TREAMTENT:

RISK FACTORS: NURSING DIAGNOSIS

There is no specific medicine to treat dengue infection. If you  Risk for bleeding related to possible impaired
• Age – common in all groups but in southeast
Asia children are more affected. think you may have dengue fever, you should use pain relievers liver function.
 Deficient fluid volume related to vascular
• Pre existing anti dengue antibody previous with acetaminophen and avoid medicines with aspirin, which
\ leakage.
infection Maternal antibody could worsen bleeding. You should also rest, drink plenty of  Pain related to abdominal pain and severe
• Higher risk in secondary infections fluids, and see your doctor. If you start to feel worse in the first headaches.
• Higher risk with two or more serotype  Risk for ineffective tissue perfusion related to
24 hours after your fever goes down, you should get to a
circulating simultaneously failure of the circulatory system.
• Host genetics; race (white may be great risk hospital immediately to be checked for complications.  Risk for shock related to dysfunction in the
than black) circulatory system.
• Virus strain: certain genetic strain virus causes
dengue in primary infection
SIGNS/SYMPTOMS: NURSING INTERVENTIONS
 Nausea, vomiting  Blood pressure monitoring. Measure blood
 Rash pressure as indicated.
 Monitoring pain. Note client report of pain in
 Aches and pains (eye pain, typically
specific areas, whether pain is increasing, diffused,
behind the eyes, muscle, joint, or bone
or localized.
pain)
 Vascular access. Maintain patency of vascular


Sudden, high fever
Severe headaches
DENGUE FEVER access for fluid administration or blood
replacement as indicated.
WARNING SIGN:  Medication regimen. There must be a periodic
review of the medication regimen of the client to
 Belly pain, tenderness
identify medications that might exacerbate
 Vomiting (at least 3 times in 24 hours) bleeding problems.
 Bleeding from the nose or gums  Fluid replacement. Establish 24-hour fluid
Vomiting blood, or blood in the stool replacement needs.
Feeling tired, restless, or irritable  Managing nose bleeds. Elevate position of the
patient and apply ice bag to the bridge of the nose
and to the forehead.
Pathophysiology  Trendelenburg position. Place the patient in
 Initial phase. The initial phase of DHF is similar to that of dengue Trendelenburg position to restore blood volume
MEDICATIONS fever and other febrile viral illnesses. The virus is deposited in the to the head.
skin by the vector, within few days viremia occurs, lasting until
 Acetaminophen (paracetamol)
the 5th day for the symptoms to show.
 acetaminophen (Tylenol) Complications
 Hemorrhagic symptoms. Shortly after the fever breaks or
 Cardiomyopathy.
sometimes within 24 hours before, signs of plasma leakage
 Seizures, encephalopathy, and viral
appear along with the development of hemorrhagic symptoms.
encephalitis.
DIAGNOSTICS:  Vascular leakage. Vascular leakage in these patients results in
 Hepatic injury.
 Molecular Tests hemoconcentration and serous effusions and can lead to
 Depression.
 Dengue Virus Antigen Detection (NS1) circulatory collapse.  Pneumonia.
 Serologic Tests  Progression. If left untreated, DHF most likely progresses  Iritis.
 Tissue Tests to dengue shock syndrome.  Orchitis.
 Oophoritis