2012-06-05, 00:30 | Link #5821 | |
Banned
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Quote:
Hmmm.... I'm just a nurse but I think there was none that I have encountered for now. (I'm saying it in a Philippine setting) The only drugs I knew is Paracetamol for fever but I think its not that advisable either since it contains aspirin (please correct me if I'm wrong). Cooling remedies are good like juice and tepid sponge bath. No dark colored foods!!!! Usually sufficient intake of fluids and prevention of shock are the ways to prevent possible mortality. Currently dengue seems to be at large in my place. Just yesterday we admitted eight patients mostly young children. |
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2012-06-05, 00:31 | Link #5822 |
Komrades of Kitamura Kou
Join Date: Jul 2004
Age: 39
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You normally don't give antivirals for Dengue, in fact in Asia there are no true approved antivirals for Dengue, because it's an acute illness lasting for barely 2 weeks at most. It's self limiting and the virus will be eliminated by the host within said 2 weeks and granting immunity to the serotype.
So far AFAIK possible antivirals for Dengue are possibly indicated only for reinfection with a different serotype, as the severity of the disease increases when infected by a second or more serotype. The treatment for Dengue is purely supportive with Paracetamol for fever control and fluid hydration adjusted based on intravascular fluid loss to prevent hypovolemic shock during the febrile and critical phases.
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2012-06-05, 03:05 | Link #5824 | |
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The last one is the complication or severe type of the former. Dengue Fever > fever > muscle/joint pain > rashes similar to measles > laboratory results shows low platelet count Treatment > Treat the fever > IV fluids and oral fluids > Optional blood transfusion of platelet Dengue Hemorragic fever > fever ( body temperature may go down later if not treated soon) > muscle/joint pain > rashes are so severe. > lowering blood pressure. ALERT!!! > extremely low platelet count > blood on stools and bleeding (nose, ears?) Treatment > Treat fever > Blood transfusion (depends on the doctor. Pack RBC or platelet) and IV fluids ...thats what I think...bold ones are indicative of the worst scenario ...feel to correct me if I'm wrong... |
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2012-06-05, 03:13 | Link #5825 |
Komrades of Kitamura Kou
Join Date: Jul 2004
Age: 39
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In regular Dengue you just stuff in an assload of IV fluids, usually D5NM, depending on the intravascular status of the patient just to maintain blood volume, then you adjust the fluids once fluids return into the intravascular space during the recovery phase.
If platelets are too low, usually less than 20,000, then platelet concentrate is given to prevent bleeding complications. In Dengue Hemorrhagic, IV fluids are added with blood products depending on blood loss. Usually it's just packed RBCs, but in high losses (which doesn't usually happen), whole blood is given. In Dengue shock, well, it's rapid fluid infusion in an ICU setting. In Dengue it's all about fluid balance and hematologic status. I won't go into the specific fluid calculations since that's too specialized for this thread. You can find the WHO guidelines for fluid rehydration in Dengue Fever and Dengue Shock online.
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2012-06-05, 07:24 | Link #5827 |
NYAAAAHAAANNNNN~
Join Date: Nov 2007
Age: 35
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Actually there has been an outbreak of dengue here, so I am interested in the treatment process and the costs. It is always either flu or dengue around this time of the year.....
Thanks guys, I can't share any lolis because they are all mine, but you guys can have an office lady instead......
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Last edited by SaintessHeart; 2012-06-05 at 07:37. |
2012-06-06, 12:16 | Link #5829 | |
Obey the Darkly Cute ...
Author
Join Date: Dec 2005
Location: On the whole, I'd rather be in Kyoto ...
Age: 66
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Quote:
At the very end of the CRT Era, they were able to flatten the target area somewhat ("flat CRTs") because the control sophistication of the field generators was good enough to compensate for the distortion of a radial spray onto a relatively flat surface. And no, I don't miss CRTs at all.
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2012-06-06, 12:27 | Link #5830 |
NYAAAAHAAANNNNN~
Join Date: Nov 2007
Age: 35
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2012-06-06, 12:54 | Link #5831 | |
Underweight Food Hoarder
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Quote:
I just remember how when I was a kid and smashed open a CRT monitor that someone threw out with a hammer and my dad yelled at me for touching the stuff inside lol XD |
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2012-06-06, 14:03 | Link #5833 | |
Megane girl fan
Join Date: May 2011
Location: Diagonally parked in a parallel universe.
Age: 55
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Quote:
Endless "The Shootist" Soul
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2012-06-06, 14:21 | Link #5834 | |
NYAAAAHAAANNNNN~
Join Date: Nov 2007
Age: 35
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Quote:
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2012-06-06, 14:48 | Link #5836 |
Underweight Food Hoarder
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Do they still teach hand drafting in school lol?
I had 1 year of hand drafting classes before they switched to CAD. [6:45 am] Contractor: "We'll need your struct dwgs asap, we need them today." [1:30 pm] Contractor: "The architect wants to change the walls to steel studs, not concrete, there's also a new wing on the north side" If that was hand drafted, I'm going to have to set the office on fire. -Forever pencil smudge hater- |
2012-06-06, 15:57 | Link #5837 |
temporary safeguard
Join Date: May 2004
Location: Germany
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Alright guys, car question!
I have read a bit in the manual for my Toyota Corolla (waiting in car, bored as hell... ). It says "maximum load per axle" = 920kg (F) + 905kg (R) A total of 1825kg. But it also says "total weight of the car (empty)" = 1655kg (does this include the axles? do they weigh on themselves?) This leaves 170kg to load. Let's say 40kg of gas with a full tank, 100kg driver... If I take another adult into my car, it's overloaded? Am I reading this wrong? |
2012-06-06, 16:11 | Link #5838 |
Obey the Darkly Cute ...
Author
Join Date: Dec 2005
Location: On the whole, I'd rather be in Kyoto ...
Age: 66
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Eh... heh. That looks like my high school drafting class. Teacher was a nazi about standardized fonts... yet when I went out to seek summer work? "Oh, your fonts have no character, there's no individuality" <argh>
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2012-06-06, 18:48 | Link #5839 | |
Banned
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Quote:
But based on the number of sits, its definitely not overloaded... Somebody might find it ridiculous if I refuse my friends to ride my car and say " I'm sorry, I'm kinda overloaded right now", as your friends looks at the empty back sits.. |
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2012-06-07, 06:51 | Link #5840 | |
Underweight Food Hoarder
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Quote:
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Tags |
problem, q&a, serious |
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