Fluid Volume Deficit related to Dengue Fever

Fluid Volume Deficit

Decreased intravascular, interstitial, and/or intracellular fluid (refers to dehydration, water loss alone without change in sodium level)

Defining Characteristics:

• Decreased urine output;
• increased urine concentration;
• weakness;
• sudden weight loss (except in third-spacing);
• decreased venous filling;
• increased body temperature;
• decreased pulse volume/pressure;
• change in mental state;
• elevated hematocrit;
• decreased skin/tongue turgor;
• dry skin/mucous membranes;
• thirst;
• increased pulse rate;
• decreased blood pressure

Dengue Fever

Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes.

Dengue hemorrhagic fever (DHF) is a specific syndrome that tends to affect children under 10 years of age. It causes abdominal pain, hemorrhage (bleeding), and circulatory collapse (shock).

Signs and symptoms of dengue fever most commonly include:

• Fever, up to 106 F (41 C)
• Headaches
• Muscle, bone and joint pain
• Pain behind your eyes

You might also experience:

• Widespread rash
• Nausea and vomiting
• Minor bleeding from your gums or nose

Nursing Diagnosis for Dengue Fever

Fluid Volume Deficit related to active fluid loss

Goal:

• Fluid requirements are met, with the result criteria: no sunken eyes, mucous membranes moist, good skin turgor

Outcomes:

• Good skin turgor, dry skin, mucous membranes moist

Interventions:

1) Observation vital signs at least every three hours.
Rationale: Decrease in blood circulation may occur from increased fluid loss resulting in hypotension and tachycardia.

2) Observation and cata intake and output.
Rationale: Shows the status of the circulating volume, the / repair fluid displacement, and response to therapy.

3) Measure the weight.
Rationale: Measuring the adequacy of fluid replacement according kidney function.

4) Monitor intravenous fluids every hour.
Rationale: Maintaining the balance of fluid / electrolyte.