AGUILAR, KRISTINE A.

N2XA/GROUP 4

Dengue Fever
Dengue Iever can be caused by any one oI Iour types oI dengue
virus: DEN-1, DEN-2, DEN-3, and DEN-4. You can be inIected
by at least two, iI not all Iour types at diIIerent times during your
liIetime, but only once by the same type.
You can get dengue virus inIections Irom the bite oI an inIected
Aedes mosquito. Mosquitoes become inIected when they bite
inIected humans, and later transmit inIection to other people they
bite. Two main species oI mosquito, Aedes aegypti and Aedes
albopictus, have been responsible Ior all cases oI dengue
transmitted in this country. Dengue is not contagious Irom
person to person.
Symptoms oI typical uncomplicated (classic) dengue usually
start with Iever within 5 to 6 days aIter you have been bitten by
an inIected mosquito and include:
igh Iever, up to 105 degrees Fahrenheit
Severe headache
#etro-orbital (behind the eye) pain
Severe joint and muscle pain
Nausea and vomiting
#ash
The rash may appear over most oI your body 3 to 4 days aIter the Iever begins. You may get a second rash later
in the disease. Symptoms oI dengue hemorrhagic Iever include all oI the symptoms oI classic dengue plus
Marked damage to blood and lymph vessels
leeding Irom the nose, gums, or under the skin, causing purplish bruises
This Iorm oI dengue disease can cause death.
Symptoms oI dengue shock syndrome-the most severe Iorm oI dengue disease-include all oI the symptoms oI
classic dengue and dengue hemorrhagic Iever, plus
Fluids leaking outside oI blood vessels
Massive bleeding
Shock (very low blood pressure)
This Iorm oI the disease usually occurs in children (sometimes adults) experiencing their second dengue
inIection. It is sometimes Iatal, especially in children and young adults.

Nursing management for dengue
advise the patient to increase in Iluid intake Ior hydration (water speciIically and avoiding colored
Iluids that may mask bleeding)
Encouraging the patient to rest more so the body recovers Irom the pains and aches.
!atient even aIter discharge Irom the hospital must still be under bleeding precautions.
&se soIt bristled toothbrush (or cotton instead) when doing oral care.
Advise the patient to not eating colored Iood and Iluids that may mask bleeding
Monitoring s/s oI bleeding as epistaxis (nosebleeding), black stools or hematochezia (GIT
bleeding),hematuria (blood in the urine), bruising and petechia.
bservation oI vital signs, especially temperature
Give a cold compress (plain water) on the Iorehead and armpits
hange clothes soaked with sweat
Encourage the Iamily to put on clothing that can absorb sweat like cotton.