To give facts and information about dengue fever syndrome.

To acquaint us on the procedures and management of dengue fever syndrome. To categorize the factors that may contribute to the progress of further complication.

Dengue fever, a contagious disease transmitted via the Aedes aegypti mosquito, infects between 50 million and 100 million people worldwide each year. Also known as Break bone or Dandy fever, Dengue fever is found in the tropical and subtropical regions of the world. Exposure to the Flavivirus that causes dengue fever results in one of three pathophysiologies: Dengue Fever, the more severe Dengue Hemorrhagic Fever (DHF) or Dengue Shock Syndrome (DSS).
After five to eight days of incubation, individuals infected with dengue fever develop symptoms unexpectedly. The initial symptoms of Dengue Fever lasts about 6-7 days. The fever lasts rapidly in the first 48-96 hours of the illness and then may break for a day before elevating rapidly again. This second phase of the fever is often when a rash may appear on the limbs or chest

Dengue is the most common mosquito-borne viral disease of humans that in recent years and has become a major international public health concern. Globally, 2.5 billion people live in areas where dengue viruses can be transmitted. The geographical spread of both the mosquito vectors and the viruses has led to the global resurgence of epidemic dengue fever and emergence of dengue hemorrhagic fever (dengue/DHF) in the past 25 years with the development of hyperendemicity in many urban centers of the tropics.

BIOGRAPHIC DATA

Name:patient x Address: san diego san Pablo city Birth Date:3/28/91 Age:18 yrs old Gender: Female Religion: Roman catholic Nationality: filipino Occupation: student Contact Person: patient x

 Patients chief complaint (patients exact

words):

nilalagnat po ako at masusuka verbalized by the patient.

How did the symptoms of your present

problem developed?

Nilagnat ako tapus nawala tapus bumalik verbalized by the patient.

When did the symptoms developed?

Feb.2 2010

Past medical history?

Hypertension ( ) Diabetes ( ) Back Pain ( ) Others:______

Current medical history?

Have you ever been hospitalized? YES ( ) NO ( /). If yes, WHEN? WHY? Are you being treated for any problem? If so, whats the problem and whos the doctor? Have you ever had surgery? If so, when and why?

iv. Others: _______

i. Hypertension ( ) ii. Diabetes ( ) iii. Back Pain ( )

None

Are you allergic to anything in the environment or to any drugs? If so, what kind of allergic reaction do you have? Are you taking any medication, including over-the-counter preparations, such as aspirin, vitamins, cough syrup? If so, how much do you take and how often do you take it?

None

Oo yung multi. Vitamins 3 times a week verbalized by the patient

 Are your mother, father and siblings living?

Yes If theyre alive, do they have diabetes ( /), high blood pressure ( ), heart disease ( ), asthma ( ), cancer ( ), sickle cell anemia ( ), hemophilia ( ), cataracts ( ), glaucoma ( ), other illnesses ( )? yung lolo ko po ang nagkaroon ng diabetes verbalized by the patient.

nagdarasal lang ako verbalized by the patient.

How have you coped with medical or emotional crises in the past?
Has your life changed recently? Yes What changes in your personality or behaviour have you noticed?

mas nagging maingat ako sa mga lamok as vervalized by the patient.

ok lang po bumisita po yung iba kong friends tapus iba ng text

How adequate is the emotional support you receive from family and friends?

How close do you live to health care facilities? Can you get them easily? medyo malapit po verbalized by the patient.

Oo yung nanay ko may Phil health as vervalized by the patient

Do you have health insurance?

Are you on a fixed income with no extra money for health care

 Diet and Elimination Appetite: Special diets: no special diet Food allergies: none Can the patient buy enough food? Yes Who cooks and shops at his house? My parents Frequency of bowel movements and laxatives use: 1x a day without using laxative

 HEAD: normal
EYES: normal EARS: normal

NOSE: normal
MOUTH: normal NECK: normal

RESPIRATORY PATTERN: normal

CARDIOVASCULAR SYSTEM: normal MUSCULOSKELETAL SYSTEM: normal

An infected female Aedes Aegypti bites a human host

Dengue virus enters the blood stream Virmia occurs Mononuclear phagocytes may be the most likely site, but infection of megakaryocytes in the bone marrow has also been proposed Cytokines initiates the destruction of the cell wall and blood cells (platelets)

Abnormal hemostasis, due to: Vasculopathy, Thrombocytopenia Coagulopathy (Leading to various hemorrhagic manifestation)

Increase potential hemorrhage Vascular permeability increase which results in pasma leakage, leading to hypovolemia and shock

Petechial rash, high fever, headache (epistaxis, vomiting, conjunctival infection, abdominal pain, shock, death)

Physiology Increased heat in the body is caused by increased production or decreased elimination or dysfunction of the thermoregulatory system in the brain. Increased production of heat occurs in conditions with increased metabolic rate such as hyperthyroidism, pheochromocytomas, and malignant neoplasms. Poor eliminations of heat may occur in congestive heart failure (poor circulation through the skin) and conditions where the sweat glands are absent (congenital) or poorly functioning (heat stroke). Most cases of fever are caused by the effect of toxins on the thermoregulatory centers in the brain. These toxins may be exogenous from drugs, bacteria (endotoxins), parasites, fungi, rickettsiae, and virus particles, or they may be endogenous from tissue injury (trauma) and breakdown (carcinomas, leukemia, infarctions, and autoimmune disease). Anatomy With the etiologies suggested by the mnemonic VINDICATE, one can apply anatomy and the various organ systems and make a useful chart (Table 28). The infections should be divided into thesystemic diseases that affect more than one organ, such as typhoid, brucellosis, tuberculosis, syphilis, leptospirosis, and bacterial endocarditis, and the localized diseases that usually affect the same specific organ, such as infectious hepatitis, subacute thyroiditis, pneumococcal pneumonia, and cholera. It is wise to divide the localized infectious diseases into the itises (e.g., pneumonitis, hepatitis, and prostatitis), and the abscesses (dental abscess, empyema, perinephric abscess, liver abscess, and subdiaphragmatic abscess).

6/0310 Vital signs taken and recorded Increased oral fluid intake to prevent dehydration

Progress notes Afebrile 36.5

Complete blood Purpose count HCT

Result

Normal values Significance (.350-.500)

HCT measures L/L the concentration of RBC within the blood volume, the blood test evaluates blood loss, blood replacement and fluid balance. PLT count evaluates platelet production and use as screening test to platelet function. 163 109/L

PLT

(150-390)

abnormal

Drug Paracetamol 500mg 1tab q4h every 4 hours

Classification Anti-pyretic

Action Sympto matic relief of pain and fever

Contraindication Contraindicated in patients hypertensive to drug.

Adverse reactions Nausea, allergic reaction, skin rashes

Nursing considerations Use liquid form for the children and patients who have difficulty swallowing In children, dont exceed five doses in 24 hours.

Nursing care plan Drug Contraindica Adverse Nursing tion reaction consideratio s ns Multivitami A11BA Nutritional Used as May be ns capsule Multivitamins supplement dietary taken with BID twice , plain to promote supplement or without a day s. general food (May good health be taken w/ in adults & meals for older childn. better It provides absorption essential or if GI nutrients to discomfort supplement occurs.) what may be lacking in the diet Classification Action

Drug`

Classification

Action

Contraindication

Adverse reactions Diarrhoea, nausea, vomiting; leukopenia , neutropeni a, eosinophili a, rash, pruritus; joint pain; increased BUN and creatine; dizziness. Potentiall y Fatal: Pse udomembr anous colitis.

Nursing considerations May be taken with or without food. (May be taken w/ meals to reduce GI discomfort.)

Cefradine (sulpiride) 500mg 1 capsule BID twice a day

J01DB09 cefradine;

Decreas ed clearanc e with probenec id; additive nephroto xicity with aminogly cosides

Hypersensitivity to cefradine or other cephalosporins; porphyria.

Assessmen Nursing Goals/Prio Planning t Diagnosis rities/Outc ome Identificati on Subjective: ok na Actual: pakiramda Vital m ko sign Objective: Risk: V/S taken Potenti as follows: al: T: 36.7 P: 72 R:20 Body malaise Dry skin

Interventio n/Impleme ntation of Plans Independe nt

Rationale Evaluation of interventio ns

Medication Intake of appropriate vitamin supplement and diuretics to increase protection mechanism of the immune system and decreases renal vascular resistance and may increase renal blood flow, respectively. Give the patient prescribe medication E conomic The use of nonpharmacotherapy such as drinking plenty of water will promote increase plasma in blood to increase immunity and proper hygiene and promotion of cleanliness at home and work area. Use mosquito net at night Keep Destroy breeding places of mosquito by cleaning the surroundings. Proper water containers properly covered. Maintain clean hygiene Diet Instruct the patient to rest adequately to prevent petique Encourage the patient to increase fluid intake

http://www.wikipedia.org http://mims.com NANDA http://www.wrongdiagnosis.com/d/den gue_fever/book-diseases-4a.htm