Management of Bleeding Risk In School-Age Children with Dengue Hemorrhagic Fever (DHF)

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus caused by Aedes aegypti or Aedes albopictus mosquitoes that can occur in a less clean home or school environment characterized by high fever, bleeding which if not treated immediately can cause plasma leakage resulting in death. This paper aims to provide an overview of bleeding risk management in school-age children with DHF in the Dadap Serep room of Pandan Arang Boyolali Hospital. The research method uses a descriptive method with a nursing methodology approach starting from assessment to evaluation. Preventive management of bleeding is carried out for 3 days in patients. Data collection techniques use interviews, observations, and documentation studies. Implementation carried out to overcome the risk of bleeding is to monitor coagulation, monitor vital signs, monitor signs of bleeding symptoms, maintain bed rest, explain signs of bleeding symptoms, recommend using socks during ambulation, recommend increasing food and vitamin K intake, recommend immediately reporting if bleeding occurs, collaborate on drug administration. The results obtained, the patient has no fever, no bleeding and platelets 21000 /μL, from the above results indicate that the implementation is partially resolved. Advice for parents to know more about preventing bleeding in DHF, so that they can play an active role in the first treatment at home. If the child has a fever for more than 3 days as soon as possible do a laboratory check, recommend drinking lots of water to avoid dehydration, and limit the child's activity (bed rest).