Dengue / Dengue Hemorrhagic Fever

Risk Factors: - Living or travelling in tropical areas - Prior infection with dengue fever virus Causative Agent: Aedes Aegypti mosquito Aedes Albopictus mosquito

Labs: CBC sample: blood result: ↓ platelet (< 80,000), ↓WBC (< 80,000)

Nursing Management: - Perform TSB - Promote adequate bed rest - Encourage intake of fruit juices - Instruct patient to drink ORS every 2 hours - Restrict use of aspirin or any nsaids - Discuss to patient / guardian how to prepare an Oral Rehydration Solution (1 glass water, 8 teaspoons sugar, 1 teaspoon salt) - Health teaching: at home, place cover on any water containers, keep surrounding area clean - Health teaching: at home, if possible, put up screens on doors and windows

Diagnostics: - torniquet test - dengue serologic tests - platelet counts and hematocrit Meds: - Analgesics and antipyretics (No aspirin!) - Oral Rehydration Solution 1 glass of water 8 teaspoon of sugar 1 teaspoon of salt - Fruit juices - IV rehydration therapy

Signs and Symptoms: -Fever, headache. muscle and joint pains, maculopapular rash, retroorbital pain, gastritis, abdominal pain, vomiting coffee-grounds-like congealed blood, diarrhea, Treatment: - Close monitoring of vital signs after defervescence - Oral rehydration therapy to prevent dehydration - blood transfusion

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