Patients with dengue hemorrhagic fever (DHF), especially children, vulnerable to impaired fluid balance. This could be fatal, occurred by shock syndrome that ends in death. Shock syndrome usually occurs in the third or fourth day since fever occurrence. In fact, at this moment fever usually subside.

Dengue virus infection can lead to leakage of plasma so that the liquid will fill the cavity around the heart, lung, and stomach, resulting in swelling. On the other hand, the body fluid deficiency. Dengue infection that do not cause leakage of plasma called dengue fever. This type of relatively mild and not life-threatening.

The signs of shock to consider is the patient’s anxiety, there was a marked decrease in consciousness with the patient was sleepy and wanted to sleep, no appetite, abdominal pain, no appetite, and rarely urinate.

If the shock occurs without any prolonged medical action could result in death. To prevent shock, DHF patients must given plenty of fluids, either by mouth or infusion.