A patient with confirmed dengue fever develops severe abdominal pain, persistent vomiting, and mucosal bleeding from the gums. Haematocrit has risen b...

Question

A patient with confirmed dengue fever develops severe abdominal pain, persistent vomiting, and mucosal bleeding from the gums. Haematocrit has risen by 20% from baseline. Platelet count is 18 × 10⁹/L. What is the recommended fluid management?

Accepted Answer

Careful IV isotonic crystalloid infusion starting at 5-7 mL/kg/hour, titrated to haematocrit and vital signs

Answer

Aggressive IV crystalloid bolus of 20 mL/kg in 30 minutes

Answer

Prophylactic platelet transfusion

Answer

Oral rehydration therapy only

Answer

IV colloid bolus with albumin

uk-dtmh MCQ (SBA): Dengue Fluid Management

A patient with confirmed dengue fever develops severe abdominal pain, persistent vomiting, and mucosal bleeding from the gums. Haematocrit has risen by 20% from baseline. Platelet count is 18 × 10⁹/L. What is the recommended fluid management?