Dengue hemorrhagic fever is a severe and sometimes fatal infection that occurs tropical regions. The dengue virus is transmitted by mosquitoes. A more severe version of the infection called dengue hemorrhagic fever can involve significant bleeding and a drop in blood pressure that can cause shock and death. This condition is sometimes known as dengue shock syndrome.
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Nursing Diagnosis : Hyperthermia related to disease process (viremia)
Goal :
Patient 's body temperature can be reduced.
Outcome :
- Comfortable body condition.
- Temperature 36,80C-37,50C.
- Blood pressure : 120/80 mmHg.
- Respiration : 16-24 x / mnt.
- Pulse : 60-100 x / mnt.
Intervention :
- Assess the onset of fever.
- Observation of vital signs (temperature, pulse, blood pressure, respiration) every 3 hours.
- Instruct the patient to drink (2.5 liters / 24 hours).
- Give warm compresses.
- Suggest to not wear thick blankets and clothing.
- Give intravenous fluid therapy and medications as ordered.
Rationale :
- To identify patterns of fever.
- Vital Signs is a reference to determine the patient's general condition.
- The increase in body temperature results in increased evaporation body so it needs to be balanced with a high fluid intake.
- With vasodilation can increase evaporation which accelerates the decline in body temperature.
- Clothing thin body helps reduce evaporation.
- Fluid administration is very important for patients with a high temperature.
Source :
http://nursing-diagnosis-intervention.blogspot.com/2014/10/hyperthermia-and-acute-pain-related-to.html
