Nursing Management For Dengue Fever

This disease was initially recorded in the entire year 1779-1780 is endemic in Asia, Africa, and North America and occurs almost simultaneously with the level of morbidity and mortality are high. This illustrates that the spread of the disease is very considerable since more than 200 years ago and is an illness that is quite dangerous. When even this disease is still a significant problem in the health sector generally in exotic and subtropical areas with economic and health levels are low.

Dengue fever (DF) is an illness caused by the dengue computer virus, family Flaviviridae, the genus is a flavivirus. The condition is not sent directly from human being to human being, but through the intercession through mosquito bites. The species of mosquito, this is the vector of the condition is the main intermediary Aedes aegypti and Aedes albopictus females.

DF is the mildest form of the following form is Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS). Clinical manifestations of dengue pathogen disease in humans differs widely. Variations are so wide spectrum, which range from asymptomatic, light non-specific fever, Dengue Fever, Dengue Haemorrhagic Fever, to the most unfortunate that dengue shock syndrome (DSS). High heat up to more than 38 º C, which will last up to 5-7 times.

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Headache and pain retro-orbital (behind the eye). Pain in joint parts and muscles. Nausea and vomiting, no appetite. The presence of digestion disorders (constipation or diarrhea). The existence of rash (indicators of inflammation) of the skin. Organ enhancement of the liver (liver) and spleen. The presence of thrombocytopenia, the platelet count number is significantly less than 100.000/mm ³ (normally 150-450 thousand / mm ³).

Plasma leakage marked with hematocrit ideals (HCT) is increased or reduced by 20% or even more of normal ideals, the presence of pleural effusion (fluid in the lungs) and ascites (build up of liquid in the stomach cavity). An impairment of awareness. Very low blood pressure. Rapid and poor pulse. Hands and foot pale and cold.

DHF Grade I: The signals of viral an infection, the manifestation of bleeding that seemed and then test positive tourniquet. DHF Grade III: Also called pre-shock phase, with indicators of DHF grade II however the patient began to see signs of surprise; decreased consciousness, cold hands and feet, weakened and quick pulse palpable, pulse pressure were measured.