MAKATI MEDICAL CENTER

NURSING EDUCATION RESEARCH AND DEVELOPMENT

NURSE RESIDENCY PROBATIONARY PROGRAM – BATCH 61

DENGUE HEMORRHAGIC FEVER

ALIASAS, KEVINSON L.

NURSE 4

1/20/2020

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Part I. Introduction

Dengue Hemorrhagic Fever (DHF) A syndrome due to dengue virus that starts abruptly
with high fever and headache that also affects respiratory and other systems such as sore
throat, cough, nausea, vomiting and abdominal pain. If not treated shock will occur
approximately within a week or 2 to 6 days.

Locally here in our country a total of 271,480 dengue cases were reported nationwide
from January 1 to August 31 2019 according to DOH, region IX (Zamboanga) ranked first with a
percentage of 430% followed by region VI (western visayas) 375%, region VIII (eastern visayas)
329%, region V (Bicol) 243%, region XII (Central Visayas), as for international statistics as for
this moment according to (Medscape.com) estimation of 50-100 million cases were reported
worldwide.

A factor that put individual to a greater risk of having DHF includes travelling without
notice or any update to a certain area or travelling to a tropical area and subtropical increases
the risk of exposure specifically southeast asia, latin American, prior infection with this disease
increases also by having a severe symptoms if the individual has been infected again.

Many ways to prevent this disease if compliant will be a no problem vaccine is one like
dengvaxia but here in our country it is not yet proven 100% and still a debate if it is effective or
not. The best way is to avoid being bitten by a mosquito who carry the disease, stay in door,
wear long or protective clothing not exposing any part of skin, anti-mosquito repellent, cleaning
or reducing mosquito habitat disposing any stagnant water.

The goal of treatment is to manage the symptoms and keep the infection becoming more
severe priority will be hydration by the help of intravenous fluids, prescribed medicine for
headache and fever, electrolyte therapy and blood transfusion.

If not treated or non compliant to any medicine prescribed by the physician a high
chance of severe complication will occur that may include seizures, brain damage, blood clots,
damage to liverand lungs, heart damage, shock or even death.

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 Part II. Pathophysiology

Predisposing Factor: Precipitating Factor:

Tropical and Sub Infected mosquito
tropical exposure bite
(Geographical Area) Low immune system

Aedes Mosquito
S/SX Preventive Measures

Head ache Stay indoor

Muscle, joint pains Wear protective clothing

Bite from
Nausea mosquito to skin Clean remove any
of individual stagnant water
Vomiting
Mosquito repellant
Swollen lymph nodes
Avoid bitten by a infected
rashes mosquito
Virus will circulate
into the systems
body
Complications: Management
Seizure Electrolyte therapy
Brain damage Intravenous infusion
Blood clots Immune Response Prescribed medicine for
Damage to liver and headache and fever
lungs Rest
Heardamage Blood transfusion
Shock Altered capillary
Death permeability

Leakage of Plasma