Acute pain related to complications of dengue hemorrhagic fever as evidenced by enlarged liver.

Assessment Nursing Scientific Objectives Interventions Rationale Expected

Diagnosis Explanation Outcome

Subjective: Acute pain Dengue virus Short-term  Establish  To gain the Short-term
“masakit padin related to (DENV) After 2 hours rapport trust and After 2 hours
yung bandang complications of affects many of nursing cooperation of nursing
taas ng tiyan dengue organs and intervention of the client intervention
nya kase sabi hemorrhagic one of the the patient the patient
 Regulated  To prevent
ng doctor maga fever as most will verbalize verbalized
IV fluid water
daw yung atay evidenced by common decrease of according intoxication decrease of
nya kaya lagi enlarged liver affected pain from a to doctor’s pain from a
lang sya organs is the pain scale of order pain scale of
nakaside sa liver. DENV 7 to 5 being 1 7 to 5 being
kaliwa” as mainly as the lowest  Vital Signs  To obtain 1 as the
verbalized by targets the and 10 as the obtained baseline lowest and
the patient’s hepatocytes highest. data 10 as the
mother which makes highest.
up the cells of
 AM care  To provide
Objective: the liver, Long-term
provided comfort
- Guarding when DENV After 3 days Long-term
behaviou targets them of nursing  Due meds  For After 3 days
r the infection intervention given maximal of nursing
- Expressi can cause the patient effectivenes intervention
ve the swelling. will be able to s of the the patient is
behaviou Acute do activities medication able to do
r such as abnormality free from activities
crying in the levels pain. free from
and of serum  Change the  To alleviate pain.
restlessn alanine position of pain using
the client non-
ess aminotransfer
and apply pharmacolo
 - Grimace ase (ALT) warm gic
upon and aspartate compress manageme
palpitatio aminotransfer unless nt
n on the ase (AST) contraindica
ted
right can happen
upper when the liver  Encourage  To divert
abdomen is affected by diversional the
- Pain DENV. activities attention
scale of Therefore, appropriate from pain
7 out of Swelling is to age
10 being the result of
1 as the the increased  Encourage  To prevent
lowest movement of rest periods fatigue
and 10 fluid and
as the white blood
 Administer  To relieve
highest. cells into the
analgesic pain
injured area. medication
The release as
Vital signs are of chemicals prescribed
as follows: and the by the
BP: 110/70 compression attending
mmHg of nerves in physician
PR: 120 the area of
RR: 27 injury cause
T: 36.9 °C pain.
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Arabia. American Journal of Gastroenterology, 111. doi: 10.14309/00000434-201610001-00874

Fayyaz, A., Fayyaz, Z., & Fatima, S. (2017). Dengue Fever; Hepatic Involvement In Children Upto 12 Years Of

Age. The Professional Medical Journal, 24(11), 1605–1609. doi: 10.17957/tpmj/17.4096

Niranjan, R., D, P., & Jumbulingam, P. (2017). Liver Dysfunctions in Dengue Infection: An Update on its

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