Date
Time
TEMPERATURE
200
BP
v
190
^
180
MAP
170
PR
X
160
S H O C K I N D E X
150
PR > SBP
140
PR >MAP
130
PR < MAP
120
110
WT:
100
HT:
90
80
+/-
Date:70
NS1
60
IgG
50
IgM
40
RR
(count over 1 minute)
30 25 20 15 10
SpO2 >95%
<95% Inspired O2 %
Management of Dengue in Adults CPG 3rd Edition
DENGUE CHART
FLUIDS
Date
Time
Oral/NG Fluid type Volume (ml) Line 1 (IV) Fluid type
I
Volume (ml)N
Line 2 (IV) Fluid type (ml) Volume (ml)Line 3 (IV) Fluid type Volume (ml)
RUNNING TOTAL
O
U
T
Urine Vomit/NGT Bowels
TOTAL EXCRETION
WCC Baseline:
HB Baseline:
HCT Baseline:
PLT Baseline:
HCO3 Baseline:
LACT Baseline: