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    Patho Dengue

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    Lindy Shane Boncales
    This document summarizes the pathophysiology of dengue fever and dengue hemorrhagic fever. It outlines predisposing and precipitating factors, the viral replication process in mosquitos and humans, the body's immune response, signs and symptoms, complications including hemorrhage and shock, diagnostic tests, and nursing care considerations. Dengue virus is transmitted via mosquito bites and causes fever, headache, rash and bleeding complications in severe cases. Nursing focuses on monitoring for shock, fluid management and minimizing risk of further bleeding.

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    Patho Dengue

    Uploaded by

    Lindy Shane Boncales
    151 views3 pages
    This document summarizes the pathophysiology of dengue fever and dengue hemorrhagic fever. It outlines predisposing and precipitating factors, the viral replication process in mosquitos and humans, the body's immune response, signs and symptoms, complications including hemorrhage and shock, diagnostic tests, and nursing care considerations. Dengue virus is transmitted via mosquito bites and causes fever, headache, rash and bleeding complications in severe cases. Nursing focuses on monitoring for shock, fluid management and minimizing risk of further bleeding.

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    This document summarizes the pathophysiology of dengue fever and dengue hemorrhagic fever. It outlines predisposing and precipitating factors, the viral replication process in mosquitos and humans, the body's immune response, signs and symptoms, complications including hemorrhage and shock, diagnostic tests, and nursing care considerations. Dengue virus is transmitted via mosquito bites and causes fever, headache, rash and bleeding complications in severe cases. Nursing focuses on monitoring for shock, fluid management and minimizing risk of further bleeding.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    151 views3 pages

    Patho Dengue

    Uploaded by

    Lindy Shane Boncales
    This document summarizes the pathophysiology of dengue fever and dengue hemorrhagic fever. It outlines predisposing and precipitating factors, the viral replication process in mosquitos and humans, the body's immune response, signs and symptoms, complications including hemorrhage and shock, diagnostic tests, and nursing care considerations. Dengue virus is transmitted via mosquito bites and causes fever, headache, rash and bleeding complications in severe cases. Nursing focuses on monitoring for shock, fluid management and minimizing risk of further bleeding.

    Copyright:

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    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    PREDISPOSING FACTOR -Geographical area -Race -Gender -Socioeconomic -Genetic

    DENGUE PATHOPHYSIOLOGY

    Aedes Aegypti/ Aedes albopictus (dengue virus carrier) (8-12 days of viral replication on mosquito salivary glands

    PRECIPITATING FACTOR -Environmental Condition -Immunocompromise -Mosquito carrying dengue -Sweaty Skin

    Bite from mosquito (portal of entry in the skin)

    Allowing dengue virus to be inoculated towards the circulation (incubation period of 3-14 days)

    Virus disseminated rapidly into the blood

    Virus will present in the circulation

    Stimulates WBC inducing B lymphocytes

    Viremia

    Secrets immunoglobulin (antibodies) and monocytes (macrophages, neutrophils)

    Antibodies attack to the viral antigen

    Monocytes/macrophages will perform phagocytosis through FC receptors w/in the cell

    Dengue replicates w/in the cell Entry to spleen Entry to lymphnode Entry to bone marrrow

    Recognition of dengue viral antigen on infected monocytes

    Stays in the area

    Inflammation Release of cytokine w/c consists of vasoactive agents (urokinase and platelet activating factor) NURSING DIAGNOSIS (FOR COUGH) -Ineffective airway clearance r/t to unproductive cough -Monitor V/S -Encourage to increase fluid intake -Encourage to expectorate sputum -Perform deep breathing SIGNS & SYMPTOMS -Diaphoresis -Warm Skin -Flushed -Headache -Body Weakness -Vomiting -Cough -Nausea -Fever (Intermittent) -Swollen Lymph

    Stimulates WBC and Pyrogen release

    DENGUE FEVER

    MEDICAL MANAGEMENT -Intravenous Fluid -Administer Sulbactam

    Virus ultimately target the liver and spleen

    Cellular direct destruction

    Inflammation

    Infection in RBC marrow and shortened platelet count DIAGNOSTIC EXAMINATION -Hematologic Test -Decreased platelet count -41 k/uL (150-450 k/uL)

    Apoptosis/Cell Death MEDICAL MANAGEMENT -Intravenous Fluid -Administer Cimetidine SIGNS & SYMPTOMS -Abdominal Pain -Accompanied with vomiting Hepatosplenomegaly

    Thrombocytopenia

    DENGUE HEMORRHAGIC FEVER SIGNS AND SYMPTOMS -Red sclera on both eyes -Petechiae -Bruises

    NURSING DIAGNOSIS -Pain r/t to possible hepatosplenomegaly secondary to DHF

    Increase size and number of pores in the capillaries

    Increase capillary permeability

    Fluid shifting from blood to interstitial fluid

    Fluid accumulation in the lungs Coagulopathy Increase amount of fluid that can impair breathing SIGNS & SYMPTOMS -Nonproductive cough with white sputum -Difficulty in breathing

    Leakage in the plasma

    Disseminated Intravascular Coagulation

    Hypovolemia Low BP Tachycardia Tachypnea

    PLEURAL EFFUSION

    Shock Bleeding

    Severe Bleeding

    Death MEDICAL MANAGEMENT -Platelet/ Blood Transfusion -Administer Tranexamic Acid -Intravenous solution -ORESOL -CBC urinalysis, fecalysis lab test -Administer Cimitidine NURSING DIAGNOSIS -Risk for shock r/t increase capillary permeability secondary to DHF NURSING MANAGEMENT -monitor V/S every 10 minutes Or earlier -Apply ice cap -Elevate the head -Protect the patient from sudden accidents -Monitor IVF -Stop the activity of the client immediately -Give time to rest -Use soft bristle toothbrush -Encourage avoid dark colored foods SIGNS & SYMPTOMS -Epistaxis -Melena -Hematemesis -Headache -Bruising -Abdominal Pain -Chest pain -Petechiae -Low BP -Clammy Skin -Paleness -SOB -Weakness

    LEGEND: y Those that are highlighted have been manifested by the client.

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