Pediatric Nursing Care for Dengue Hemorrhagic Fever with Shock:

Case study

Abstract

         This study was a case study of an adolescent patient who had dengue hemorrhagic fever (DHF) with shock. This study aimed to study disease progression and nursing guidelines for dengue hemorrhagic fever with shock.  This case was a Thai teenage boy who diagnosed with Dengue hemorrhagic fever (DHF) Grade III with hypovolemic shock with hypokalemia with metabolic acidosis with hepatitis. Patients are cared for using the nursing process and assessed the health status of patients according to the stage of dengue fever.

         The case study showed that patients with dengue fever are in shock showed nursing problems included shock, hypoxia, acid-base imbalance, liver failure, and anxiety about the illness. The case study received nursing care according to the practice guideline for DHF with shock, especially intravenous fluid administration and monitoring complications closely. The nursing outcome was saved from shock and recovered. The duration of treatment was seven days, so doctors allowed him to go home.

         The suggestions are that in nursing care for a patient who developed the dengue hemorrhagic fever with shock, assessment of the patient's condition carefully from the fever phase is strongly needed; thus, appropriate care can provide immediately.  If the patient has already shocked, nurses must manage intravenous fluid as planned quickly. Clinical symptoms must be observed strictly. Theses including delirium, vomiting, abdominal pain, changes in vital signs, hematocrit (Hct) greater than 10-20%, and urine output less than 0.5 ml/kg/hour. Promptly complications are shown; the nurse must report a doctor for further appropriate care.