Question

Management of Dengue Shock Syndrome

Hint:

Early fluid resuscitation is key to managing Dengue Shock Syndrome. Monitoring and adjusting fluids based on the patient's response is crucial.

Answer 1

Step 1: Understanding Dengue Shock Syndrome (DSS).
Dengue Shock Syndrome (DSS) is a severe form of dengue fever characterized by hypotension and multi-organ involvement. It occurs due to the increased capillary permeability leading to plasma leakage, causing hypovolemia and shock. Timely intervention is essential to prevent organ failure and death.

Step 2: Management principles.
- Fluid Resuscitation: The cornerstone of treatment for DSS is prompt fluid resuscitation to restore intravascular volume and correct hypotension. Initially, isotonic fluids like Normal Saline or Ringer's Lactate are used.
- Monitoring: Continuous monitoring of vital signs, hematocrit, and platelet count is essential to guide fluid therapy and avoid fluid overload.
- Vasopressors: If shock persists despite adequate fluid resuscitation, vasopressors like Dopamine may be administered to improve cardiac output and maintain blood pressure.
- Supportive Care: Careful monitoring of urine output, liver function, and electrolytes is important. Blood transfusion may be required if there is significant bleeding.

Step 3: Conclusion.
Early recognition and fluid management are critical in preventing complications and death in cases of Dengue Shock Syndrome. Treatment must be individualized, and supportive care plays a significant role in recovery.