Nursing Care of Dengue Shock Syndrome (Case Study)

Abstract

Back ground: Dengue shock syndrome is crisis because it results in the failure of the body’s circulation. It prolongs coagulation times and invokes platelet dysfunction. These leads to massive blood loss, in children with this syndrome may die in the few hours after the end of fever stage. Therefore great concern of Dengue shock syndrome and early detection may protect the patient from mortality.
Objective: To follow the progression of the disease in the studied case and to find out their clinical problems. The best medical practice also established to provide the effective patient to these cases
Sample and setting: One case of patient diagnosed with ‘Dengue Shock Syndrome’ in VIP pediatrics ward, Surin Hospital (Ward 10/2) was studied.
Study design: Case study
Result: The studied patient was a 10.2 years old girl. She has had fever stage for 4 days. Then the patient developed the shock stage in the morning of 5th day after recovered from fever last night. Resuscitation from shock was treated by a community hospital prior referred to Surin hospital for advanced management. The patient went into shock stage in the 10th hour after the first shock occurred. Treatment was then changed from isotonic solution to a colloidal solution. The patient then recovered but the complication of volume overload was observed. Laboratory test results were: ESR 0, CBC:WBC 3,810 cell/ mm3, neu. 52.5%, lymp 37%, atypical lymp. 6%, pit 19,000 cell/mm3, Hct 53%, PTT (INR) prolong, BUN 27 mg/dl, Na 133 mmol/1, TC02 14.5 mmol/1, LFT: abnormal, Ca 7.6 mg/dl. Patient’s clinical problems were circulating system failure; risk of blood loss, inadequate intake of water and food, risk of heart failure and respiratory failure. These problems were resolved by nursing care and close observation. Resuscitation applied to the patient was collaborated with nursing care to recover the patient status successfully.
Conclusion: The nursing care plan is set up to correct the disease which associated by observing the signs, symptoms and early detection of potential shock stages. The close observation is the essential practice for nurse practitioner to provide prompt resuscitation in patient developed Dengue shock syndrome.
Key words: Nursing care, Dengue Shock Syndrome