DENGUE

Fever
DEL PUERTO | BSN 2-4

Slide 001
 DENGUE FEVER
• Also called “breakbone”
• Severe form is Dengue Hemorrhagic fever
or DHF, which causes
• It is a non-communicable disease

Slide 002
 DENGUE FEVER
• INCUBATION PERIOD: 3-15 days
• There are four serotypes of this
disease making it possible for having
multiple fevers; however, it provides
a lifetime immunity.
C
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Slide 003
The Striped Aedes
aegypti is the carrier of
the Flarivivirus.
Breeds during the
rainy season but can
breed all year round
due to stagnant water
found in flower vase
and cans
Female day biter

Slide 004
 People who are more
susceptible to the disease
• People with low
levels of
immunity
QuickTimeª and a
TIFF (Uncompressed) decompressor
are needed to see this picture.
• Those in poor
living conditions
 DENGUE FEVER
-VS-
DENGUE HEMORRHAGIC FEVER
• The only difference is the presence of
plasma leakage that may lead to
DENGUE SHOCK SYNDROME or
hypovolaemic shock
-hypovolaemic shock
>insufficient blood flow to the body tissues
 Some Diagnotic tools
• IgM ELISA test
– Dengue specific test
for serologic diagnosis
• Tourniquet Test
– Test for capillary
fragility
 Positive tourniquet test
• Test for capillary
fragility
• * Inflate blood
pressure cuff to a
point midway
between systolic and
diastolic pressure for
5 minutes
• * Positive test: 20
or more petechiae
per 1 inch² (6.25
cm²)
Source: Pan American Health Organization: Dengue and Dengue
Hemorrhagic Fever: Guidelines for Prevention and Control. PAHO:
Washington, D.C., 1994: 12.
 Signs and Symptoms
•Bleeding from nose or gums
•Persistent abdominal pain and
persistent vomiting coffee
colored vomit
•Black stool
•Cold and clammy extremities
•Capillary refill for more than 3
secs
•Inflamed cervical and inguinal
lymph nodes
•Low platelet count
 Signs and Symptoms
Vital Signs:
-TP: 104 F (40 C)-for 7 days
-PR: < 50-60 bpm (bradychardia)
-BP: <120/80
 Diagnosis
ﾘ Fluid volume deficit
secondary to persistent
vomiting

ﾘ Hyperthermia secondary

to dengue infection

ﾘ Infection risk for

hemorrhaging
 Planning
• After 1 hr. Of nursing interventions,
the client will be able to:
– demonstrate behaviors that reduces
the risk for bleeding
– demonstrate symptoms that will
suggest proper re-hydration

• After 2 hours of nursing

intervention the client will show
signs of lower body temperature
 Intervention
• Independent:
– Provide ORS (oral re-hydration salts)
– Provide ORS (oral re-hydration salts)
– Encourage use of soft toothbrush,
avoiding straining for stool, and
forceful nose blowing.
– Administer antipyretics avoiding
aspirin containing products as well as
non-steroidal antipyretics*
– Administer TSB
 Intervention
• Collaborative
– Monitor Hb and Hct and clotting factors.
– Provide screen isolation or mosquito
nets

• Dependent
– IV fluid insertion/venipuncture