Nursing Care Plan : Nanda Nursing Diagnosis

5 Nursing Diagnosis for Dengue Hemorrhagic Fever

Dengue hemorrhagic fever is a severe, potentially deadly infection spread by some mosquitos.

Dengue hemorrhagic fever is a severe and sometimes fatal infection that occurs tropical regions. It is most common in Southeast Asia and the western Pacific islands. The disease has been increasing rapidly in Latin America and the Caribbean.


Symptoms of the dengue virus generally include:
  • mild, moderate, or high fever
  • headaches
  • nausea
  • vomiting
  • pain in the muscles, bones, or joints
  • rashes on the skin
In the case of dengue hemorrhagic fever, other disturbing symptoms can develop. These may include:
  • restlessness
  • acute fever
  • bleeding or bruising under the skin
  • cold or clammy skin

Exams and Tests

A physical examination may reveal:
  • Enlarged liver
  • Low blood pressure
  • Rash
  • Red eyes
  • Red throat
  • Swollen glands
  • Weak, rapid pulse
Tests may include:
  • Arterial blood gases
  • Blood tests (to find signs of the virus in the blood)
  • Coagulation studies
  • Electrolytes
  • Hematocrit
  • Liver enzymes
  • Platelet count
  • Serum studies from samples taken during acute illness and afterwards
  • Tourniquet test (causes blood patches to form below the tourniquet)
  • X-ray of the chest (may show buildup of fluid in the lungs and chest)

5 Nursing Diagnosis for Dengue Hemorrhagic Fever
  1. Hyperthermia related to the process of viral infection.
  2. Deficient Fluid Volume related to increased capillary permeability, bleeding, vomiting and fever.
  3. Imbalanced nutrition: less than body requirements related to nausea, vomiting, anorexia.
  4. Altered peripheral tissue perfusion related to bleeding.
  5. Anxiety related to the patient's condition deteriorated and bleeding.

Nursing Diagnosis

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