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    Fever Assessment Checklist: Criteria Yes No Details Patient Details

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    Kok Hui Diong
    This document provides a checklist for assessing patients presenting with fever for possible dengue infection. It includes criteria to check for exposure to dengue areas, symptoms of fever, aches and pains, nausea, rash, and warning signs of severe dengue like persistent vomiting or abdominal pain. Laboratory tests to check for include a complete blood count, liver function, and dengue serology. The checklist is used to determine if a patient has dengue fever without warning signs, dengue fever with warning signs, or severe dengue and whether admission is required based on the presence of warning signs or other admission criteria.

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    Fever Assessment Checklist: Criteria Yes No Details Patient Details

    Uploaded by

    Kok Hui Diong
    359 views2 pages
    This document provides a checklist for assessing patients presenting with fever for possible dengue infection. It includes criteria to check for exposure to dengue areas, symptoms of fever, aches and pains, nausea, rash, and warning signs of severe dengue like persistent vomiting or abdominal pain. Laboratory tests to check for include a complete blood count, liver function, and dengue serology. The checklist is used to determine if a patient has dengue fever without warning signs, dengue fever with warning signs, or severe dengue and whether admission is required based on the presence of warning signs or other admission criteria.

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    denguechecklist

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    This document provides a checklist for assessing patients presenting with fever for possible dengue infection. It includes criteria to check for exposure to dengue areas, symptoms of fever, aches and pains, nausea, rash, and warning signs of severe dengue like persistent vomiting or abdominal pain. Laboratory tests to check for include a complete blood count, liver function, and dengue serology. The checklist is used to determine if a patient has dengue fever without warning signs, dengue fever with warning signs, or severe dengue and whether admission is required based on the presence of warning signs or other admission criteria.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    359 views2 pages

    Fever Assessment Checklist: Criteria Yes No Details Patient Details

    Uploaded by

    Kok Hui Diong
    This document provides a checklist for assessing patients presenting with fever for possible dengue infection. It includes criteria to check for exposure to dengue areas, symptoms of fever, aches and pains, nausea, rash, and warning signs of severe dengue like persistent vomiting or abdominal pain. Laboratory tests to check for include a complete blood count, liver function, and dengue serology. The checklist is used to determine if a patient has dengue fever without warning signs, dengue fever with warning signs, or severe dengue and whether admission is required based on the presence of warning signs or other admission criteria.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    FEVER ASSESSMENT CHECKLIST LAMPIRAN 1

    RECOGNITION Patient
    CRITERIA Yes No Details DETAILS

    Live in /travel to
    dengue area
    Name :
    Fever

    Aches & pains


    IC No / MRN :
    Nausea and/or
    vomiting
    Rash
    Leucopenia
    WCC: Temp:
    Any Warning Signs PROCEED
    WITH LAB IX Hb: BP/MAP:
    IF
    Warning Signs Yes Details PRESENCE
    OF FEVER Hct: HR:
    Persistent vomiting/ diarrhoea WITH 2
    (>3x over last 24h) OTHER Plt: CRT:
    SIGNS/
    Any abdominal pain/ SYMPTOMS NS1Ag/IgM/IgG: RR:
    tenderness LISTED
    Lethargy/ restlessness/ SEVERE DENGUE Yes Details
    confusion
    Tender liver Hypotension SBP<90 or MAP<60 or
    SBP drop >40mmHg from known
    Third space fluid baseline
    accumulation Shock index: HR > SBP or impaired
    Spontaneous bleeding perfusion
    tendencies Third space fluid accumulation with
    Raised Hct with rapid drop in respiratory distress
    (In the absence of
    platelet baseline values) Disturbed conscious level
    Male <60: Hct>46 Any bleed GI/ non-mucosal and
    Male >60: Hct>42 non-cutaneous/ supra-physiological
    Female all ages: Hct>40
    Specific organ dysfunction (pls specify)
    Other criteria for
    Yes Details
    admission
    CRITICAL CARE REVIEW & FAST-TRACK
    Syncope
    Diarrhoea instructions
    1. Review features of severe dengue present.
    Social factor 2. Specify start and end time of fluid regime

    Special group Yes Details Date & Time of:

    Obese Fever onset:

    Pregnant Critical phase onset:


    Heart failure/ CKD/ CLD Phase:
    DM
    Febrile Critical Recovery
    HPT Diagnosis
    IHD
    DENGUE FEVER WITHOUT WARNING
    COPD SIGNS
    Age >65
    DENGUE FEVER WITH WARNING SIGNS
    History of getting
    treatment for the same
    symptoms in the past 5 SEVERE DENGUE
    days
    ADMIT if ANY WARNING SIGNS present or NOT DENGUE
    presence of other criterion for admission.
    IMPRESSION:
    CONSIDER admission for patients in the special
    group even in the absence of warning signs.
    NOTIFICATION MANDATORY UNDER CDC ACT Dr:

    Date and time:

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