Nursing Care Plan for Dengue Hemorrhagic Fever
Nursing Diagnosis : Hyperthermia related to the process of dengue virus infection
Characteristics :
- Convulsions.
- Skin redness.
- The increase in body temperature above the normal range.
- Seizures.
- Tachycardia.
- Tachypnea.
- Skin feels warm.
Outcomes:
- Body temperature between 36-37 C
- Muscle pain disappeared
1. Provide / encourage patients to drink plenty of 1500-2000 cc / day (as tolerated)
Rationale: To replace fluids lost due to evaporation.
2. Instruct the patient to wear clothing that is thin and easy to absorb sweat
Rationale: To provide a sense of comfort and easy thin clothing that absorbs sweat and does not stimulate an increase in body temperature.
3. Observations intake and output, vital signs (temperature, pulse, blood pressure) every 3 hours once or more often.
Rationale: Early Detect dehydrated, and knowing fluid and electrolyte balance in the body. Vital Signs is a reference to determine the patient's general condition.
4. Collaboration: the administration of intravenous fluids and medications as ordered.
Rationale: Fluid replacement is essential for patients with a high body temperature. Drugs specifically to lower the patient's temperature.