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PHILHEALTH CLINICAL PATHWAYS CLINICAL GUIDELINES DENGUE CLINICAL PATHWAY Assessment Diagnostics Treatments Teaching 1st 30 min 2nd 30 min Ascertained with fever of 2-7 days duration with any of the following: skin flushing rashes headache retro-orbital pain myalgia/arthralgia, CBC taken Risk factors for hemorrhagic tendency assessed. 3rd 30 min Platelet ct less than 100,000, do PTT and blood typing Platelet ct greater than 100,000 discharge and advised to do serial CBC daily Admit if: platelet count is less than 100,000 OR if with any of the ff. regardless of the platelet count spontaneous bleeding persistent abdominal pain persistent vomiting changes in mental status restlessness weak rapid pulse cold clammy skin circumoral cyanosis difficulty of breathing seizures hypotension narrowing of pulse pressure. Give information on Dengue fever and measures to control infection at home ADMITTING ORDERS Admitting Impression: Dengue Fever Concomitant diagnosis: ____________________________ Please admit to room of choice under the service of Dr. ________________ Diet: __________________________________ Vital signs: Lab: – – – – – – – – – every 4 hours every _____________ CBC blood typing PTT SGPT Urinalysis Chest x-ray PA and lateral Na, K BUN, Creatinine Others: __________________________ __________________________ ADMITTING ORDERS • IVF: __________________________ Other medications: _________________________________________________ _________________________________________________ • Ancillary Therapy: _________________________________________________ _________________________________________________ _________________________________________________ • • • Referral to other services: Hematology _________________________________________________ Others _________________________________________________ • • • • • • Inform attending physician(s) and resident-on-duty of patient’s room number Refer for any undue development. ______________________ Signature over printed name Attending Physician
