XAVIER UNIVERSITY ATENEO DE CAGAYAN COLLEGE OF NURSING Name of instructor: 2ND COPAR GROUP (NE & NJ) Room:

Activity Area Date: January 5, 2011 Time: 10:00-11:00 AM Indented learners: Community People of Sitio Airport

TEACHING-LEARNING GUIDE for Dengue Hemorrhagic Fever General Objectives: At the end of 1 hour teaching session, the community people will be able to gain more knowledge regarding dengue hemorrhagic fever, apply the skills in the nursing practice for dengue fever and be more compassionate in toward the prevention of the disease condition.
OBJECTIVES CONTENT METHODS HOURS ALLOTTED MATERIALS REFERENCES EVALUATI ON ASSIGNMENT

Following one hour teaching session, the community people will be able to: Define DHF with accuracy

I. Definition of Dengue Hemorrhagic Fever (DHF) - an acute febrile diseases which occur in the tropics, can be life-threatening, and are caused by four closely related virus serotypes of the genus Flavivirus.

Discussion

5 minutes Manila paper/ cartolina

II. Cause of DHF Determine -Dengue fever is caused by the causes Dengue virus (DENV), a of DHF and mosquito-borne flavivirus. its mode of DENV is an ssRNA positivetransmissio strand virus of the family Flaviviridae; genus n

7 minutes

Cuevas, Frances et al. 2007. Public Health Nursing in the Philippines. 10th ed. Philippines: National League of Philippine Governme nt Nurses Inc.

A question and answer will be given to the communit y people.

Reading assignment of the given handouts and IEC.

 Enumerate the manifestati ons of DHF Identify the treatments for DHF. Identify the complicatio ns of DHF. Produce personal ways of prevention from acquiring such disease with a clear mindset of the subject matter.

Flavivirus. There are four serotypes of DENV. III. Mode of Transmission -Dengue is transmitted to humans by the Aedes (Stegomyia) aegypti or more rarely the Aedes albopictus mosquito, both of which feed exclusively during daylight hours. IV. Signs and symptoms of DHF -sudden onset of high fever which may last 2-7 days -joint & muscle pain and pain behind the eyes -weakness -skin rashes- maculopapular rash or red tiny spots on the skin called petechiae -nose bleeding when fever starts to subside -abdominal pain -vomiting of coffee-colored matter -dark-colored stools V. Diagnostic Test -Tourniquet Test (Rumpel Leads Test) 1. inflate the BP cuff on the 3 minutes

7 minutes

4 minutes

upper arm to a point midway between the systolic and diastolic pressure for 5 minutes ` 2. Release cuff and make an imaginary 2.5cm square or 1 inch square just below the cuff, at the antecubital fossa 3. Count the number of petechiae inside the box. 4. A test is (+) when 20 or more petechiae per 2.5 cm square or 1 inch square are observed. VI. Prevention and Control -Cover water drums and water pails at all times to prevent mosquitoes from breeding -Replace water in flower vases once a week. Scrub the sides well to remove eggs of mosquitoes sticking to the sides -Clean gutters of leaves and debris so that rain water will not collect as breeding places of mosquitoes -Old tires used as roof support should be punctured or cut to avoid accumulation 7 minutes

of water -collect and dispose all unusable tin cans, jars, bottles, and other item s that can collect and hold water VII. Management Supportive and symptomatic treatment should be provided -for fever, give paracetamol for muscle pains -for headache, give analgesic. -DONT GIVE ASPIRIN! -rapid replacement of body fluids is the most important treatment -includes intensive monitoring and follow-up -give ORESOL to replace fluids as in moderate dehydration at 75ml/kg in 4-6 hours or up to 2-3L in adults. Continue ORS intake until patients condition improves 7 minutes