PROTOCOLS FOR DISEASE MANAGEMENT

PROTOCOL FOR MANAGEMENT OF DENGUE FEVER

CLINICAL STAGES

• Dengue Fever
• Dengue Hemorrhagic Fever
• Dengue Shock Syndrome

SIGNS AND SYMPTOMS
D F

• Fever with head ache
• Fever - "biphasic pattern"
• Muscle and Joint pain
• Generalized maculopapular rash
• Abdominal discomfort - Abdominal pain,Nausea,Vomiting and diarrhea
• Hemorrhagic rash
• Clinically, the platelet count will drop until after the patient's temperature is normal.

DHF

• High fever
• Thrombocytopenia (<100,000 platelets per mm³ )
• Hematocrit - more than 20%
• Encephalitic occurrences

DSS

• Weak speedy pulse
• Narrow pulse pressure (Less than 20 mm of Hg)
• Cold clammy skin and restlessness

MANAGEMENT PRICIPLES

• Management of Fever
• Prevention of Hemorrhagic symptoms
• General health improvement
• Prevention of recurrence
• Vector control

Dengue fever shall be managed properly in the early stage so as to prevent hemorrhage.


Management of Fever

Thoyam Shadanga toyam Kwatham Guduchyadi Kwatham Drakshadi Kwatham Vasaguduchyadi Kwatham

Arishtam / Asavam Amritarishtam Sudarshanasavam Choornam Talisapatradi choornam

Prevention of Hemorrhagic symptoms

Kwatham Drakshadi Kwatham Patolakaturohinyadi Kwatham Saribadi Kwatham Svarasam Vasasvarasam (Plain / Putapaka) 30 ml twice daily with madhu. Durvasvarasam (platelets <40,000)

Other preparations Pushyanuga churnam Guduchi sattvam Chandrakala rasa Gandhakarasayanam Annabhedi sindhooram Pravalabhasma+dhatri svarasam

Kriyakramam

• Lepanam - Kachuradi (forehead)
• Ksheera Dhara- Nalpamara / Guduchi (at area of rashes)

Recovery stage

• Vasarishtam
• Indukantam ghritam
• Vidaryadi ghritam
• Mahatiktaka ghritam
• Amritaprasha rasayanam
• Brahmarasayanam
  
   

Preventing recurrence

• Mosquito control
• Sudarshanam Gulika
• Vidaryadi Kashayam
• Amritarishtam