, MD, MSc, DTM&H; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Patients who develop signs of severe dengue warrant closer observation. Admission for close volume status monitoring and intravenous fluid administration is indicated for patients who develop signs of dehydration, such as the following:

  • Tachycardia
  • Prolonged capillary refill time
  • Cool or mottled skin
  • Diminished pulse amplitude
  • Altered mental status
  • Decreased urine output
  • Rising hematocrit
  • Narrowed pulse pressure
  • Hypotension

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