dengue fever

Question 1

other name for dengue fever

Answer 1

breakbone fever
DHF
DANDY FEVER
7 DAY FEVER

Question 2

DENV

Answer 2

1,2,3,4

Question 3

family of dengue fever

Answer 3

flaviviridae

Question 4

genus of DF

Answer 4

flavivirus —- renamed in 2023 —- ORTHOFLAVIVIRUS

Question 5

MOT of DF

Answer 5

vector- bite of aedes aegypti (female)

Question 6

characteristics of aedes aegypti

Answer 6

D day biting (3pm)
L low flying
S stagnant water
U urban areas

Question 7

causative agents of DF

Answer 7

dengue virus type 1,2,3,4
chikungunya virus
o’nyong’nyong virus

Question 8

incubation period of DF

Answer 8

6-7 days

Question 9

diagnostic test for DF

Answer 9

torniquet test/ rumpel leads/ capillary fragility test

Question 10

how they do the torniquet test??

Answer 10

1. get the BP of your patient
2. inflate the BP cuff midway between the SBP and DBP
3. inflate the BP - 100mmHg and let stay there for 2-3 minutes
4. deflate cuff and make an imaginary box about 1 inch square below the antecubital fossa
5. count the number of the petichae (rashes)

Question 11

how is it determined if it is positive for tornique test?

Answer 11

if the petichae count is 10-20 within the imaginary box

Question 12

stages of DHF

Answer 12

a. febrile or invasive stage ( last for 1-3 days)

b. toxic/ hemorrhagic stage (4-7 days)

c. convalescence/ recovery stage (8-10 days)

Question 13

s/sx of febrile stage in DHF

Answer 13

• rash (appears at the 3rd day)
• fever (40C or 104F) / chills
• arthralgia / malaise
• n/v, loss of appetite
• headache / abdominal pain

Question 14

s/sx of toxic or hemorrhagic stage

Answer 14

• epistaxis
• gum bleeding
• melena
  *** avoid dark color beverages — masks s/sx of bleeding
• narrow pulse pressure ( hypotension, weak&thready pulse)

Question 15

convalescence/ recovery stage

Answer 15

• regains appetite
• BP normalizes
• generalized flushing

Question 16

Grade levels of DHF

Answer 16

level 1,2,3,4

Question 17

grade level 1

Answer 17

-fever
- (+) tornique test
- abdominal pain
- no bleeding

Question 18

grade level 2

Answer 18

-signs of spontaneous bleeding

epistaxis
gum bleeding
melena

Question 19

grade level 3

Answer 19

signs of circulatory collapse
hypotension
narrowed pulse pressure
weak and thready pulse

Question 20

grade level 4

Answer 20

signs of profused/ severe shock

Question 21

nursing management for DF

Answer 21

• bed rest
• avoid constipation
• ice packs sa forehead (if may epistaxis)
• TSB
• increase OFI - 3-4 L/day, increase circulatory blood volume
• monitor v/s
• diet: increase carbohydrates, increase proteins, increase vit C
• clean surroundings

Question 22

medical management for DHF

Answer 22

• ORESOL
• ACETAMINOPHEN (for fever)
• CODEINE (for severe headache and for myalgia)
• NO ASPIRIN!!! (increase bleeding tendencies)

Question 23

what is oresol

Answer 23

homemade solution composed of a PINCH of salt 4-6 tsp of sugar mixed to 1L of water

Question 24

medical management for DHF

Answer 24

• ORESOL
• ACETAMINOPHEN (for fever)
  -CODEINE (for severe headache and myalgia)
• NO ASPIRIN!! (increase bleedng tendencies)

Question 25

vaxx for DHF

Answer 25

dengvaxia - 2016
Qdenga 2022

Question 26

dengvaxia

dosage:
route:
storage:
# of doses:
interval:

discard reconstituted vaccine if not used within

syringe:
gauge:

Answer 26

dengvaxia

dosage: 0.5ml
route: SQ
storage: body (2-8) body of ref
# of doses: 3 (day 0, after 6 months,12 months)

interval: 6 months apart

syringe: 5/8
gauge: 23/ 25

discard reconstituted vaccine if not used within 30 mins

Question 27

other vaxx for DHF

Answer 27

Qdenga - 2022

Question 28

Qdenga

dosage:
route:
doses:
interval:

Answer 28

dosage: 0.5ml
route: SQ
doses: 2 doses
interval: 3 months

Question 29

contraindications for dengvaxia and Qdenga

Answer 29

HIV/AIDS
immunosuppression
chemotherapy
corticosteroids therapy
pregnancy
breastfeeding