Even for outpatients, stress the need to maintain
adequate hydration. Monitoring for warning signs
of severe dengue and initiating early appropriate
treatment are key to preventing complications such
as prolonged shock and metabolic acidosis. Successful
management of DHF and DSS includes judicious
and timely IV fluid replacement therapy with
isotonic solutions and frequent reassessment of the
patient’s hemodynamic status and vital signs during
the critical phase. Health care providers should learn
to recognize this disease at an early stage. To manage
pain and fever, patients should be given acetaminophen.
Aspirin and nonsteroidal, anti-inflammatory
medications may aggravate the bleeding tendency
associated with some dengue infections and, in
children, can be associated with the development
of Reyes syndrome.