DENGUE FEVER

Predisposing Factor: Precipitating Factor:

-Age (general) -Geographical area(Tropical)
-Environmental (pots of plants, ponds with
stagnant water)

Breeding of mosquito(Aedes aegypti) on

stagnant water

Increase susceptibility

LEGEND Female mosquito bites an infected

person with dengue fever
PATHOPHYSIOLOGY COMPLICATIONS

SIGNS AND NURSING

Female mosquito (aedes aegypti) carries
SYMPTOMS DIAGNOSIS
the virus

DIAGNOSTIC TEST HEALTH TEACHING

Bites another person Signs and
MEDICAL MANAGEMENT symptoms:
-Swollen
lymph nodes
NURSING Virus is deposited in the skin then goes
DRUG
MANAGEMENT into the circulation
THERAPY
Infected cells migrate
to lymph nodes and
Viral replication Virus taken inside the Release of mature generate cellular
cell virus from the cell response

Diagnostic test:
Transaminase: 37 U/L
Asymptomatic elevated Destruction of hepatocytes Targets the
Triglyceride:
transaminase and and Kuffer cells liver
250.96mg/dL
triglyceride level.
Nursing
management: Diagnostic test:
Nursing Diagnosis: Stimulates intense inflammatory response
-Administer Dengue NS1 Antigen NEGATIVE
Elevated body
analgesic as Dengue NS1 Antibody test
temperature(Hyperthermia)
prescribe. IgG Positive
related to decrease platelet
-Administer IVF as IgM Negative
count secondary to dengue Momentary vasoconstriction
prescribe.
fever.
-Morning and
environmental
care(Tepid sponge Signs and Release of chemical mediators
bath). symptoms: Virus spreads locally
/body release inflammatory Dengue Fever
-Assess for signs of -Redness & Muscle
mediators(Histanin, Kinins)
dehydration. Heat contract to
-Monitor intake and -High Fever produce
additional heat
Localized Sign and
Signs and
vasodilation symptom:
Diagnostic test: symptoms:
-Shivering
Platelet count: -High fever
Nursing 17 -Nausea and Blood vessels
management: vomiting Sign and constrict to
Blood vessels become infected
-Promote safety -Rashes symptom: prevent loss
eventually becomes leaky
measures. -Muscle pain -Chills of body heat
-Close monitoring Nursing Diagnosis:
of vital signs. Risk for bleeding
-Assess for any related to
Decreased platelet count Drug therapy:
signs of bleeding. decreased platelet Nursing Diagnosis:
count. Risk for fluid volume -Ceftriaxone +
-Document platelet
deficit related to Sulbactam(ZEFTRAX)3g
count.
If left untreated: nausea and vomiting. IV OD :treatment for
Diagnostic test: viral infection:
5/3/2022: -Pantoprazole(Pantolex)
Health teaching: Platelet count- 17
Nursing management: 10mg IVTT q 12 hrs
-Watch for active 5/5/2022: Vascular leakage
-Administer IVF as prescribe. treatment for too much
bleeding, instruct Platelet count: 33
-Administer medications as acid in the stomach.
to report
prescribe. -Metroclopromide IVTT
immediately if
Hemorrhagic Dengue fever -Promote rest and increase PRN for nausea and
present. Medical management:
fluid intake for adequate vomiting,
-Encourage to use -Replace lost blood with
hydration. - Paracetamol 500mg
soft bristled transfusions of packed RBC or
- Document intake and output 1 tab q 4 hrs for fever
toothbrush. platelets (blood transfusion) No more blood and oxygen > 38 degree celsius.
-Instruct not to as prescribe. supply in the body
eat dark colored
food. Signs and
-Encourage to symptoms:
increase fluid Dengue Shock Syndrome Multiple organ failure Death
-Hypotension
intake. -Tachycardia
-Tachypnea