INTRODUCTION

Dengue is the foremost cause of arthropod-borne viral disease in the world and
due to severe muscle aches. It is transmitted through Aedes mosquito and commonly
found in tropical and subtropical parts of the world. The incidence of dengue has
substantially increased over the past few decades. It was estimated in a study that
3.9 billion people are at risk of infection with dengue viruses in the world and Asia is
the most affected part.
In the Philippines, there were reported cases of Dengue Fever which may lead
to severe cases like hemorrhagic fever and even death after the onset of the signs
and symptoms. Dengue fever in the Philippines are seasonal through the
manifestation of climate change, in the middle of the year, case of dengue fever is
increasing and most vulnerable clients are children.

As per reported by the Department of Health (DOH), Philippines has a total of

65,190 cases of dengue from January to June 2022, which is 83 percent higher
than the previous year. The case fatality rate also lies at 0.4 percent, with 274
deaths reported.
 Dengue fever (DF) presents with high fever, severe headache, joint and

muscle pain, pain behind the eyes, rashes, mild bleeding (nose or gums) and easy

bruising, and its case fatality is less than 1%. Severe dengue, such as dengue

hemorrhagic fever (DHF), and dengue shock syndrome (DSS) are accompanied

by fever which lasts for 2-7 days, abdominal pain, low blood platelet count,

breathing difficulties, internal bleeding, vomiting as well as circulatory system

failure. Furthermore, there are certain serious complications, such as myocarditis,

encephalopathy, liver failure, splenic rupture, acute kidney injury, pancreatitis, and

muscle hematoma, can also be associated with dengue.

 The dengue fever is presently no specific antiviral treatment and it’s

typically a self-limiting disease. However, there were supportive care

has made in order to manage the case of dengue, such as analgesics,

fluid replacement, and bed rest. Acetaminophen can be used to treat

fevers and other symptoms, however, other medications such as

aspirin, nonsteroidal anti-inflammatory medications (NSAIDs), and

corticosteroids should be avoided. Management of severe dengue

requires close attention to fluid control and preemptive hemorrhagic

therapy.
 Nursing Care Plan
Assessment Nursing Diagnosis Nursing Intervention Rationale Evaluation
Subjective: Acute pain possibly - Perform - Assessing the level, After of endearing
-Patient verbalized related to dengue comprehensive type, and place of effective nursing
sobrang sakit ng hemorrhagic fever assessment of pain pain will help the intervention, the goal
tiyan ko possibly secondary to nurses in creating an was partially met as
- On the pain scale of dengue shock intervention to evidence by less
1/10, patient syndrome manifested alleviate the pain guarding of the
verbalized 8/10 by abdominal pain abdominal area and
patients verbalize
- Assist the patient in - To improve quality,
partial relieve of pain.
Objective: a comfortable frequency, and
- patient was placed position (knee flexion) location of pain
uncomfortably in bed.
- Ensure adequate - Assess and promote
- patient is pale
hydration; proper fluid balance,
- patient is on
intravenous fluids which may require
guarding behavior
may be required. informing the provider
(abdominal area)
a need for
intravenous fluids to
maintain fluid
balance.
 Assessment Nursing Diagnosis Nursing Intervention Rationale Evaluation

Subjective: Ineffective - Provide surface - To promote cooling After effective nursing

''Mataas po ang thermoregulation cooling such as tepid by helping reduce intervention, the goal
lagnat ko'' as related to sponge bath and body temperature was partially met as
verbalized by the hyperthermia removing extra evidenced by
patient secondary to dengue clothing improved patient's
hemorrhagic fever condition.
- Encourage
''Wala po akong - To prevent
increased fluid intake
ganang kumain'' as dehydration because
verbalized by the increase in body
patient temperature causes
fluid loss such as
Objective: sweating
- Weakness
- Warm to touch - Provide bed rest - To detect further
- Pale existing discomfort
- Febrile with a and promote rest
temperature of 37.7
- Administer - Paracetamol are
Paracetamol 500mg classified as
po as ordered by the analgesics and
physician antipyretic which acts
at the hypothalamus
to regulate normal
body temperature
 Assessment Nursing Diagnosis Nursing Intervention Rationale Evaluation

Subjective Cue: Deficient fluid · Encourage To prevent dehydration After the intervention, the
volume related to increased fluid intake because increase vomiting goal was partially met as
“Nagsusuka po vomiting as may decrease fluid evidenced by improved
ako no’n saka patients condition.
evidenced by volume or to replace the
wala po akong weakness, loss of lost volume.
gana kumain” appetite and fever
as verbalized secondary to To detect further existing
· Provide bed rest
by the patient. dengue discomfort and promote
hemorrhagic fever. rest.
Objective Cue:

- Weakness
· Administer IV
- Warm to touch
therapy as prescribed To assess and promote
- Pale proper fluid balance,
which may require
- Febrile with a informing the provider a
temperature of need for intravenous fluids
37.7 to maintain fluid balance.

- Loss of
appetite