Dengue Case Study

Topics: Blood, Platelet, Coagulation Pages: 8 (1972 words) Published: April 19, 2012
I. Introduction

Dengue is one of the major problem of the Philippines, According to the World Health Organization (WHO) Dengue is found in tropical and sub-tropical regions around the world, predominantly in urban and semi-urban areas. Furthermore, The Philippines ranks among the top 10 countries with the most recorded dengue cases.

Dengue is an acute infectious disease and severe, flu like illness that affects infants, young children and adults but seldom to death, virus are transmitted to humans through the bites of infective female Aedis aegypti mosquitoes, symptoms appear 3-14 days after infective bite include sudden onset of high fever which may last 2 to 7 days, joint and muscle pain and pain behind the eyes , weakness, skin rashes, nose bleeding, abdominal pain, vomiting of coffee colored. The department of health (DOH) released last august 12, 2010 on Dengue statistics in the Philippines was alarming. According of DOH the number of dengue cases has roused to 48% from January to the last of July this year recording a total of 40,648 cases. Since it’s rainy season now in the Philippines the rate of dengue cases is believed to increase even more. According of World Health Organization (WHO) to prevent dengue is to implemented using environmental management and chemical methods, proper solid waste disposal and improved water storage practices, including covering containers to prevent access by egg-laying female mosquitoes are among methods that are encouraged through community-based programmes Grade 1- fever and non-specific symptoms (nausea and vomiting ,pain, weakness),positive tourniquet test Grade 2-all sign of grade+ spontaneous bleeding from the gums, nose, gastrointestinal Grade 3- presence of circulatory failure manifested by weak pulse, narrow pulse pressure, hypotension, cold clammy skin and restlessness Grade 4- profound shock, undetectable blood pressure and pulse


General objective:
The primary objective of the group in line with doing this case study is to exert mastery on the diagnosis of the patient and to demonstrate accuracy on assessing the patient Specific objectives:
* To utilized professionalism in dealing with superiors and colleagues, * To handle the patients with care,
* To manifest core competencies in handling patients with relativity to their diagnosis, * To be able to exert skills in implementing the nursing care plan in accordance with the ABC (airway, breathing and compression) method and, * To practice utilizing the clinical eye on dealing with the patient

III.Biographical data

Name: Patient XYZ
Address:Taguig City
Age: 38 years old
Religion: Roman Catholic
Source of Information:Patient
Date of Admission:May 20, 2011

IV. Chief Complaint
“Nilalagnat ako”

V. History of Present Illness

7 days prior to admission, the client had a fever. He was brought to the TPDH ER and was admitted. 6 days prior to admission, the client hasn’t shown any improvement. 5 days prior to admission, the client showed marks of improvement. 4 days prior to admission, the client hasn’t shown any improvements and still taking his medication. 2 days prior to admission, the patient shown symptoms of fever, vomiting, and loose bowel movement. 1 day prior to admission the client presented with Dengue Hemorrhagic Fever.

VI. Review of Systems
General Appearance|
(+) body weakness(+) fever|
Nervous System|
(+) headache(+) loss of appetite|
Cardiovascular System|
(+) decreased blood pressure|
Digestive System|
(+) Nausea(+) Vomiting|
Muscoskeletal System|
(+) joint pain(-) swollen joints|

VII. Past Medical History

VIII. Family History

IX. Personal and Social History

X. Physical Examination

| Methods Used| Results| Normal Findings|
General Survey| Inspection| Patient is conscious and coherent, with ongoing IVF line at...
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