Dengue Hemorrhagic Fever (viral) Flashcards
break bone fever
Denge Fever
first day- patient may experience myalgia and arthralgia
pain in a muscle or group of muscles.
myalgia
pain in a joint.
arthralgia
Causative agents of DHF
- Dengue Virus 1 2 3 4
- Chikungunya Virus
- O’nyong-yong Virus
DHF source of infection
Female aedes aegypti infected mosquito
belong to the family of flavo virus
Incubation period of DHF
6 to 7 days
Mode of transmission of DHF
Bite of mosquito
Peak months of DHF
September to October
Characteristics of female mosquito
DLSU
- Day biting (3-4pm)
- Low flying
- Stagnant Water
- Urban area
Diagnostic tests for DHF
- Torniquet test/Rumper leads Test/Capillary Fragility Test
- Serologic Test (IgM followed by IGg after 3 to 4 days)
Normal Platelet
150,000 to 400,000
Herbal Medication for DHF
Tawa-Tawa
DHF stage 1 s/sx
FEBRILE OR INVASIVE STAGE
- 1-3 days: high fever
- 3rd day: pruritic rash, n/v, abdominal pain, headache, myalgia, athralgia
DHF stage 2 s/sx
TOXIC OR HEMMORHAGIC STAGE
4 to 7 days: epistaxis, gum bleeding
melena, hypotension, narrowed pulse pressure,
DHF stage 3 s/sx
CONVALESCENT OR RECOVERY STAGE
7 or 8 to 10 days: The person returns to pre-normal state. The patient may experience general flushing
DHF grade level 1 s/sx
Prurituc rash & positive tourniquet tests, headache , n/v, anorexia
DHF grade level 2 s/sx
s/sx of spontaneous bleeding: epistaxis, gum bleeding, melena
DHF grade level 3 s/sx
s/sx of circulatory collapse, hypotension, tachycardia, tachypnea, restlessness, decreasing level of consciousness
narrowed pulse pressure, oliguria, weak and diminished pulses
DHF grade level 4 s/sx
S/sx of severe and profound shock, obliterated pulses, hard to wake up
DHF diet
- increase vit C
- increase OFI
- high proteins
- high fiber
- low fat
DHF diet, what to avoid?
- dark-colored food and beverages (masks bleeding)
- ASA (increase risk for bleeding)
relieves pruritic rash in DHF
- Calamine lotion
- small amount of boric acid or saline compress
Home-made oresol
1L water mixed with 4 tsp sugar and 1 tsp of salt
DOC for fever in DHF
Paracetamol