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Abstract
Background: In children with excess weight, fluid rates, drug doses, urine output, and energy prescriptions depend on a body weight that is often not identified in the clinical record.
Objective: To audit the nutritional classification and implied dosing weights documented for a child with dengue with warning signs and upper gastrointestinal bleeding.
Methods: This CARE-guided case report reviewed the de-identified record of a 7-year-old Indonesian girl and recomputed anthropometric indices, weight-indexed orders, and a recorded metabolic-rate calculation.
Results: At 30 kg and 125 cm, body mass index was 19.20 kg/m² (92.4th centile), below the recorded obesity criterion, whereas weight for height was 123.4% of the median and supported obesity. No single body weight reproduced all printed per-kilogram annotations, and height had been entered in metres in a metabolic-rate equation requiring centimetres. The child recovered without shock, fluid bolus, transfusion, or respiratory support and was discharged on illness day 8.
Conclusion: The nutritional label remained supportable by one criterion but not by the criterion cited in the record. Naming the dosing weight and its basis in every weight-indexed order would make paediatric dengue records more auditable.
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Scientific Journal of Pediatrics (SJPed) allow the author(s) to hold the copyright without restrictions and allow the author(s) to retain publishing rights without restrictions, also the owner of the commercial rights to the article is the author.
