Materiały źródłowe

• #1 Nursing Care Plan for Dengue Fever – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-dengue-fever/

  Dengue fever is a mosquito-borne viral infection that can cause a range of symptoms, from mild flu-like symptoms to severe dengue hemorrhagic fever. As a nurse, your role is crucial in providing supportive care, monitoring for complications, and promoting the well-being of individuals with dengue fever. This nursing care plan aims to outline evidence-based interventions to assess, manage, and support patients with dengue fever. […] A nursing care plan for dengue fever focuses on managing symptoms, preventing complications, and supporting recovery from this mosquito-borne viral infection. Dengue fever is caused by the dengue virus, transmitted by Aedes mosquitoes, and is commonly found in tropical and subtropical regions. Patients with dengue fever often experience high fever, severe headache, joint and muscle pain, rash, and, in severe cases, hemorrhagic symptoms or dengue shock syndrome. Due to the potential for rapid progression and serious complications, timely and comprehensive nursing care is essential.

• #2 Dengue Hemorrhagic Fever – RNpedia

  https://www.rnpedia.com/nursing-notes/communicable-diseases-notes/dengue-hemorrhagic-fever/

  Dengue hemorrhagic fever is caused by a bite of a vector mosquito called, Aedes Aegypti. […] Nursing Considerations and Nursing Care Management: […] Preventive and control measures that would involve health education and strongly advocating the implementation of 4S, recognition of disease, case finding and reporting for cases in the community. […] Supportive management which could be symptomatic in nature may involve: […] Rapid replacement of fluids: clients are encouraged to increase their fluid intakes as much as possible if tolerated; In the community, ORS is given to halt moderate dehydration at 75ml/ kg in 4 -6 hours or up to 2- 3 liters in adults. […] Health education on the prevention of hemorrhage may include: […] In cases that hemorrhage sets in, nursing care may involve the following: […] Keep the client at bed rest and ensure safety to prevent from injury.

• #3 Dengue: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/781961-overview

  Dengue fever typically presents with a sudden onset of high fever, headache, muscle and joint pain, and generalized lymphadenopathy. A rash may develop alongside recurrent fever following an afebrile period, and respiratory symptoms such as cough, sore throat, and rhinorrhea also can occur. […] In more severe cases, dengue can lead to dengue hemorrhagic fever, characterized by a bleeding tendency and shock, which can be fatal. […] Diagnosis is made through serologic testing and polymerase chain reaction (PCR), whereas treatment focuses on symptomatic relief. For dengue hemorrhagic fever, careful management of intravascular volume replacement is crucial. […] Dengue fever typically is a self-limited disease with a mortality rate of less than 1% when detected early and with access to proper medical care. When treated, severe dengue has a mortality rate of 2-5%, but, when left untreated, the mortality rate is as high as 20%.

• #4 Dengue: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/781961-overview

  Dengue fever typically presents with a sudden onset of high fever, headache, muscle and joint pain, and generalized lymphadenopathy. A rash may develop alongside recurrent fever following an afebrile period, and respiratory symptoms such as cough, sore throat, and rhinorrhea also can occur. […] In more severe cases, dengue can lead to dengue hemorrhagic fever, characterized by a bleeding tendency and shock, which can be fatal. […] Diagnosis is made through serologic testing and polymerase chain reaction (PCR), whereas treatment focuses on symptomatic relief. For dengue hemorrhagic fever, careful management of intravascular volume replacement is crucial. […] Dengue fever typically is a self-limited disease with a mortality rate of less than 1% when detected early and with access to proper medical care. When treated, severe dengue has a mortality rate of 2-5%, but, when left untreated, the mortality rate is as high as 20%.

• #5 Managing dengue fever in primary care: A practical approach

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4399402/

  Dengue is a common cause of illness seen in primary care in the tropical and subtropical countries. An understanding of the course of disease progression, risk factors, recognition of the warning signs and look out for clinical problems during the different phases of the disease will enable primary care physicians to manage dengue fever in an appropriate and timely manner to reduce morbidity and mortality. […] Therefore, primary care physicians play a very important role in the early recognition and management of dengue fever when patients progress through the different phases of illness. […] The key to achieve a good clinical outcome is to have an understanding of the different phases of the disease and be alert to the clinical problems that could arise during these phases. […] The various risk factors associated with severe disease of dengue are listed as below: Infants, Young children, Pregnant women, Diabetes mellitus, Hypertension, Haemolytic conditions, Older persons, Obese patients. […] It is crucial to identify red flags and high-risk individual and refer them accordingly.

• #6 Nursing Care Plan for Dengue Fever – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-dengue-fever/

  Dengue fever is a mosquito-borne viral infection that can cause a range of symptoms, from mild flu-like symptoms to severe dengue hemorrhagic fever. As a nurse, your role is crucial in providing supportive care, monitoring for complications, and promoting the well-being of individuals with dengue fever. This nursing care plan aims to outline evidence-based interventions to assess, manage, and support patients with dengue fever. […] A nursing care plan for dengue fever focuses on managing symptoms, preventing complications, and supporting recovery from this mosquito-borne viral infection. Dengue fever is caused by the dengue virus, transmitted by Aedes mosquitoes, and is commonly found in tropical and subtropical regions. Patients with dengue fever often experience high fever, severe headache, joint and muscle pain, rash, and, in severe cases, hemorrhagic symptoms or dengue shock syndrome. Due to the potential for rapid progression and serious complications, timely and comprehensive nursing care is essential.

• #7 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Dengue Fever for nurses, includes phases of dengue fever, types of dengue fever, nursing care plan, and health education […] At the end of this lesson, the students will be able to: 7. Discuss the nursing diagnosis and nursing interventions of patients with dengue fever. […] After the incubation period, the illness begins and followed by three phases: i. febrile ii. critical iii. recovery phase […] ii. Critical Phase – occurs after 3rd to 5th day of fever, lasts about 24 48 hrs. – rapid in body temperature. – Onset of plasma leak into the pleural abdominal cavities, intravascular fluid depletion. – severe plasma leakage may lead to hemorrhagic shock. […] iii. Recovery/Reabsorption Phase – After 24 – 48 hours of critical phase plasma leakage stops normal vascular permeability Reabsorption of extravascular fluid.

• #8 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Dengue Fever for nurses, includes phases of dengue fever, types of dengue fever, nursing care plan, and health education […] At the end of this lesson, the students will be able to: 7. Discuss the nursing diagnosis and nursing interventions of patients with dengue fever. […] After the incubation period, the illness begins and followed by three phases: i. febrile ii. critical iii. recovery phase […] ii. Critical Phase – occurs after 3rd to 5th day of fever, lasts about 24 48 hrs. – rapid in body temperature. – Onset of plasma leak into the pleural abdominal cavities, intravascular fluid depletion. – severe plasma leakage may lead to hemorrhagic shock. […] iii. Recovery/Reabsorption Phase – After 24 – 48 hours of critical phase plasma leakage stops normal vascular permeability Reabsorption of extravascular fluid.

• #9 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Dengue Fever for nurses, includes phases of dengue fever, types of dengue fever, nursing care plan, and health education […] At the end of this lesson, the students will be able to: 7. Discuss the nursing diagnosis and nursing interventions of patients with dengue fever. […] After the incubation period, the illness begins and followed by three phases: i. febrile ii. critical iii. recovery phase […] ii. Critical Phase – occurs after 3rd to 5th day of fever, lasts about 24 48 hrs. – rapid in body temperature. – Onset of plasma leak into the pleural abdominal cavities, intravascular fluid depletion. – severe plasma leakage may lead to hemorrhagic shock. […] iii. Recovery/Reabsorption Phase – After 24 – 48 hours of critical phase plasma leakage stops normal vascular permeability Reabsorption of extravascular fluid.

• #10 Dengue: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/781961-overview

  Dengue fever typically presents with a sudden onset of high fever, headache, muscle and joint pain, and generalized lymphadenopathy. A rash may develop alongside recurrent fever following an afebrile period, and respiratory symptoms such as cough, sore throat, and rhinorrhea also can occur. […] In more severe cases, dengue can lead to dengue hemorrhagic fever, characterized by a bleeding tendency and shock, which can be fatal. […] Diagnosis is made through serologic testing and polymerase chain reaction (PCR), whereas treatment focuses on symptomatic relief. For dengue hemorrhagic fever, careful management of intravascular volume replacement is crucial. […] Dengue fever typically is a self-limited disease with a mortality rate of less than 1% when detected early and with access to proper medical care. When treated, severe dengue has a mortality rate of 2-5%, but, when left untreated, the mortality rate is as high as 20%.

• #11 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Nursing diagnosis 1. Deficient Fluid Volume related to increased capillary permeability, bleeding, vomiting, and fever. Goal: Adequate fluid volume. […] 2. Hyperthermia related to process of dengue virus infection. Goal : Body temperature returned to normal […] 3. Risk for bleeding related to low platelet count (thrombocytopenia) Goal: Prevent excessive bleeding […] 4. Imbalanced nutrition less than body requirements related to nausea, vomiting, no appetite Goal: Patient increase in food intake. […] CLASSICAL SIGNS of DENGUE FEVER Headache Retro- orbital pain General body pain (arthralgias, myalgias) Positive Tourniquet test Mild hemorrhagic manifestations Sudden onset of high fever Leucopenia […] WARNING SIGNS 1. Raised HCT with rapid drop in platelet. 2. Persistent vomiting (3 times over 24hrs) 3. Fluid accumulation (ascites, pleural effusion) 4. Lethargy / restlessness / confusion 5. Tender liver 6. Any abdominal pain / tenderness 7. Mucosal bleed

• #12 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Nursing diagnosis 1. Deficient Fluid Volume related to increased capillary permeability, bleeding, vomiting, and fever. Goal: Adequate fluid volume. […] 2. Hyperthermia related to process of dengue virus infection. Goal : Body temperature returned to normal […] 3. Risk for bleeding related to low platelet count (thrombocytopenia) Goal: Prevent excessive bleeding […] 4. Imbalanced nutrition less than body requirements related to nausea, vomiting, no appetite Goal: Patient increase in food intake. […] CLASSICAL SIGNS of DENGUE FEVER Headache Retro- orbital pain General body pain (arthralgias, myalgias) Positive Tourniquet test Mild hemorrhagic manifestations Sudden onset of high fever Leucopenia […] WARNING SIGNS 1. Raised HCT with rapid drop in platelet. 2. Persistent vomiting (3 times over 24hrs) 3. Fluid accumulation (ascites, pleural effusion) 4. Lethargy / restlessness / confusion 5. Tender liver 6. Any abdominal pain / tenderness 7. Mucosal bleed

• #13 Dengue: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/781961-overview

  Dengue fever typically presents with a sudden onset of high fever, headache, muscle and joint pain, and generalized lymphadenopathy. A rash may develop alongside recurrent fever following an afebrile period, and respiratory symptoms such as cough, sore throat, and rhinorrhea also can occur. […] In more severe cases, dengue can lead to dengue hemorrhagic fever, characterized by a bleeding tendency and shock, which can be fatal. […] Diagnosis is made through serologic testing and polymerase chain reaction (PCR), whereas treatment focuses on symptomatic relief. For dengue hemorrhagic fever, careful management of intravascular volume replacement is crucial. […] Dengue fever typically is a self-limited disease with a mortality rate of less than 1% when detected early and with access to proper medical care. When treated, severe dengue has a mortality rate of 2-5%, but, when left untreated, the mortality rate is as high as 20%.

• #14 Dengue Fever Advisory for Health Care Providers – June 27, 2024 | Spokane Regional Health District

  https://srhd.org/dengue-fever-advisory-for-health-care-providers-june-27-2024

  The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to notify healthcare providers and the public of an increased risk of dengue virus (DENV) infections in the United States. […] Healthcare providers should take steps including: Have increased suspicion of dengue among people with fever who have been in areas with frequent or continuous dengue transmission within 14 days before illness onset. […] Ensure timely reporting of dengue cases to public health authorities. […] Promote mosquito bite prevention measures among people living in or visiting areas with frequent or continuous dengue transmission. […] Patients with symptoms compatible with dengue can be tested with both molecular and serologic diagnostic tests. […] All patients with suspected DENV infection should be tested with RT-PCR (i.e., a nucleic acid amplification test (NAAT)) or a NS1 antigen test, and also with IgM antibody test to confirm DENV infection.

• #15 Managing dengue fever in primary care: A practical approach

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4399402/

  Dengue is a common cause of illness seen in primary care in the tropical and subtropical countries. An understanding of the course of disease progression, risk factors, recognition of the warning signs and look out for clinical problems during the different phases of the disease will enable primary care physicians to manage dengue fever in an appropriate and timely manner to reduce morbidity and mortality. […] Therefore, primary care physicians play a very important role in the early recognition and management of dengue fever when patients progress through the different phases of illness. […] The key to achieve a good clinical outcome is to have an understanding of the different phases of the disease and be alert to the clinical problems that could arise during these phases. […] The various risk factors associated with severe disease of dengue are listed as below: Infants, Young children, Pregnant women, Diabetes mellitus, Hypertension, Haemolytic conditions, Older persons, Obese patients. […] It is crucial to identify red flags and high-risk individual and refer them accordingly.

• #16 Dengue Fever | Florida Department of Health

  https://www.floridahealth.gov/diseases-and-conditions/dengue/

  Dengue fever can be a painful, debilitating disease but is rarely fatal. Symptoms appear 3-14 days after the bite of an infected mosquito and include sudden onset of fever, severe headache, eye pain, muscle and joint pain (giving the disease the nickname „breakbone fever”), and bleeding. Gastrointestinal symptoms like vomiting and diarrhea may also be present in some cases. Dengue fever symptoms usually lasts 4-7 days. The disease is often diagnosed incorrectly because the symptoms are similar to influenza and other viruses. […] Dengue hemorrhagic fever is a rare but more severe form of dengue infection that can be fatal if not recognized and treated with supportive care. The primary risk factor for hemorrhagic fever is previous infection with a different dengue serotype (i.e. getting DENV-2 if you have already DENV-1 puts you at increased risk of hemorrhagic fever).

• #17 Dengue Hemorrhagic Fever Nursing Care Management and Study Guide

  https://nurseslabs.com/dengue-hemorrhagic-fever/

  Learn about the nursing care management of patients with dengue hemorrhagic fever in this nursing study guide. […] Nursing management of patients with DHF is essential in achieving complete recovery. […] Assessment of a patient with DHF should include: Evaluation of the patients heart rate, temperature, and blood pressure. […] Based on the assessment data, the major nursing diagnoses for a patient with DHF are: Risk for bleeding related to possible impaired liver function. […] The goals in a patient with DHF are: Be free of signs of bleeding. […] Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. […] A successful nursing care plan has achieved the following: Absence of signs of bleeding. […] A patient with DHF discharged from the health care facility should be instructed to: Avoid diuretics. […] The focus of documentation in a patient with DHF include: Factors that potentiate blood loss.

• #18 Dengue Hemorrhagic Fever Nursing Care Management and Study Guide

  https://nurseslabs.com/dengue-hemorrhagic-fever/

  Learn about the nursing care management of patients with dengue hemorrhagic fever in this nursing study guide. […] Nursing management of patients with DHF is essential in achieving complete recovery. […] Assessment of a patient with DHF should include: Evaluation of the patients heart rate, temperature, and blood pressure. […] Based on the assessment data, the major nursing diagnoses for a patient with DHF are: Risk for bleeding related to possible impaired liver function. […] The goals in a patient with DHF are: Be free of signs of bleeding. […] Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. […] A successful nursing care plan has achieved the following: Absence of signs of bleeding. […] A patient with DHF discharged from the health care facility should be instructed to: Avoid diuretics. […] The focus of documentation in a patient with DHF include: Factors that potentiate blood loss.

• #19 Dengue Hemorrhagic Fever Nursing Care Management and Study Guide

  https://nurseslabs.com/dengue-hemorrhagic-fever/

  Learn about the nursing care management of patients with dengue hemorrhagic fever in this nursing study guide. […] Nursing management of patients with DHF is essential in achieving complete recovery. […] Assessment of a patient with DHF should include: Evaluation of the patients heart rate, temperature, and blood pressure. […] Based on the assessment data, the major nursing diagnoses for a patient with DHF are: Risk for bleeding related to possible impaired liver function. […] The goals in a patient with DHF are: Be free of signs of bleeding. […] Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. […] A successful nursing care plan has achieved the following: Absence of signs of bleeding. […] A patient with DHF discharged from the health care facility should be instructed to: Avoid diuretics. […] The focus of documentation in a patient with DHF include: Factors that potentiate blood loss.

• #20 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Nursing diagnosis 1. Deficient Fluid Volume related to increased capillary permeability, bleeding, vomiting, and fever. Goal: Adequate fluid volume. […] 2. Hyperthermia related to process of dengue virus infection. Goal : Body temperature returned to normal […] 3. Risk for bleeding related to low platelet count (thrombocytopenia) Goal: Prevent excessive bleeding […] 4. Imbalanced nutrition less than body requirements related to nausea, vomiting, no appetite Goal: Patient increase in food intake. […] CLASSICAL SIGNS of DENGUE FEVER Headache Retro- orbital pain General body pain (arthralgias, myalgias) Positive Tourniquet test Mild hemorrhagic manifestations Sudden onset of high fever Leucopenia […] WARNING SIGNS 1. Raised HCT with rapid drop in platelet. 2. Persistent vomiting (3 times over 24hrs) 3. Fluid accumulation (ascites, pleural effusion) 4. Lethargy / restlessness / confusion 5. Tender liver 6. Any abdominal pain / tenderness 7. Mucosal bleed

• #21 Dengue Hemorrhagic Fever Nursing Care Management and Study Guide

  https://nurseslabs.com/dengue-hemorrhagic-fever/

  Learn about the nursing care management of patients with dengue hemorrhagic fever in this nursing study guide. […] Nursing management of patients with DHF is essential in achieving complete recovery. […] Assessment of a patient with DHF should include: Evaluation of the patients heart rate, temperature, and blood pressure. […] Based on the assessment data, the major nursing diagnoses for a patient with DHF are: Risk for bleeding related to possible impaired liver function. […] The goals in a patient with DHF are: Be free of signs of bleeding. […] Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. […] A successful nursing care plan has achieved the following: Absence of signs of bleeding. […] A patient with DHF discharged from the health care facility should be instructed to: Avoid diuretics. […] The focus of documentation in a patient with DHF include: Factors that potentiate blood loss.

• #22 Nursing Care Plan For Dengue – 8 Most Commonly Seen Nursing Diagnoses

  https://rnspeak.com/dengue-fever-nursing-care-plan/

  After nursing interventions, the patient is expected to: Maintain a core body temperature within the normal range (approximately 97F to 99F or 36.1C to 37.2C) through effective cooling measures and interventions. […] After nursing interventions, the patient is expected to: Manifest platelet count level within acceptable limits, Show no new signs of hemorrhage (such as gastrointestinal bleeding or mucosal bleeding, throughout the hospital stay), Demonstrate an understanding of dengue fever management and preventive measures related to bleeding risks. […] After nursing interventions, the patient is expected to: Manifest a balanced fluid input and output, Reduced risk of fluid volume deficit. […] After nursing interventions, the patient is expected to: Display an increase in body weight, Eat according to nutritional needs and demands, Verbalize the importance of taking food and nutrients according to prescribed needs.

• #23 Dengue Hemorrhagic Fever Nursing Care Management and Study Guide

  https://nurseslabs.com/dengue-hemorrhagic-fever/

  Learn about the nursing care management of patients with dengue hemorrhagic fever in this nursing study guide. […] Nursing management of patients with DHF is essential in achieving complete recovery. […] Assessment of a patient with DHF should include: Evaluation of the patients heart rate, temperature, and blood pressure. […] Based on the assessment data, the major nursing diagnoses for a patient with DHF are: Risk for bleeding related to possible impaired liver function. […] The goals in a patient with DHF are: Be free of signs of bleeding. […] Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. […] A successful nursing care plan has achieved the following: Absence of signs of bleeding. […] A patient with DHF discharged from the health care facility should be instructed to: Avoid diuretics. […] The focus of documentation in a patient with DHF include: Factors that potentiate blood loss.

• #24 Nursing Care Plan for Dengue Fever – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-dengue-fever/

  Monitor vital signs, intake, and output closely to assess fluid balance. […] Encourage oral fluid intake unless contraindicated by vomiting or altered mental status. […] Administer intravenous fluids as prescribed to maintain adequate hydration and prevent hypovolemia. […] Assess for signs of fluid overload or impending shock, such as respiratory distress or hypotension, and promptly report to the healthcare team. […] Practice strict hand hygiene and adhere to infection prevention protocols. […] Implement measures to prevent mosquito bites, such as using mosquito nets, wearing protective clothing, and applying insect repellent. […] Educate the patient and caregivers about the importance of avoiding stagnant water and maintaining a clean environment to prevent mosquito breeding.

• #25 Nursing Care Plan for Dengue Fever – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-dengue-fever/

  Monitor for signs of secondary infections, such as fever, increased respiratory rate, or localized signs of infection, and promptly report to the healthcare team. […] Monitor the patients platelet count regularly. […] Implement bleeding precautions, such as using a soft toothbrush, avoiding invasive procedures, and minimizing the use of venipuncture. […] Apply pressure to injection sites for an appropriate duration after injections. […] Monitor for signs of bleeding, such as petechiae, ecchymosis, or hematuria. […] Report any abnormal bleeding immediately to the healthcare provider. […] Assess the patients understanding of dengue fever, its transmission, and preventive measures. […] Provide education about dengue fever, including symptoms, complications, and when to seek medical attention. […] Teach the patient and caregivers about measures to prevent mosquito bites and reduce the risk of dengue fever transmission. […] Discuss the importance of follow-up appointments and monitoring for potential complications, such as dengue hemorrhagic fever.

• #26 Clinical Care of Dengue | Dengue | CDC

  https://www.cdc.gov/dengue/hcp/clinical-care/index.html

  No specific medicines are available for dengue. […] Patients presenting with warning signs or severe dengue should be managed in a hospital. […] Patients managed as outpatients should be advised regarding when to return to the hospital. […] Supportive care is advised: patients should be advised to stay well hydrated and to avoid aspirin (acetylsalicylic acid), aspirin-containing drugs, and other nonsteroidal anti-inflammatory drugs (such as ibuprofen) because of their anticoagulant properties. […] Fever should be controlled with acetaminophen and tepid sponge baths. […] For patients who develop severe dengue, close observation and frequent monitoring in an intensive care unit may be required. […] Administration of corticosteroids has no demonstrated benefit and is potentially harmful to patients; corticosteroids should not be used except in the case of autoimmune-related complication (e.g., hemophagocytic lymphohistiocytosis, immune thrombocytopenia purpura). […] The potential for vertical transmission should be considered for pregnant patients with dengue who are symptomatic late in pregnancy or at delivery. […] Clinical presentation in babies varies from mild common symptoms of dengue to severe dengue with shock and hemorrhagic manifestations.

• #27

  https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue

  Dengue is treated with pain medicine as there is no specific treatment currently. […] Most cases of dengue fever can be treated at home with pain medicine. […] For people with severe dengue, hospitalization is often needed. […] People with these severe symptoms should get care right away. […] If you get dengue, it’s important to: rest; drink plenty of liquids; use acetaminophen (paracetamol) for pain; avoid non-steroidal anti-inflammatory drugs, like ibuprofen and aspirin; and watch for severe symptoms and contact your doctor as soon as possible if you notice any.

• #28 Dengue Fever (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/dengue.html

  Dengue fever is a disease caused by a virus carried by mosquitoes. A person can get dengue (DEN-gey) fever through a mosquito bite, but it does not spread from person to person. […] People with dengue hemorrhagic fever need medical care right away. […] No specific treatment is available for dengue fever. Mild cases are managed with lots of liquids to prevent dehydration and getting plenty of rest. Pain relievers with acetaminophen can help with headaches and pain. Pain relievers with aspirin or ibuprofen should be avoided, as they can make bleeding more likely. […] To treat severe dengue fever at a hospital, doctors will give intravenous (IV) fluids and electrolytes (salts) to replace those lost through vomiting or diarrhea. When started early, this is usually enough to effectively treat the disease. If needed, doctors might do a blood transfusion. […] Efforts should be made to keep anyone with a dengue infection from being bitten by mosquitoes. This will help prevent the illness from spreading to others.

• #29 Clinical Care of Dengue | Dengue | CDC

  https://www.cdc.gov/dengue/hcp/clinical-care/index.html

  No specific medicines are available for dengue. […] Patients presenting with warning signs or severe dengue should be managed in a hospital. […] Patients managed as outpatients should be advised regarding when to return to the hospital. […] Supportive care is advised: patients should be advised to stay well hydrated and to avoid aspirin (acetylsalicylic acid), aspirin-containing drugs, and other nonsteroidal anti-inflammatory drugs (such as ibuprofen) because of their anticoagulant properties. […] Fever should be controlled with acetaminophen and tepid sponge baths. […] For patients who develop severe dengue, close observation and frequent monitoring in an intensive care unit may be required. […] Administration of corticosteroids has no demonstrated benefit and is potentially harmful to patients; corticosteroids should not be used except in the case of autoimmune-related complication (e.g., hemophagocytic lymphohistiocytosis, immune thrombocytopenia purpura). […] The potential for vertical transmission should be considered for pregnant patients with dengue who are symptomatic late in pregnancy or at delivery. […] Clinical presentation in babies varies from mild common symptoms of dengue to severe dengue with shock and hemorrhagic manifestations.

• #30 Dengue Treatment & Management: Approach Considerations, Suspected Dengue, Severe Dengue

  https://emedicine.medscape.com/article/215840-treatment

  While dengue fever is generally self-limiting, supportive measures including analgesics, fluid replacement, and bed rest typically are sufficient for recovery. Patients are encouraged to stay well-hydrated and should avoid medications such as aspirin, aspirin-containing products, and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen due to their anticoagulant properties. Fever can be effectively managed with acetaminophen and tepid sponge baths. To minimize the risk of further transmission, febrile patients should take precautions to avoid mosquito bites. […] In cases of severe dengue, careful fluid management and prompt treatment of hemorrhagic complications are critical. Patients with known or suspected dengue fever should have their platelet count and hematocrit measured daily from the third day of illness until 1-2 days after defervescence. Patients with clinical signs of dehydration and patients with a rising hematocrit level or falling platelet count should have intravascular volume deficits replaced under close observation.

• #31 Managing dengue fever in primary care: A practical approach

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4399402/

  Dengue is a common cause of illness seen in primary care in the tropical and subtropical countries. An understanding of the course of disease progression, risk factors, recognition of the warning signs and look out for clinical problems during the different phases of the disease will enable primary care physicians to manage dengue fever in an appropriate and timely manner to reduce morbidity and mortality. […] Therefore, primary care physicians play a very important role in the early recognition and management of dengue fever when patients progress through the different phases of illness. […] The key to achieve a good clinical outcome is to have an understanding of the different phases of the disease and be alert to the clinical problems that could arise during these phases. […] The various risk factors associated with severe disease of dengue are listed as below: Infants, Young children, Pregnant women, Diabetes mellitus, Hypertension, Haemolytic conditions, Older persons, Obese patients. […] It is crucial to identify red flags and high-risk individual and refer them accordingly.

• #32 Fluid Management in Dengue Critical Phase: Which, When, How Much?

  https://clinmedjournals.org/articles/iamm/international-archives-of-medical-microbiology-iamm-4-015.php

  Dengue is a very common viral infection in tropical zones, it is transmitted by vectors to humans by mosquito bites of the genre: Aedes. The treatment of severe dengue is based on the administration of intravenous fluids (IVF) and the management of complications. The mainstay of the management is the meticulous administration of fluids to ensure adequate intravascular volume to restore vasculopathy, watching carefully for overload risk. […] Delays on fluid therapy during critical phase has been identified as the leading cause of death. Plasma leakage during the critical phase (48 to 72 hours after febrile defervescence) provokes shock, multiple organic dysfunction, and death, unless there is an adequate intravenous fluid (IVF) management to correct hypovolemia without delay. […] Since there is no specific antiviral treatment that modifies the natural history of the disease, the meticulous IVF administration has become the most effective strategy. The recommendations of the different societies on IVF management in adult population with dengue are mainly extrapolated from studies performed on pediatric population, or based on consensus of expert opinions, assumptions from observational studies with poor methodological rigor.

• #33 Fluid Management in Dengue Critical Phase: Which, When, How Much?

  https://clinmedjournals.org/articles/iamm/international-archives-of-medical-microbiology-iamm-4-015.php

  The objective of fluid therapy during this phase is to guarantee an adequate intravascular volume until the vasculopathy is reversed, preventing progression to shock without causing volume overload. […] Current management of dengue infection does not have any specific treatment except cautious monitoring and appropriate fluid replacement therapy. […] Dengue patients respond differently to fluid therapy when compared to sepsis patients because fluid loss is roughly equivalent to plasma loss. IVF management in this patients’ should be based on the principle of adequate replacement of fluid loss oriented to achieve euvolemia state, minimizing the risk of fluid overload. […] In dengue, the choice of the specific fluid is limited; crystalloids continue to be the WHO/PAHO recommendation. […] Rapidly correcting hypovolemia without causing volume overload should be the goal of therapy during the critical phase.

• #34 Dengue: How to keep children safe | UNICEF South Asia

  https://www.unicef.org/rosa/stories/dengue-how-keep-children-safe

  Symptoms of dengue can become severe within a few hours. If you, or your child, develops any symptoms of severe dengue, seek urgent medical attention immediately. […] When a dengue infection develops into severe dengue it can happen quickly and lead to life-threatening complications. So, it’s important to pay attention to children’s symptoms and act quickly to get medial help if they develop. […] If your child, or anyone with suspected dengue develops any of these symptoms, it is important to seek urgent medical attention. […] People with severe dengue often need hospitalization. […] It’s also important to look out for signs of dehydration in children. […] If your child develops any of these signs of dehydration seek medical care immediately. […] Young children and particularly infants are at a higher risk of developing severe dengue illness and complications than healthy adults. This is because their immune systems are weaker. So, it’s especially important to keep infants and young children safe from mosquito bites.

• #35 Dengue Fever in Kids | Children’s Mercy Kansas City

  https://www.childrensmercy.org/health-and-safety-resources/dengue-fever/

  If you think your child may have dengue fever, call a doctor right away. It is important to catch the infection early so that it can be treated. […] If your child has dengue fever and starts having severe symptoms, such as shortness of breath, severe bleeding, or severe pain, they need to be seen right away.

• #36 DENGUE FEVER IN CHILDREN | Mya Care

  https://myacare.com/blog/dengue-fever-in-children

  Dengue fever, also known as break-bone fever, is a viral infection that spreads through mosquito bites, causing fever, rashes, muscle aches, inflamed joints, and swollen lymph nodes. […] Treatment focuses on supportive measures, such as pain and fever medications, bed rest, and replacement of lost fluids and electrolytes. For potentially severe cases, such as those with warning signs, clinical management of a healthcare provider is important. […] For severe forms of dengue, an immediate evaluation of the child’s fluid and electrolyte status is vital. Close observation should be done in a medical institution for a minimum of 2 days. Treatment measures are similar to uncomplicated dengue, with the possible addition of oxygen support, IV hydration, electrolyte replenishment and blood transfusion, depending on a case-to-case basis.

• #37 Clinical Care of Dengue | Dengue | CDC

  https://www.cdc.gov/dengue/hcp/clinical-care/index.html

  No specific medicines are available for dengue. […] Patients presenting with warning signs or severe dengue should be managed in a hospital. […] Patients managed as outpatients should be advised regarding when to return to the hospital. […] Supportive care is advised: patients should be advised to stay well hydrated and to avoid aspirin (acetylsalicylic acid), aspirin-containing drugs, and other nonsteroidal anti-inflammatory drugs (such as ibuprofen) because of their anticoagulant properties. […] Fever should be controlled with acetaminophen and tepid sponge baths. […] For patients who develop severe dengue, close observation and frequent monitoring in an intensive care unit may be required. […] Administration of corticosteroids has no demonstrated benefit and is potentially harmful to patients; corticosteroids should not be used except in the case of autoimmune-related complication (e.g., hemophagocytic lymphohistiocytosis, immune thrombocytopenia purpura). […] The potential for vertical transmission should be considered for pregnant patients with dengue who are symptomatic late in pregnancy or at delivery. […] Clinical presentation in babies varies from mild common symptoms of dengue to severe dengue with shock and hemorrhagic manifestations.

• #38 JMIR Research Protocols – Effectiveness of a Nursing Educational Intervention in Adults to Promote Control Behaviors Against Dengue: Protocol for a Randomized Controlled Trial

  https://www.researchprotocols.org/2024/1/e54286/

  The objective of this study is to evaluate the effect of a nursing educational intervention to promote dengue control behaviors. […] The educational nursing intervention in adults to promote dengue control behaviors, in terms of its structure, will follow the guidelines established by Sidani and Braden. […] The intervention will consist of 4 face-to-face meetings with an interval of 1 week for 1 month, each lasting 45 minutes. […] The intervention will be delivered in a personalized, face-to-face manner, and standardized educational material (booklet) will be used. […] The outcomes of risk control and participation in health care decisions, which belong to the NOC classification, which is useful for analyzing and measuring the impact and quality of nursing interventions, will be evaluated.

• #39 Dengue Fever: Symptoms, Vaccine, Treatment, and Prevention

  https://www.webmd.com/a-to-z-guides/dengue-fever-reference

  Dengue fever is a viral illness that mosquitoes spread in tropical areas of the world. The virus causes symptoms such as a high fever and painful headaches. Dengue fever is often mild and manageable at home with rest, pain relievers, and extra fluids. Severe cases may need treatment in a hospital. […] There is no specific medicine to treat dengue infection. If you think you may have dengue fever, take pain relievers such as acetaminophen (Tylenol). Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen (Advil, Motrin), which could worsen bleeding. Rest and drink plenty of fluids to prevent dehydration. If your symptoms are severe or they don’t improve at home, call your doctor. You may need treatment in a hospital. […] The best way to prevent the disease is to avoid bites from infected mosquitoes, especially if you are living in or traveling to a tropical area. This involves protecting yourself and making efforts to keep the mosquito population down. […] If someone in your home gets dengue fever, make an extra effort to protect yourself and other family members from mosquitoes. Mosquitoes that bite the infected family member could spread the infection to other people in your home.

• #40 Dengue: MedlinePlus

  https://medlineplus.gov/dengue.html

  You can also help prevent dengue by avoiding mosquito bites: Wear insect repellent with DEET or another U.S. Environmental Protection Agency (EPA)-registered insect repellent. Make sure to follow the instructions for using the repellant. Wear clothes that cover your arms, legs and feet. Close unscreened doors and windows.

• #41 Dengue Fever: Symptoms, Vaccine, Treatment, and Prevention

  https://www.webmd.com/a-to-z-guides/dengue-fever-reference

  Dengue fever is a viral illness that mosquitoes spread in tropical areas of the world. The virus causes symptoms such as a high fever and painful headaches. Dengue fever is often mild and manageable at home with rest, pain relievers, and extra fluids. Severe cases may need treatment in a hospital. […] There is no specific medicine to treat dengue infection. If you think you may have dengue fever, take pain relievers such as acetaminophen (Tylenol). Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen (Advil, Motrin), which could worsen bleeding. Rest and drink plenty of fluids to prevent dehydration. If your symptoms are severe or they don’t improve at home, call your doctor. You may need treatment in a hospital. […] The best way to prevent the disease is to avoid bites from infected mosquitoes, especially if you are living in or traveling to a tropical area. This involves protecting yourself and making efforts to keep the mosquito population down. […] If someone in your home gets dengue fever, make an extra effort to protect yourself and other family members from mosquitoes. Mosquitoes that bite the infected family member could spread the infection to other people in your home.

• #42 Dengue: How to keep children safe | UNICEF South Asia

  https://www.unicef.org/rosa/stories/dengue-how-keep-children-safe

  With quick medical attention the worst impacts of severe dengue in children can be avoided. […] Preventing mosquito bites is the best way to avoid getting dengue. […] If someone in the household has dengue, be vigilant with the above measures indoors as well as outdoors, to reduce the likelihood of a mosquito biting the infected person and then biting someone else in the household. […] Talk to your children about how mosquitoes can cause sickness and the importance of taking steps to protect themselves from mosquito bites like wearing protective clothing and using mosquito repellents when going outdoors. […] Children learn from their parents and caregivers, so lead by example! Set a good example by taking steps to stop mosquito bites, explaining what you are doing and why.

• #43 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Management for dengue fever Medication – no specific medications for dengue fever – symptomatic supportive treatment […] 1. Oral rehydration therapy – recommended for patients with moderate dehydration caused by high fever vomiting. […] 2. IV fluids (0.9% saline or Ringers Lactate solution) – patients with increasing HCT evidence of ongoing plasma leakage, despite increased oral intake. […] 1. Monitor: i) Blood pressure ii) Monitoring pain ~ location, increasing, diffused, or localized. iii) Vascular access ~ maintain patency for fluid administration or blood replacement iv) Medication regimen ~ identify medications that might exacerbate bleeding problem […] Achieved the following: Displayed hemodynamic stability. Absence of signs of bleeding. […] Complications of dengue – are rare, but may include the following: Cardiomyopathy Seizures, encephalopathy, and viral encephalitis Hepatic injury Pneumonia Pleural effusion Renal complications Death

• #44 Care of a client with dengue fever utilizing Hendersons Theory | HERDIN

  https://www.herdin.ph/index.php/partner/journal?view=research&cid=52026

  Objective and Scope: The purpose of this study was to determine the applicability Henderson’s theory to a client with Dengue Fever. Nursing diagnoses were identified to help in the implementation of the care plan. […] Finding: Utilizing Henderson’s theory as a guide in problem identification and rendering to a client with dengue fever was found out to be effective. […] Conclusion: Henderson’s theory is proven to be effective on assisting and handling the client with dengue fever with essentials activities to maintain health, to recover from the disease. Furthermore, the fourteen components served bases in providing knowledge based nursing care and provide a list to help the client with the activities and provide conditions under which the client can perform them without aid. […] Recommendations: It is highly recommended based on this study that Virginia Henderson’s Theory of Fourteen (14) Components of basic needs will be utilized as part of nursing process, particularly in the assessment of client with dengue fever as well as on the implementation of care to prevent complication and/or death and the client would recover health from dengue fever to perform the fourteen components of basic needs independently.

• #45 Care of a client with dengue fever utilizing Hendersons Theory | HERDIN

  https://www.herdin.ph/index.php?view=research&cid=52026

  Objective and Scope: The purpose of this study was to determine the applicability Henderson’s theory to a client with Dengue Fever. Nursing diagnoses were identified to help in the implementation of the care plan. […] Finding: Utilizing Henderson’s theory as a guide in problem identification and rendering to a client with dengue fever was found out to be effective. […] Conclusion: Henderson’s theory is proven to be effective on assisting and handling the client with dengue fever with essentials activities to maintain health, to recover from the disease. […] Recommendations: It is highly recommended based on this study that Virginia Henderson’s Theory of Fourteen (14) Components of basic needs will be utilized as part of nursing process, particularly in the assessment of client with dengue fever as well as on the implementation of care to prevent complication and/or death and the client would recover health from dengue fever to perform the fourteen components of basic needs independently.

• #46 Dengue Fever Nursing Diagnosis & Care Plans – NurseStudy.Net

  https://nursestudy.net/dengue-fever-nursing-diagnosis/

  Dengue fever is a mosquito-borne viral infection prevalent in tropical and subtropical regions worldwide. […] The following are common nursing care planning goals and expected outcomes for patients with dengue fever: The patient will maintain normal body temperature within 48-72 hours. The patient will report adequate pain control within 24 hours. The patient will maintain sufficient hydration status throughout the illness. The patient will demonstrate improved platelet count and hematocrit levels within 5-7 days. The patient will show no signs of bleeding or shock. The patient will verbalize understanding of dengue fever prevention measures upon discharge. […] Nursing interventions and care are essential for the patients recovery from dengue fever. […] Administer antipyretics as ordered. Acetaminophen is preferred for fever reduction. Avoid aspirin and NSAIDs due to the increased risk of bleeding.

• #47 Dengue Fever Nursing Diagnosis & Care Plans – NurseStudy.Net

  https://nursestudy.net/dengue-fever-nursing-diagnosis/

  Provide patient and family education. Teach about dengue fever, its course, potential complications, and prevention strategies, including mosquito control measures. […] Effective nursing care for patients with dengue fever requires a comprehensive approach that addresses the various symptoms and potential complications associated with the disease.

• #48 Dengue fever for nurses | PPT

  https://www.slideshare.net/slideshow/dengue-fever-for-nurses/83316032

  Management for dengue fever Medication – no specific medications for dengue fever – symptomatic supportive treatment […] 1. Oral rehydration therapy – recommended for patients with moderate dehydration caused by high fever vomiting. […] 2. IV fluids (0.9% saline or Ringers Lactate solution) – patients with increasing HCT evidence of ongoing plasma leakage, despite increased oral intake. […] 1. Monitor: i) Blood pressure ii) Monitoring pain ~ location, increasing, diffused, or localized. iii) Vascular access ~ maintain patency for fluid administration or blood replacement iv) Medication regimen ~ identify medications that might exacerbate bleeding problem […] Achieved the following: Displayed hemodynamic stability. Absence of signs of bleeding. […] Complications of dengue – are rare, but may include the following: Cardiomyopathy Seizures, encephalopathy, and viral encephalitis Hepatic injury Pneumonia Pleural effusion Renal complications Death

• #49 Dengue Hemorrhagic Fever Nursing Care Management and Study Guide

  https://nurseslabs.com/dengue-hemorrhagic-fever/

  Learn about the nursing care management of patients with dengue hemorrhagic fever in this nursing study guide. […] Nursing management of patients with DHF is essential in achieving complete recovery. […] Assessment of a patient with DHF should include: Evaluation of the patients heart rate, temperature, and blood pressure. […] Based on the assessment data, the major nursing diagnoses for a patient with DHF are: Risk for bleeding related to possible impaired liver function. […] The goals in a patient with DHF are: Be free of signs of bleeding. […] Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. […] A successful nursing care plan has achieved the following: Absence of signs of bleeding. […] A patient with DHF discharged from the health care facility should be instructed to: Avoid diuretics. […] The focus of documentation in a patient with DHF include: Factors that potentiate blood loss.

• #50

  https://www.healthxchange.sg/women/health-scares-outbreaks/dengue-fever-how-to-recover-fast

  Dengue fever: How to Recover Fast […] it is important to maintain adequate hydration, keep symptoms under control and get sufficient bed rest. […] There are no specific medications or antivirals to treat dengue fever so treatment is directed towards the relief of symptoms. […] We advise dengue patients to rest and drink plenty of fluids to prevent dehydration from high fever, poor oral intake or vomiting. […] Paracetamol can be taken for the fever and to reduce joint pains. […] However, pain-relievers such as aspirin and ibuprofen should be avoided as it they may increase bleeding complications. […] Dengue fever usually lasts between 2 to 7 days. […] Most people recover from dengue infection without requiring hospital admission. […] Drink plenty of fluids (water, isotonic drinks, fruit juices and soup) to maintain hydration.

• #51

  https://www.healthxchange.sg/women/health-scares-outbreaks/dengue-fever-how-to-recover-fast

  Avoid pain-relievers and anti-inflammatory drugs such as aspirin, ibuprofen, diclofenac, naproxen and mefenamic acid as they may cause gastric ulcers and subsequent bleeding in your stomach or intestines. […] Rest in bed, reduce risk of falls and injuries to avoid risk of unnecessary bleeding. […] If you develop bleeding, bruises or swellings while recovering from dengue fever, please contact your doctor or nurse immediately. […] Light and easy to digest food is advised when one is sick. […] Please see a doctor immediately If you develop any of following symptoms: Severe abdominal pain, Persistent vomiting, Vomiting blood, Black and tarry stools, Bleeding from the nose or gums, Drowsiness or irritability, Pale, cold, or clammy (sweaty) skin, Difficulty breathing. […] First-time dengue infections can be severe, especially among the elderly and those with pre-existing medical conditions. […] But repeat dengue infections have been associated with higher risk of severe dengue which can be fatal.

• #52

  https://www.healthxchange.sg/women/health-scares-outbreaks/dengue-fever-how-to-recover-fast

  Avoid pain-relievers and anti-inflammatory drugs such as aspirin, ibuprofen, diclofenac, naproxen and mefenamic acid as they may cause gastric ulcers and subsequent bleeding in your stomach or intestines. […] Rest in bed, reduce risk of falls and injuries to avoid risk of unnecessary bleeding. […] If you develop bleeding, bruises or swellings while recovering from dengue fever, please contact your doctor or nurse immediately. […] Light and easy to digest food is advised when one is sick. […] Please see a doctor immediately If you develop any of following symptoms: Severe abdominal pain, Persistent vomiting, Vomiting blood, Black and tarry stools, Bleeding from the nose or gums, Drowsiness or irritability, Pale, cold, or clammy (sweaty) skin, Difficulty breathing. […] First-time dengue infections can be severe, especially among the elderly and those with pre-existing medical conditions. […] But repeat dengue infections have been associated with higher risk of severe dengue which can be fatal.

• #53 Dengue: MedlinePlus

  https://medlineplus.gov/dengue.html

  Dengue is a viral infection. It can be caused by four related viruses. You can get it if an infected mosquito bites you. It is common in warm, wet areas of the world. Although rare, it can be found in some parts of the United States. Outbreaks are more common during rainy seasons. […] Severe dengue often requires care at a hospital. […] There is no specific medicine to treat dengue. Most people will get better after about a week. But if you think you might have dengue: See a health care provider and mention any recent travel. Rest as much as possible. Take acetaminophen to control fever and relieve pain. But do not take aspirin or ibuprofen. Drink plenty of fluids to prevent dehydration. […] In the United States, a dengue vaccine is approved for children who are ages 9 – 16. They must also have previously had dengue and live in areas where dengue is common.

• #54 JMIR Research Protocols – Effectiveness of a Nursing Educational Intervention in Adults to Promote Control Behaviors Against Dengue: Protocol for a Randomized Controlled Trial

  https://www.researchprotocols.org/2024/1/e54286/

  It is expected that participants in the nursing education intervention group will have better dengue control behaviors than those in the usual care group. […] The results of the research may serve as a basis for the identification of lines of action that should be strengthened in the prevention and control of dengue, including the induction and reinduction of the human talent necessary for health care. […] The scarcity of studies with a high level of evidence, such as randomized clinical trials, provides an opportunity for the development of the present research, which has a quantitative approach and aims to generate new knowledge based on the best scientific evidence for the care of vector-borne diseases in rural populations.

Zobacz więcej