As per your history is concerned now she is suffering from dengue fever .So Supportive care with analgesics, fluid replacement, and
bed rest is usually sufficient.
Paracetamol 650 Mg may be used to treat fever and relieve other symptoms.So no need of Flexon at all.Oral rehydration therapy is recommended for patients with moderate
dehydration caused by
high fever and
vomiting. Patients with known or suspected dengue fever should have their
platelet count and
hematocrit measured daily from the third day of illness until 1-2 days after defervescence. Patients with clinical signs of dehydration and patients with a rising hematocrit level or falling platelet count should have intravascular volume deficits replaced under close observation. Those who improve can continue to be monitored in an outpatient setting, and those who do not improve should be admitted to the hospital for continued hydration.Platelet and fresh frozen plasma transfusions may be required to control severe bleeding.
Patients who are resuscitated from shock rapidly recover. Patients with dengue hemorrhagic fever or dengue shock syndrome may be discharged from the hospital when they meet the following criteria:
1)Afebrile for 24 hours without antipyretics
2)Good appetite, clinically improved condition
3)Adequate urine output
4)Stable hematocrit level
5)At least 48 hours since recovery from shock
6)No respiratory distress
7)Platelet count greater than 50,000 cells/μL
No specific diet is necessary for patients with dengue fever. Patients who are able to tolerate oral fluids should be encouraged to drink oral rehydration solution, fruit juice, or water to prevent dehydration from fever, lack of oral intake, or vomiting. Return of appetite after dengue hemorrhagic fever or dengue shock syndrome is a sign of recovery.
Bed rest is recommended for patients with symptomatic dengue fever, dengue hemorrhagic fever, or dengue shock syndrome. Permit the patient to gradually resume their previous activities, especially during the long period of convalescence.
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