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Dengue Hemorrhagic Fever Nursing Considerations and Nursing Care Management
Dengue Hemorrhagic Fever Nursing Considerations and Nursing Care Management
Dengue Hemorrhagic Fever Nursing Considerations and Nursing Care Management
This mosquito is
considered to be a day- biting and low flying mosquito and commonly be found inside the household.
Self protection against mosquito (use of loose clothing with long sleeves and long socks, use of mosquito
nets, tested mosquito repellants and the like)
Seek early consultation (Early detection of condition means treatment could be administered readily to
prevent fatal complications of dengue)
Say NO to indiscriminate fogging (Fogging is not advised nowadays because it does not really eliminate
mosquitoes but it only scares them away. It is also not recommended because of its respiratory
consequences.)
Supportive management which could be symptomatic in nature may involve:
Rapid replacement of fluids: clients are encouraged to increase their fluid intakes as much as possible if
tolerated; In the community, ORS is given to halt moderate dehydration at 75ml/ kg in 4 -6 hours or up to 2- 3
liters in adults.
Administration of antipyretic/ analgesics as indicated by the physician
Close observation and intensive monitoring of vital signs
Early detection for signs of bleeding and immediate referral
Use of Tourniquet test (Rumpel Leade test) to detect petechial hemorrhage
Health education on the prevention of hemorrhage may include:
Avoidance of dark colored foods and liquids
Client is encouraged to prevent from using sharp- bristled toothbrushes, instead advised to gargle with saline
solution
Clients are educated not to use hot liquids for alleviation of chills etc.
Avoidance of sharp objects like razors are emphasized on adults
The use of ASPIRIN is strictly prohibited.
In cases that hemorrhage sets in, nursing care may involve the following:
Keep the client at bed rest and ensure safety to prevent from injury
Client is usually placed in dorsal recumbent position.
Hourly monitoring noting for narrowing pulse pressure, sudden drop in temperature, decreased blood pressure
and pulse rate and other signs of deterioration.
Administration of blood products and monitoring client for signs of adverse reactions.
Strict monitoring of fluid intake and output
Immediate referral for any change in clients status and proper documentation of procedures given.
WHO
Dengue is transmitted by the bite of an Aedes mosquito infected with any one of the four dengue viruses.
It occurs in tropical and sub-tropical areas of the world. Symptoms appear 314 days after the infective
bite. Dengue fever is a febrile illness that affects infants, young children and adults.
Symptoms range from a mild fever, to incapacitating high fever, with severe headache, pain behind the
eyes, muscle and joint pain, and rash. There are no specific antiviral medicines for dengue. It is important
to maintain hydration. Use of acetylsalicylic acid (e.g. aspirin) and non steroidal anti-inflammatory drugs
(e.g. Ibuprofen) is not recommended.
Dengue haemorrhagic fever (fever, abdominal pain, vomiting, bleeding) is a potentially lethal
complication, affecting mainly children. Early clinical diagnosis and careful clinical management by
experienced physicians and nurses increase survival of patients.
The disease
Epidemiology
Monitoring and evaluation
Information resources
Dengue/Severe dengue frequently asked questions
Epidemiology
Monitoring and evaluation
Information resources
Dengue/Severe dengue frequently asked questions