NURSING HAEMORAGIC dengue fever (DHF)

NURSING HAEMORAGIC dengue fever (DHF) - These days we want to discuss the article with the title health NURSING HAEMORAGIC dengue fever (DHF) we hope you get what you're looking for. We are here trying to make the best possible to provide information on this blog.

NURSING HAEMORAGIC dengue fever (DHF)

NURSING HAEMORAGIC dengue fever (DHF)

Dengue haemorrhagic fever

A. Definition

Dengue haemorrhagic fever (DHF) is a disease caused by dengue virus of a virus belonging to arbovirus and entered into the patient's body through the bite of aedes mosquito aegypty (Christantie Efendy, 1995).
Dengue haemorrhagic fever (DHF) is a disease found in children and adults with primary symptoms of fever, muscle aches and joint pain accompanied by rash or without a rash. DHF is classified as a type of virus arbo virus and entered into the patient's body through the bite of aedes mosquito aegypty (female) (Seoparman, 1990).
DHF is a special fever carried by the aedes mosquito aegypty and several others that cause fever. Usually quickly spread efidemik. (Sir Patrick Manson, 2001).


B. Etiology

Arbovirus dengue virus type.
Dengue viruses belong to the family and is known there are 4 Flavividae serotif, Dengue 1 and 2 is found in New Guinea when the course of World War II, while dengue 3 and 4 are found at the time of the outbreak in Philippines in 1953-1954. Dengue virus rod-shaped, are termoragil, sensitive to the ins and sodium activity by diatiter diaksikolat, stable at a temperature of 70 oC.
Fourth serotif has been found also in Indonesia with serotif to 3 is the most widely serotif.


C. Pathophysiology

The virus will enter the body through the bite of aedes mosquito aegypty and then will react with the antibody and virus-antibody complex formed. In circulation would activate the complement system. Due to activation of C3 and C5 will be released C3a and C5a, two peptides which empowered to release histamine and is a strong mediator as factor
increased permeability of blood vessel walls and eliminates the plasma through the endothelial wall.

Trobositopenia occurrence, decrease platelet function and decreased coagulation factor (protombin and fibrinogen) are the factors causing the occurrence of bleeding, mainly gastrointestinal tract bleeding in DHF.

What determines the severity of the disease is heightened permeability of blood vessel walls, decrease in plasma volume, hypotension, thrombocytopenia and hemorrhagic diathesis, shock occurs acutely.

Hematocrit value increases with the loss of plasma through the endothelial wall of blood vessels. And with the loss of clients experiencing hypovolemic plasma. If not addressed could happen tissue anoxia, metabolic acidosis and death.


D. Signs and symptoms

High fever for 5-7 days.
Nausea, vomiting, no appetite, diarrhea, constipation.
Bleeding, especially bleeding under the skin, ptechie, echymosis, hematoma.
Epistaxis, hematemisis, melena, hematuri.
Sore muscles, joints, abdoment, and heartburn.
Headache.
Swelling around the eyes.
Enlarged liver, spleen, and lymph nodes.
Signs of shock (cyanosis, clammy skin, decreased blood pressure, anxiety, capillary refill of more than two seconds, fast and weak pulse.)


E. Investigations

Blood
Platelets decreased.
HB increased by over 20%
HT increased by over 20%
Leukocytes decreased on day 2 and to 3
Low blood protein
U + PH could increase
NA and low CL

Serology: HI (hemaglutination inhibition test).
Chest X-thorax: pleural effusion.
Test test tourniket (+)


F. Management

Bed rest
Provision of soft food
Giving fluids intravenously
Provision of drugs: antibiotics, antipyretics
Anti-convulsive seizure case
Monitor vital signs (Blood Pressure, Temperature, Nadi, RR).
Monitor for signs of shock
Monitor signs of further bleeding
Check the HB, HT, and Platelets every day.


G. Growth and development in children aged 6-12 years

Growth is a process of increasing the physical size of the various organs associated with the problem of changes in number, large, size or dimensions of the cellular level. Weight gain is 2-4 kg / year and in young women have started to develop secondary sex cirri.
The development focuses on aspects of the differentiation of form and function, including social and emotional changes.

Gross motor
Skipping rope
Hit
Badminton
Gross motor under the control of cognitive and based on gradually increasing rhythm and subtlety.
Fine motor
Showing balance and hand / eye coordination
Can improve the ability to sew, create models and playing musical instruments.
Cognitive
Can focus on more and one aspect and situation
Can consider a number of alternatives in solving problems
Can buy and keep track of how the sequence of events back from the beginning
Can understand the concept first, present and future.
Language
Understand the most abstract words
Using all parts of the conversation including adjectives, adverbs, conjunctions and prepositions
Using language as a means of verbal exchanges
Can use compound sentences and compound.

Assessment
Assessment is the initial stage of the nurse to obtain the data required before performing nursing care. assessment in patients with "DHF" can be done with the interview technique, measurement, and physical examination. The phases include:
Identify potential sources and available to meet patient needs.
Review the history of nursing.
Kaji an increase in body temperature, signs of bleeding, nausea, vomiting, no appetite, heartburn, sore muscles and joints, signs of shock (rapid and weak pulse, hypotension, cold and moist skin, especially on the extremities, cyanosis , restlessness, decreased consciousness).

Emerging nursing diagnosis
Hipertermi associated with the process of dengue virus infection.
Changes in nutrition less than body requirements related to nausea, vomiting, no appetite.

Intervention
Diagnosis 1. :
Impaired body fluid volume is less than body requirements related to increased capillary permeability, bleeding, vomiting and fever.
Objective: Impaired body fluid volume can be resolved
Criteria results:
Body fluid volume returned to normal
Intervention:
Kaji KU and the patient's condition
Observation of vital signs (S, N, RR)
Observation for signs of dehydration
Observation and location of the drip infusion needle stabbing
Fluid balance (input and output of fluid)
Give the patient and family encourage patients to give to drink a lot
Instruct the patient's family to replace the patient's clothes are wet by
sweat.

Diagnosis 2. :
Hipertermi associated with the process of dengue virus infection.
Objective: to overcome Hipertermi
Criteria results:
The body temperature returned to normal
Intervention:
Observation of vital signs, especially temperature
Give a cold compress (plain water) on the forehead and armpit regions
Change clothes that have been soaked in sweat
Encourage families to put on clothing that can absorb sweat like cotton.
Encourage families to provide drinking lots of approximately 1500 - 2000 cc per day
collaboration with physicians in the provision of Therapy, febrifuge.

Diagnosis 3. :
Changes in nutrition less than body requirements related to nausea,
vomiting, no appetite.
Objective: Impaired nutritional compliance resolved
Criteria results:
Nutritional intake increased client
Intervention:
Assess client's nutritional intake and the changes that occur
Weigh client daily weight
Give clients eat in warm and with a little portion but
often
Give drink warm water when the client complained of nausea
Perform physical examination Abdomen (auscultation, percussion, and palpation).
Collaboration with physicians in the provision of anti-emetic Therapy.
Collaboration with a team of nutrition in determining the diet.

Thank you for visiting our blog. In the future we continue to seek better in presenting good information. Don't forget to share the article NURSING HAEMORAGIC dengue fever (DHF) this in social media.

Frequently searched keywords:

Nanda Nursing Diagnosis, nanda nursing diagnosis pdf, nanda nursing diagnosis for renal failure, nanda nursing diagnosis for diabetes mellitus, nanda nursing diagnosis for respiratory problems, nanda nursing diagnosis book+free download, nanda nursing diagnosis for respiratory failure, nanda nursing diagnosis list 2015 pdf, nanda nursing diagnosis for atrial septal defect, nanda nursing diagnosis 2015, nanda nursing diagnosis 2015 pdf, nanda nursing diagnosis 2015 to 2017, nanda nursing diagnosis free download, nanda nursing diagnosis list 2015 free download, nanda nursing diagnosis impaired gas exchange, nanda nursing diagnosis ppt, nanda nursing diagnosis classification, nanda nursing diagnosis care plans examples, nanda nursing diagnosis for pericardial effusion, nanda nursing diagnosis, nanda nursing diagnosis list, nanda nursing diagnosis anxiety, nanda nursing diagnosis acute pain, nanda nursing diagnosis activity intolerance, nanda nursing diagnosis apa reference, nanda nursing diagnosis and interventions, nanda nursing diagnosis anemia, nanda nursing diagnosis acute pain related to, nanda nursing diagnosis altered mental status, nanda nursing diagnosis app, nanda nursing diagnosis acute pain related to surgery, nanda nursing diagnosis asthma, nanda nursing diagnosis and care plans, nanda nursing diagnosis and interventions for copd, nanda nursing diagnosis alcohol withdrawal, nanda nursing diagnosis and intervention pdf, nanda nursing diagnosis alzheimer's disease, nanda nursing diagnosis acute kidney injury, nanda nursing diagnosis and outcomes, nanda nursing diagnosis amazon, nanda nursing diagnosis apk, nanda nursing diagnosis book, nanda nursing diagnosis bleeding, nanda nursing diagnosis book pdf, nanda nursing diagnosis bipolar disorder, nanda nursing diagnosis breast cancer, nanda nursing diagnosis bowel obstruction, nanda nursing diagnosis borderline personality disorder, nanda nursing diagnosis burns, nanda nursing diagnosis bronchiolitis, nanda nursing diagnosis bronchitis, nanda nursing diagnosis body image disturbed, nanda nursing diagnosis bph, nanda nursing diagnosis back pain, nanda nursing diagnosis-blood transfusion, nanda nursing diagnosis ineffective breathing pattern, nanda nursing diagnosis traumatic brain injury, nursing diagnosis by nanda, nanda nursing care plan book, nanda nursing diagnosis copd, nanda nursing diagnosis chf, nanda nursing diagnosis cellulitis, nanda nursing diagnosis congestive heart failure, nanda nursing diagnosis cva, nanda nursing diagnosis.com, nanda nursing diagnosis community, nanda nursing care plan copd, www.nanda nursing care plan.com, nanda nursing diagnosis diabetes, nanda nursing diagnosis definition, nanda nursing diagnosis decreased cardiac output, nanda nursing diagnosis dementia, nanda nursing diagnosis diabetes mellitus type 2, nanda nursing diagnosis definition and classification, nanda nursing diagnosis depression, nanda nursing diagnosis disturbed thought processes, nanda nursing diagnosis diarrhea, nanda nursing diagnosis deficient knowledge, nanda nursing diagnosis dehydration, nanda nursing diagnosis deficient fluid volume, nanda nursing diagnosis defining characteristics, nanda nursing diagnosis download, nanda nursing diagnosis diabetes mellitus, nanda nursing diagnosis diabetic ketoacidosis, nanda nursing diagnosis dvt, nanda nursing diagnosis diverticulitis, nanda nursing diagnosis dengue fever, nanda nursing diagnosis examples, nanda nursing diagnosis electrolyte imbalance, nanda nursing diagnosis excess fluid volume, nanda nursing diagnosis epilepsy, nanda nursing diagnosis ebook free download, nanda nursing diagnosis edema, nanda nursing diagnosis elsevier, nanda nursing diagnosis end stage renal disease, nanda nursing diagnosis elimination, nanda nursing diagnosis emphysema, nanda nursing diagnosis endocarditis, nanda nursing diagnosis ectopic pregnancy, nanda nursing diagnosis encephalopathy, nanda nursing diagnosis pleural effusion, nanda nursing diagnosis for urinary elimination, nanda nursing care plan examples, nanda nursing wellness diagnosis examples, nanda nursing diagnosis for elderly, nanda nursing diagnosis for epistaxis, nanda nursing diagnosis for hypertension, nanda nursing diagnosis for pneumonia, nanda nursing diagnosis for pain, nanda nursing diagnosis for copd, nanda nursing diagnosis for anemia, nanda nursing diagnosis for anxiety, nanda nursing diagnosis for chf, nanda nursing diagnosis for asthma, nanda nursing diagnosis fever, nanda nursing diagnosis for psychosocial, nanda nursing diagnosis for 2014, nanda nursing diagnosis for 2015, nanda nursing diagnosis for, nanda nursing diagnosis grieving, nanda nursing diagnosis gi bleed, nanda nursing diagnosis generalized anxiety disorder, nanda nursing diagnosis gastrointestinal, nanda nursing diagnosis gastritis, nanda nursing diagnosis gordon's functional health patterns, nanda nursing diagnosis gout, nanda nursing diagnosis guidelines, nanda nursing diagnosis gerd, nanda nursing diagnosis gestational diabetes, nanda nursing diagnosis glaucoma, nanda nursing diagnosis gi, nanda nursing diagnosis geriatrics, nanda nursing diagnosis gangrene, nanda nursing diagnosis gallstones, nanda nursing diagnosis for gastroenteritis, nanda nursing diagnosis for gestational diabetes mellitus, nanda nursing diagnosis for guillain barre syndrome, nanda nursing diagnosis for gastroparesis, nanda nursing diagnosis hypertension, nanda nursing diagnosis handbook, nanda nursing diagnosis heart failure, nanda nursing diagnosis how to write, nanda nursing diagnosis hyperthermia, nanda nursing diagnosis hypoglycemia, nanda nursing diagnosis hypotension, nanda nursing diagnosis health promotion, nanda nursing diagnosis hopelessness, nanda nursing diagnosis hyperlipidemia, nanda nursing diagnosis high blood pressure, nanda nursing diagnosis hernia, nanda nursing diagnosis handbook free download, nanda nursing diagnosis hemorrhoids, nanda nursing diagnosis hyperglycemia, nanda nursing diagnosis hypothermia, nanda nursing diagnosis head injury, nanda nursing diagnosis hypothyroidism, nanda nursing diagnosis hyponatremia, nanda nursing diagnosis hip fracture, nanda nursing diagnosis in pregnancy, nanda nursing diagnosis is, nanda-i nursing diagnosis list, nanda-i nursing diagnosis list 2012, nanda nursing diagnosis jaundice, nanda nursing diagnosis journal, nanda nursing diagnosis for degenerative joint disease, nanda nursing care plan for juvenile diabetes, nanda nursing diagnosis knowledge deficit, nanda nursing diagnosis knowledge deficit diabetes, nanda nursing diagnosis kidney failure, nanda nursing diagnosis knowledge deficit related to medication, nanda nursing diagnosis knowledge deficit breastfeeding, nanda nursing diagnosis kidney stones, nanda nursing diagnosis knowledge deficit medication, nanda nursing diagnosis knee replacement, nanda nursing diagnosis knowledge, nanda nursing diagnosis for kawasaki disease, nanda nursing diagnosis for kidney transplant, nanda nursing diagnosis chronic kidney disease, nanda nursing diagnosis for kidney disease, nanda nursing diagnosis for knee surgery, nanda nursing diagnosis for kidney cancer, nanda nursing diagnosis for ketoacidosis, nanda nursing diagnosis for kwashiorkor, nanda nursing diagnosis list 2013, nanda nursing diagnosis list 2012, nanda nursing diagnosis list 2011 pdf, nanda nursing diagnosis list 2012 pdf, nanda nursing diagnosis leukemia, nanda nursing diagnosis list 2014, nanda nursing diagnosis list 2015, nanda nursing diagnosis list for newborns, nanda nursing diagnosis labor delivery, nanda nursing diagnosis list pdf, nanda nursing diagnosis list for pneumonia, nanda nursing diagnosis list for hypertension, nanda nursing diagnosis list with definitions, nanda nursing diagnosis list for pediatrics, nanda nursing diagnosis labels, nanda nursing diagnosis list for chf, nanda nursing diagnosis list for copd, nanda nursing diagnosis mrsa, nanda nursing diagnosis mental health, nanda nursing diagnosis must include, nanda nursing diagnosis medication compliance, nanda nursing diagnosis myocardial infarction, nanda nursing diagnosis maternity, nanda nursing diagnosis malnutrition, nanda nursing diagnosis meningitis, nanda nursing diagnosis multiple myeloma, nanda nursing diagnosis major depressive disorder, nanda nursing diagnosis-multiple sclerosis, nanda nursing diagnosis mi, nanda nursing diagnosis metabolic acidosis, nanda nursing diagnosis mental retardation, nanda nursing diagnosis mental illness, nanda nursing diagnosis muscle weakness, nanda nursing diagnosis maternal, nanda nursing diagnosis macular degeneration, nanda nursing diagnosis pain management, nanda nursing diagnosis nutrition, nanda nursing diagnosis noncompliance, nanda nursing diagnosis newborn, nanda nursing diagnosis nutrition less than body requirements, nanda nursing diagnosis nausea, nanda nursing diagnosis online, nanda nursing diagnosis obesity, nanda nursing diagnosis osteomyelitis, nanda nursing diagnosis osteoporosis, nanda nursing diagnosis obstetrics, nanda nursing diagnosis of mania, nanda nursing diagnosis of neurocysticercosis, nanda nursing diagnosis of diabetes mellitus, nanda nursing diagnosis of hernia, nanda nursing diagnosis on hypertension, nanda nursing diagnosis of pneumonia, nanda nursing diagnosis of inguinal hernia, nanda nursing diagnosis of meningitis, nanda nursing diagnosis of myocardial infarction, nanda nursing diagnosis of fracture, nanda nursing diagnosis of nephrotic syndrome, nanda nursing diagnosis of peptic ulcer, nanda nursing diagnosis of schizophrenia, nanda nursing diagnosis on fever, nanda nursing diagnosis of tuberculosis, nanda nursing diagnosis pain, nanda nursing diagnosis pneumonia, nanda nursing diagnosis psychosocial, nanda nursing diagnosis pregnancy, nanda nursing diagnosis pain acute, nanda nursing diagnosis pdf 2014, nanda nursing diagnosis pdf free download, nanda nursing diagnosis postpartum, nanda nursing care plan pneumonia

{ 0 komentar... read them below or add one }

Posting Komentar