Discharge Plan

Name:______________________________ Date:__________ Block:_____

CI:___________________________ Area of Rotation:_____________________

 Advise the parents/guardian to continue the prescribed home

Medicine medications to ensure optimum recovery.

 Provide a clean environment.

Exercise  Use screens or mosquito nets while sleeping.
 Do not stuck water without cover to avoid mosquito bleeding.

 Instruct patient to patient or parents to have complete bed

Treatment rest.
 Increase oral fluid intake.

 Advise the parents to use insect repellants.

Health Education  Use also insecticides in the house once a month.
 Drain stagnant water at least twice a week.
 Maintain good hygiene by taking a bath daily.

 Instruct patient or parent to continue follow-up check up to the

Out-Patient Follow doctor.
Up Visit

 Eat healthy foods such as fruits, vegetables, and meat.

Diet  Drink a lot of water, at least 6-10 glasses of water a day.

 Advise patient to maintain good and safe environment.

Spirituality
 Pathophysiology
Name:______________________________ Date:__________ Block:_____
CI:___________________________ Area of Rotation:_____________________

DENGUE FEVER

Modifiable: Non-modifiable:

Environment uncovered stock water Gender

Bites of Aedes Aegypti

Virus penetration to skin

Virus infects and replicates inside the Langerhans cell (immunity of the skin)

Infected Langerhans cell go to the lymphatic (alert the immune system)

Then goes to the circulation

Results in viremia (high level of virus in bloodstream)

Activation of immune response lymphocytes

Neutrophils and white blood cells

Release of pyrogen

Reset of hypothalamus

FEVER increase blood pressure in vessel

RASH