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PART 2 CD > Dengue Hemorrhagic Fever > Flashcards

Dengue Hemorrhagic Fever Flashcards

MASTERY BYTES

1
Q

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)

A

DENGUE HEMORRHAGIC FEVER

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2
Q

6 CAUSATIVE AGENTS of DHF

A

Chikunggunya (CHIKV)
Onyong-yong (ONNV)
Dengue virus 1,2,3,4

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3
Q

INCUBATION PERIOD: ?__?

A

6-7 DAYS

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4
Q

DHF MODE OF TRANSMISSION

A

MOSQUITO BITE

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5
Q

DHF Peak months:

A

SEPT- OCT

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6
Q

DHF SOURCE OF INFECTION?

tip: scientific name

A

FEMALE AEDES AEGYPTI

Mosquito: The Aedes aegypti mosquito is the main VECTOR that transmits the virus that causes dengue.

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7
Q

DHF: CHARACTERISTICS OF THE FEMALE
MOSQUITO

tip: DLSU

A

D- AY BITING
L-LOW FLYING
S-STAGNANT
U- URBAN

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8
Q

DHF DIAGNOSTIC TEST-

A

TOURNIQUET TEST/
RUMPEL LEED’S TEST

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9
Q

1 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

A

1.Get patient’s BP

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10
Q

2 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

A
  1. Inflate BP cuff midway between SBP and DBP and wait
    for 5 minutes
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11
Q

3 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

A
  1. Deflate BP cuff and make an imaginary box 2.5 cm square or 1-inch square below the antecubital fossa
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12
Q

4 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

A
  1. Count the number of petechiae.
    (20 or more petechiae is + tourniquet test
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13
Q

2 OTHER DX TESTS

A

-Platelet count
-Serologic test: (IgM)

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14
Q

3 STAGES of Dengue Fever

A

I. Febrile or invasive stage
II. Toxic or hemorrhagic stage
III. Convalescent or recovery stage

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15
Q

-First four days
– High fever, abdominal pain and
headache
– Flushing and vomiting, conjunctival
infection, epistaxis

A

3 STAGES of Dengue Fever:
I. Febrile or invasive stage

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16
Q

– 4th-7th days
– Decreasing temperature, severe
abdominal pain, vomiting and frequent
bleeding from GIT (melena or
hematemesis)
– Unstable BP, narrow PR, shock
– death

A

3 STAGES of Dengue Fever:
II. Toxic or hemorrhagic stage

17
Q

– 7th-10th day
– Generalized flushing
– Appetite regained
-BP stable

A

3 STAGES of Dengue Fever:
III. Convalescent or recovery stage

18
Q

Among 4 grades, what GRADE of DHF is presented below?

Fever
(+) TT
abdominal pain

A

Grade I

19
Q

Among 4 grades, what GRADE of DHF is presented below?

– Spontaneous bleeding
– Gum bleeding, epistaxis, rashes,
petechiae

A

Grade II

20
Q

Among 4 grades, what GRADE of DHF is presented below?

– Circulatory failure
– Weak and thready pulse, narrow PP,
hypotension, restlessness

A

Grade III

21
Q

Among 4 grades, what GRADE of DHF is presented below?

– Profound shock with
undetectable P and BP

A

Grade IV

22
Q

First 3 Goals of NCP for patient with DHF

A
  1. Be free of signs of bleeding.
  2. Display laboratory results within normal range for
    individuals.
  3. Maintain fluid volume at a functional level.
23
Q

4th -6th Goals of NCP for patient with DHF

A
  1. Report pain is relieved or controlled.
  2. Follow prescribed pharmacologic regimen.
  3. Demonstrate adequate tissue perfusion.
24
Q

7th-8th Goals of NCP for patient with DHF

A
  1. Display hemodynamic stability.
  2. Be afebrile and free from other signs of infection.
25
Q

DHF NURSING MANAGEMENTS
A-
I-
T-
M-
D-
C-

A

-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

26
Q

Diet for DHF

A

Diet:
vitamin c= boost immune system
avoid-dark colored foods= prevent in masking the s/sx of bleeding

27
Q

MEDICAL MANAGEMENT
Vascular access. Maintain patency of vascular
access for __ or __ as indicated.

A

Vascular access. Maintain patency of vascular
access for fluid administration or blood
replacement as indicated.

28
Q

ORESOL solution?
? tsp salt + ? tsp sugar+ 1L water

A

homemade ORESOL solution composed of
1 teaspoon of salt+ 4 or 6 teaspoons of sugar
mix to 1liter of water.

29
Q

MEDICAL MANAGEMENT
- Paracetamol for Fever:
- Codeine: ___ and for ____?
- No Aspirin!– bleeding tendencies

A

Severe headaches and for myalgia-

30
Q

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 _______.

A

Note client report of pain in specific areas, whether pain is increasing,
diffused, or localized.

31
Q

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.

A

Establish 24-hour fluid
replacement needs.

32
Q

How manage nose bleeds on DHF?

A

Elevate position of the patient and apply ice bag to the bridge of the nose and to the forehead.

33
Q

Place the patient in ____ position to restore blood volume to the head.

A

Trendelenburg position

34
Q

DISCHARGE AND HOME CARE GUIDELINES
1. Avoid what drinks?

A

Avoid caffeine and alcohol as indicated to reduce effects of diuresis.

35
Q

DISCHARGE AND HOME CARE GUIDELINES
2. Follow-up appointments.

A

Comply with the
recommended medical and laboratory follow-ups.

36
Q

DISCHARGE AND HOME CARE GUIDELINES
3. Oral care on DHF recovery?

A

Recommend use of soft toothbrush to
reduce risk of injury to the oral mucosa.

37
Q

DISCHARGE AND HOME CARE GUIDELINES
4. Diet. Foods rich in ?

A

Foods rich in vitamin K should be
recommended to promote blood clotting

38
Q

DISCHARGE AND HOME CARE GUIDELINES
5. Education for DHF?

A

Educate patient on the use of
mosquito nets and insecticides.

39
Q

DHF EVALUATION give atleast 3

A

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.

PART 2 CD (9 decks)

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