Nursing Interventions for Dengue Hemorrhagic Fever 1. The increase in body temperature related to the process of dengue virus infection. Goal: The body temperature returned to normal Expected Results: o Vital signs within normal limits, especially temperature (36 C - 37 C) o Mucous membranes moist.
Nursing Intervention: Observation of vital signs every 1 hour Rationale: Determining the continued intervention when changes o Give a warm water compress Rational: Compress will provide induction heat expenditure. o Encourage clients to drink lots of 1500 - 2000 ml Rationale: Changing the body fluid that comes out because of heat and spur spending urine. o Suggest to wear thin clothes and absorb sweat. Rational: To provide a sense of comfort and increase the evaporation heat o Observation on the intake and out put Rational: Detection of body fluid volume deficiency. o Collaboration for the provision of antipyretic Rational: Antipyretics useful for heat reduction. 2. Deficit fluid volume related to the migration of intravascular fluid into extravascular
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Goal: Nothing happens hypovolemic shock Expected results: Blood pressure: 120/80 mmHg, Pulse: 80-100x/mnt, Strong pulse Nursing Intervention:
Observation of vital signs every hour or more. Rationale: Knowing the condition of intravascular fluid. o Observation of capillary refill Rational: Indications of adequate peripheral circulation. o Observation on the intake and output, record the number, color / concentration of urine. Rational: Decrease in urine output / urine is concentrated with an increased density of suspected dehydration. o Encourage to drink plenty of 1500-2000 mL Rational: To meet the needs of body fluids o Collaboration giving intravenous fluids or plasma or blood. Rationale: Increasing the amount of body fluids to prevent hypovolemic shock. 3. Impaired nutrition: less than body requirements related to the decreased appetite
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Nursing Intervention:
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Assess complaints of nausea, vomiting or decreased appetite Rationale: Determining the next intervention. Give foods that are easy to swallow and easy to digest Rationale: Reduce fatigue and prevent gastrointestinal bleeding. Give small portions of food, but often. Rational: Avoiding nausea and vomiting Avoid foods that stimulate: spicy, sour. Rationale: Prevent the occurrence of distension of the stomach which can stimulate vomiting. Give the client's favorite foods Rationale: Allows for more revenue Collaboration parenteral fluid administration Rational: Parenteral nutrition is needed if the peroral intake was less.
Label: Dengue Hemorrhagic Fever, Nursing Diagnosis, Nursing Diagnosis and Nursing Interventions for Dengue Hemorrhagic Fever, Nursing Interventions