Dengue fever is caused by a virus transmitted by mosquitoes. There is no specific treatment, but resting and drinking fluids can help recovery. Warning signs of potential complications include belly pain, vomiting, bleeding, and feeling tired or irritable. Nurses monitor patients for dehydration and bleeding risks, and provide fluid replacement. Complications can include shock from fluid leakage from blood vessels.
Dengue fever is caused by a virus transmitted by mosquitoes. There is no specific treatment, but resting and drinking fluids can help recovery. Warning signs of potential complications include belly pain, vomiting, bleeding, and feeling tired or irritable. Nurses monitor patients for dehydration and bleeding risks, and provide fluid replacement. Complications can include shock from fluid leakage from blood vessels.
Dengue fever is caused by a virus transmitted by mosquitoes. There is no specific treatment, but resting and drinking fluids can help recovery. Warning signs of potential complications include belly pain, vomiting, bleeding, and feeling tired or irritable. Nurses monitor patients for dehydration and bleeding risks, and provide fluid replacement. Complications can include shock from fluid leakage from blood vessels.
Dengue fever is caused by a virus transmitted by mosquitoes. There is no specific treatment, but resting and drinking fluids can help recovery. Warning signs of potential complications include belly pain, vomiting, bleeding, and feeling tired or irritable. Nurses monitor patients for dehydration and bleeding risks, and provide fluid replacement. Complications can include shock from fluid leakage from blood vessels.
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TREAMTENT:
RISK FACTORS: NURSING DIAGNOSIS
There is no specific medicine to treat dengue infection. If you Risk for bleeding related to possible impaired • Age – common in all groups but in southeast Asia children are more affected. think you may have dengue fever, you should use pain relievers liver function. Deficient fluid volume related to vascular • Pre existing anti dengue antibody previous with acetaminophen and avoid medicines with aspirin, which \ leakage. infection Maternal antibody could worsen bleeding. You should also rest, drink plenty of Pain related to abdominal pain and severe • Higher risk in secondary infections fluids, and see your doctor. If you start to feel worse in the first headaches. • Higher risk with two or more serotype Risk for ineffective tissue perfusion related to 24 hours after your fever goes down, you should get to a circulating simultaneously failure of the circulatory system. • Host genetics; race (white may be great risk hospital immediately to be checked for complications. Risk for shock related to dysfunction in the than black) circulatory system. • Virus strain: certain genetic strain virus causes dengue in primary infection SIGNS/SYMPTOMS: NURSING INTERVENTIONS Nausea, vomiting Blood pressure monitoring. Measure blood Rash pressure as indicated. Monitoring pain. Note client report of pain in Aches and pains (eye pain, typically specific areas, whether pain is increasing, diffused, behind the eyes, muscle, joint, or bone or localized. pain) Vascular access. Maintain patency of vascular Sudden, high fever Severe headaches DENGUE FEVER access for fluid administration or blood replacement as indicated. WARNING SIGN: Medication regimen. There must be a periodic review of the medication regimen of the client to Belly pain, tenderness identify medications that might exacerbate Vomiting (at least 3 times in 24 hours) bleeding problems. Bleeding from the nose or gums Fluid replacement. Establish 24-hour fluid Vomiting blood, or blood in the stool replacement needs. Feeling tired, restless, or irritable Managing nose bleeds. Elevate position of the patient and apply ice bag to the bridge of the nose and to the forehead. Pathophysiology Trendelenburg position. Place the patient in Initial phase. The initial phase of DHF is similar to that of dengue Trendelenburg position to restore blood volume MEDICATIONS fever and other febrile viral illnesses. The virus is deposited in the to the head. skin by the vector, within few days viremia occurs, lasting until Acetaminophen (paracetamol) the 5th day for the symptoms to show. acetaminophen (Tylenol) Complications Hemorrhagic symptoms. Shortly after the fever breaks or Cardiomyopathy. sometimes within 24 hours before, signs of plasma leakage Seizures, encephalopathy, and viral appear along with the development of hemorrhagic symptoms. encephalitis. DIAGNOSTICS: Vascular leakage. Vascular leakage in these patients results in Hepatic injury. Molecular Tests hemoconcentration and serous effusions and can lead to Depression. Dengue Virus Antigen Detection (NS1) circulatory collapse. Pneumonia. Serologic Tests Progression. If left untreated, DHF most likely progresses Iritis. Tissue Tests to dengue shock syndrome. Orchitis. Oophoritis
RISK For INJURY Related To Regulatory Function (Sensory Difunction As Evidenced by Decrease Visual Acuity, Unable To Recognize Object 12-14 Inches Away, Not Wearing of Eyeglasses.