{"id":297,"date":"2011-04-04T13:22:31","date_gmt":"2011-04-04T16:22:31","guid":{"rendered":"http:\/\/www.hsmm.ce.gov.br\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/"},"modified":"2011-04-04T13:22:31","modified_gmt":"2011-04-04T16:22:31","slug":"nota-alerta-sobre-assistencia-aos-pacientes-com-dengue","status":"publish","type":"post","link":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/","title":{"rendered":"Nota alerta sobre assist\u00eancia aos pacientes com dengue"},"content":{"rendered":"

1.\u00a0 No atual momento epidemiol\u00f3gico no Cear\u00e1, com transmiss\u00e3o de dengue em 152 munic\u00edpios e propor\u00e7\u00e3o aumentada de casos graves e \u00f3bitos, inclusive em crian\u00e7as, alertamos os profissionais de sa\u00fade que, diante de todo caso de doen\u00e7a febril aguda, deve-se:<\/strong><\/p>\n

– Pensar na hip\u00f3tese diagn\u00f3stica de dengue
– Orientar o paciente ou familiar sobre sinais de alarme de dengue
– Preencher o cart\u00e3o de acompanhamento para pacientes com dengue<\/p>\n

2.\u00a0 Orientar sobre necessidade de repouso absoluto e hidrata\u00e7\u00e3o no domicilio, de forma precoce e abundante:<\/strong><\/p>\n

Crian\u00e7as: 50 a 60 ml\/por quilo de peso ao dia, sendo 1\/3 de soro oral e 2\/3 de l\u00edquidos caseiros, tais como: \u00e1gua, suco de frutas naturais, ch\u00e1s, \u00e1gua de coco. Evitar uso de refrigerantes.
Adolescentes e adultos: 60 a 80 ml\/por quilo de peso ao dia, sendo 1\/3 de soro oral e 2\/3 de l\u00edquidos caseiros, tais como: \u00e1gua, suco de frutas naturais, ch\u00e1s, \u00e1gua de coco. Evitar uso de refrigerantes e bebidas alco\u00f3licas.<\/p>\n

3.\u00a0 Informar ao paciente ou familiar que a fase cr\u00edtica da doen\u00e7a vai do 3\u00ba dia da doen\u00e7a (quando a febre desaparece) at\u00e9 o 5\u00ba dia. O paciente precisa voltar, imediatamente, a um hospital ou unidade de pronto \u2013 atendimento caso apresente um ou mais dos seguintes sinais ou sintomas:<\/strong><\/p>\n

– Dor abdominal intensa e cont\u00ednua
– V\u00f4mitos persistentes
– Hipotens\u00e3o postural e\/ ou lipot\u00edmia
– Sonol\u00eancia e\/ ou irritabilidade
– Hepatomegalia dolorosa
– Hemorragias importantes: V\u00f4mitos com sangue (hemat\u00eamese)
\u00a0 ou fezes escuras (melena)
– Diminui\u00e7\u00e3o da diurese
– Diminui\u00e7\u00e3o repentina da temperatura corp\u00f3rea ou hipotermia (<36,0\u00baC)
– Desconforto respirat\u00f3rio
– Aumento repentino do hemat\u00f3crito
– Queda r\u00e1pida das plaquetas <\/p>\n

4.\u00a0 Estar atento para o fato de que o aumento repentino do hemat\u00f3crito associado \u00e0 queda r\u00e1pida das plaquetas demonstra sinal de alarme para choque por dengue.<\/strong><\/p>\n

5.\u00a0 N\u00e3o indicar medicamentos que contenham \u00e1cido acetilsalic\u00edlico e anti-inflamat\u00f3rio n\u00e3o hormonal (diclofenaco, nimesulida, ibuprofeno, cetoprofeno e outros), pela possibilidade de aumentarem os sangramentos;<\/strong><\/p>\n

6.\u00a0 Dar aten\u00e7\u00e3o especial a crian\u00e7as, idosos e gestantes e pessoas com co-morbidade: hipertens\u00e3o, diabetes, cardiopatias, nefropatias, encefalopatias, \u00falcera g\u00e1strica, doen\u00e7as hematol\u00f3gicas, sobrepeso, pela possibilidade de agravamento.<\/strong><\/p>\n

7.\u00a0 Lembrar que Dengue reduz temporariamente as defesas imunol\u00f3gicas do organismo, podendo favorecer infec\u00e7\u00f5es e complica\u00e7\u00f5es bacterianas no per\u00edodo de recupera\u00e7\u00e3o ou convalescen\u00e7a.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

1.\u00a0 No atual momento epidemiol\u00f3gico no Cear\u00e1, com transmiss\u00e3o de dengue em 152 munic\u00edpios e propor\u00e7\u00e3o aumentada de casos graves e \u00f3bitos, inclusive em crian\u00e7as, alertamos os profissionais de sa\u00fade que, diante de todo caso de doen\u00e7a febril aguda, deve-se: – Pensar na hip\u00f3tese diagn\u00f3stica de dengue– Orientar o paciente ou familiar sobre sinais de […]<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[12],"tags":[],"class_list":["post-297","post","type-post","status-publish","format-standard","hentry","category-lista-de-noticias"],"acf":[],"yoast_head":"\nNota alerta sobre assist\u00eancia aos pacientes com dengue - HSM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nota alerta sobre assist\u00eancia aos pacientes com dengue - HSM\" \/>\n<meta property=\"og:description\" content=\"1.\u00a0 No atual momento epidemiol\u00f3gico no Cear\u00e1, com transmiss\u00e3o de dengue em 152 munic\u00edpios e propor\u00e7\u00e3o aumentada de casos graves e \u00f3bitos, inclusive em crian\u00e7as, alertamos os profissionais de sa\u00fade que, diante de todo caso de doen\u00e7a febril aguda, deve-se: – Pensar na hip\u00f3tese diagn\u00f3stica de dengue– Orientar o paciente ou familiar sobre sinais de […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/\" \/>\n<meta property=\"og:site_name\" content=\"HSM\" \/>\n<meta property=\"article:published_time\" content=\"2011-04-04T16:22:31+00:00\" \/>\n<meta name=\"author\" content=\"Felipe Regino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Felipe Regino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/\"},\"author\":{\"name\":\"Felipe Regino\",\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/98cfc5ab393b3ae8249357c5024a620e\"},\"headline\":\"Nota alerta sobre assist\u00eancia aos pacientes com dengue\",\"datePublished\":\"2011-04-04T16:22:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/\"},\"wordCount\":407,\"articleSection\":[\"Lista de Not\u00edcias\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/\",\"url\":\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/\",\"name\":\"Nota alerta sobre assist\u00eancia aos pacientes com dengue - HSM\",\"isPartOf\":{\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/#website\"},\"datePublished\":\"2011-04-04T16:22:31+00:00\",\"author\":{\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/98cfc5ab393b3ae8249357c5024a620e\"},\"breadcrumb\":{\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\/\/ww16.ce.gov.br\/hsm\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nota alerta sobre assist\u00eancia aos pacientes com dengue\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/#website\",\"url\":\"https:\/\/ww16.ce.gov.br\/hsm\/\",\"name\":\"HSM\",\"description\":\"Portal HSM\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ww16.ce.gov.br\/hsm\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/98cfc5ab393b3ae8249357c5024a620e\",\"name\":\"Felipe Regino\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g\",\"caption\":\"Felipe Regino\"},\"url\":\"https:\/\/ww16.ce.gov.br\/hsm\/author\/sspdsfeliperegino\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Nota alerta sobre assist\u00eancia aos pacientes com dengue - HSM","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/","og_locale":"pt_BR","og_type":"article","og_title":"Nota alerta sobre assist\u00eancia aos pacientes com dengue - HSM","og_description":"1.\u00a0 No atual momento epidemiol\u00f3gico no Cear\u00e1, com transmiss\u00e3o de dengue em 152 munic\u00edpios e propor\u00e7\u00e3o aumentada de casos graves e \u00f3bitos, inclusive em crian\u00e7as, alertamos os profissionais de sa\u00fade que, diante de todo caso de doen\u00e7a febril aguda, deve-se: – Pensar na hip\u00f3tese diagn\u00f3stica de dengue– Orientar o paciente ou familiar sobre sinais de […]","og_url":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/","og_site_name":"HSM","article_published_time":"2011-04-04T16:22:31+00:00","author":"Felipe Regino","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Felipe Regino","Est. reading time":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/#article","isPartOf":{"@id":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/"},"author":{"name":"Felipe Regino","@id":"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/98cfc5ab393b3ae8249357c5024a620e"},"headline":"Nota alerta sobre assist\u00eancia aos pacientes com dengue","datePublished":"2011-04-04T16:22:31+00:00","mainEntityOfPage":{"@id":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/"},"wordCount":407,"articleSection":["Lista de Not\u00edcias"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/","url":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/","name":"Nota alerta sobre assist\u00eancia aos pacientes com dengue - HSM","isPartOf":{"@id":"https:\/\/ww16.ce.gov.br\/hsm\/#website"},"datePublished":"2011-04-04T16:22:31+00:00","author":{"@id":"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/98cfc5ab393b3ae8249357c5024a620e"},"breadcrumb":{"@id":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/ww16.ce.gov.br\/hsm\/2011\/04\/04\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/ww16.ce.gov.br\/hsm\/"},{"@type":"ListItem","position":2,"name":"Nota alerta sobre assist\u00eancia aos pacientes com dengue"}]},{"@type":"WebSite","@id":"https:\/\/ww16.ce.gov.br\/hsm\/#website","url":"https:\/\/ww16.ce.gov.br\/hsm\/","name":"HSM","description":"Portal HSM","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ww16.ce.gov.br\/hsm\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Person","@id":"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/98cfc5ab393b3ae8249357c5024a620e","name":"Felipe Regino","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/ww16.ce.gov.br\/hsm\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/c5948532bfed4bf995ab94c145699ff618fbb1a11e1bffe93097e84e5ffdeec3?s=96&d=mm&r=g","caption":"Felipe Regino"},"url":"https:\/\/ww16.ce.gov.br\/hsm\/author\/sspdsfeliperegino\/"}]}},"_links":{"self":[{"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/posts\/297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/comments?post=297"}],"version-history":[{"count":0,"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/posts\/297\/revisions"}],"wp:attachment":[{"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/media?parent=297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/categories?post=297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ww16.ce.gov.br\/hsm\/wp-json\/wp\/v2\/tags?post=297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}