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CONCEPT MAP

Geographical area- tropical; endemic Climate: rainy season Age 1 year old and 5 months
Stagnant water
Breeding of Aedes
mosquito carrying virus
Increase susceptibility
Bite of mosquito carrying flaviviridae
Virus enters blood stream
Virus disseminated rapidly into the blood and
stimulates WBCs including B lymphocytes that
produces and secretes immunoglobulins
(antibodies), and monocytes, macrophages and
neutrophils.
Diagnostic:Hematology :Increased
WBC:12,900/cumm(5,000-
10,000/cumm)Increased
Lymphocytes: 55% (14-44%)
Antibodies attach to the viral antigens, and then
monocytes/macrophages will perform
phagocytosis through Fc receptor (FcR) within the cells
an dengue virus replicates in the cells
Diagnostic: Hematology: increased
Monocytes: 10 (2-6; 6.24.13)
Decreased Neutrophils: 34%(50-81%)
Hgb- decreased 10 (11-16)

Recognition of dengue viral antigen on
infected monocyte
Risk for injury: bleeding increase
capillary fragility
Entry to bone marrow
resulting to bone marrow
suppression
Dengue NS1 AG (+) [6.24.13)







LEGEND:

Release of cytokines which consist of
vasoactive agents which stimulates
WBC and pyrogen release
Dengue fever I
present 10 petechiae/1
inch
2
(10-20 petechiae/1
inch
2
)
Fever prior to admission
PTA Vomiting x1
During duty Vomiting x1
(Both- white, moderate
amount, with gastric
contents)
Predisposing & Precipitating
FACTORS
Pathophysiology
Diagnostic test
Signs and symptoms
Nursing diagnosis