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Reported for:
Dr. Genaldo, CI
And the rest of Grp. G
Reported by:
Mendoza, M., SN PWU
What is Dengue?
 Dengue is a mosquito-borne (Aedes
aegypti) infection that in recent
decades has become a major
international public health concern.
Dengue is found in tropical and sub-
tropical regions around the world,
predominantly in urban and semi-
urban areas. Dengue hemorrhagic
fever (DHF), a potentially lethal
complication, was first recognized in
the 1950s during dengue epidemics
in the Philippines and Thailand.
Today DHF affects most Asian
countries and has become a leading
Symptoms of DHF
 Dengue fever may be confused with other
infectious diseases such as influenza or
malaria. Symptoms may include:
 sudden onset, high fever
 severe headaches
 joint and muscle pain
 nausea
 vomiting
 rash that appears three to four days after
the onset of fever
 The illness may last up to 10 days, with
recovery often taking two to four
System affected by dengue
 The circulatory system composed of the
heart and blood vessels that moves
blood in the entire body is the one
affected by dengue. During dengue
hemorrhagic fever, the most serious
form of the disease, this is
characterized by high fever, serious
hemorrhage, pneumonia, which may
lead to shock (a serious condition in
which blood pressure is very low and
not enough blood flows to the body’s
organs and tissues). Untreated, shock
may result to death.

Pathophysiology of Dengue
 bite of a virus carrying Aedes mosquito
 mosquito injects fluids into victim’s skin
 virus enters blood stream
 infect cells and generate cellular
 initiates immune response (stimulate
release of cytokines)
 cytokines destroys cell membrane and
cell walls (viral antigens found in
 fluid shift
 symptoms manifest itself
If not treated immediately
- circulatory collapse then,
- shock which lead to death
Diagnostic Evaluation
 History and physical exam

 Complete Blood Count (CBC)

 Serology

 Viral Antibody Titer

Medical treatment
 Immediate hospitalization
 Paracetamol to combat fever
 Cefuroxime (antibiotic) inhibits
synthesis of bacterial cell wall,
causing cell death.
 Metronodazole (antibiotic) inhibits
DNA synthesis in specific
anaerobes, causing cell death.
 Hydrocortizone (hormone)
corticosteroid, short acting – anti-
Nursing Care Management
 Monitored vital signs
 Continued medications
 Watch out for persistence of
 Monitored
progress/improvement CBC
 Advised to avoid dark color
 Advised to increase oral body
fluid intake

Health Teachings
 Encouraged to eat foods rich in
iron like green leafy vegetables
and organ meat
 Instructed patient to maintain
proper hygiene like taking a
bath everyday
 Instructed to come back after a
week for follow up check-up
after discharge
 Encouraged to resume daily
activities at home
 Encouraged to go to mass with
Lola gets…
The end