Predisposing Female aedis aegyptis mosquitoes bite Precipitating

Factor: a human Factor:

- GENDER Virus infiltrates in the blood - ENVIRONMENT

- RACE - LIFESTYLE
Virus attaches to the receptors of the host’s cell
- GEOGRAPH membrane
Y Virus’ genetic materials enter the

Nucleic acids of the virus take over the cells’

manufacturing system
Mutation of the virus; affecting
more cells

PRIMARY SECONDARY
MEDIATORS Initial MEDIATORS

Dengue virus infects Headach Body Virus-antibody

monocyte e malaise complexes phagocytised
by antigen-presenting
Dengue fever cells

Activation of T-cells

Recovery with
antibody to dengue Decrease platelet count and Inc. production of inflammatory
in blood increase hemacrit count

Petechiae
rashes

Continue decrease in platelet

count
 Hemorrhage Epistaxis

DENGUE HEMORRHAGIC FEVER

STAGE II

IF Treated: IF not Treated:

- Adequate rest - Poor compliance of

medication
- Adequate Fluid intake
- Poor financial support
- Compliance of medication
Complication:

- Bleeding

- Shock
GOOD PRGONOSIS
- Very low Blood Pressure
Medical Management:

• Platelet concentrate blood transfusions

Result of Complication:
• Meds:

- Paracetamol for fever PRN - DEATH

- Cotrimoxazole

NURSING MANAGEMENT BAD PROGNOSIS

• Administer medications as ordered

• Health teachings:

- Inc. OFI
 Good Prognosis

- Because out of 4 management the

patient actively followed the treatment
medication.