DENGUE HEMORRHAGIC FEVER PRESENTER Mr NANDU C NAIR

Slide 1 DENGUE HEMORRHAGIC FEVER PRESENTER Mr NANDU C NAIR DEAR FRIENDS STAY AWAY FROM DENG E U CONTENT INTRODUCTION DEFINITION CLASSIFICATION DENGUE HEMORR FEVER INCIDENCE,CAUSES RISK FACTORS SIGNS A.

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 a.Restlessness followed by ACUTE *Ecchymosis PHASE *Generalized rash *Petechiae *Worsening of SYMPTOMS OF D.HEMORRHAGIC FEVER ACUTE PHASE 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 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? YO U R TU RN … … … … … THANKU ALL FOR ... •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. .. 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... D .HEMORRHAGIC FEVER •Decreased Appetite • Fever EARLY •Headache SYMPTOMS •Joint aches •Malaise •Muscle aches •Vomiting SYMPTOMS OF D .HEMORRHAGIC FEVER a.Restlessness followed by ACUTE *Ecchymosis