General Objective: The course deals with the concept of aspects of nursing management, treatments, preventions, clinical signs and symptoms of a patient experiencing Dengue Fever. This serves an additional knowledge for the patient having the said disease. Venue: Brent Hospital Placement:Patients/Watchers |Specific Objectives |Content |Time Allotted |Strategies |Resources/
References |Evaluation | | | | | | | | |At the end of 20 minutes |Dengue | |Add interest and |Internet: |- Prompt feed backing on the | |lectures, the audience will| |5 min |stimulation during the |- http://www.medicinenet. com/ |students’ progress to facilitate | |be able to: |What is dengue fever? | |discussion; |dengue_fever/article. htm |learning | | |Dengue fever is a disease caused by a family of viruses that are transmitted by | | |-Cuevas, Frances. , Public Health Nursing | | |Learn the treatments, |mosquitoes.
It is an acute illness of sudden onset that usually follows a benign | |And encourage collaborative| || |preventions, clinical signs|course with symptoms such as headache, fever, exhaustion, severe muscle and joint | |learning among audience; | | | |and symptoms and management|pain, swollen glands (lymphadenopathy), and rash. | | | | | |patient experiencing |Modeof transmission: Mosquito bite | | | | | |tetanus; | | | | | | | |Signs and symptoms: | | | | | |Value the importance of the|First 4 days- Febrile or invasive stage starts abruptly as high fever, abdominal | | | | | |principles discussed; |pain and headache; later flushing which may be accompanied by vomiting, conjuctival| | | | | | |infection and epistaxis.
| | | | | |Verbalize an understand |4th-7th days – toxic or hemorrhagic stage – lowering of temperature, severe |5 min | | | | |about the said topic; |abdominal pain, vomiting and frequent bleeding from gastrointestinaltract in the | | | | | | |form of hematemesis or melena. Unstable B. P. , narrow pulse pressure and shock. | | | | | | |Death may occur.
Tourniquet test which may be positive on 3rd day may become | | | | | | |negativedue to low or vasomotor collapse | | | | | | |7th-10th day – convalescent or recovery stage generalized flushing with | | | | | | |interventing areas or blanching appetite regained and blood pressure already | | | | | | |stable. | | | | | | | | | | | | | |Management: | | | | | | |For fever, give paracetamol for muscle pains. For headache give analgesic. | | | | | | |Don’t give ASPIRIN | | | | | | |Rapid replacement of body fluids is the most important | | | | | | |Includes intensive monitoring and follow ups .
|Give ORESOL to replace fluid as in moderate dehydration at 75 ml/kg in 4-6 hours or| | | | | | |up to 2-3L in adults. | | | | | | |Continue ORS intake until patient’s condition improves. | | | | | | |Prevention | | | | | | |Eliminate vector by: | | | | | | |Changing water and scrubbing sides of lower vases once a week | | | | | | |Destroy breeding places of mosquito by cleaning surroundings | | | | | | |Proper disposal of rubber tires, empty bottles and cans | | | | | | |Keep water containers covered..