dengue fever presentation about signs and symptoms ,diagnosis

a presentation about dengue fever

1. CASE PRESENTATION ON DENGUE FEVER GUIDED BY: Dr.M.AMZAD KHAN SIR ASSISTANT PROFFESOR BALAJI COLLEGE OF PHARMACY ANANTHAPURAMU PRESENTED BY; R.RAJYALAKSHMI 21T11T0023 PHARM D III YEAR BALAJI COLLEGE OF PHARMACY ANANTHAPURAMU

2. Dengue is a viral infection which affects infants ,young children and adults which is transmitted by female mosquito that is Ades aegypri and sometimes Aedes albopictus . Characterised by sudden onset of high fever,headache,back pain joint and muscle pain ,rashes on the back chest and abdomen ,fever returns to normal within a week but may leave a person tired and slightly depressed for a weeks afterward. INTRODUCTION :

3. Dengue fever also known as breakbone fever, it is a viral infection that spreads from mosquito to people. It is more common in tropical and subtropical climates . EPIDIMIOLOGY : Approximately 400 million cases and 22,000 deaths occur due to dengue worldwide each year DEFINITION :

4. CLASSIFICATION :

5. Dengue is a viral infection caused by the dengue virus (DENV),transmitted to humans through the bite of infected mosquitoes. It is caused by any four types of dengue virus(DENV-1,DENV -2,DEN-3,DEN-4 ) and is transmitted through infected female aedes mosquitoes. E TIOLOGY :

6. Abrupt onset of high fever Severe frontal headache Muscle and joint pains Loss of sense of taste and appetite Rashes over the chest and upper limbs Nausea and vomiting SIGNS/SYMPTOMS :

7. Severe dengue symptoms are: Frequent vomitting with or without blood Bleeding from nose,mouth,skin and skin rashes Dry mouth Rapid weak pulse Difficulty in breathing Continued….

8. PATHOPHYSILOGY :

9. Consideration of the patient’s symptoms and medical history Blood tests By considering the symptoms such as joint and muscle pains ,body temperature ,severe headache ,rashes and nausea. Ns1 test – Dengue antigen test DIAGNOSIS :

10. PREVENTION :

11. There is no specific medicine for dengue Drink plenty of water to avoid dehydration Paracetamol (acetaminophen ) can relieve pain and reduce fever Manage symptoms with rest ,fluids ,pain relievers TREATMENT :

12. A 6 year old female patient bearing IP no.20247610 was admitted in the pediatrics department on 04/03/24 with the chief complaint of c/o fever since 3 days c/o vomittings since 2 days c/o burning micturation since 2 days . DEMOGRAPHIC DETAILS :

13. C/O fever since 3 days –high grade ,intermittent , associated with chills. c/o burning micturation since 2 days c/o vomittings since 2 days 5 -6 episodes associated with food particles HISTORY OF PRESENT ILLNESS :

14. VITALS DAY 1 DAY 2 DAY 3 DAY 04 DAY 5 DAY 6 HR ( bpm ) 140 126 109 96 149 99 TEMP 100.7° F  103° F  100° F  99° F  100.1° F 99 ° F PHYSICAL EXAMINATION :

15. H eart sounds – s1s2 + CNS – Alert Per abdomen – soft RS – BLAE + SYS TEMIC EXAMINATION :

16. PARAMETERS OBSERVED VALUE NORMAL VALUE Haemoglobin 12.5 g/ dL 11-16.5g/ dL Total count 28,000 cells/cum 8500-10000cells/cum DIFFERENTIAL COUNT Neutrophils 45 % 40-70 % Lymphocytes 15% 15-30% Monocytes 6% 2-10% Esinophils 4% 1-6% ESR 30 m m/ hr 10-20 mm/ hr Platelet count 31,000 1lac -4.5 lac/ mcL LABORATORY INVESTIGATIONS :

17. DENGUE FEVER THROMBOCYTOPENIA DIAGNOSIS :

18. generic name Brand name dose frequency ROA Day 1 Day 2 Day 3 Day 4 Day 6 Inl.ceftriaxone Cefriso plus and rocephin 60 mg BID IV + + + + + Inj.pct Tylenol,exedrin 18ml OID IV + + + + + Inj.ondansetron zofran 2cc ns TIS IV + + + Syp.PCT Pyrexol MF 7ml OID Oral + + + + + IVF.RL 36ml OID IV + + + Inj.pantop pantaprazole 20mg OID IV + + + PRESENT MEDICATION HISTORY :

19. SOAP NOTES

20. c/o fever c/o vomitting c/o burning micturation OBJECTIVE : Temperature – 99° F Heart rate- 99BPM Platelet count -35000/ mcL SUBJECTIVE :

21. Based o chief complaints patient has confirmed as dengue fever By using laboratory investigations and parameters Inj. ceftriaxone-To treat bacterial infection Inj. Ondansetron -to prevent nausea Inj.PCT-mild analgesic and to treat fever Syp.PCT-used to reduce fever Inj. pantop -used to reduce excess acid in stomach ASSESSMENT :

22. Monitor body temperature and vital signs and platelet count regularly . suggest to consume foods that can help boost immunity and increase platelet count Suggest to consume papaya leaf extract to increase in platelet count. PLAN :

23. PATIENT SPECIFIC GOAL : To prevent the further complications of dengue hemorrhagic fever , shock etc LIFE STYLE MODIFICATIONS : Wear a protective clothing and use mosquito repellant DIET; low fat, low fiber , and fruits such as kiwi pomegranate and vegetables such as carrot and beet root. Take adequate rest Goals of treatment :

24. Inj.ceftriaxone Class- cephalosporins antibiotics MOA-inhibition of bacterial cell wall synthesis Inj.paracetamol Class –analgesic and antipyretics MOA-activation of descending seretonergic pathway Inj.ondansetron Class-serotonin 5-HT3 receptor antagonist MOA –it works by blocking the action of serotonin Syp . paracetamol Class- analgesic MOA –activation of descending serotonergic pathways Inj.pantop Class-proton pump inhibitors MOA-inhibits the final step in gastric acid production

25. Name – muneswari Age-6 years ward-pediatrics Date of admission-04/03/24 Date of discharge-11/03/24 Prescription details: Paracetamol 250 mg :1-1-1 DISCHARGE SUMMARY :