Dengue being very common in India now, everybody including public knows about the signs and symptoms. The important points to remember while dealing with dengue cases are: Below 12 years of age is to be monitored very carefully.Fatality is very common in this age group especially toddlers. Platelet count is to be monitored daily if it is above one lakh and twice daily if below one lakh. If very low effective steps to be taken.

Low WBC count is an important indicator of severe disease and should be monitored.This may lead to further infection due to other organisms. Hematocrit is to be monitored and depending on the results to be treated. A hematocrit level increase greater than 20% is a sign of hemoconcentration and precedes shock. The hematocrit level should be monitored at least every 24 hours to facilitate early recognition of dengue hemorrhagic fever and every 3-4 hours in severe…