Dengue Hemorrhagic Fever

Question 1

It is also known as

breakbone fever (due to the severity of muscle spasms and joint pain)
dandy fever, or
seven-day fever (because of the usual duration of symptoms)

Answer 1

DENGUE HEMORRHAGIC FEVER

Question 2

6 CAUSATIVE AGENTS of DHF

Answer 2

Chikunggunya (CHIKV)
Onyong-yong (ONNV)
Dengue virus 1,2,3,4

Question 3

INCUBATION PERIOD: ?__?

Answer 3

6-7 DAYS

Question 4

DHF MODE OF TRANSMISSION

Answer 4

MOSQUITO BITE

Question 5

DHF Peak months:

Answer 5

SEPT- OCT

Question 6

DHF SOURCE OF INFECTION?

tip: scientific name

Answer 6

FEMALE AEDES AEGYPTI

Mosquito: The Aedes aegypti mosquito is the main VECTOR that transmits the virus that causes dengue.

Question 7

DHF: CHARACTERISTICS OF THE FEMALE
MOSQUITO

tip: DLSU

Answer 7

D- AY BITING
L-LOW FLYING
S-STAGNANT
U- URBAN

Question 8

DHF DIAGNOSTIC TEST-

Answer 8

TOURNIQUET TEST/
RUMPEL LEED’S TEST

Question 9

1 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

Answer 9

1.Get patient’s BP

Question 10

2 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

Answer 10

2. Inflate BP cuff midway between SBP and DBP and wait
   for 5 minutes

Question 11

3 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

Answer 11

3. Deflate BP cuff and make an imaginary box 2.5 cm square or 1-inch square below the antecubital fossa

Question 12

4 PROCEDURE OF TOURNIQUET TEST/

RUMPEL LEADS TEST

Answer 12

4. Count the number of petechiae.
   (20 or more petechiae is + tourniquet test

Question 13

2 OTHER DX TESTS

Answer 13

-Platelet count
-Serologic test: (IgM)

Question 14

3 STAGES of Dengue Fever

Answer 14

I. Febrile or invasive stage
II. Toxic or hemorrhagic stage
III. Convalescent or recovery stage

Question 15

-First four days
– High fever, abdominal pain and
headache
– Flushing and vomiting, conjunctival
infection, epistaxis

Answer 15

3 STAGES of Dengue Fever:
I. Febrile or invasive stage

Question 16

– 4th-7th days
– Decreasing temperature, severe
abdominal pain, vomiting and frequent
bleeding from GIT (melena or
hematemesis)
– Unstable BP, narrow PR, shock
– death

Answer 16

3 STAGES of Dengue Fever:
II. Toxic or hemorrhagic stage

Question 17

– 7th-10th day
– Generalized flushing
– Appetite regained
-BP stable

Answer 17

3 STAGES of Dengue Fever:
III. Convalescent or recovery stage

Question 18

Among 4 grades, what GRADE of DHF is presented below?

Fever
(+) TT
abdominal pain

Answer 18

Grade I

Question 19

Among 4 grades, what GRADE of DHF is presented below?

– Spontaneous bleeding
– Gum bleeding, epistaxis, rashes,
petechiae

Answer 19

Grade II

Question 20

Among 4 grades, what GRADE of DHF is presented below?

– Circulatory failure
– Weak and thready pulse, narrow PP,
hypotension, restlessness

Answer 20

Grade III

Question 21

Among 4 grades, what GRADE of DHF is presented below?

– Profound shock with
undetectable P and BP

Answer 21

Grade IV

Question 22

First 3 Goals of NCP for patient with DHF

Answer 22

1. Be free of signs of bleeding.
2. Display laboratory results within normal range for
   individuals.
3. Maintain fluid volume at a functional level.

Question 23

4th -6th Goals of NCP for patient with DHF

Answer 23

4. Report pain is relieved or controlled.
5. Follow prescribed pharmacologic regimen.
6. Demonstrate adequate tissue perfusion.

Question 24

7th-8th Goals of NCP for patient with DHF

Answer 24

7. Display hemodynamic stability.
8. Be afebrile and free from other signs of infection.

Question 25

DHF NURSING MANAGEMENTS A- I- T- M- D- C-

Answer 25

-Assess for s/s of bleeding -Ice packs -TSB and increase fluid intake -Monitor vital signs -Diet: vitamin c, avoid-dark colored foods -Calamine lotion

Question 26

Diet for DHF

Answer 26

Diet: vitamin c= boost immune system avoid-dark colored foods= prevent in masking the s/sx of bleeding

Question 27

MEDICAL MANAGEMENT Vascular access. Maintain patency of vascular access for __ or __ as indicated.

Answer 27

Vascular access. Maintain patency of vascular access for fluid administration or blood replacement as indicated.

Question 28

ORESOL solution? ? tsp salt + ? tsp sugar+ 1L water

Answer 28

homemade ORESOL solution composed of 1 teaspoon of salt+ 4 or 6 teaspoons of sugar mix to 1liter of water.

Question 29

MEDICAL MANAGEMENT - Paracetamol for Fever: - Codeine: ___ and for ____? - No Aspirin!– bleeding tendencies

Answer 29

Severe headaches and for myalgia-

Question 30

DHF MEDICAL MANAGEMENT Blood pressure monitoring: Measure blood pressure as indicated. Monitoring pain. Note client report of pain in specific areas, whether pain is ____, ______, or _______.

Answer 30

Note client report of pain in specific areas, whether pain is increasing, diffused, or localized.

Question 31

Medication regimen. There must be a periodic review of the medication regimen of the client to identify medications that might exacerbate bleeding problems. Fluid replacement. Establish __-hour fluid replacement needs.

Answer 31

Establish 24-hour fluid replacement needs.

Question 32

How manage nose bleeds on DHF?

Answer 32

Elevate position of the patient and apply ice bag to the bridge of the nose and to the forehead.

Question 33

Place the patient in ____ position to restore blood volume to the head.

Answer 33

Trendelenburg position

Question 34

DISCHARGE AND HOME CARE GUIDELINES 1. Avoid what drinks?

Answer 34

Avoid caffeine and alcohol as indicated to reduce effects of diuresis.

Question 35

DISCHARGE AND HOME CARE GUIDELINES 2. Follow-up appointments.

Answer 35

Comply with the recommended medical and laboratory follow-ups.

Question 36

DISCHARGE AND HOME CARE GUIDELINES 3. Oral care on DHF recovery?

Answer 36

Recommend use of soft toothbrush to reduce risk of injury to the oral mucosa.

Question 37

DISCHARGE AND HOME CARE GUIDELINES 4. Diet. Foods rich in ?

Answer 37

Foods rich in vitamin K should be recommended to promote blood clotting

Question 38

DISCHARGE AND HOME CARE GUIDELINES 5. Education for DHF?

Answer 38

Educate patient on the use of mosquito nets and insecticides.

Question 39

DHF EVALUATION give atleast 3

Answer 39

q Absence of signs of bleeding. q Displayed laboratory results within normal range for individuals. q Maintained fluid volume at a functional level. q Reported pain is relieved or controlled. q Followed prescribed pharmacologic regimen. q Demonstrated adequate tissue perfusion. q Displayed hemodynamic stability. q Afebrile and free from other signs of infection.