Dengue Hemorrhagic Fever Flashcards
MASTERY BYTES
It is also known as
breakbone fever (due to the severity of muscle spasms and joint pain)
dandy fever, or
seven-day fever (because of the usual duration of symptoms)
DENGUE HEMORRHAGIC FEVER
6 CAUSATIVE AGENTS of DHF
Chikunggunya (CHIKV)
Onyong-yong (ONNV)
Dengue virus 1,2,3,4
INCUBATION PERIOD: ?__?
6-7 DAYS
DHF MODE OF TRANSMISSION
MOSQUITO BITE
DHF Peak months:
SEPT- OCT
DHF SOURCE OF INFECTION?
tip: scientific name
FEMALE AEDES AEGYPTI
Mosquito: The Aedes aegypti mosquito is the main VECTOR that transmits the virus that causes dengue.
DHF: CHARACTERISTICS OF THE FEMALE
MOSQUITO
tip: DLSU
D- AY BITING
L-LOW FLYING
S-STAGNANT
U- URBAN
DHF DIAGNOSTIC TEST-
TOURNIQUET TEST/
RUMPEL LEED’S TEST
1 PROCEDURE OF TOURNIQUET TEST/
RUMPEL LEADS TEST
1.Get patient’s BP
2 PROCEDURE OF TOURNIQUET TEST/
RUMPEL LEADS TEST
- Inflate BP cuff midway between SBP and DBP and wait
for 5 minutes
3 PROCEDURE OF TOURNIQUET TEST/
RUMPEL LEADS TEST
- Deflate BP cuff and make an imaginary box 2.5 cm square or 1-inch square below the antecubital fossa
4 PROCEDURE OF TOURNIQUET TEST/
RUMPEL LEADS TEST
- Count the number of petechiae.
(20 or more petechiae is + tourniquet test
2 OTHER DX TESTS
-Platelet count
-Serologic test: (IgM)
3 STAGES of Dengue Fever
I. Febrile or invasive stage
II. Toxic or hemorrhagic stage
III. Convalescent or recovery stage
-First four days
– High fever, abdominal pain and
headache
– Flushing and vomiting, conjunctival
infection, epistaxis
3 STAGES of Dengue Fever:
I. Febrile or invasive stage
– 4th-7th days
– Decreasing temperature, severe
abdominal pain, vomiting and frequent
bleeding from GIT (melena or
hematemesis)
– Unstable BP, narrow PR, shock
– death
3 STAGES of Dengue Fever:
II. Toxic or hemorrhagic stage
– 7th-10th day
– Generalized flushing
– Appetite regained
-BP stable
3 STAGES of Dengue Fever:
III. Convalescent or recovery stage
Among 4 grades, what GRADE of DHF is presented below?
Fever
(+) TT
abdominal pain
Grade I
Among 4 grades, what GRADE of DHF is presented below?
– Spontaneous bleeding
– Gum bleeding, epistaxis, rashes,
petechiae
Grade II
Among 4 grades, what GRADE of DHF is presented below?
– Circulatory failure
– Weak and thready pulse, narrow PP,
hypotension, restlessness
Grade III
Among 4 grades, what GRADE of DHF is presented below?
– Profound shock with
undetectable P and BP
Grade IV
First 3 Goals of NCP for patient with DHF
- Be free of signs of bleeding.
- Display laboratory results within normal range for
individuals. - Maintain fluid volume at a functional level.
4th -6th Goals of NCP for patient with DHF
- Report pain is relieved or controlled.
- Follow prescribed pharmacologic regimen.
- Demonstrate adequate tissue perfusion.
7th-8th Goals of NCP for patient with DHF
- Display hemodynamic stability.
- Be afebrile and free from other signs of infection.
DHF NURSING MANAGEMENTS
A-
I-
T-
M-
D-
C-
-Assess for s/s of bleeding
-Ice packs
-TSB and increase fluid intake
-Monitor vital signs
-Diet: vitamin c, avoid-dark colored foods
-Calamine lotion
Diet for DHF
Diet:
vitamin c= boost immune system
avoid-dark colored foods= prevent in masking the s/sx of bleeding
MEDICAL MANAGEMENT
Vascular access. Maintain patency of vascular
access for __ or __ as indicated.
Vascular access. Maintain patency of vascular
access for fluid administration or blood
replacement as indicated.
ORESOL solution?
? tsp salt + ? tsp sugar+ 1L water
homemade ORESOL solution composed of
1 teaspoon of salt+ 4 or 6 teaspoons of sugar
mix to 1liter of water.
MEDICAL MANAGEMENT
- Paracetamol for Fever:
- Codeine: ___ and for ____?
- No Aspirin!– bleeding tendencies
Severe headaches and for myalgia-
DHF MEDICAL MANAGEMENT
Blood pressure monitoring: Measure blood
pressure as indicated.
Monitoring pain. Note client report of pain in specific areas, whether pain is ____,
______, or _______.
Note client report of pain in specific areas, whether pain is increasing,
diffused, or localized.
Medication regimen. There must be a periodic review of the medication regimen of the client to identify medications that might exacerbate bleeding problems.
Fluid replacement. Establish __-hour fluid
replacement needs.
Establish 24-hour fluid
replacement needs.
How manage nose bleeds on DHF?
Elevate position of the patient and apply ice bag to the bridge of the nose and to the forehead.
Place the patient in ____ position to restore blood volume to the head.
Trendelenburg position
DISCHARGE AND HOME CARE GUIDELINES
1. Avoid what drinks?
Avoid caffeine and alcohol as indicated to reduce effects of diuresis.
DISCHARGE AND HOME CARE GUIDELINES
2. Follow-up appointments.
Comply with the
recommended medical and laboratory follow-ups.
DISCHARGE AND HOME CARE GUIDELINES
3. Oral care on DHF recovery?
Recommend use of soft toothbrush to
reduce risk of injury to the oral mucosa.
DISCHARGE AND HOME CARE GUIDELINES
4. Diet. Foods rich in ?
Foods rich in vitamin K should be
recommended to promote blood clotting
DISCHARGE AND HOME CARE GUIDELINES
5. Education for DHF?
Educate patient on the use of
mosquito nets and insecticides.
DHF EVALUATION give atleast 3
q Absence of signs of bleeding.
q Displayed laboratory results within normal range
for individuals.
q Maintained fluid volume at a functional level.
q Reported pain is relieved or controlled.
q Followed prescribed pharmacologic regimen.
q Demonstrated adequate tissue perfusion.
q Displayed hemodynamic stability.
q Afebrile and free from other signs of infection.
