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 a mosquito "Aedes 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 a mosquito "Aedes aegypty" (female) (Seoparman, 1990).
Signs and Symptoms of Dengue Haemorrhagic Fever (DHF)
- 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, abdomen, and heartburn.
- 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.)
Complication of Dengue Haemorrhagic Fever
The complication of dengue fever include:
- Extensive bleeding.
- Shock or shock.
- Effuse pleural
- Impairment of consciousness.
Classification of Dengue Haemorrhagic Fever
a. Degree I:
Fever accompanied by other clinical symptoms or spontaneous bleeding, positive tourniquet test, thrombocytopenia and Hemo concentration.
b. Degree II:
Clinical manifestations of degree I with the manifestation of spontaneous bleeding under the skin like petekhie, hematoma and bleeding from other places.
c. Degree III:
Clinical manifestations of degree II, coupled with the circulation system failure was found manifestation in the form of a rapid and weak pulse, hypotension with moist skin, cold and anxious patients.
d. Degree IV:
Clinical manifestations in patients with degree III coupled with a heavy shock was found manifestations with marked tension was measured and no palpable pulse.
Nursing Assessment Nursing Care Plan for Dengue Fever
- Review the basic data, the need for bio-psycho-social-spiritual patients from various sources (patients, families, medical records and other health team members).
- Identify potential sources and available to meet patient needs.
- Review the history of nursing.
- Assess the 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).
Nursing Diagnosis Nursing Care Plan for Dengue Fever
- Hypovolemic shock related to hemorrhage
- Imbalanced Nutrition: Less than body requirements related to nausea, vomiting, no appetite.
- Increased body temperature related to the process of dengue virus infection.
- Risk for bleeding related to thrombocytopenia.
- Deficient Fluid Volume related to increased capillary permeability, bleeding, vomiting and fever.
- Deficient Knowledge: about the disease process related to a lack of information.