PATHOPHYSIOLOGY

Medical Diagnosis

 Increased body temperature related to the process of dengue virus infection.

Schematic Diagram
RISK FACTORS

Being in tropical and subtropical areas Young age (2 years old)

increases your risk of exposure to the virus
that causes dengue fever. 

SIGNS & SYMPTOMS

Nausea/ vomiting Redness & itchiness in the

area

Aches and pains (eye pain, Fever

typically behind the eyes, muscle,
joint, or bone pain)
Feeling tired, restless, or
irritable
Stomach or belly pain, tenderness
Bleeding from the nose or
gums

Dengue Fever

Increased body temperature related to the

process of dengue virus infection.

Colloids (Dextrans)
Crystalloids (Isotonic
acetaminophen ibuprofen
IV Fluids)
*Safe administration,
monitoring for *Monitor for *Document baseline *Assess allergy
efficacy, and therapeutic data. Before infusion,
history. Most colloids
identifying any effectiveness. assess the patient's vital
signs, edema status, can cause allergic
possible adverse Optimum response
lung sounds, and heart reactions, although
reactions are, of generally occurs sounds. Continue
within 2 wk (e.g., relief rare, so take a careful
course, vital nursing monitoring during and
allergy history, asking
of pain, stiffness, or after the infusion.
responsibilities for IV specifically if they’ve
swelling; or improved *Observe for signs of
use of joint flexion and ever had a reaction to
fluid overload. Look for
acetaminophen (or strength). an IV infusion before.
signs of hypervolemia
any other medication). such as hypertension, *Use a large-bore
*Observe patients with bounding pulse,
*Patient education is needle (18-gauge). A
history of cardiac pulmonary crackles,
also an important decompensation larger needle is
dyspnea, shortness of needed when
nursing function with closely for evidence of
breath, peripheral
all medications. fluid retention and administering colloid
edema , jugular venous
edema. solutions.
distention, and
 *Lab tests: Baseline extra heart sounds. *Document baseline
and periodic *Monitor data. Before infusion,
evaluations of Hgb, manifestations of assess the patient’s
renal and hepatic continued vital signs, edema
hypovolemia. Look for status, lung sounds,
function, and auditory
signs that indicate
and ophthalmologic and heart sounds.
continued hypovolemia
examinations are such as, decreased
Continue monitoring
recommended in urine output, poor skin during and after the
patients receiving turgor, tachycardia, infusion.
prolonged or high- weak pulse, and *Monitor the
dose therapy. hypotension. patient’s response.
*Monitor for GI *Educate patients and Monitor intake and
distress and S&S of families. Teach patients output closely for
GI bleeding. and families to signs of hypervolemia,
*Note: Symptoms of recognize signs and hypertension,
symptoms of fluid dyspnea, crackles in
acute toxicity in
volume overload.Instruct
children include the lungs, and edema.
patients to notify their
apnea, cyanosis, nurse if they have
*Monitor
response only to trouble breathing or
painful stimuli, notice any swelling.
dizziness, and *Prevent
nystagmus. hypervolemia.
Patients being
*Elevate the treated
for hypovolemia
patient’s legs. If can
quickly develop
edema is present, fluid
overload following
elevate the legs of the
rapid ortoover
patient infusion
promote
venous return.fluids. 
of isotonic IV
*Elevate
*Close the head of
monitoring
for patients35
the bed at to 45
with
degrees.
heart Unless
failure.
contraindicated,
Because isotonic
position
fluids the client
expand the in
semi-Fowler’s
intravascular space,
position.with
patients
*Close
hypertension and
heart failure should be
carefully monitored for
signs of fluid overload.
Legend:
- Risk Factors

- Medications

- Nursing Diagnosis

- Interventions

- Signs & Symptoms (patient)

- Signs and symptoms