PATIENT: Sta.
Rita, Gellica ROOM: 3
AGE: 30 years’ old
BIRTHDATE: October 22,1992
ADMITTING DIAGNOSIS: Dengue Fever with Warning Signs
DATE TIME FOCUS DATA
01/14/23 10:00 am Impaired Skin Integrity secondary to - Patient verbalized “ang kati ng buong katawan ko
Dengue as evidenced by rashes and dahil sa mga rashes”
itching. - Skin is warm to touch
- Rashes are observed.
- Itching is also seen from the patient.
ACTION
Independent
- Monitor the Vital Signs
- Observe for skin irritation.
- Encourage the patient nutrition and hydration.
- Advise the patient to keep the skin clean and dry.
Dependent
- Administer diphenhydramine q8, PRN as per
doctor’s order.
- Administer cetirizine 10mg tab BID as per doctor’s
order.
RESPONSE
- Patient report sign of relief from itching caused by
the rashes.
- Patient reports absence of any rash or irritation.
- Patient was able to follow the health teaching with
ease