4. GENERAL OBJECTIVE
Dehydration fever 4
• At the end of the session, B. Sc nursing 3rd year
students will be able to explain on dehydration fever.
5. SPECIFIC OBJECTIVES
Dehydration fever 5
• Introduce dehydration fever
• Define dehydration fever
• State the causes of dehydration fever
• Explain the pathophysiology of dehydration fever
• List its symptoms
• Describe its diagnostic evaluations
• Explain the management of dehydration fever
6. 6
• Breast milk is the main nutrient for the growth and
development of the infant.
• Normal neonatal feeding is advocated on demand every 2
hours.
• The World Health Organization recommends, all infants should
be exclusively breastfed for the first 6 months of life.
INTRODUCTION
Dehydration fever
7. CONTINUE
Dehydration fever 7
• Physiological weight loss in first few days of life is normal.
• But if the weight loss is more than 10% of the birth weight, most
of the times it is associated with breast feeding failure.
• Dramatic weight loss and dehydration with an increase in serum
sodium (Na) concentration related to the insufficient breast milk
intake may be observed mostly on the initial days of the infant
8. DEFINITION:-
Dehydration fever 8
Dehydration fever is a condition seen in first few days of
neonates due to loss of body fluids and inadequate replacement
through oral feeding. This leads to ineffective thermoregulation
in a neonate’s body resulting in low grade fever to pyrexia.
17. Dehydration fever 17
SYMPTOMS
Temperature rises up to 100-
1010 F.
Rise in temperature are seen on
3rd to 4th day of life
Tachycardia
Irritability
Rehydration leads to lysis of
fever
18. DIAGNOSIS:-
Dehydration fever 18
History Taking:-
• Birth history, date and time and weight at birth is
important in determining dehydration fever.
• Check maternal health history
19. PHYSICAL EXAMINATION:-
Dehydration fever 19
• Measurement of temperature, pulse and respiration gives most of the
answers
• Weight comparisons to that of during birth helps to determine the
weight loss
• Check for signs of dehydration.
• Check if the clothing of baby is appropriate or not.
20. MANAGEMENT:-
Dehydration fever 20
Goals of managing dehydration fever are:-
• Rehydration and proper feeding completely resolves the
conditions.
• Maintaining a thermally safe environment is also important
21. NURSING MANAGEMENT:-
Dehydration fever 21
Assessment:-
• Assess the temperature, pulse and respiration of the baby
• Assess the birth history
• Assess the Maternal health history
22. ASSESSMENT
Dehydration fever 22
• Assess the mammary gland of mother for infections, inadequate
lactogenesis
• Assess the clothing of the child
• Assess the surrounding environment for possible hazards that
cause fluid loss
• Assess the breastfeeding technique of mother
23. NURSING DIAGNOSIS:-
Dehydration fever 23
Hyperthermia related to fluid volume depletion as evidenced by
elevated temperature 1000 F
Ineffective breastfeeding related to poor knowledge of mother
regarding breastfeeding technique as evidenced by improper
holding of baby
24. CONT…
Dehydration fever 24
Deficient fluid volume related to physiological fluid loss and
relatively inadequate intake as evidenced by dry lips
Impaired urinary elimination related to fluid volume depletion
as evidenced by low urine output
25. CONT…
Dehydration fever 25
• Imbalanced energy field related to excessive irritability and
restlessness as evidenced by lethargy
• Risk for electrolyte imbalance related to low extracellular
fluid volume
26. CONT…
Dehydration fever 26
Risk for ineffective peripheral tissue perfusion related to
depletion of intravascular volume
Risk for dry mouth related to dehydration
27. NURSING INTERVENTION
Dehydration fever 27
For hyperthermia:-
• Rehydration with breast milk is the best way to subside the
hyperthermic state
• Extra clothing , that causes sweating should be removed
• The child should not be kept near fire or in sun for a longer
period of time
28. CONT…
Dehydration fever 28
Sponge bath with luke warm water helps to maintain the
temperature within normal range
Maintain humidity.
Put on light clothes on newborn
Monitor temperature every 4 hourly and more frequently if required.
29. To maintain effective Breastfeeding:-
Dehydration fever 29
Provide adequate knowledge
Encourage feeding on demand.
30. For volume maintenance:-
Dehydration fever 30
Monitor Intake and output of the child strictly
Watch for concentrated urine and other sign that indicates
dehydration
Monitor body weight and nutritional status of the child
Watch for depressed fontanel and sunken eyes or change in skin
texture that indicates worsening in the condition.
31. .TO ELIMINATE THE RISK OF ELECTROLYTE
IMBALANCE:-
Dehydration fever 31
One main complication could be hyponatrimia ,
routine blood examination for sodium level and
potassium level is important
34. REFERENCES:-
Dehydration fever 34
• TuiTui, R. (2007). Manual of Midwifery III, (4th ed.). Kathmandu,
Nepal: Vidyarthi Pustak Bhandar (pg).
• Sherpa, M. (2074). Essential textbook of Midwifery Nursing part-
III. Kathmandu, Nepal: Samiksha publication pvt.ltd, (pg).
• Hassan, M. , Ardash E. (jan 10, 2019). Clinical profile of
dehydration fever in neonates. Name of journal.
http://dx.doi.org/10.18203/2349-3291.ijcp20190716
35. Dehydration fever 35
• R E APPLETON and C K Foo Child Health Unit,Princess Mary
Maternity Hospital, Dehydration fever in the neonate-a common
phenomenon? A case
report.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1792028/p
df/archdisch00674-0129b.pdf
• MD, Koyfman,nov 12, 2018, Pediatric Dehydration,
https://emedicine.medscape.com/article/801012-clinical
• The Editors of Encyclopaedia Britannica,December 7 ,
2017,Dehydration,
https://www.britannica.com/science/dehydration-physiology