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Dengue Monitoring Chart
Dengue Monitoring Chart
Sex
R/N
Weight :
kg
Height :
cm
Age :
I/C
Ward:
Date
180
180
160
160
160
140
140
140
120
120
120
Systolic BP
100
100
100
Diastolic BP
80
80
80
60
60
60
40
40
40
IgM
Pos / Neg
IgG
Pos / Neg
mmHg
Pulse Rate
bpm
N U R S E
if 50 please INFORM DR
50
50
40
40
40
30
30
30
20
20
20
10
10
10
Pulse Pressure X
if <20 please INFORM DR
Respiratory Rate
if >24 please INFORM DR .
if >24 DR to do ABG
SpO2
I N
50
CRT
Temperature of extremities
Bleeding
T O
Abdominal pain
Vomiting
D O C T O R
Hct
Hb
Plt
WCC
ALT
HCO3 (Actual)
F I L L
Pulse volume
T O
F I L L
I N
Non-invasive BP
180
Time
Immunology Date
Taken:
_______________
(please circle):