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All Journal Majalah Kedokteran Andalas Bioscientia Medicina : Journal of Biomedicine and Translational Research Human Care Journal Bioscientia Medicina : Journal of Biomedicine and Translational Research
Rinang Mariko
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Shock Management and Hemodynamic Monitoring of Severe Dengue with Fluid Overload: A Case Report Asbi, Shinta; Indra Ihsan; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 11 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i11.1105

Abstract

Background: Dengue shock syndrome (DSS) is a life-threatening complication of dengue infection characterized by plasma leakage, shock, and organ dysfunction. Fluid management is crucial in DSS, but fluid overload can lead to adverse outcomes. This case report highlights the challenges and strategies in managing DSS with fluid overload. Case presentation: An 8-year-old girl presented with severe dengue, DSS, encephalopathy, and fluid overload. She had a history of high fever, vomiting, and altered consciousness. Initial management focused on fluid resuscitation, but the patient developed signs of fluid overload. Hemodynamic monitoring using USCOM (Ultrasonic Cardiac Output Monitor) revealed low cardiac output and high systemic vascular resistance. Fluid restriction and inotropic support with epinephrine were initiated. The patient's condition gradually improved, and she was discharged after complete recovery. Conclusion: This case emphasizes the importance of early recognition and careful monitoring of fluid status in DSS. Hemodynamic monitoring tools like USCOM can aid in guiding fluid management and identifying complications like fluid overload. Prompt intervention with fluid restriction and inotropic support can improve outcomes in DSS patients with fluid overload.
Co-Authors Andani Eka Putra Asbi, Shinta ASRAWATI Aumas Pabuti Didik Hariyanto Dina Wardaningsih Eva Chundrayetti Finny Fitry Yani Gustina Lubis Indra Ihsan Mayetti Mona, Deli Nia Ayuni Putri Rahmi Lestari Raysa Ramayumi Rezki, Wenny Rahmalia Rizanda Machmud Rusdi Siti Nurhajjah Sylvetri Lestari Youri, Riana Yusri Dianne Jurnalis