DENGUE HEMORRHAGIC FEVER PRESENTER Mr NANDU C NAIR

DENGUE
HEMORRHAGIC
FEVER
PRESENTER:
Mr. NANDU C
NAIR


DEAR
FRIENDS…..
STAY AWAY
FROM…

..DENG

U
E


CONTENT:•INTRODUCTION
•DEFINITION
•CLASSIFICATION
•DENGUE HEMORR. FEVER
•INCIDENCE,CAUSES
•RISK FACTORS
•SIGNS AND SYMPTOMS
•TREATMENT
•NURSING ASSESSMENT
•NURSING DIAGNOSIS
•PROGNOSIS
•COMPLICATION

•PREVENTION
•WHAT TO DO/NOT TO DO


II ALL ARE SAME:N
N
TT
R
R  HEMORRHAGIC
O
O FEVER
D
D  DENGUE HEMORRHAGIC
U
U FEVER
C
C PHILIPPINE HEMORRHAGIC
TT FEVER
THAI HEMORRHAGIC
II
FEVER
O
O SINGAPORE HEMORRHAGIC
N
N FEVER


WHAT IS DENGUE
FEVER ?

•Dengue fever also known as
breakbone fever, is an infectious
tropical
disease caused by dengue


DENGUE VIRUS INFECTION
WITH
WITHOUT
DSS
Symptomatic
DHS
UVS
DFS
HEMORHAGE
HEMORHAGE
SHOCK
D Asymptomatic


DENGUE HEMORRHAGIC
FEVER??

 Severe, potentially deadly
infection spread by certain
species of mosquitoes [AEDES
AEGYPTI]


INCIDENCE

 Worldwide, more than 100

million
cases of dengue fever occur
every
year.
 A small number of these

develop


CAUSES

 Dengue hemorrhagic fever
occurs
when a person catches a
different
type dengue virus after
being
infected by another one
sometime


RISK FACTORS

 Persons having
antibodies to dengue virus
from prior infection,
 Females,

 Age below 12 years,


SYMPTOMS OF D.HEMORRHAGIC
FEVER

¢ Similar to symptoms of
dengue
EARLY fever
ACUTE
PHASE

SYMPTOMS
1

2


SYMPTOMS OF D.HEMORRHAGIC
FEVER

1
.

•Decreased
Appetite
•
Fever
EARLY
•Headache

SYMPTOMS
•Joint aches
•Malaise
•Muscle aches
•Vomiting


SYMPTOMS OF D.HEMORRHAGIC
FEVER

2
.

a.Restlessness
followed by

ACUTE
*Ecchymosis
PHASE
*Generalized rash
*Petechiae
*Worsening of


SYMPTOMS OF D.HEMORRHAGIC
FEVER

ACUTE
PHASE

2
.

b. Shock-like state
*Cold, Clammy
extremities
*Sweatiness
(Diaphoretic)


DIAGNOSTIC EVALUATION
 PHYSICAL EXAMINATION

 BLOOD TESTS

 RADIOLOGICAL
INVESTIGATION


DIAGNOSTIC EVALUATION
 BLOOD TESTS

Arterial blood gases (ABG)
Coagulation studies
Serum electrolytes
Hematocrit
Liver enzyme tests
Platelet count
Dengue antibody
(IgG,IgM,NS1)

TREATMENT: NO KNOWN CURE OR VACCINE…TREAT THE
SYMPTOMS
 MEDICATION AS PER THE CONDITION OF
THE PATIENT
 INTRA VENOUS FLUID
 FRESH FROZEN PLASMA/ PLATELETS
 OXYGEN THERAPY
 SUPPORTIVE CARE


NURSING ASSESSMENT:-

1.Identity
2.Main complaint
3.History of present
illness
4.History of previous
illness
5.Family history of
disease


NURSING DIAGNOSIS:-

1.Hyperthermia
2.Fluid deficit
3.Fluid volume deficit
4.Impaired nutritional

needs
5.Hemorrhage
6.Anxiety


P
R
O
G
N
O
S
I
S

 With early and
aggressive care, most
patients recover from
dengue hemorrhagic
fever.
 However half of
untreated patients
who go into shock do


COMPLICATIO
NS:-


COMPLICATIO

NS:Encephalopathy
❷Liver Damage
❸Residual Brain
Damage
❹Seizures
❺Shock
❶


“PREVENTION IS
BETTER THAN
CURE”


PREVENTION:Use personal protection such as
netting,full coverage
clothes,mosquito repellent etc.
Travel during periods of minimal
mosquito activity
Promote mosquito
abatement programs


DO AND DONT’S:WHAT TO DO?
 Keep body temperature
below 39 degree Celsius
 Give large amount of
fluids
 Complete rest
 Immediately consult the

doctor if any symptoms
occur
WHAT NOT TO DO?