CCHF patients need careful attention to the fluid and electrolyte balance, ventilation support for enough oxygenation, mild sedation and hemodynamic support depending upon the situation at the early stages of the disease in early stage of the disease presentation.
Full Answer
How is viral hemorrhagic fever (VHF) treated?
Management of Patients With Suspected Viral Hemorrhagic Fever. Disposable items worn by staff, such as gowns, gloves, etc., should be similarly treated. Disposable items used in patient care (suction catheters, dressings, etc.) should be placed in a rigid plastic container of disinfectant solution.
What is hemorrhagic fever?
This illness is characterized by fever and, in the most severe cases, shock and hemorrhage (1). Although a number of other febrile viral infections may produce hemorrhage, only the agents of Lassa, Marburg, Ebola, and Crimean-Congo hemorrhagic fevers are known to have caused significant outbreaks of disease with person-to-person transmission.
What are the nursing interventions appropriate for patients with DHF?
Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. Monitoring pain. Vascular access. Medication regimen. Fluid replacement. Managing nose bleeds. Trendelenburg position.
What should the nurse include in the instructions for liquid iron preparation?
The nurse is instructing a client about taking a liquid iron preparation for the treatment of iron-deficiency anemia. What should the nurse include in the instructions? 1- Do not take medication with orange juice because it will delay absorption of the iron.
Which is an independent nursing intervention for a patient with dengue hemorrhagic fever?
Nursing interventions appropriate for a patient with DHF include: Blood pressure monitoring. Measure blood pressure as indicated. Monitoring pain.
What should the nurse do if the patient has a fever?
Remove excessive clothing, blankets and linens. Adjust the room temperature. To regulate the temperature of the environment and make it more comfortable for the patient. Administer the prescribed antibiotic/ antiviral or antiparasitic and anti-pyretic medications.
What is the nursing intervention for bleeding?
Nursing InterventionsInterventionsRationalesTell the female patient to inform the health care provider when there is an increase in menstrual bleeding as indicated by an increase in the number of sanitary pads used.Alterations in coagulation may lead to increased blood loss with regular menstruation.19 more rows•Mar 19, 2022
How do you treat dengue hemorrhagic fever?
Treatment for Dengue Fever There is no specific medicine to treat dengue infection. If you think you may have dengue fever, you should use pain relievers with acetaminophen and avoid medicines with aspirin, which could worsen bleeding. You should also rest, drink plenty of fluids, and see your doctor.
What is nursing management of a patient?
Nurse management is the process of directing teams and nursing departments to maintain best practices and organization when providing care to patients.
How will you manage a patient suffering from fever?
making sure the room temperature where the person is resting is comfortable. taking a regular bath or a sponge bath using lukewarm water. taking acetaminophen (Tylenol) or ibuprofen (Advil) drinking plenty of fluids.
What is the first aid treatment for severe bleeding?
Stop the bleeding. Place a sterile bandage or clean cloth on the wound. Press the bandage firmly with your palm to control bleeding. Apply constant pressure until the bleeding stops. Maintain pressure by binding the wound with a thick bandage or a piece of clean cloth.
What are the nursing management of menorrhagia?
Medical therapy for menorrhagia may include: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve), help reduce menstrual blood loss. NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea).
Which one of the following nursing measures would be most appropriate in the care of the patient who has acute epistaxis?
During the procedure, reassure the patient, monitor vital signs, and assess for hypoxia. After bleeding is controlled, reassess the patient and provide oral care. Keep the patient's mouth moist while the packing is in place. If packing is used, especially posterior packing, monitor for respiratory compromise.
Which of the following is the most important treatment of patients with dengue H fever?
To manage pain and fever, patients should be given acetaminophen. Aspirin and nonsteroidal, anti-inflammatory medications may aggravate the bleeding tendency associated with some dengue infections and, in children, can be associated with the development of Reyes syndrome.
How dengue is treated in hospital?
Dengue Treatment Blood pressure monitoring. Supportive care in a hospital. IV fluid and electrolyte replacement. Transfusion to replace blood loss.
What should be monitored in dengue patient?
Intravenous fluids are usually needed only for 24–48 hours. Patients should be monitored by health care providers for temperature pattern, volume of fluid intake and losses, urine output (volume and frequency), warning signs, haematocrit, and white blood cell and platelet counts (Textbox L).
What should be included in a nursing assessment of a patient with DHF?
Nursing Assessment. Assessment of a patient with DHF should include: Evaluation of the patient’s heart rate, temperature, and blood pressure. Evaluation of capillary refill, skin color and pulse pressure. Assessment of evidence of bleeding in the skin and other sites.
What is the best treatment for DHF?
The management of DHF is actually simple as long as it is detected early. Oral rehydration therapy. Oral rehydration therapy is recommended for patients with moderate dehydration caused by high fever and vomiting. IV fluids. IVF administration is indicated for patients with dehydration.
What is the disease that causes a fever and a diathesis?
Dengue hemorrhagic fever is a fatal manifestation of the dengue virus that manifests with bleeding diathesis and hypovolemic shock. These viruses are related to the viruses that cause the West Nile infection and yellow fever.
How long does DHF last?
The virus is deposited in the skin by the vector, within few days viremia occurs, lasting until the 5th day for the symptoms to show. Hemorrhagic symptoms. Shortly after the fever breaks or sometimes within 24 hours before, ...
What happens if you leave DHF untreated?
Progression. If left untreated, DHF most likely progresses to dengue shock syndrome.
How long does it take for a dengue fever to show?
Clinical Manifestations. Symptoms, which usually begin 4 to 6 days after infection and may last to up to 10 days , include: Symptoms of Dengue. High fever. Sudden high fever occurs as a result of the infection. Severe headaches. Severe headaches also torment the patient. Damage to lymph and blood vessels.
How to reduce diuresis?
Avoid diuretics. Avoid caffeine and alcohol as indicated to reduce effects of diuresis.
What is needed for CCHF patients?
Some of the patients needed preparations of erythrocytes, platelets, and fresh frozen plasma, depending on their homeostatic state. Replacement therapy with blood products, according to the results of the complete blood count, is indispensable in the management of severe CCHF cases.
What is CCHF caused by?
CCHF is caused by an RNA virus. This virus has been classified as a Nairovirus genus from the family of Bunyaviridae (3). Clinical features usually include a rapid progression characterized by hemorrhage, myalgia and fever (2, 3).
When was the first CCHF observed?
It was first observed in Crimea in 1944 and was first isolated in Africa (Congo) from a febrile patient in 1956. The virus is widely distributed around the world (1, 2).
Is CCHF an expected event?
CCHF cases occurring as an expected event in endemic areas should notify the clinicians in the international neighborhood. They should be aware of the probability of the importation of CCHF cases from endemic areas in the nosocomial setting, and of the potential transmission of the virus via tick-infested and infected imported livestock. Blood and secretion of the infected patients can spread the infection so, the medical laboratory staffs and health-care workers are another high-risk group. There are epidemiological differences in CCHF transmission in the different parts of the world (3-5).
Is CCHF a long term disease?
CCHF is an acute infection without any long-term sequelae or disability , the only relevant outcome is survival.
Is ribavirin a standard treatment?
According to the clinical responses that were seen in most of the patients who were prescribed with ribavirin accompanied with corticosteroids for treatment or prophylaxis, it could be concluded that this strategy could be considered as a standard treatment or prophylactic protocol (2, 5-7).
Can goats get CCHF?
Sheep, goats and cattle develop high titers of virus in blood, but tend not to fall ill. Humans are usually infected with CCHF virus through a tick bite but in some special areas, which sheepherding is one of the most common jobs, the route of contamination could be different. People who work with livestock, animal herders and slaughterhouses workers are at risk of CCHF infection (3-5).
How to help a client with hyperthermia?
Provide a high caloric diet or as indicated by the physician. -To meet the metabolic demand of the client. Educate client of signs and symptoms of hyperthermia and help him identify factors related to the occurrence of fever; discuss the importance of increased fluid intake to avoid dehydration.
What is carbamazepine used for?
Carbamazepine – may also be used for trigeminal neuralgia and bipolar disorder.
Can a drug cause hyperthermia?
Some medication also causes drug-induced hyperthermia such as Ephe drine, Sulfa Drugs, Interferons, etc. Some underlying conditions can also cause hyperthermia, like thyrotoxicosis, heart attack and other forms of cancer.
What is the priority of a nurse?
The nurse's priority is to maintain personal and work place safety. Violence can erupt in the emergency department when treating gang members if the rival gang seeks revenge, or the patient's gang members seek to protect the patient with their presence. Staff members can be victims of that violence, so they should maintain a safe work environment by seeking law enforcement and security assistance in maintaining safety for the staff and the patient. ABCs are the usual priority, but this situation does not show any problem with the patient's airway or breathing.
What is the temperature of a patient's core?
A patient has a core temperature of 90F (32.2 C). The most appropriate rewarming technique would be;
What does assessment of a male patient during the primary survey indicate?
Assessment of a male patient during the primary survey indicates delayed capillary refill of the extremities. He cannot explain the events before admission to the ED. Which action should the nurse take immediately?
How many IV catheters are needed for IV fluid resuscitation?
B. Insert one or two large-bore IV catheters to start IV fluid resuscitation.
What does it mean when a person is red?
Red indicates a life-threatening injury requiring immediate intervention, such as severe bleeding. Emotional trauma would not warrant a "red" designation, and a fracture would likely be deemed "yellow," urgent but not life threatening. Those not expected to survive are categorized "blue." "Black" identifies the dead.
What is home care nurse?
A home care nurse visits a client diagnosed with atrial fibrillation who is ordered warfarin. The nurse teaches the client about warfarin therapy. Which statement by the client indicates the need for further teaching?
When was the supply of blood available for transfusions risk free?
c. Explain that since 1985 the supply of blood available for transfusions is risk-free.
Does thrombocythemia require regular injections?
4- "Primary thrombocythemia makes you quite vulnerable to hemorrhage, so you'll need regular injections of some important clotting factors."
What Is Dengue Hemorrhagic Fever?
Pathophysiology
Statistics and Incidences
Causes
Clinical Manifestations
Prevention
Complications
Assessment and Diagnostic Findings
Medical Management
- The management of DHF is actually simple as long as it is detected early. 1. Oral rehydration therapy. Oral rehydration therapy is recommended for patients with moderate dehydrationcaused by high fever and vomiting. 2. IV fluids. IVF administration is indicated for patients with dehydration. 3. Blood transfusion and blood products.Patients with int...
Practice Quiz: Dengue Hemorrhagic Fever