Cues
Nursing Diagnosis
Subjective ◊ “Nagkapasa-pasa ako na maliliit, wala na ngayon may mga bakas na lan konte,” as verbalized.
◊ Impaired skin integrity r/t changes in the barrier function of the skin
Inference
Independent ◊ Vital signs monitored and recorded.
Dengue Virus Type I
◊ After 3 days of nursing intervention, proper skin hygiene and maintenance of skin integrity is demonstrated.
◊ Changes in vitals signs may indicate infection.
◊ Instructed proper hygiene and self-care as well in her surroundings.
◊ Proper hygiene will prevent infection and complication. A clean environment occurrence of any disease.
(Chikungunya Virus)
IgG adheres to the platelet
(initiates destruction of the platelet) Dependent thrombocytopenia
T= P= R= BP =
3
(50,000/mm or less)
°C bpm cpm mmHg
Rationale
Short Term Goal
◊ c non pitting bipedal edema ◊ V/S taken as follows:
Nursing Intervention
Aedes Aegypti
Objective ◊ c marks of petechial rash on the extremity
Objective
increased potential for hemorrhage
stimulates intense inflammatory response
petechial rash, high fever, headache
◊ Administered prescribed meds such as ascorbic acid and furosemide.
◊ Vitamin C promotes wound healing and diuretics decreases renal vascular resistance and may increase renal blood flow.
Evaluation
◊ After 3 days of nursing intervention, the goal is met through demonstration of proper skin hygiene and compliance with treatment and medication.