Materiały źródłowe

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

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

  It’s worrying news. And experts say the next month could have the most new cases once monsoon season reaches its peak. […] But dengue can be prevented and there are things you can do to keep your children safe. […] Not everyone who gets dengue will become seriously unwell and the most serious impacts of dengue can be addressed with swift medical care — so, it’s important to know what dengue symptoms to look out for and when to seek medical attention. […] If you, or your child, have any symptoms of dengue, seek medical attention and do as advised. […] Most people with mild dengue infections can be treated at home with pain medicine, like paracetamol, and won’t need medical intervention. […] If you, or your child, are diagnosed with mild dengue: Rest. Drink lots of water, to stay hydrated. Eat nutritious food. You can take paracetamol to help with pain and fever, as recommended by your health professional. Sponge the skin with cool water to reduce fever. Avoid non-steroidal anti-inflammatory drugs, like ibuprofen and aspirin, as they can increase the risk of bleeding. Watch for severe symptoms and contact your doctor as soon as possible if you notice any.

• #2

  https://www.kkh.com.sg/patient-care/conditions-treatments/dengue-fever

  Majority of the cases are mild, self-limiting and requires no hospitalisation. […] The treatment is mainly supportive and for relief of symptoms. The main components of management of dengue fever are: […] Fluid or water replacement […] Symptom relief and fever control […] Bleeding prevention and control […] Note: Seek medical attention whenever there is evidence of bleeding. […] Hospitalisation may be considered when you or your child is presented with the above conditions. […] Blood tests are done daily to assess the platelet level and blood concentration. […] Vital signs (eg. pulse rate or blood pressure) are monitored to detect any potential complications of dengue fever. […] Intravenous fluid (drip) may be required. […] Platelets or blood transfusion may be given if the spontaneous bleeding.

• #3

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

  Dengue is a viral infection transmitted to humans through the bite of infected mosquitoes. […] While many dengue infections are asymptomatic or produce only mild illness, the virus can occasionally cause more severe cases, and even death. […] There is no specific treatment for dengue/severe dengue, and early detection and access to proper medical care greatly lower fatality rates of severe dengue. […] Some people develop severe dengue and need care in a hospital. […] People with these severe symptoms should get care right away. […] For people with severe dengue, hospitalization is often needed. […] 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.

• #4 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Dengue infection is a systemic and dynamic disease. It has a wide clinical spectrum that includes both severe and non-severe clinical manifestations (1). After the incubation period, the illness begins abruptly and is followed by the three phases febrile, critical and recovery (Figure 2.1). […] For a disease that is complex in its manifestations, management is relatively simple, inexpensive and very effective in saving lives so long as correct and timely interventions are instituted. The key is early recognition and understanding of the clinical problems during the different phases of the disease, leading to a rational approach to case management and a good clinical outcome. […] Activities (triage and management decisions) at the primary and secondary care levels (where patients are first seen and evaluated) are critical in determining the clinical outcome of dengue. A well-managed front-line response not only reduces the number of unnecessary hospital admissions but also saves the lives of dengue patients. Early notification of dengue cases seen in primary and secondary care is crucial for identifying outbreaks and initiating an early response (Chapter 5).

• #5 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Patients typically develop high-grade fever suddenly. This acute febrile phase usually lasts 27 days and is often accompanied by facial flushing, skin erythema, generalized body ache, myalgia, arthralgia and headache (1). […] The earliest abnormality in the full blood count is a progressive decrease in total white cell count, which should alert the physician to a high probability of dengue. […] Around the time of defervescence, when the temperature drops to 37.538C or less and remains below this level, usually on days 37 of illness, an increase in capillary permeability in parallel with increasing haematocrit levels may occur (6,7). This marks the beginning of the critical phase. […] The degree of plasma leakage varies. Pleural effusion and ascites may be clinically detectable depending on the degree of plasma leakage and the volume of fluid therapy.

• #6 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Patients typically develop high-grade fever suddenly. This acute febrile phase usually lasts 27 days and is often accompanied by facial flushing, skin erythema, generalized body ache, myalgia, arthralgia and headache (1). […] The earliest abnormality in the full blood count is a progressive decrease in total white cell count, which should alert the physician to a high probability of dengue. […] Around the time of defervescence, when the temperature drops to 37.538C or less and remains below this level, usually on days 37 of illness, an increase in capillary permeability in parallel with increasing haematocrit levels may occur (6,7). This marks the beginning of the critical phase. […] The degree of plasma leakage varies. Pleural effusion and ascites may be clinically detectable depending on the degree of plasma leakage and the volume of fluid therapy.

• #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. 8. Recognize the importance of proper management 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: Symptoms, treatment, and prevention

  https://www.medicalnewstoday.com/articles/179471

  Dengue fever, or breakbone fever, results from a viral infection carried by Aedes mosquitoes. Symptoms include a high fever and body aches. Severe dengue can involve shock and hemorrhagic fever. It can be life-threatening and needs urgent medical treatment. […] There is no cure for dengue fever. However, early recognition and treatment can help manage symptoms and prevent fatalities. […] Treatment for dengue involves managing the symptoms. […] Without treatment, 10-20% of severe cases may be fatal. Treatment reduces this figure to 1%. […] Anyone with severe symptoms needs immediate medical attention. […] Severe signs and symptoms can indicate DSS or DHF. They are potentially fatal.

• #9 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. […] Prophylactic platelet transfusions in dengue patients are not beneficial and may contribute to fluid overload.

• #10 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Patients typically develop high-grade fever suddenly. This acute febrile phase usually lasts 27 days and is often accompanied by facial flushing, skin erythema, generalized body ache, myalgia, arthralgia and headache (1). […] The earliest abnormality in the full blood count is a progressive decrease in total white cell count, which should alert the physician to a high probability of dengue. […] Around the time of defervescence, when the temperature drops to 37.538C or less and remains below this level, usually on days 37 of illness, an increase in capillary permeability in parallel with increasing haematocrit levels may occur (6,7). This marks the beginning of the critical phase. […] The degree of plasma leakage varies. Pleural effusion and ascites may be clinically detectable depending on the degree of plasma leakage and the volume of fluid therapy.

• #11 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Shock occurs when a critical volume of plasma is lost through leakage. It is often preceded by warning signs. […] Those who improve after defervescence are said to have non-severe dengue. Some patients progress to the critical phase of plasma leakage without defervescence and, in these patients, changes in the full blood count should be used to guide the onset of the critical phase and plasma leakage. […] If the patient survives the 2448 hour critical phase, a gradual reabsorption of extravascular compartment fluid takes place in the following 4872 hours. […] Severe dengue is defined by one or more of the following: (i) plasma leakage that may lead to shock (dengue shock) and/or fluid accumulation, with or without respiratory distress, and/or (ii) severe bleeding, and/or (iii) severe organ impairment.

• #12 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. 8. Recognize the importance of proper management 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.

• #13 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Shock occurs when a critical volume of plasma is lost through leakage. It is often preceded by warning signs. […] Those who improve after defervescence are said to have non-severe dengue. Some patients progress to the critical phase of plasma leakage without defervescence and, in these patients, changes in the full blood count should be used to guide the onset of the critical phase and plasma leakage. […] If the patient survives the 2448 hour critical phase, a gradual reabsorption of extravascular compartment fluid takes place in the following 4872 hours. […] Severe dengue is defined by one or more of the following: (i) plasma leakage that may lead to shock (dengue shock) and/or fluid accumulation, with or without respiratory distress, and/or (ii) severe bleeding, and/or (iii) severe organ impairment.

• #14 What Precautions Should Be Taken After Dengue Fever?

  https://www.sriramakrishnahospital.com/blog/general-medicine/what-precautions-should-be-taken-after-dengue-fever/

  Recovering from dengue can be a draining process as it completely affects your energy levels and it requires a little bit of extra effort to regain the energy. […] During dengue fever, the body loses fluids because of the high fever and sweating. Even after you start feeling better, it’s important to stay hydrated. Drink lots of water, oral rehydration solutions, and clear soups to replace the lost fluids. Dehydration can cause complications, so make sure you drink enough fluids. […] A balanced diet with essential nutrients is crucial for regaining strength. Eat plenty of fruits, vegetables, lean proteins, and whole grains, as these foods are high in vitamins and minerals. They will help restore your energy and strengthen your immune system. […] Dengue fever can make you feel weak and tired. Make sure to give your body plenty of rest to recover completely. Aim for 7-8 hours of good-quality sleep each night and avoid heavy physical activity until you’re feeling stronger.

• #15

  https://www.kkh.com.sg/patient-care/conditions-treatments/dengue-fever

  Admission and treatment in high dependency or intensive care unit for artificial ventilation, blood pressure support and other measures may be necessary for patients who are critically ill. […] Current hospital guidelines allow children who are well and have a rising platelet trend or platelet above 80,000 to be discharged. For adults, our doctors will assess each patient and advice on suitability for discharge. After discharge, a repeat blood test (details included with discharge letter) should be done as and when instructed by your medical team. A further week of rest at home with no strenuous physical activities may be advised as some patients may feel very tired.

• #16 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Shock occurs when a critical volume of plasma is lost through leakage. It is often preceded by warning signs. […] Those who improve after defervescence are said to have non-severe dengue. Some patients progress to the critical phase of plasma leakage without defervescence and, in these patients, changes in the full blood count should be used to guide the onset of the critical phase and plasma leakage. […] If the patient survives the 2448 hour critical phase, a gradual reabsorption of extravascular compartment fluid takes place in the following 4872 hours. […] Severe dengue is defined by one or more of the following: (i) plasma leakage that may lead to shock (dengue shock) and/or fluid accumulation, with or without respiratory distress, and/or (ii) severe bleeding, and/or (iii) severe organ impairment.

• #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 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Reducing dengue mortality requires an organized process that guarantees early recognition of the disease, and its management and referral when necessary. […] Activities at the first level of care should focus on recognizing that the febrile patient could have dengue; notifying early to the public health authorities that the patient is a suspected case of dengue; managing patients in the early febrile phase of dengue; recognizing the early stage of plasma leakage or critical phase and initiating fluid therapy; recognizing patients with warning signs who need to be referred for admission and/or intravenous fluid therapy to a secondary health care facility; recognizing and managing severe plasma leakage and shock, severe bleeding and severe organ impairment promptly and adequately. […] Referral centres receiving severely ill dengue patients must be able to give prompt attention to referred cases.

• #19 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. […] 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.

• #20 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.

• #21 Dengue – Community Health

  https://www.chcrr.org/health-topic/dengue/

  Severe dengue is a serious form of the illness. About 1 in 20 people who get sick with dengue will develop severe dengue. It can cause shock, internal bleeding, and even death. People are more likely to develop severe dengue if they have had dengue before, are pregnant, or are infants. […] Watch for signs and symptoms of severe dengue. Warning signs usually begin about 24 – 48 hours after your fever has gone away. If you or your family member have these signs, get immediate medical care: Severe abdominal (belly) pain and tenderness, Vomiting at least 3 times in 24 hours, Bleeding from the nose or gums, Vomiting blood, or blood in the stool, Feeling tired, restless, or irritable. […] There is a blood test which can show if you have been infected with dengue. […] 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. Severe dengue often requires care at a hospital.

• #22 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. […] 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.

• #23 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. […] 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.

• #24 Dengue – Community Health

  https://www.chcrr.org/health-topic/dengue/

  Severe dengue is a serious form of the illness. About 1 in 20 people who get sick with dengue will develop severe dengue. It can cause shock, internal bleeding, and even death. People are more likely to develop severe dengue if they have had dengue before, are pregnant, or are infants. […] Watch for signs and symptoms of severe dengue. Warning signs usually begin about 24 – 48 hours after your fever has gone away. If you or your family member have these signs, get immediate medical care: Severe abdominal (belly) pain and tenderness, Vomiting at least 3 times in 24 hours, Bleeding from the nose or gums, Vomiting blood, or blood in the stool, Feeling tired, restless, or irritable. […] There is a blood test which can show if you have been infected with dengue. […] 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. Severe dengue often requires care at a hospital.

• #25 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. […] 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.

• #26 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. […] 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.

• #27 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. […] 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.

• #28 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Shock occurs when a critical volume of plasma is lost through leakage. It is often preceded by warning signs. […] Those who improve after defervescence are said to have non-severe dengue. Some patients progress to the critical phase of plasma leakage without defervescence and, in these patients, changes in the full blood count should be used to guide the onset of the critical phase and plasma leakage. […] If the patient survives the 2448 hour critical phase, a gradual reabsorption of extravascular compartment fluid takes place in the following 4872 hours. […] Severe dengue is defined by one or more of the following: (i) plasma leakage that may lead to shock (dengue shock) and/or fluid accumulation, with or without respiratory distress, and/or (ii) severe bleeding, and/or (iii) severe organ impairment.

• #29 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Shock occurs when a critical volume of plasma is lost through leakage. It is often preceded by warning signs. […] Those who improve after defervescence are said to have non-severe dengue. Some patients progress to the critical phase of plasma leakage without defervescence and, in these patients, changes in the full blood count should be used to guide the onset of the critical phase and plasma leakage. […] If the patient survives the 2448 hour critical phase, a gradual reabsorption of extravascular compartment fluid takes place in the following 4872 hours. […] Severe dengue is defined by one or more of the following: (i) plasma leakage that may lead to shock (dengue shock) and/or fluid accumulation, with or without respiratory distress, and/or (ii) severe bleeding, and/or (iii) severe organ impairment.

• #30 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Shock occurs when a critical volume of plasma is lost through leakage. It is often preceded by warning signs. […] Those who improve after defervescence are said to have non-severe dengue. Some patients progress to the critical phase of plasma leakage without defervescence and, in these patients, changes in the full blood count should be used to guide the onset of the critical phase and plasma leakage. […] If the patient survives the 2448 hour critical phase, a gradual reabsorption of extravascular compartment fluid takes place in the following 4872 hours. […] Severe dengue is defined by one or more of the following: (i) plasma leakage that may lead to shock (dengue shock) and/or fluid accumulation, with or without respiratory distress, and/or (ii) severe bleeding, and/or (iii) severe organ impairment.

• #31 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  Shock occurs when a critical volume of plasma is lost through leakage. It is often preceded by warning signs. […] Those who improve after defervescence are said to have non-severe dengue. Some patients progress to the critical phase of plasma leakage without defervescence and, in these patients, changes in the full blood count should be used to guide the onset of the critical phase and plasma leakage. […] If the patient survives the 2448 hour critical phase, a gradual reabsorption of extravascular compartment fluid takes place in the following 4872 hours. […] Severe dengue is defined by one or more of the following: (i) plasma leakage that may lead to shock (dengue shock) and/or fluid accumulation, with or without respiratory distress, and/or (ii) severe bleeding, and/or (iii) severe organ impairment.

• #32 Dengue fever – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dengue-fever/diagnosis-treatment/drc-20353084

  Diagnosing dengue fever can be difficult because its signs and symptoms can be easily confused with those of other diseases such as chikungunya, Zika virus, malaria and typhoid fever. […] Your doctor may also draw a sample of blood to be tested in a lab for evidence of infection with one of the dengue viruses. […] No specific treatment for dengue fever exists. […] While recovering from dengue fever, drink plenty of fluids. […] The over-the-counter (OTC) drug acetaminophen (Tylenol, others) can help reduce muscle pain and fever. […] But if you have dengue fever, you should avoid other OTC pain relievers, including aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] If you have severe dengue fever, you may need: […] Supportive care in a hospital […] Intravenous (IV) fluid and electrolyte replacement […] Blood pressure monitoring […] Transfusion to replace blood loss. […] For dengue fever, some basic questions to ask your doctor include: […] What treatments are available? […] Be prepared to answer questions from your doctor, such as: […] Were you bitten by mosquitoes while traveling?

• #33 Why south-east Asia must lead the fight against neglected tropical diseases

  https://theconversation.com/why-south-east-asia-must-lead-the-fight-against-neglected-tropical-diseases-255640

  To address this, we helped establish the UKSouth East Asia Vaccine Manufacturing Research Hub (UK-SEA Vax Hub) in 2023 to reduce the burden of infectious diseases in LMICs, with a special focus on south-east Asia. Its mission is to strengthen regional capacity in vaccine research, development and manufacturing. Dengue and rabies both persistent NTDs are among its priorities. […] The urgency of this work is underscored by the growing threat of dengue. Between 2015 and 2019, dengue cases rose by 46% in south-east Asia. Countries like Indonesia, Myanmar and Thailand are among the most affected globally. This region accounts for more than half of the worlds dengue cases. […] Dengue is hard to diagnose. Its symptoms fever, rash and joint pain overlap with other illnesses like chikungunya, Zika, malaria and typhoid. Misdiagnoses are common and no specific antiviral treatment exists.

• #34 Dengue fever – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dengue-fever/diagnosis-treatment/drc-20353084

  Diagnosing dengue fever can be difficult because its signs and symptoms can be easily confused with those of other diseases such as chikungunya, Zika virus, malaria and typhoid fever. […] Your doctor may also draw a sample of blood to be tested in a lab for evidence of infection with one of the dengue viruses. […] No specific treatment for dengue fever exists. […] While recovering from dengue fever, drink plenty of fluids. […] The over-the-counter (OTC) drug acetaminophen (Tylenol, others) can help reduce muscle pain and fever. […] But if you have dengue fever, you should avoid other OTC pain relievers, including aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] If you have severe dengue fever, you may need: […] Supportive care in a hospital […] Intravenous (IV) fluid and electrolyte replacement […] Blood pressure monitoring […] Transfusion to replace blood loss. […] For dengue fever, some basic questions to ask your doctor include: […] What treatments are available? […] Be prepared to answer questions from your doctor, such as: […] Were you bitten by mosquitoes while traveling?

• #35

  http://www.bccdc.ca/health-professionals/clinical-resources/case-definitions/dengue

  DengueCurrently selected […] A case with clinically compatible signs and symptoms and at least two of the following hemorrhagic manifestations: hemorrhagic or purpuric rash, epistaxis, hematemesis, hemoptysis, blood in stools, other hemorrhagic symptom and no known predisposing host factors for hemorrhagic manifestations. […] Laboratory confirmation of infection by one of the following methods: Isolation of dengue virus from an appropriate clinical specimen (blood, serum, tissue, urine specimens, or throat secretions), Detection of dengue virus nucleic acid by reverse-transcriptase PCR from blood, serum, or tissue, Demonstration of dengue virus antigen in tissue (skin, liver, or spleen) by immunohistochemical or immunofluorescent techniques, Demonstration of a significant (e.g. fourfold or greater rise) change in dengue virus neutralizing antibody titres in paired acute and convalescent sera by EIA, immunofluorescent assay, or Western Blot, Demonstration of seroconversion of IgG or IgM antibodies by EIA, immunofluorescent assay, or Western Blot, Demonstration of dengue virus antigen in blood, serum, or tissue by enzyme immunoassay (EIA ELISA).

• #36

  http://www.bccdc.ca/health-professionals/clinical-resources/case-definitions/dengue

  DengueCurrently selected […] A case with clinically compatible signs and symptoms and at least two of the following hemorrhagic manifestations: hemorrhagic or purpuric rash, epistaxis, hematemesis, hemoptysis, blood in stools, other hemorrhagic symptom and no known predisposing host factors for hemorrhagic manifestations. […] Laboratory confirmation of infection by one of the following methods: Isolation of dengue virus from an appropriate clinical specimen (blood, serum, tissue, urine specimens, or throat secretions), Detection of dengue virus nucleic acid by reverse-transcriptase PCR from blood, serum, or tissue, Demonstration of dengue virus antigen in tissue (skin, liver, or spleen) by immunohistochemical or immunofluorescent techniques, Demonstration of a significant (e.g. fourfold or greater rise) change in dengue virus neutralizing antibody titres in paired acute and convalescent sera by EIA, immunofluorescent assay, or Western Blot, Demonstration of seroconversion of IgG or IgM antibodies by EIA, immunofluorescent assay, or Western Blot, Demonstration of dengue virus antigen in blood, serum, or tissue by enzyme immunoassay (EIA ELISA).

• #37

  http://www.bccdc.ca/health-professionals/clinical-resources/case-definitions/dengue

  DengueCurrently selected […] A case with clinically compatible signs and symptoms and at least two of the following hemorrhagic manifestations: hemorrhagic or purpuric rash, epistaxis, hematemesis, hemoptysis, blood in stools, other hemorrhagic symptom and no known predisposing host factors for hemorrhagic manifestations. […] Laboratory confirmation of infection by one of the following methods: Isolation of dengue virus from an appropriate clinical specimen (blood, serum, tissue, urine specimens, or throat secretions), Detection of dengue virus nucleic acid by reverse-transcriptase PCR from blood, serum, or tissue, Demonstration of dengue virus antigen in tissue (skin, liver, or spleen) by immunohistochemical or immunofluorescent techniques, Demonstration of a significant (e.g. fourfold or greater rise) change in dengue virus neutralizing antibody titres in paired acute and convalescent sera by EIA, immunofluorescent assay, or Western Blot, Demonstration of seroconversion of IgG or IgM antibodies by EIA, immunofluorescent assay, or Western Blot, Demonstration of dengue virus antigen in blood, serum, or tissue by enzyme immunoassay (EIA ELISA).

• #38

  http://www.bccdc.ca/health-professionals/clinical-resources/case-definitions/dengue

  DengueCurrently selected […] A case with clinically compatible signs and symptoms and at least two of the following hemorrhagic manifestations: hemorrhagic or purpuric rash, epistaxis, hematemesis, hemoptysis, blood in stools, other hemorrhagic symptom and no known predisposing host factors for hemorrhagic manifestations. […] Laboratory confirmation of infection by one of the following methods: Isolation of dengue virus from an appropriate clinical specimen (blood, serum, tissue, urine specimens, or throat secretions), Detection of dengue virus nucleic acid by reverse-transcriptase PCR from blood, serum, or tissue, Demonstration of dengue virus antigen in tissue (skin, liver, or spleen) by immunohistochemical or immunofluorescent techniques, Demonstration of a significant (e.g. fourfold or greater rise) change in dengue virus neutralizing antibody titres in paired acute and convalescent sera by EIA, immunofluorescent assay, or Western Blot, Demonstration of seroconversion of IgG or IgM antibodies by EIA, immunofluorescent assay, or Western Blot, Demonstration of dengue virus antigen in blood, serum, or tissue by enzyme immunoassay (EIA ELISA).

• #39

  http://www.bccdc.ca/health-professionals/clinical-resources/case-definitions/dengue

  DengueCurrently selected […] A case with clinically compatible signs and symptoms and at least two of the following hemorrhagic manifestations: hemorrhagic or purpuric rash, epistaxis, hematemesis, hemoptysis, blood in stools, other hemorrhagic symptom and no known predisposing host factors for hemorrhagic manifestations. […] Laboratory confirmation of infection by one of the following methods: Isolation of dengue virus from an appropriate clinical specimen (blood, serum, tissue, urine specimens, or throat secretions), Detection of dengue virus nucleic acid by reverse-transcriptase PCR from blood, serum, or tissue, Demonstration of dengue virus antigen in tissue (skin, liver, or spleen) by immunohistochemical or immunofluorescent techniques, Demonstration of a significant (e.g. fourfold or greater rise) change in dengue virus neutralizing antibody titres in paired acute and convalescent sera by EIA, immunofluorescent assay, or Western Blot, Demonstration of seroconversion of IgG or IgM antibodies by EIA, immunofluorescent assay, or Western Blot, Demonstration of dengue virus antigen in blood, serum, or tissue by enzyme immunoassay (EIA ELISA).

• #40

  http://www.bccdc.ca/health-professionals/clinical-resources/case-definitions/dengue

  DengueCurrently selected […] A case with clinically compatible signs and symptoms and at least two of the following hemorrhagic manifestations: hemorrhagic or purpuric rash, epistaxis, hematemesis, hemoptysis, blood in stools, other hemorrhagic symptom and no known predisposing host factors for hemorrhagic manifestations. […] Laboratory confirmation of infection by one of the following methods: Isolation of dengue virus from an appropriate clinical specimen (blood, serum, tissue, urine specimens, or throat secretions), Detection of dengue virus nucleic acid by reverse-transcriptase PCR from blood, serum, or tissue, Demonstration of dengue virus antigen in tissue (skin, liver, or spleen) by immunohistochemical or immunofluorescent techniques, Demonstration of a significant (e.g. fourfold or greater rise) change in dengue virus neutralizing antibody titres in paired acute and convalescent sera by EIA, immunofluorescent assay, or Western Blot, Demonstration of seroconversion of IgG or IgM antibodies by EIA, immunofluorescent assay, or Western Blot, Demonstration of dengue virus antigen in blood, serum, or tissue by enzyme immunoassay (EIA ELISA).

• #41 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.

• #42 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. […] Due to the potential for rapid progression and serious complications, timely and comprehensive nursing care is essential. […] The care plan emphasizes close monitoring of vital signs, hydration management, and pain relief to support the patients comfort and well-being.

• #43 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.

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

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

  This nursing care plan aims to provide targeted interventions that support the patients immune response, manage symptoms, and mitigate risks, ultimately promoting a safe recovery. […] A thorough nursing assessment for a patient with dengue fever is essential for identifying symptoms, monitoring progression, and implementing appropriate interventions to manage the illness effectively. […] These nursing diagnoses provide a structured approach for managing the patients symptoms, preventing complications, and educating both the patient and family. […] They guide the nursing interventions needed to support recovery and ensure patient safety throughout the course of the illness. […] This comprehensive nursing assessment provides a foundation for developing a care plan that addresses the patients hydration, pain management, and monitoring for potential complications. Regular assessments allow for timely interventions, supporting recovery and preventing the progression of severe symptoms.

• #45 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.

• #46 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Early diagnosis and proper medical care are crucial to reduce the risk of complications and mortality associated with DHF. Treatment typically involves supportive care to maintain fluid balance, manage pain, and monitor for signs of shock. […] […] – Regular monitoring of vital signs, fluid intake, and output. […] […] – Observation for warning signs of severe dengue, such as severe abdominal pain, persistent vomiting, bleeding, and sudden drops in platelet count. […] […] – Ensuring adequate fluid replacement to prevent dehydration and manage plasma leakage. […] […] – Monitoring fluid balance to avoid fluid overload, which can lead to complications like pulmonary edema. […] […] – Administering antipyretics such as acetaminophen to manage fever and pain. […] […] – Avoiding NSAIDs like aspirin and ibuprofen, which can increase the risk of bleeding. […]

• #47 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Early diagnosis and proper medical care are crucial to reduce the risk of complications and mortality associated with DHF. Treatment typically involves supportive care to maintain fluid balance, manage pain, and monitor for signs of shock. […] […] – Regular monitoring of vital signs, fluid intake, and output. […] […] – Observation for warning signs of severe dengue, such as severe abdominal pain, persistent vomiting, bleeding, and sudden drops in platelet count. […] […] – Ensuring adequate fluid replacement to prevent dehydration and manage plasma leakage. […] […] – Monitoring fluid balance to avoid fluid overload, which can lead to complications like pulmonary edema. […] […] – Administering antipyretics such as acetaminophen to manage fever and pain. […] […] – Avoiding NSAIDs like aspirin and ibuprofen, which can increase the risk of bleeding. […]

• #48 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Early diagnosis and proper medical care are crucial to reduce the risk of complications and mortality associated with DHF. Treatment typically involves supportive care to maintain fluid balance, manage pain, and monitor for signs of shock. […] […] – Regular monitoring of vital signs, fluid intake, and output. […] […] – Observation for warning signs of severe dengue, such as severe abdominal pain, persistent vomiting, bleeding, and sudden drops in platelet count. […] […] – Ensuring adequate fluid replacement to prevent dehydration and manage plasma leakage. […] […] – Monitoring fluid balance to avoid fluid overload, which can lead to complications like pulmonary edema. […] […] – Administering antipyretics such as acetaminophen to manage fever and pain. […] […] – Avoiding NSAIDs like aspirin and ibuprofen, which can increase the risk of bleeding. […]

• #49 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Educating patients and caregivers about the importance of hydration, signs of severe dengue, and when to seek immediate medical attention. […] […] – Providing information on preventive measures to avoid mosquito bites and reduce the spread of the virus. […] […] – Encouraging small, frequent meals to maintain nutritional status and energy levels. […] […] – Monitoring for signs of gastrointestinal bleeding and providing appropriate dietary modifications. […] […] – Offering emotional support to patients and families to alleviate anxiety and stress related to the illness. […] […] – Collaborating with other healthcare professionals to ensure comprehensive care. […] […] – Implementing and updating the care plan based on the patient’s evolving condition and response to treatment. […]

• #50

  http://www.bccdc.ca/health-professionals/clinical-resources/case-definitions/dengue

  A case with clinically compatible signs and symptoms and at least two of the following hemorrhagic manifestations: hemorrhagic or purpuric rash, epistaxis, hematemesis, hemoptysis, blood in stools, other hemorrhagic symptom and no known predisposing host factors for hemorrhagic manifestations. […] Demonstration of a single elevated antibody titre by EIA, immunofluorescent assay or Western Blot.

• #51 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Educating patients and caregivers about the importance of hydration, signs of severe dengue, and when to seek immediate medical attention. […] […] – Providing information on preventive measures to avoid mosquito bites and reduce the spread of the virus. […] […] – Encouraging small, frequent meals to maintain nutritional status and energy levels. […] […] – Monitoring for signs of gastrointestinal bleeding and providing appropriate dietary modifications. […] […] – Offering emotional support to patients and families to alleviate anxiety and stress related to the illness. […] […] – Collaborating with other healthcare professionals to ensure comprehensive care. […] […] – Implementing and updating the care plan based on the patient’s evolving condition and response to treatment. […]

• #52 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.

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

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

  This nursing care plan aims to provide targeted interventions that support the patients immune response, manage symptoms, and mitigate risks, ultimately promoting a safe recovery. […] A thorough nursing assessment for a patient with dengue fever is essential for identifying symptoms, monitoring progression, and implementing appropriate interventions to manage the illness effectively. […] These nursing diagnoses provide a structured approach for managing the patients symptoms, preventing complications, and educating both the patient and family. […] They guide the nursing interventions needed to support recovery and ensure patient safety throughout the course of the illness. […] This comprehensive nursing assessment provides a foundation for developing a care plan that addresses the patients hydration, pain management, and monitoring for potential complications. Regular assessments allow for timely interventions, supporting recovery and preventing the progression of severe symptoms.

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

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

  Dengue fever nursing care plan helps in identifying symptoms early, providing proper hydration, and managing any complications that may arise. […] Nursing care for patients with Dengue varies depending on the stage of the disease progression they are currently on. The priority of assessment falls on determining whether the patient has been displaying signs and symptoms of bleeding and whether there is a need to rehydrate the patient or start blood transfusions. […] The following nursing diagnoses were more commonly seen among patients with Dengue: Hyperthermia, Risk for Bleeding, Risk For/Deficient fluid volume, Nutritional imbalance: less than body requirements, Risk for hypovolemic shock, Risk for impaired tissue perfusion, Anxiety, Knowledge deficit. […] 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.

• #55 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. […] Prophylactic platelet transfusions in dengue patients are not beneficial and may contribute to fluid overload.

• #56 Dengue fever – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dengue-fever/diagnosis-treatment/drc-20353084

  Diagnosing dengue fever can be difficult because its signs and symptoms can be easily confused with those of other diseases such as chikungunya, Zika virus, malaria and typhoid fever. […] Your doctor may also draw a sample of blood to be tested in a lab for evidence of infection with one of the dengue viruses. […] No specific treatment for dengue fever exists. […] While recovering from dengue fever, drink plenty of fluids. […] The over-the-counter (OTC) drug acetaminophen (Tylenol, others) can help reduce muscle pain and fever. […] But if you have dengue fever, you should avoid other OTC pain relievers, including aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] If you have severe dengue fever, you may need: […] Supportive care in a hospital […] Intravenous (IV) fluid and electrolyte replacement […] Blood pressure monitoring […] Transfusion to replace blood loss. […] For dengue fever, some basic questions to ask your doctor include: […] What treatments are available? […] Be prepared to answer questions from your doctor, such as: […] Were you bitten by mosquitoes while traveling?

• #57

  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.

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

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

  Dengue fever nursing care plan helps in identifying symptoms early, providing proper hydration, and managing any complications that may arise. […] Nursing care for patients with Dengue varies depending on the stage of the disease progression they are currently on. The priority of assessment falls on determining whether the patient has been displaying signs and symptoms of bleeding and whether there is a need to rehydrate the patient or start blood transfusions. […] The following nursing diagnoses were more commonly seen among patients with Dengue: Hyperthermia, Risk for Bleeding, Risk For/Deficient fluid volume, Nutritional imbalance: less than body requirements, Risk for hypovolemic shock, Risk for impaired tissue perfusion, Anxiety, Knowledge deficit. […] 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.

• #59 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.

• #60 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. […] 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.

• #61 Dengue Fever Nursing Management

  https://rnspeak.com/dengue-fever-nursing-management/

  Use of Tourniquet test (Rumpel Leade test) to detect petechial hemorrhage […] Health education on the prevention of hemorrhage may include: […] Avoidance of dark-colored foods and liquids […] The client is encouraged to prevent from using sharp- bristled toothbrushes, instead advised to gargle with saline solution […] Clients are educated not to use hot liquids for the alleviation of chills etc. […] Avoidance of sharp objects like razors are emphasized on adults […] The use of ASPIRIN is strictly prohibited. […] 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 […] The client is usually placed in dorsal recumbent position. […] Hourly monitoring noting for narrowing pulse pressure, a sudden drop in temperature, decreased blood pressure and pulse rate, and other signs of deterioration. […] Administration of blood products and monitoring clients for signs of adverse reactions. […] Strict monitoring of fluid intake and output […] Immediate referral for any change in the clients status and proper documentation of procedures given.

• #62 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: 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.

• #63 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. […] 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.

• #64 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.

• #65 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. 8. Recognize the importance of proper management 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.

• #66 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: 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.

• #67 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Educating patients and caregivers about the importance of hydration, signs of severe dengue, and when to seek immediate medical attention. […] […] – Providing information on preventive measures to avoid mosquito bites and reduce the spread of the virus. […] […] – Encouraging small, frequent meals to maintain nutritional status and energy levels. […] […] – Monitoring for signs of gastrointestinal bleeding and providing appropriate dietary modifications. […] […] – Offering emotional support to patients and families to alleviate anxiety and stress related to the illness. […] […] – Collaborating with other healthcare professionals to ensure comprehensive care. […] […] – Implementing and updating the care plan based on the patient’s evolving condition and response to treatment. […]

• #68 What Precautions Should Be Taken After Dengue Fever?

  https://www.sriramakrishnahospital.com/blog/general-medicine/what-precautions-should-be-taken-after-dengue-fever/

  Recovering from dengue can be a draining process as it completely affects your energy levels and it requires a little bit of extra effort to regain the energy. […] During dengue fever, the body loses fluids because of the high fever and sweating. Even after you start feeling better, it’s important to stay hydrated. Drink lots of water, oral rehydration solutions, and clear soups to replace the lost fluids. Dehydration can cause complications, so make sure you drink enough fluids. […] A balanced diet with essential nutrients is crucial for regaining strength. Eat plenty of fruits, vegetables, lean proteins, and whole grains, as these foods are high in vitamins and minerals. They will help restore your energy and strengthen your immune system. […] Dengue fever can make you feel weak and tired. Make sure to give your body plenty of rest to recover completely. Aim for 7-8 hours of good-quality sleep each night and avoid heavy physical activity until you’re feeling stronger.

• #69 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: 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.

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

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

  Dengue fever nursing care plan helps in identifying symptoms early, providing proper hydration, and managing any complications that may arise. […] Nursing care for patients with Dengue varies depending on the stage of the disease progression they are currently on. The priority of assessment falls on determining whether the patient has been displaying signs and symptoms of bleeding and whether there is a need to rehydrate the patient or start blood transfusions. […] The following nursing diagnoses were more commonly seen among patients with Dengue: Hyperthermia, Risk for Bleeding, Risk For/Deficient fluid volume, Nutritional imbalance: less than body requirements, Risk for hypovolemic shock, Risk for impaired tissue perfusion, Anxiety, Knowledge deficit. […] 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.

• #71 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. […] Prophylactic platelet transfusions in dengue patients are not beneficial and may contribute to fluid overload.

• #72 Dengue fever – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dengue-fever/diagnosis-treatment/drc-20353084

  Diagnosing dengue fever can be difficult because its signs and symptoms can be easily confused with those of other diseases such as chikungunya, Zika virus, malaria and typhoid fever. […] Your doctor may also draw a sample of blood to be tested in a lab for evidence of infection with one of the dengue viruses. […] No specific treatment for dengue fever exists. […] While recovering from dengue fever, drink plenty of fluids. […] The over-the-counter (OTC) drug acetaminophen (Tylenol, others) can help reduce muscle pain and fever. […] But if you have dengue fever, you should avoid other OTC pain relievers, including aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] If you have severe dengue fever, you may need: […] Supportive care in a hospital […] Intravenous (IV) fluid and electrolyte replacement […] Blood pressure monitoring […] Transfusion to replace blood loss. […] For dengue fever, some basic questions to ask your doctor include: […] What treatments are available? […] Be prepared to answer questions from your doctor, such as: […] Were you bitten by mosquitoes while traveling?

• #73 Dengue | MSF Medical Guidelines

  https://medicalguidelines.msf.org/en/viewport/CG/english/dengue-16690007.html

  Dengue Nursing, Care […] Patients in Group A (outpatients) […] Patients in Group B (inpatients) […] In all cases: Place the patient under a mosquito net; encourage oral fluid intake (including oral rehydration solution (ORS) if needed). […] If poor oral intake: Place an intravenous line and administer: […] If warning signs: Monitor clinical status (warning signs, general symptoms, vital signs, capillary refill time), IV and oral fluid intake, urine output, hourly for at least 4 hours, then every 4 hours while the patient is on IV fluid treatment. […] Patients in Group C (intensive care unit) […]

• #74

  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.

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

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

  It’s worrying news. And experts say the next month could have the most new cases once monsoon season reaches its peak. […] But dengue can be prevented and there are things you can do to keep your children safe. […] Not everyone who gets dengue will become seriously unwell and the most serious impacts of dengue can be addressed with swift medical care — so, it’s important to know what dengue symptoms to look out for and when to seek medical attention. […] If you, or your child, have any symptoms of dengue, seek medical attention and do as advised. […] Most people with mild dengue infections can be treated at home with pain medicine, like paracetamol, and won’t need medical intervention. […] If you, or your child, are diagnosed with mild dengue: Rest. Drink lots of water, to stay hydrated. Eat nutritious food. You can take paracetamol to help with pain and fever, as recommended by your health professional. Sponge the skin with cool water to reduce fever. Avoid non-steroidal anti-inflammatory drugs, like ibuprofen and aspirin, as they can increase the risk of bleeding. Watch for severe symptoms and contact your doctor as soon as possible if you notice any.

• #76

  https://www.ttsh.com.sg/Patients-and-Visitors/Pages/Find-Conditions-and-Treatments-Details.aspx?condition=Dengue+Fever-What-You-Need-To-Know-Inpatient

  Dengue fever is a disease caused by the dengue virus which is transmitted to humans by infected Aedes mosquitoes. There are 4 dengue virus serotypes (i.e. groups of the same species) DEN-1, DEN-2, DEN-3 and DEN-4. Dengue fever usually lasts between 2 to 7 days. Most people recover from dengue infection without requiring hospital admission. […] If you develop any of these warning signs, please inform our doctors IMMEDIATELY: Severe abdominal pain, Persistent vomiting, Vomiting blood, Black and tarry stools, Bleeding from nose or gums, Drowsiness or irritability, Pale, cold, or clammy (i.e. sweaty) skin, Difficulty breathing. […] Treatment includes rest and close follow-up with a doctor to monitor your condition. The main components to managing dengue fever are: Fluid Electrolyte Replacement, Symptom Relief Fever Control, Bleeding Prevention Control.

• #77 Dengue | MSF Medical Guidelines

  https://medicalguidelines.msf.org/en/viewport/CG/english/dengue-16690007.html

  Dengue Nursing, Care […] Patients in Group A (outpatients) […] Patients in Group B (inpatients) […] In all cases: Place the patient under a mosquito net; encourage oral fluid intake (including oral rehydration solution (ORS) if needed). […] If poor oral intake: Place an intravenous line and administer: […] If warning signs: Monitor clinical status (warning signs, general symptoms, vital signs, capillary refill time), IV and oral fluid intake, urine output, hourly for at least 4 hours, then every 4 hours while the patient is on IV fluid treatment. […] Patients in Group C (intensive care unit) […]

• #78 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. […] Prophylactic platelet transfusions in dengue patients are not beneficial and may contribute to fluid overload.

• #79 Dengue fever – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/dengue-fever/diagnosis-treatment/drc-20353084

  Diagnosing dengue fever can be difficult because its signs and symptoms can be easily confused with those of other diseases such as chikungunya, Zika virus, malaria and typhoid fever. […] Your doctor may also draw a sample of blood to be tested in a lab for evidence of infection with one of the dengue viruses. […] No specific treatment for dengue fever exists. […] While recovering from dengue fever, drink plenty of fluids. […] The over-the-counter (OTC) drug acetaminophen (Tylenol, others) can help reduce muscle pain and fever. […] But if you have dengue fever, you should avoid other OTC pain relievers, including aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve). […] If you have severe dengue fever, you may need: […] Supportive care in a hospital […] Intravenous (IV) fluid and electrolyte replacement […] Blood pressure monitoring […] Transfusion to replace blood loss. […] For dengue fever, some basic questions to ask your doctor include: […] What treatments are available? […] Be prepared to answer questions from your doctor, such as: […] Were you bitten by mosquitoes while traveling?

• #80 Dengue | MSF Medical Guidelines

  https://medicalguidelines.msf.org/en/viewport/CG/english/dengue-16690007.html

  Dengue Nursing, Care […] Patients in Group A (outpatients) […] Patients in Group B (inpatients) […] In all cases: Place the patient under a mosquito net; encourage oral fluid intake (including oral rehydration solution (ORS) if needed). […] If poor oral intake: Place an intravenous line and administer: […] If warning signs: Monitor clinical status (warning signs, general symptoms, vital signs, capillary refill time), IV and oral fluid intake, urine output, hourly for at least 4 hours, then every 4 hours while the patient is on IV fluid treatment. […] Patients in Group C (intensive care unit) […]

• #81 CLINICAL MANAGEMENT AND DELIVERY OF CLINICAL SERVICES – Dengue – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK143161/

  In the detection and management of dengue, a range of resources is needed to deliver good clinical services at all levels. Resources include trained doctors and nurses. […] To ensure the presence of adequate staffing at all levels, the education and training of doctors, nurses, auxiliary health care workers and laboratory staff are priorities. […] In dengue-endemic countries, the knowledge of dengue, the vectors and transmission of disease should be incorporated into the school curriculum. […] The action plan for treating patients with compensated shock is as follows: Start intravenous fluid resuscitation with isotonic crystalloid solutions at 510 ml/kg/hour over one hour. […] The action plan for treating patients with hypotensive shock is as follows: Initiate intravenous fluid resuscitation with crystalloid or colloid solution (if available) at 20 ml/kg as a bolus given over 15 minutes to bring the patient out of shock as quickly as possible.

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

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

  Successful management of severe dengue requires careful attention to fluid management and proactive treatment of hemorrhage. Admission to an intensive care unit is indicated for patients with dengue shock syndrome. […] Bed rest is recommended for patients with symptomatic dengue fever, dengue hemorrhagic fever, or dengue shock syndrome. Permit the patient to gradually resume their previous activities, especially during the long period of convalescence. […] Pregnant individuals with dengue generally respond well to standard treatments, including fluids, rest, and antipyretics. Early recognition of dengue’s clinical and laboratory manifestations is crucial for timely intervention. Additionally, if a pregnant patient contracts the virus during the peripartum period, newborns should undergo evaluation through serial platelet counts and serologic studies to monitor for dengue infection. This emphasizes the need for increased awareness and preventive measures for pregnant individuals at risk for dengue.

• #83 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. […] You can do this by taking steps to avoid mosquito bites (especially during the day and around dawn and dusk) and reducing mosquito breeding sites around where you and your family live, work and study. […] 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.

• #84 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Educating patients and caregivers about the importance of hydration, signs of severe dengue, and when to seek immediate medical attention. […] […] – Providing information on preventive measures to avoid mosquito bites and reduce the spread of the virus. […] […] – Encouraging small, frequent meals to maintain nutritional status and energy levels. […] […] – Monitoring for signs of gastrointestinal bleeding and providing appropriate dietary modifications. […] […] – Offering emotional support to patients and families to alleviate anxiety and stress related to the illness. […] […] – Collaborating with other healthcare professionals to ensure comprehensive care. […] […] – Implementing and updating the care plan based on the patient’s evolving condition and response to treatment. […]

• #85 Dengue – Community Health

  https://www.chcrr.org/health-topic/dengue/

  There is a vaccine to prevent dengue. It is approved for children ages 9 – 16 who have previously had dengue and live in areas where dengue is common. […] 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.

• #86 Find the Repellent that is Right for You | US EPA

  https://www.epa.gov/insect-repellents/find-repellent-right-you

  Learn about using repellent products to protect against mosquito-borne illnesses (e.g., Zika, Dengue, West Nile Virus). […] For the safe and effective use of pesticide products, always read the product label before using the product. More about safe use of repellents.

• #87 Dengue – Community Health

  https://www.chcrr.org/health-topic/dengue/

  There is a vaccine to prevent dengue. It is approved for children ages 9 – 16 who have previously had dengue and live in areas where dengue is common. […] 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.

• #88 Dengue – Community Health

  https://www.chcrr.org/health-topic/dengue/

  There is a vaccine to prevent dengue. It is approved for children ages 9 – 16 who have previously had dengue and live in areas where dengue is common. […] 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.

• #89 DOH confirms 8th case of travel-related dengue in 2025

  https://spectrumlocalnews.com/hi/hawaii/news/2025/05/02/8th-case-of-travel-related-dengue-in-2025

  This is the 8th confirmed travel-related dengue case in 2025. […] Symptoms can be mild or severe and typically include fever, nausea, vomiting, rash and body aches that usually last two to seven days. […] Dengue symptoms may include fever, nausea, vomiting, rash and body aches. Severe symptoms are more likely in someone who has been previously infected with dengue. Most people recover in about a week, per the Hawaii DOH. […] If anyone has recently traveled to an area where dengue is common and is experiencing these symptoms, the Hawaii DOH urges them to contact their health care provider. […] The Hawaii DOHs Vector Control Branch inspects areas with confirmed dengue cases and takes mosquito-reducing action to lessen the chances of dengue being transmitted to others in the area. […] The state agency also asked the community to help reduce the risk for local transmission. Mosquitoes only need small amounts of standing water to breed, so it’s good practice to get rid of water in buckets, water-catching plants such as bromeliads, small containers, planters, rain barrels, and cups left outside.

• #90 Dengue | MSF Medical Guidelines

  https://medicalguidelines.msf.org/en/viewport/CG/english/dengue-16690007.html

  Dengue Nursing, Care […] Patients in Group A (outpatients) […] Patients in Group B (inpatients) […] In all cases: Place the patient under a mosquito net; encourage oral fluid intake (including oral rehydration solution (ORS) if needed). […] If poor oral intake: Place an intravenous line and administer: […] If warning signs: Monitor clinical status (warning signs, general symptoms, vital signs, capillary refill time), IV and oral fluid intake, urine output, hourly for at least 4 hours, then every 4 hours while the patient is on IV fluid treatment. […] Patients in Group C (intensive care unit) […]

• #91 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Educating patients and caregivers about the importance of hydration, signs of severe dengue, and when to seek immediate medical attention. […] […] – Providing information on preventive measures to avoid mosquito bites and reduce the spread of the virus. […] […] – Encouraging small, frequent meals to maintain nutritional status and energy levels. […] […] – Monitoring for signs of gastrointestinal bleeding and providing appropriate dietary modifications. […] […] – Offering emotional support to patients and families to alleviate anxiety and stress related to the illness. […] […] – Collaborating with other healthcare professionals to ensure comprehensive care. […] […] – Implementing and updating the care plan based on the patient’s evolving condition and response to treatment. […]

• #92 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Daily assessments to track changes in symptoms and vital signs. […] […] – Educate patients and their families about the importance of hydration, recognizing warning signs, and avoiding NSAIDs. […] […] – Provide emotional support and reassurance. […] […] – Document all findings and interventions accurately. […] […] – Communicate any changes in the patient’s condition promptly to the healthcare team.

• #93 What Precautions Should Be Taken After Dengue Fever?

  https://www.sriramakrishnahospital.com/blog/general-medicine/what-precautions-should-be-taken-after-dengue-fever/

  Recovering from dengue can be a draining process as it completely affects your energy levels and it requires a little bit of extra effort to regain the energy. […] During dengue fever, the body loses fluids because of the high fever and sweating. Even after you start feeling better, it’s important to stay hydrated. Drink lots of water, oral rehydration solutions, and clear soups to replace the lost fluids. Dehydration can cause complications, so make sure you drink enough fluids. […] A balanced diet with essential nutrients is crucial for regaining strength. Eat plenty of fruits, vegetables, lean proteins, and whole grains, as these foods are high in vitamins and minerals. They will help restore your energy and strengthen your immune system. […] Dengue fever can make you feel weak and tired. Make sure to give your body plenty of rest to recover completely. Aim for 7-8 hours of good-quality sleep each night and avoid heavy physical activity until you’re feeling stronger.

• #94 What Precautions Should Be Taken After Dengue Fever?

  https://www.sriramakrishnahospital.com/blog/general-medicine/what-precautions-should-be-taken-after-dengue-fever/

  After dengue, it’s important to keep a close eye on your health. Regular checkups with your doctor can help spot any ongoing issues or complications. They can also let you know when it’s safe to go back to your usual activities. […] It’s important to stay active, but don’t push yourself too hard too soon. Gradually return to your daily routine and exercise. Check with your doctor before starting any intense physical activities. […] Recovering from dengue can be emotionally tough, and some people might experience stress or anxiety. If you’re struggling with these feelings, don’t hesitate to reach out for support from friends, family, or a mental health professional. […] Even after you’ve recovered, keep track of your platelet count as it might take a while to return to normal. If you notice any unusual symptoms, like bleeding or bruising, consult your doctor. […] To avoid infections while you recover, practice good hygiene. Wash your hands regularly, especially before eating, and keep your home clean.

• #95

  https://www.kkh.com.sg/patient-care/conditions-treatments/dengue-fever

  Admission and treatment in high dependency or intensive care unit for artificial ventilation, blood pressure support and other measures may be necessary for patients who are critically ill. […] Current hospital guidelines allow children who are well and have a rising platelet trend or platelet above 80,000 to be discharged. For adults, our doctors will assess each patient and advice on suitability for discharge. After discharge, a repeat blood test (details included with discharge letter) should be done as and when instructed by your medical team. A further week of rest at home with no strenuous physical activities may be advised as some patients may feel very tired.

• #96 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.

• #97 75 Percent of Dengue Fever Cases Occur in Ages 5-44 Years – Life En.tempo.co

  https://en.tempo.co/read/2002024/75-percent-of-dengue-fever-cases-occur-in-ages-5-44-years

  Head of the Infection and Tropical Disease Division/Department of Child Health, Hasan Sadikin General Hospital, Anggraini Alam, explained that children have the highest risk of experiencing severe Dengue Hemorrhagic Fever (DHF) and death. […] „About 75 percent of dengue cases occur in the 5-44 age group with the highest death rate of 40 percent occurring in children aged 5-14 years. The imperfect immune system in children is the main factor increasing the risk of contracting DHF,” she said in a press release received by Tempo on April 28, 2025. […] The high risk of death due to DHF in children is a serious concern for parents to increase vigilance and take preventive measures as early as possible. […] She also added that her team has a responsibility to educate the public, especially mothers, to always be ready to protect their children from dengue virus-carrying mosquito attacks. […] „We believe that education and real action are the key to preventing DHF. Through this campaign, we hope that parents can be more active in maintaining environmental cleanliness with 3M Plus and protecting their children from mosquito dangers,” said Winny Yunitawati.

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

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

  It’s worrying news. And experts say the next month could have the most new cases once monsoon season reaches its peak. […] But dengue can be prevented and there are things you can do to keep your children safe. […] Not everyone who gets dengue will become seriously unwell and the most serious impacts of dengue can be addressed with swift medical care — so, it’s important to know what dengue symptoms to look out for and when to seek medical attention. […] If you, or your child, have any symptoms of dengue, seek medical attention and do as advised. […] Most people with mild dengue infections can be treated at home with pain medicine, like paracetamol, and won’t need medical intervention. […] If you, or your child, are diagnosed with mild dengue: Rest. Drink lots of water, to stay hydrated. Eat nutritious food. You can take paracetamol to help with pain and fever, as recommended by your health professional. Sponge the skin with cool water to reduce fever. Avoid non-steroidal anti-inflammatory drugs, like ibuprofen and aspirin, as they can increase the risk of bleeding. Watch for severe symptoms and contact your doctor as soon as possible if you notice any.

• #99 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.

• #100 Clinical Care of Dengue | Dengue | CDC

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

  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.

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

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

  Successful management of severe dengue requires careful attention to fluid management and proactive treatment of hemorrhage. Admission to an intensive care unit is indicated for patients with dengue shock syndrome. […] Bed rest is recommended for patients with symptomatic dengue fever, dengue hemorrhagic fever, or dengue shock syndrome. Permit the patient to gradually resume their previous activities, especially during the long period of convalescence. […] Pregnant individuals with dengue generally respond well to standard treatments, including fluids, rest, and antipyretics. Early recognition of dengue’s clinical and laboratory manifestations is crucial for timely intervention. Additionally, if a pregnant patient contracts the virus during the peripartum period, newborns should undergo evaluation through serial platelet counts and serologic studies to monitor for dengue infection. This emphasizes the need for increased awareness and preventive measures for pregnant individuals at risk for dengue.

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

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

  Successful management of severe dengue requires careful attention to fluid management and proactive treatment of hemorrhage. Admission to an intensive care unit is indicated for patients with dengue shock syndrome. […] Bed rest is recommended for patients with symptomatic dengue fever, dengue hemorrhagic fever, or dengue shock syndrome. Permit the patient to gradually resume their previous activities, especially during the long period of convalescence. […] Pregnant individuals with dengue generally respond well to standard treatments, including fluids, rest, and antipyretics. Early recognition of dengue’s clinical and laboratory manifestations is crucial for timely intervention. Additionally, if a pregnant patient contracts the virus during the peripartum period, newborns should undergo evaluation through serial platelet counts and serologic studies to monitor for dengue infection. This emphasizes the need for increased awareness and preventive measures for pregnant individuals at risk for dengue.

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

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

  Successful management of severe dengue requires careful attention to fluid management and proactive treatment of hemorrhage. Admission to an intensive care unit is indicated for patients with dengue shock syndrome. […] Bed rest is recommended for patients with symptomatic dengue fever, dengue hemorrhagic fever, or dengue shock syndrome. Permit the patient to gradually resume their previous activities, especially during the long period of convalescence. […] Pregnant individuals with dengue generally respond well to standard treatments, including fluids, rest, and antipyretics. Early recognition of dengue’s clinical and laboratory manifestations is crucial for timely intervention. Additionally, if a pregnant patient contracts the virus during the peripartum period, newborns should undergo evaluation through serial platelet counts and serologic studies to monitor for dengue infection. This emphasizes the need for increased awareness and preventive measures for pregnant individuals at risk for dengue.

• #104 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/

  Objective: This study aims to evaluate the effectiveness of a nursing educational intervention for dengue control. […] 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 objective of this study is to evaluate the effect of a nursing educational intervention to promote dengue control behaviors. […] 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.

• #105 Dengue Fever: What Nurses Need to Know Now – AJN Off the Charts

  https://ajnoffthecharts.com/dengue-fever-what-nurses-need-to-know-now/

  Nurses in every specialty, but especially those who prepare individuals and families for international travel, will want to know about this latest dengue surge. All U.S. nurses will want to know how to triage, manage, and follow-up these patients to prevent local outbreaks and life-threatening complications. […] Most cases of dengue are diagnosed clinically, although the CDC now encourages diagnostic testing with RT-PCR and rapid public health reporting. There is no definitive treatment. Outpatient care consists of hydration and symptomatic relief for pain and fever; aspirin and NSAIDS must be avoided to prevent bleeding. Most patients fully recover within a week; however, a small percentage (1-5%) can go on to experience what is known as severe dengue. Patients with dengue need to be carefully monitored and instructed to report signs of worsening disease or bleeding. Severe dengue requires hospitalization as a life-threatening emergency characterized by symptoms of shock, severe bleeding, respiratory distress, or organ damage.

• #106 CONTROL OF DENGUE FEVER: THE ROLE OF NURSES | Journal of Population Therapeutics and Clinical Pharmacology

  https://jptcp.com/index.php/jptcp/article/view/4528

  Due fever is a significant public health concern, particularly in tropical and subtropical regions around the world. […] This essay explores the role of nurses in the control and management of dengue fever, focusing on the importance of medication in treatment strategies. […] The essay concludes with a discussion on the challenges and opportunities for improving dengue fever control, emphasizing the crucial role of nurses and medication in the overall management of the disease.

• #107 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/

  Objective: This study aims to evaluate the effectiveness of a nursing educational intervention for dengue control. […] 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 objective of this study is to evaluate the effect of a nursing educational intervention to promote dengue control behaviors. […] 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.

• #108 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 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.

• #109 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.

• #110 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Daily assessments to track changes in symptoms and vital signs. […] […] – Educate patients and their families about the importance of hydration, recognizing warning signs, and avoiding NSAIDs. […] […] – Provide emotional support and reassurance. […] […] – Document all findings and interventions accurately. […] […] – Communicate any changes in the patient’s condition promptly to the healthcare team.

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

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

  The patient will experience relief from discomfort within [timeframe]. […] The patient will maintain adequate fluid volume as evidenced by stable vital signs, improved urine output, and moist mucous membranes. […] The patient will demonstrate an understanding of dengue fever prevention measures and self-care management before discharge. […] Regularly document the patients vital signs, fluid balance, pain assessments, interventions provided, and the patients response to treatment.

• #112 NURSING CARE PLAN FOR DENGUE FEVER

  https://blog.senocare.in/nursing-care-plan-for-dengue-fever-clz8qzatc001cdrm2s36qxunp/

  – Daily assessments to track changes in symptoms and vital signs. […] […] – Educate patients and their families about the importance of hydration, recognizing warning signs, and avoiding NSAIDs. […] […] – Provide emotional support and reassurance. […] […] – Document all findings and interventions accurately. […] […] – Communicate any changes in the patient’s condition promptly to the healthcare team.

• #113 Why south-east Asia must lead the fight against neglected tropical diseases

  https://theconversation.com/why-south-east-asia-must-lead-the-fight-against-neglected-tropical-diseases-255640

  While vaccines are available, their use is limited by strict eligibility criteria based on age, infection history and local disease patterns. This leaves many people without protection. […] Whats urgently needed are more effective, affordable and widely accessible vaccines. But vaccines alone wont solve the problem. Combatting dengue and other NTDs requires an integrated strategy, particularly in poor countries with limited health infrastructure. […] To stop the spread of diseases like dengue, its not enough to just treat people or use vaccines. You also need to control the insects that carry and spread the disease in this case, mosquitoes. […] That includes actions like removing standing water where mosquitoes breed, using insecticides, or installing window screens and bed nets. These steps are essential to reducing infection rates and protecting communities. These interventions, driven by local action, are just as essential as biomedical advances. Together, they build a more sustainable and resilient defence against mosquito-borne diseases.

• #114 Dengue – Community Health

  https://www.chcrr.org/health-topic/dengue/

  There is a vaccine to prevent dengue. It is approved for children ages 9 – 16 who have previously had dengue and live in areas where dengue is common. […] 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.

• #115 Why south-east Asia must lead the fight against neglected tropical diseases

  https://theconversation.com/why-south-east-asia-must-lead-the-fight-against-neglected-tropical-diseases-255640

  While vaccines are available, their use is limited by strict eligibility criteria based on age, infection history and local disease patterns. This leaves many people without protection. […] Whats urgently needed are more effective, affordable and widely accessible vaccines. But vaccines alone wont solve the problem. Combatting dengue and other NTDs requires an integrated strategy, particularly in poor countries with limited health infrastructure. […] To stop the spread of diseases like dengue, its not enough to just treat people or use vaccines. You also need to control the insects that carry and spread the disease in this case, mosquitoes. […] That includes actions like removing standing water where mosquitoes breed, using insecticides, or installing window screens and bed nets. These steps are essential to reducing infection rates and protecting communities. These interventions, driven by local action, are just as essential as biomedical advances. Together, they build a more sustainable and resilient defence against mosquito-borne diseases.

• #116 Dengue: guidelines for patient care in the Region of the Americas. 2. ed.

  https://iris.paho.org/handle/10665.2/31207

  Dengue: guidelines for patient care in the Region of the Americas. 2. ed. […] The Organization considers patient care to be a vital component and has made it a priority. […] Implementation of the first edition in the Americas was followed by extensive training of health care workers, specifically on timely diagnosis, classification, and case management, with an emphasis on primary care. […] This second edition of Dengue: guidelines for patient care in the Region of the Americas includes information on the clinical manifestations of the disease, care and treatment, epidemiological surveillance, and laboratory diagnosis. […] Therefore, it is essential to ensure accurate and timely diagnosis of dengue cases, as well as adequate clinical monitoring. […] These guidelines an essential tool for health care workers to correctly manage the dengue cases that appear daily in our countries seek to prevent the progression to the severe forms of dengue and deaths caused by the disease.

• #117 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.

• #118 Dengue: guidelines for patient care in the Region of the Americas. 2. ed.

  https://iris.paho.org/handle/10665.2/31207

  Dengue: guidelines for patient care in the Region of the Americas. 2. ed. […] The Organization considers patient care to be a vital component and has made it a priority. […] Implementation of the first edition in the Americas was followed by extensive training of health care workers, specifically on timely diagnosis, classification, and case management, with an emphasis on primary care. […] This second edition of Dengue: guidelines for patient care in the Region of the Americas includes information on the clinical manifestations of the disease, care and treatment, epidemiological surveillance, and laboratory diagnosis. […] Therefore, it is essential to ensure accurate and timely diagnosis of dengue cases, as well as adequate clinical monitoring. […] These guidelines an essential tool for health care workers to correctly manage the dengue cases that appear daily in our countries seek to prevent the progression to the severe forms of dengue and deaths caused by the disease.

• #119 Dengue Fever: Caution, Prevention, Severity Risks Reduction | Bangkok Hospital Headquarter

  https://www.bangkokhospital.com/en/bangkok/content/prevention-of-dengue-fever

  Every year, during the rainy season, we must be alert to the spread of dengue fever, as it becomes viral rapidly with the increased number of mosquitoes the diseases carrier. Dengue fever can be fatal, so it is not surprising that a significant number of people die from it. Thus, knowing about the disease and its prevention, together with effective vaccination, will reduce the risk and severity of the disease. […] There is no specific medication to directly cure dengue fever. Only the symptoms and their severity are treated. The sooner it is detected and identified, the quicker the conditions are managed especially in a healthy person thus, preventing fatality. […] To prevent dengue fever is to avoid being bitten by a mosquito: wear clothing that covers the body as much as possible, apply lotion or mosquito repellent sprays, take steps to remove mosquitos breeding grounds maintaining tidiness around the house, covering all water containers, changing water in vases and pots every 7 days. Prevention also includes getting vaccination as recommended by the doctor.

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