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Case presentation on

Dengue fever
Uzma Akhtar
ROLL no 02
Semester 7
INS
OBJECTIVES

At the end of presentation students will be able to know


about:
1. Define dengue fever.
2. Explain sign and symptoms of dengue fever.
3. Discuss possible diagnosis of dengue.
4. Enlist laboratory investigations for dengue fever.
5. Explain treatment of dengue.
6. Briefly discuss preventions of dengue.
7. Explain possible nursing diagnose and interventions.
Definition

• Dengue fever is a mosquito-borne tropical disease


caused by the dengue virus.

• Incubation period
• Symptoms typically begin three to
fourteen days after infection.

• Cause:
• Aedes mosquito
Sign and symptoms

literature case
• Sudden, high fever. • High grade fever
• Severe headaches. • Rigors and chills
• Pain behind the eyes. • Generalized body aches
• Severe joint and muscle pain. • Bruise over left upper eyelid
• Fatigue. •
• Nausea.
• Vomiting.
• Skin rash, which appears two
to five days after the onset of
fever.

Daignose

• Low platelets count


• Tourniquet test
• Haemorrhage on skin
• Endemic area
• Elevated AST and ALT
• Plural effusion
• ascites

Lab investigation:

literature Case
• Microbiological lab testing: • Dangue serology
• • Antibody serology (IgG ,IgM)
• Cell culture • Viral antigen detection(NS1)
• Nuclic acid detetion by PCR
• Viral antigen detection(NS1) Lfts
CBC
• Antibody serology(IgG/iGM)

TREATMENT

literature case
• Antipyretic(paracetamol) • nj titan BD 2gm IV
• Fluid replacement • Inj gravinate SOS IV

• Inj risek BD 40mg IV

• Inf N/saline BD 1L
NOTE
No ANSAID(aspirin)
• Inj decadron BD 2cc
NO IM • Inf flygyl TDS 100ml
• • Transfuse 4 platelets and
2packed cells
Prevention

• There is no vaccine to prevent human infection by this


virus in Pakistan(available in Philippines and mexico)
• Personal protection and the environmental
management of mosquitoes are important in
preventing illness.
Prevent access of mosquitoes to an infected person
with a fever.
• Protect yourself from mosquito bites at all times in
dengue areas
Nursing Diagnosis for Dengue Hemorrhagic Fever

1. The increase in body temperature related to the


process of dengue virus infection.
2. Deficit fluid volume related to the migration of
intravascular fluid into extravascular.
3. Impaired nutrition: less than body requirements
related to the decreased appetite.
Nursing Intervention
:

o Observation of vital signs every 1 hour


Rationale: Determining the continued intervention when changes
o Give a warm water compress
Rational: Compress will provide induction heat expenditure.
o Encourage clients to drink lots of 1500 - 2000 ml
Rationale: Changing the body fluid that comes out because of heat and spur spending urine.
o Suggest to wear thin clothes and absorb sweat.
Rational: To provide a sense of comfort and increase the evaporation heat
o Observation on the intake and out put
Rational: Detection of body fluid volume deficiency.
o Collaboration for the provision of antipyretic
Rational: Antipyretics useful for heat reduction.