{"id":998,"date":"2011-04-08T03:00:00","date_gmt":"2011-04-08T06:00:00","guid":{"rendered":"http:\/\/ww16.ce.gov.br\/saude\/2011\/04\/08\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/"},"modified":"2011-04-08T03:00:00","modified_gmt":"2011-04-08T06:00:00","slug":"nota-alerta-sobre-assistencia-aos-pacientes-com-dengue","status":"publish","type":"post","link":"https:\/\/ww16.ce.gov.br\/saude\/2011\/04\/08\/nota-alerta-sobre-assistencia-aos-pacientes-com-dengue\/","title":{"rendered":"Nota alerta sobre assist\u00eancia aos pacientes com dengue"},"content":{"rendered":"

1.  No atual momento epidemiol\u00f3gico no Cear\u00e1, com transmiss\u00e3o de dengue em 155 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.  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.  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)
  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.  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.  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.  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.  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>
A\u00e7\u00f5es coordenadas de preven\u00e7\u00e3o e controle da Dengue<\/p>\n

<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

1.  No atual momento epidemiol\u00f3gico no Cear\u00e1, com transmiss\u00e3o de dengue em 155 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":997,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-998","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias"],"acf":[],"yoast_head":"\nNota alerta sobre assist\u00eancia aos pacientes com dengue - Secretaria da Sa\u00fade do Cear\u00e1<\/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\/saude\/2011\/04\/08\/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 - 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