Saturday, January 7, 2012

Hyperthermia Nanda Nursing Diagnosis - Dengue Fever

Nanda Nursing Diagnosis for Dengue Fever : Hyperthermia

Dengue hemorrhagic fever is an acute infectious disease manifested initially with fever. Dengue fever is one of the contagious viral diseases spread through the mosquito bite. The female Aedes aegypti mosquitoes thrive in stagnant water of surroundings and become the carriers of the virus. The disease is characterized by mild to high fever, headache, joint and muscle pains and rashes.

Signs and Symptoms
  • Mild to high fever about 105 F
  • Severe pain in the bone joints 
  • Intense headache and backache
  • Loss of appetite
  • Appearance of rashes all over the body
  • Nausea followed by vomiting
Home Remedies for Dengue

1. One should reduce the exposure to mosquitoes as far as possible and not venture out in the dawn or dusk, when the mosquitoes are most prevalent.

2. Mosquito nets, mosquito repellant ointments and coils must be regularly used while sleeping at night, to prevent the mosquito bite.

3. Holy basil leaves are very useful in preventing and treating dengue. Drinking a decoction of basil leaves and cardamom powder, adding little salt and milk helps in reducing high fever.

4. Juice extracted from two raw papaya leaves helps in preventing Dengue.

5. Drinking few cups pf herbal tea prepared from basil leaves, ginger and cardamom powder is very effective in reducing the fever.

6. Orange juice is widely used for treating Dengue fever. Drinking orange juice helps in proper digestion to fight against the disease.

7. Plenty of water or diluted fruit juice must be administered to the patient to maintain the required water balance of the body.


Nursing Diagnosis and Interventions for Dengue Fever 

Nursing Diagnosis Hyperthermia

related to :

the disease (viremia)

Goal :
  • Normal body temperature (36-37 C).
  • Patients were free from fever.

Nursing Interventions and Rational for DHF :
1. Assess the onset of fever.
Rational: to identify patterns of fever patients.

2. Observation of vital signs (temperature, pulse, blood pressure, respiration) every 3 hours.
Rational: vital signs is a reference to determine the patient's general condition.

3. Instruct patient to drink plenty
Rationale: Increased body temperature resulting in increased evaporation of the body so it needs to be balanced with a lot of fluid intake.

4. Give a warm compress.
Rational: With vasodilation can increase evaporation which accelerate the decline in body temperature.

5. Advise not to wear a thick blanket and clothing.
Rational: thin clothing helps reduce the evaporation of the body.

6. Give intravenous fluid therapy and medications according to physician programs.
Rational: infusion of fluids is very important for patients with a high temperature.

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