DengueDrops - IV Fluid Calculator

(For Group B Non Shock patients)
Attention: The values are calculated according to the DGHS dengue guidelines. Please use clinical judgement whenever appropriate.
Error: One or more input field is empty.
Warning: Patient is severely dehydrated. Please use clinical judgement for treatment.
Warning: Patient is out of calculation range. Please use clinical judgement to proceed with treatment.
Warning: Patient might be in shock / Proceeding to shock. Please follow shock treatment protocol.
Shock Patient

Calculation Summary

Output Value
Total Fluid Requirement In 48 Hours (Oral + IV):
mL
Suggested Starting :
mL/hr or
IV Fluid To Be Given In 6 Hours:
mL
Deficit Fluid Requirement (%):
mL
Maintenance Fluid Requirement:
mL
IBW:
Kg

Patient Management Guidelines:

  • Please ensure that the drop-factor selected matches with the IV infusion set.
  • Starting flow-rates may be higher than suggested in the chart in case of severe patients. Please use clinical judgement.
  • If the patient has stable vitals, do not escalate to the next level of the pyramid.
  • Patients should be followed-up every 2 hours.
  • Monitor pulse pressure, respiratory rate, temperature, pulse rate and volume, capillary refill time, skin color, urine output.
  • Types of Crystalloid (IV fluids) used in Dengue:
    • For children < 6 months: 0.45% half strength normal saline solution (0.45% NaCl)
    • For patients aged > 6 months:0.9% NaCl (isotonic normal saline solution) (0.9% NS)(Preferable)
    • 5% dextrose in Ringer's lactate solution (5% DRL)
    • 5% dextrose in acetated Ringer's solution (5% DRA)
    • Hartman solution

Indications for Immediate Action:

  • Pulse rate > 120/min with fever or > 100/min without fever
  • Pulse pressure 20 mmHg or less
  • Postural drop of SBP > 20 mmHg
  • Significant bleeding (Haematemesis, Melaena, Bleeding PV, etc.)
  • Urine output (UOP) < 0.5mL /kg/hr
  • CRFT > 2 sec

Patient Information

Patient Type
Adult
Height (ft-inch)
5 ft 7 inch
Gender
Male
Blood Pressure(mmHg)
120/90
Age
xxx
Capillary Refill Time(sec)
< 2s
Body Weight (Kg)
68
Drop Factor
15 drops = 1mL

References

  • National Guideline for Clinical Management of Dengue Syndrome, 4th Edition, 2018 Revised (Printed May, 2020), Government of the People's Republic of Bangladesh, ISBN 978-984-33-0628-9
  • World Health Organization - Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Hemorrhagic Fever (Revised and expanded edition, 2011).
  • Pocket Guideline for Dengue Clinical Case Management, Directorate General of Health Services (Revised edition, 2022), Government of the People's Republic of Bangladesh.
After 6 hours Please Input These Parameters.
mL
mL
IV Flowrate for next 6 hours: mL/hr / Drops per minute
Fluid Remaining after 6 hours (ORAL+IV): mL
Disclaimer: Do not use this tool for patients with pregnancy and labour, severe diarrhoea, ischemic heart disease, heart failure, chronic kidney disease, acute kidney injury, chronic liver disease.