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Monitoring Guidelines
Diagram 20: Monitoring guidelines by MOH, Malaysia
Based on the way we managed dengue, we came up with clear guidelines on how
often to take laboratory tests to monitor for warning signs or pick up those warning
signs. If somebody is in Category 3, we have to review the patient's three times to look
for these warning signs as well as any clinical deterioration.
If somebody requires oxygen as in category 4, we have to monitor them 4 hourly.
We have to do all these blood tests to look out for the cytokine release syndrome, so
that we can start anti-inflammatory/ immunomodulatory therapy early.
