 Severe, potentially deadly infection b.

Toxic or hemorrhagic stage (4th- 7th

 Occurrence: sporadic throughout the days)
year (epidemic: June to November)  Lowering of temperature
By : Tadeo, Abigael C.
 Severe abdominal pain
 All persons are susceptible
 Vomiting
 Frequent bleeding from GI
 both sexes- equally affected
tract: Hematemesis, melena
 age group: pre-school age &
school age  Unstable BP
 Narrow pulse pressure
ETIOLOGIC AGENT: c. Convalescent or recovery
stage (7th-10th day)
 Dengue virus types 1, 2, 3, and 4
 Chikungunya virus  Blanching appetite is regained
 Blood pressure stable
VECTOR: Aedes Aegypti If you suspect you experiencing these
symptoms, contact your doctor
 Tiger mosquito, black in color immediately! Act quickly, before a simple
 Breeds in clear water symptom develop into severe bleeding!
 Day biting mosquito
Management:
SOURCE OF INFECTION: Infected  Supportive and symptomatic
humans are the main carriers and multipliers  PARACETAMOL- fever
of the virus  ANALGESIC- headache
It’s all about
Etiologic agent INCUBATION PERIOD: 6 days to 1 week  NO ASPIRIN
Vector  Replacement of fluids:
Modes of transmission Oresol (plan B), IV fluid
Source of Infection therapy (plan C)
Incubation period  Treat low blood sugar
Management SIGNS AND SYMPTOMS( 3 Stages):
Prevention and control a. Febrile or invasive stage (first 4 days)
Nursing Care Methods of Prevention and control:
 High fever, flushing  Recognition of the disease
 Abdominal pain and vomiting  Isolation of patient
 Headache  Epidemiological investigation
 Conjunctival infection
 Case finding and reporting
 Epistaxis
 Health education
 o Low pulse, cold
Control measures clammy
 Eliminate vector (3 o’clock habit) perspiration References:
 Avoid too many hanging clothes o Dorsal recumbent
position- >Fundamentals of Nursing (7th edition) by
 Residual spraying of pesticides
circulation Barbara Kozier,
o Adequate >Medical-Surgical Nursing by Smeltzer
preparation- >http:www.dengue.com
mentally
1. Good nutrition, especially physically
foods rich in vitamin C o Provision of
And protein rich foods warmth By:
2. Strict compliance to Tadeo, Abigael C.
therapeutic regimen Diet – Low fat, low fiber, non-
BSN IV-A2
irritating, non- carbonated
NURSING CARE!!!
Immediate control of
hemorrhage
o Keep the pt at rest during
bleeding episodes
o Nose bleeding-
elevate trunk,
promote
vasoconstriction
in nasal mucosa
o Melena- ice bag
over abdomen
o Avoid
unnecessary movement
o Blood transfusion

Close observation for VS

leading to shock