These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash. How to care for your sick family member your child or family member might have dengue. Maintenance of the patients body fluid volume is critical to severe dengue care. Nursing care for dengue fever omics publishing group. Adequate fluid intake according to the nursing plan. Dengue fever nursing care planhigh risk for fluid volume deficit. Hyperthermia, risk for fluid volume deficit, risk for injury. Of nursing interventions, the client will be able demonstrate behaviors that reduces the risk for bleeding. The plan covers hospital accommodation, charges for stay in intensive care unit, related hospitalization expenses such as surgeons fees, nursing, anesthesia, blood, oxygen, operation theater charges, surgical appliances, medicines, drugs and consumables up to the sum insured. Dengue viruses cause symptomatic infections or asymptomatic seroconversion. Dengue virus may cause a mild to severe viral infection. Dengue and dengue hemorrhagic fever clinical microbiology. Hyperthermia is elevated body temperature due to a break in thermoregulation that arises when a body produces or absorbs more heat than it dissipates.
Due to the release of pyrogens by the infectious agent cues objectives interventions rationales evaluation subjective. Department of health and human services centers for. Before check for the specific test ordered by the doctor. Health experts have known about dengue fever for more than 200 years.
Nursing care plan for appendicitis nrsng nursing courses. Dengue fever frequently asked questions faq for early child. Since the second edition of dengue haemorrhagic fever. Tell the client that there is no need to restrict foods and fluids. Dengue hemorrhagic fever is a rare but more severe form of dengue infection that can be fatal if not recognized and treated with supportive care. Some patients with dengue fever go on to develop dengue hemorrhagic fever, a severe and sometimes fatal form of the disease. It is a sustained core temperature beyond the normal variance, usually greater than 39 c 102.
It is an essential tool to take a look in a nursing care plan designed for patients with dengue fever. Antipyretic medications acetaminophen are often given to reduce fever. Prevention and control of worldwide mosquitoborne illnesses. Mar 15, 2016 dengue hemorrhagic fever can cause fluid shifting from intracellular spaces to intravascular space that leads to dehydration. Administer analgesics as ordered for pain management. This may be due to older adults having preexisting comorbidities that potentially predispose to have multiple severe organ impairment. Dengue is an infection caused by one of four dengue viruses in the family flaviviridae. In terms of morbidity, mortality and economic costs, dengue is. Dengue fever nursing care plan high risk for fluid. Feb 16, 2018 acetaminophen tylenol, others can alleviate pain and reduce fever.
C per axilla, respiratory rate of 12 18 breaths per minute, pulse rate of 60 75 beats per minute, stable blood pressure, absence of muscular rigidity chills and profuse diaphoresis after 4 hours of nursing care. An understanding of the course of disease progression, risk factors, recognition of the warning signs and look out for clinical problems during the different phases of the disease will enable primary care physicians to manage dengue fever in an appropriate and timely manner to reduce morbidity. A maximum of 6 members can be added in a single policy. What is dengue and how can you keep from getting it. Dengue is a common cause of illness seen in primary care settings in tropical and subtropical countries. Place ice pack on rlq to aid in pain relief avoid using heat as it may cause the appendix to rupture. Dengue is a common cause of illness seen in primary care in the tropical and subtropical countries. Effectiveness planned health teaching on knowledge regarding. Laboratory criteria for the diagnosis of dengue virus may include 1 of the. Other diseases caused by flaviviruses include yellow fever, japanese encephalitis and murray valley encephalitis. It is extremely debilitating, with fever lasting 35 days, myalgia particularly backache, arthralgia thus breakbone, retroorbital pain, anorexia, gastrointestinal disturbance, rash and increased vascular permeability. East asia, with the emergence of the severe forms dengue haemorrhagic fever dhf and dengue shock syndrome dss. Nursing care plan dengue fever free download as word doc. Dec 07, 2018 some patients with dengue fever go on to develop dengue hemorrhagic fever, a severe and sometimes fatal form of the disease.
Note location, severity and quality of pain and any changes in characteristics which may signify abscess or peritonitis. Dengue hemorrhagic fever nursing care management and study guide. The goal of this teaching tool was to reach lay individuals who go on mission trips on a much wider scale than in a local settings such as the community church. The first author audain initiated and first published a dengue prevention and awareness wikihow, wikihow to avoid getting dengue fever on a mission trip wikihow, n. Nursing interventions for dengue fever include eradication of mosquitoes by eliminating breeding places restore blood volume deficient fluid volume related to an elevated body temperature should be monitered deficient fluid volume rt increased metabolic state should be monitored. Fever is an abnormally high body temperature, usually accompanied by shivering, headache, and in severe instances, delirium. Maintain a core body temperature of 3637 c even without rtc antipyretic. Symptomatic dengue infection is a systemic and dynamic disease.
People may not have adequate knowledge regarding dengue fever. Clinical practice guidelines for nurses philippine general hospital. Apr 27, 2019 such warning signs indicate that the dengue infection may be serious and could progress to associated bleeding and organ failure, or what is called dengue hemorrhagic fever dhf. Read this article completely and carefully to master the nursing care plan for fever. The incubation period lasts for 5 to 7 days and the onset of the illness is abrupt. Inpatient hospitalisation treatment arising from dengue fever where insured person has to stay in a hospital for more than 24 hours. Most physicians consider a fever to be a temperature over 100 when taken orally, 99 when taken under the arm and over 100. Teaching strategy regarding dengue fever may improve the knowledge. Summary dengue fever, a very old disease, has reemerged in the past 20 years with an expanded geographic distribution of both the viruses and the mosquito vectors, increased epidemic activity, the development of hyperendemicity the cocirculation of multiple serotypes, and the emergence of dengue hemorrhagic fever in new geographic regions. A program for prevention and control of epidemic dengue. Dengue virus may be passed from a mother to her unborn baby. Patients with asymptomatic infection are viraemic and thus may be a source of infection. Dengue fever breakbone fever dengue fever classically presents as an acute febrile illness of sudden onset.
Dengue fever is sometimes mistaken for the flu or measles, as it causes high fever, migrainelike headache, rash, achiness, queasiness and tiredness. Dengue hemorrhagic fever and dengue shock syndrome some patients with dengue fever go on to develop dengue hemorrhagic fever dhf, a severe and sometimes fatal form of the disease. It is important for you to carefully watch them because dengue can rapidly become severe between the third and seventh day of illness when the fever is going away. A maximum of 4 adults and a maximum of 5 children can be included in a single policy. Dengue fever is an acute febrile disease caused by infection with one of the serotypes of dengue virus. The virus is most commonly spread to a human through the bite of an infected mosquito. Avoid pain relievers that can increase bleeding complications such as aspirin, ibuprofen advil, motrin ib, others and naproxen sodium aleve, others.
Dengue hemorrhagic fever 5 nursing interventions care plans. Dengue is a febrile illness that can have a fatal outcome in severe cases. Your doctor can order tests to determine if your sick family member has dengue. The mildest of the four is known as dengue fever, it is sometimes mistaken with dengue hemorrhagic fever, which has much harsher symptoms. The primary risk factor for hemorrhagic fever is previous infection with a different dengue serotype i. Antibiotics may be given if fever is related to infection. Nursing care plan 8th edition of 2010 by marlynn e.
Client will be able to report and show manifestations that fever is relieved or controlled through verbatim, temperature of 36. The slum area people may not have adequate knowledge regarding the dengue fever. How can you keep yourself or children you care for from getting it. Jan 27, 2016 a program for prevention and control of epidemic dengue and dengue hemorrhagic fever in puerto rico and the u. It is endemic in more than 100 countries of africa, america, eastern mediterranean, southeast asia and western pacific. This disease used to be called breakbone fever because it sometimes causes severe joint and muscle pain that feels like bones are breaking. For a better understanding of nursing care plan for fever, lets start with the very basic concept.
A fever is the rise in body temperature above what is considered a normal range. Doenges capter 10 page 542 cbc is done to the patient to test if there is blood loss. It is a mosquitoborn disease caused by genus aedes. We explain the concepts and walk you through the steps. Inference this infectious disease is manifested by a sudden onset of fever, with severe headache, muscle and joint pains myalgias and arthralgias severe. There may also be gastritis and some times bleeding. Around the time the fever begins to subside usually 37 days after symptom onset, the patient may develop warning signs of severe disease.
Fever hyperthermia nursing care plan, drugs, diagnosis. Dengue fever is a mosquitoborne tropical disease caused by the dengue virus. Dengue care plan dengue care health insurance apollo. Symptoms typically begin three to fourteen days after infection. Antinausea medications may be given to children experiencing vomiting. This lesson is part of the nursing student academy. Health education will be effective for the selflearning to the group. Temp 3839c flushed skin warm body malaise short term. Dengue fever otherwise known as breakbone fever is a type of disease that is very rampant in tropical countries such as the philippines. Provide education and counseling for patients, parents and caregivers. If one or more of the above symptoms are present, the subsequent 2448 hours of dengue infection could be lethal without proper hospital care. You may be at risk for dengue virus if you travel or live in an area with infected mosquitos. Department of health and human services, public health service, centers for disease control and prevention. Nursesu role in dengue management may be divided into 2 parts.
It is a mosquitoborn disease caused by genus aedes dengue is also known as breakbone fever, hemorrhagic fever, dandy fever, infectious thrombocytopenic purpura. Dengue fever is an infectious disease carried by mosquitoes and caused by any of four related dengue viruses. Who works with governments and partners across the region to promote health, keep the world safe, and serve the vulnerable. It is an essential tool to take a look in a nursing care plan designeddengue fever nursing care plan high risk for fluid volume deficit for patients with dengue fever. Affecting mostly children, the case fatality rates range from less than 1% to 10% average 5%. Hyperthermia related to the process of dengue virus infection.
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