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REVENGE OF THE
FALLEN
DENGUE FEVER
Reported for:
Dr. Ginaldo
Reported by:
Mendoza, M., SN PWU
What is Dengue?
Dengue is a mosquito-borne (Aedes
aegypti) infection that in recent
decades has become a major
international public health concern.
Dengue is found in tropical and sub-
tropical regions around the world,
predominantly in urban and semi-
urban areas. Dengue hemorrhagic
fever (DHF), a potentially lethal
complication, was first recognized in
the 1950s during dengue epidemics
in the Philippines and Thailand.
Today DHF affects most Asian
countries and has become a leading
Symptoms of DHF
Dengue fever may be confused with other
infectious diseases such as influenza or
malaria. Symptoms may include:
sudden onset, high fever
severe headaches
joint and muscle pain
nausea
vomiting
rash that appears three to four days after
the onset of fever
The illness may last up to 10 days, with
recovery often taking two to four
weeks.
System affected by dengue
The circulatory system composed of the
heart and blood vessels that moves
blood in the entire body is the one
affected by dengue. During dengue
hemorrhagic fever, the most serious
form of the disease, this is
characterized by high fever, serious
hemorrhage, pneumonia, which may
lead to shock (a serious condition in
which blood pressure is very low and
not enough blood flows to the body’s
organs and tissues). Untreated, shock
may result to death.
Pathophysiology of Dengue
Fever
bite of a virus carrying Aedes mosquito
mosquito injects fluids into victim’s skin
virus enters blood stream
infect cells and generate cellular
response
initiates immune response (stimulate
release of cytokines)
cytokines destroys cell membrane and
cell walls (viral antigens found in
monocytes)
fluid shift
symptoms manifest itself
If not treated immediately
- circulatory collapse then,
- shock which lead to death
Diagnostic Evaluation
History and physical exam
Serology
Medical treatment
Immediate hospitalization
IVF
Paracetamol to combat fever
Cefuroxime (antibiotic) inhibits
synthesis of bacterial cell wall,
causing cell death.
Metronodazole (antibiotic) inhibits
DNA synthesis in specific
anaerobes, causing cell death.
Hydrocortizone (hormone)
corticosteroid, short acting – anti-
Nursing Care Management
Monitored vital signs
Continued medications
Watch out for persistence of
vomiting
Monitored
progress/improvement CBC
Advised to avoid dark color
foods
Advised to increase oral body
fluid intake
Health Teachings
Encouraged to eat foods rich in
iron like green leafy vegetables
and organ meat
Instructed patient to maintain
proper hygiene like taking a
bath everyday
Instructed to come back after a
week for follow up check-up
after discharge
Encouraged to resume daily
activities at home
Encouraged to go to mass with
The end