GROUP 2

RLE III
Case Study:
Dengue

RLE I CASE STUDY

 Topics for discussion

Concepts
1. Pathophysiology
2. Etiology, Risk Factors, Assessment
Findings. Def. Of Disease
3. Medication and Action, Medical
Treatment
4. Nursing Dx w/ Nursing Intervention and
rationale
5. Course of the Ward

RLE III 1
Dengue
Dengue is a viral infection transmitted
to humans to through the bite of
infected mosquitoes the primary
vectors that transmit the disease are
Aedes aegypti mosquitoes and, to a
lesser extent Ae. albopictus. The virus
responsible for causing dengue, us
called dengue virus (DENV).

RLE III
 RLE III
Risk Factors:
age, sex, race, nutritional status, environment, previous dengue
infection, virus Strain, water storage practices, chronic disease

Etiology:
Dengue infection is caused by dengue virus (DENV) which is single-stranded RNA virus
with an icosahedral nucleocapsid and covered by a lipid envelope. The virus is in the family
Flaviviridae, genus Flavivirus, and the type specific virus is yellow fever
• Transmission of dengue virus into the host is through the vectors
Assessment Findings

RLE III
Temperature: 38.5°C
Tachycardia
Tachypnea
7/10 moderate pain
headache, pale and weak in appearance, swollen eyeballs, poor skin
turgor, poor appetite
epigastric pain
soft and tenderness of abdomen upon palpation
episodes of soft stool reported
no signs of bleeding
WBC count (2.4)
Low platelet count (46,000)
PATHOPHYSIOLOGY

RLE III

MEDICATION AND ACTION, MEDICAL
TREATMENT
GAVISCON SACHET QID AFTER MEAL
AND BEDTIME PRN
used to treat heartburn (acid reflux) and
indigestion.
Action: This medicine works by forming a
protective layer that floats on top of the
contents of your stomach. This stops
stomach acid escaping up into your food
pipe.
Most people who take it do not have any
side effects. If you do get a side effect, it's
likely to be mild and will go away when you
stop taking Gaviscon.
Route of Administration: oral
PARACETAMOL 500mg/ Tab Q4
is an analgesic and antipyretic drug and also known as
acetaminophenthat is used to temporarily relieve mild-
to-moderate pain and fever.
Action: reduces fever, cause the hypothalamus to
override prostaglandin to induce increase in
temperature then body works to lower the temperature
result in reduction of fever
Route of Administration: oral, rectal, intravenous
DOMPERIDONE 10mg/TAB TID
is used to treat nausea and vomiting.
Action: Domperidone antagonises D2 receptor & it
antagonizes the inhibitory effect of dopamine. It results
into stimulation of gastric muscle contraction. Due to
that we get relief in nausea & vomiting.
Route of Administration: oral
MEDICATION AND ACTION, MEDICAL
Baciflora I amp BID
Action: Bacillus clausii belongs to the group
of medicines called probiotics used to treat
imbalance/alterations of intestinal bacterial
flora occurring due to diarrhea or during the
course of therapy with medicines such as
antibiotics.
• Which is a spore-forming bacterium.
• It inhibits the growth of pathogens in the
gastrointestinal tract and helps in restoring
TREATMENT
the balance of intestinal bacterial flora. It is
also helpful in producing vitamins, thereby
corrects dysvitaminosis.
Cetirizine 1 tab OD (oral)
Action: Blocks histamine binding, preventing allergy
symptoms.
• Symptom relief from nasal allergies such as hay fever.
• Symptom relief from insect bites and skin rashes.
Route of Administration: oral,
Omeprazole 40mg OD
Action: Used to treat certain conditions where there is
too much acid in the stomach. It is used to treat gastric
and duodenal ulcers, erosive esophagitis, and
gastroesophageal reflux disease (GERD). Omeprazole is in
a class of medications called proton-pump inhibitors. It
works by decreasing the amount of acid made in the
stomach.
Route of Administration: oral
Nsg. Intervention
1. Assess the precipitating 3. Make sure that the patient is 6. Increased fluid intake
factors, quality, severity in a comfortable position monitor i and o
of pain and monitor the 4. Avoid eat dark color food 7. Do not leave the patient
pain score regularly and drinks alone but be with the client and
2. Monitor vital sign 5. Instruct and importance of listen attentively to their
continuously personal hygiene concerns

Acute pain related to inflammatory response secondary to dengue

fever as evidence by mild epigastric pain
Nsg. Intervention
1. Monitor v/s and
document
2. Instruct proper hygiene
amd self care as well in
surroundings
3. Use pillows or foam wedges
to keep bony prominences from
direct contact with each other.
Keep pillows under the heels to
raise off bed.
4. Encourage adequate
nutrition and hydration: 2000
to 3000 kcal/day (more if
increased metabolic demands).
Fluid intake of 2000 mL/day
unless medically restricted.

Impaired skin integrity r/t changes in the barrier function of skin

COURSE OF THE WARD

2

1
COURSE OF THE WARD
4

3
COURSE OF THE WARD
6

5
COURSE OF THE WARD
8

7
COURSE OF THE WARD
9
RLE III

Names and tasks

Members
1. Pathophysiology - Virtusio & Almonte

2. Etiology, risk factors, assessment findings, definition of disease - Magsumbol &

Jaylo

3. Medication and Action, medical treatment - Salazar & Cedeño

4. Nursing diagnosis w/ nursing intervention and rationale - Leynes & Jayme

5. Course of the Ward - Artizada, Mintar, & Valencia