JAKARTA – Pediatrician Nita Dewanti said parents need to be aware of phase signs preshock in children with Dengue Hemorrhagic Fever (DHF) which is the initial entry into the advanced stage of DHF.
“Stadium preshock or towards shock where at this stage children with DHF will experience a decrease in blood pressure, their children will get weaker or it can even happen shock,” said doctor Nita in her statement, Thursday (12/1), as reported Between.
It says phase preshock is a sign that the child is entering the third stage of dengue fever caused by the Aedes aegypti mosquito. In this condition, the child’s blood pressure will weaken, and the heart rate will also be faster, which is called tachycardia.
If the child enters this phase, fluid administration must be sufficient both from drinking and infusion so that stage 4 does not occur, namely stage shock.
“When you enter the stadium shock must be monitored closely because they are usually in the ICU and must be monitored closely, fluids must also be precise, not excessive, not lacking,” he said.
Nita said dengue hemorrhagic fever consists of four stages. Starting with the first stage, the symptoms are not as severe as other viral diseases or just a fever.
However, if it continues to the second stage, red spots will appear as a sign of bleeding on the skin.
“Red spots are bleeding on the skin, children can also have nosebleeds and what is most feared is if the child has bleeding in the digestive tract or bleeding in the brain,” said Nita.
Besides DHF, another disease that often stalks children is measles which is caused by a virus belonging to the paramyxovirus group.
This virus will usually cause symptoms such as fever and weakness in children, then on the third day usually a red rash will appear on the skin like small spots which is called a morbilliform rash.
Measles is usually accompanied by colds and coughs. Even more severe conditions can become bronchopneumonia or inflammation of the lungs.
“Measles can occur throughout the year and measles is very contagious, so it’s very easy for children to catch it from friends, brothers or sisters,” he said.
