Nursing Care for Dengue Hemorrhagic Fever Patients with Shock: Case Study

  • Panjit Phothong คณะเวชศาสตร์เขตร้อน มหาวิทยาลัยมหิดล
  • Waraporn Somwong โรงพยาบาลเวชศาสตร์เขตร้อน มหาวิทยาลัยมหิดล
  • Kongkaew Younboonhlim โรงพยาบาลเวชศาสตร์เขตร้อน มหาวิทยาลัยมหิดล
  • Akemanee Pattanapipaisam โรงพยาบาลเวชศาสตร์เขตร้อน มหาวิทยาลัยมหิดล

Abstract

Nursing dengue shock syndrome (DSS) using a plan to evaluate the treatment guidelines according to the nursing process. This patient was diagnosed with dengue shock syndrome with thalassemia. The results showed that the patient was in crisis. There is a problem with the nursing situation: hypovolemic shock due to the leakage of plasma outside the veins. Bleeding and blood clots around the neck above the supraclavicular and nasal cavity due to low platelets and abnormal changes in blood clotting values. As a result, blood clots spread in the blood vessels (disseminated intravascular coagulation; DIC). As a result, organ failure, the patient is treated by the blood and the components of the blood. Water and electrolyte imbalances were found. It is also found that liver and kidney failure are found. Therefore, the patient needs to undergo continuous dialysis. to drive waste and excess water from the body.

Therefore, nurses who care for patients should have a supportive approach to assessing shock from the start, which is of great importance to help the patient receive timely treatment. This reduces the incidence of complications and deaths, as well as the ability to care for patients accurately and effectively, resulting in a greater survival rate.

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Published
2021-03-31