Hello doctor, my father (52) is suffering from fever since last night, cbc revealed that platelets are at 66000 and tlc are also a little bit lower. Recently 2 of my family members recovered from dengue and as per their treatment we also started father's treatment. In morning paracetamol i.v. Has been done and glucose i.v. Is ongoing and we planned to give paracetamol i.v. In evening also. I want to know that if we are doing everything right or not?
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Get him tested for dengue. Meanwhile hydration is most important. Pulse and blood pressure must be maintained. If its mild dengue, iv fluids are not required if the person is able to eat and drink. Cbc should be checked daily. Oral paracetamol can be given 4 times daily to control fever. Fever should be controlled with paracetamol and sponging. If pulse or blood pressure drop even a bit, you must get him admitted. As fever reduces, watch out for the following in which case you must admit him severe abdominal pain or persistent vomiting ? red spots/patches on skin ? bleeding from nose or gums ? vomiting blood ? black, tarry stools ? drowsiness or irritability ? pale, cold, or clammy skin ? difficulty breathing the condition of the patient will determine if he can be cared for at home or not.
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