Nursing Care in Dengue Shock Syndrome : A Case study

Abstract

Background: Dengue shock syndrome (DSS) was considered as clinical crisis in patient according to cause circulatory collapse, abnormal platelet function, coagulation disorder and bleeding which lead to mortality. Therefore early assessment of dengue shock syndrome is crucial for prompt management to decrease complication and dead.
Objective: to study disease progression, medical problem, nursing intervention and outcome of nursing care in this case to develop the knowledge for nursing care management in such case.
Case study: A case was selectively chosen. Patient was diagnosed with dengue shock syndrome and admitted in pediatric ward of Rattanaburi hospital, Surin province.
Methods: A qualitative of case study was retrospectively collected from patient chart during March 30 - April 3 2013.
Results: A 3-year old girl was admitted by high fever for 5 days and diagnosed with dengue fever. Dengue shock syndrome was presented on seventh day after first date of fever. Dengue shock syndrome was managed by fluid therapy. Type and volume of fluid were adjusted according to disease progression, blood pressure and hematocrit. Patient was treated and improved with complications of fluid overload. Medical problem was circulatory collapse. Patient was at risk of blood loss, inadequate fluid and nutrition support, heart failure and respiratory failure. Nursing care was closely provided to this patient in order to manage shock syndrome. Clinical outcome was resolved from dengue shock syndrome and fluid overload.
Conclusions: Nursing care plan with comprehensive knowledge in specific disease and closely monitoring will benefit for dengue shock syndrome monitoring and prompt management.
Keywords: nursing care, dengue shock syndrome