Nursing Diagnosis and Nursing Interventions for DHF
Dengue is a mosquito-borne infection that in recent decades has become a major international public health concern. Dengue is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas.
Dengue haemorrhagic fever (DHF), a potentially lethal complication, was first recognized in the 1950s during dengue epidemics in the Philippines and Thailand. Today DHF affects most Asian countries and has become a leading cause of hospitalization and death among children in the region.
There are four distinct, but closely related, viruses that cause dengue. Recovery from infection by one provides lifelong immunity against that virus but confers only partial and transient protection against subsequent infection by the other three viruses. There is good evidence that sequential infection increases the risk of developing DHF.
http://www.who.int
Nursing Diagnosis and Nursing Intervention for DHF
the disease (viremia)
Nursing Diagnosis
Activity Intolerance
Nursing Diagnosis and Nursing Interventions for DHF
Dengue is a mosquito-borne infection that in recent decades has become a major international public health concern. Dengue is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas.
Dengue haemorrhagic fever (DHF), a potentially lethal complication, was first recognized in the 1950s during dengue epidemics in the Philippines and Thailand. Today DHF affects most Asian countries and has become a leading cause of hospitalization and death among children in the region.
There are four distinct, but closely related, viruses that cause dengue. Recovery from infection by one provides lifelong immunity against that virus but confers only partial and transient protection against subsequent infection by the other three viruses. There is good evidence that sequential infection increases the risk of developing DHF.
http://www.who.int
Nursing Diagnosis
Imbalanced Body Temperature
Imbalanced Body Temperature
related to :
Goal :
Nursing Interventions and Rational for DHF :
Assess the onset of fever.
Rational: to identify patterns of fever patients.
Observation of vital signs (temperature, pulse, blood pressure, respiration) every 3 hours.
Rational: vital signs is a reference to determine the patient's general condition.
Instruct patient to drink plenty
Rationale: Increased body temperature resulting in increased evaporation of the body so it needs to be balanced with a lot of fluid intake.
Give a warm compress.
Rational: With vasodilation can increase evaporation which accelerate the decline in body temperature.
Advise not to wear a thick blanket and clothing.
Rational: thin clothing helps reduce the evaporation of the body.
Give intravenous fluid therapy and medications according to physician programs.
Rational: infusion of fluids is very important for patients with a high temperature.
- Normal body temperature (36-37 C).
- Patients were free from fever.
Nursing Interventions and Rational for DHF :
Assess the onset of fever.
Rational: to identify patterns of fever patients.
Observation of vital signs (temperature, pulse, blood pressure, respiration) every 3 hours.
Rational: vital signs is a reference to determine the patient's general condition.
Instruct patient to drink plenty
Rationale: Increased body temperature resulting in increased evaporation of the body so it needs to be balanced with a lot of fluid intake.
Give a warm compress.
Rational: With vasodilation can increase evaporation which accelerate the decline in body temperature.
Advise not to wear a thick blanket and clothing.
Rational: thin clothing helps reduce the evaporation of the body.
Give intravenous fluid therapy and medications according to physician programs.
Rational: infusion of fluids is very important for patients with a high temperature.
Nursing Diagnosis
Activity Intolerance
related to
weak body condition
Goal :
Assess the patient's complaint.
Rationale: To identify patient's problems.
Review of the things that are not capable or able to be done by the patient.
Rationale: To determine the level of dependency of patients in meeting their needs.
Help the patient to meet their daily activities according to the limitations of the patient.
Rationale: The provision of assistance is needed by the patient at the time his condition is weak and nurses have a responsibility in fulfilling their daily needs without dependence on patient care.
Put the items in places easily accessible by patients.
Rationale: Will assist patients to meet their own needs without help from others.
Goal :
- Patients are able to independently after fever-free.
- Activities of daily needs are met
Assess the patient's complaint.
Rationale: To identify patient's problems.
Review of the things that are not capable or able to be done by the patient.
Rationale: To determine the level of dependency of patients in meeting their needs.
Help the patient to meet their daily activities according to the limitations of the patient.
Rationale: The provision of assistance is needed by the patient at the time his condition is weak and nurses have a responsibility in fulfilling their daily needs without dependence on patient care.
Put the items in places easily accessible by patients.
Rationale: Will assist patients to meet their own needs without help from others.
Nursing Diagnosis and Nursing Interventions for DHF
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