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Proceso de atención de enfermería en neonato con asfixia perinatal más síndrome de abstinencia.
| dc.contributor.advisor | Álvarez Macías, Blanca Cecilia | |
| dc.contributor.author | Pincay Jaen, Kenia Lisbeth | |
| dc.date.accessioned | 2021-11-08T19:18:27Z | |
| dc.date.available | 2021-11-08T19:18:27Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10426 | |
| dc.description | Perinatal asphyxia, is a preventable disease through changes in risk factors that influence its appearance, this pathology is characterized by the interruption in gas exchange either at the placental or pulmonary level, during or after labor, prolonged exposure to lack of oxygen can lead to a hypercapnic state, hypoxemic to finally end in a neonatal metabolic acidosis, the symptomatic picture with which patients occur are with episodes of apnea, lethargy, bradycardia, hypotension, nasal flaring, changes in body temperature, intercostal pull, cyanosis and in serious state brain and intestinal dysfunction, its diagnosis can be made through a blood gas of the umbilical cord both arterial and venous, assessment according to Apgar and Silverman, which allow to assess the Cardio respiratory status, motor and neurological function, as a treatment has the implementation of supplemental oxygen based on the severity and time of exposure to the lack of oxygen, another measure is the resuscitation of the newborn with cardiac massages and pharmacotherapy with epinephrine at low doses. The present clinical case study revealed a neonate diagnosed with perinatal asphyxia, the purpose of the study was to apply the nursing care process in a patient with perinatal asphyxia plus withdrawal syndrome, the study describes different diagnoses such as exchange impairment gas and nursing care plans and interventions were created based on the needs of the neonate, in addition, a follow-up was provided in the pharmacotherapy prescribed by the treating physician, which helped the recovery of the patient during his hospital stay. | es_ES |
| dc.description | Perinatal asphyxia, is a preventable disease through changes in risk factors that influence its appearance, this pathology is characterized by the interruption in gas exchange either at the placental or pulmonary level, during or after labor, prolonged exposure to lack of oxygen can lead to a hypercapnic state, hypoxemic to finally end in a neonatal metabolic acidosis, the symptomatic picture with which patients occur are with episodes of apnea, lethargy, bradycardia, hypotension, nasal flaring, changes in body temperature, intercostal pull, cyanosis and in serious state brain and intestinal dysfunction, its diagnosis can be made through a blood gas of the umbilical cord both arterial and venous, assessment according to Apgar and Silverman, which allow to assess the Cardio respiratory status, motor and neurological function, as a treatment has the implementation of supplemental oxygen based on the severity and time of exposure to the lack of oxygen, another measure is the resuscitation of the newborn with cardiac massages and pharmacotherapy with epinephrine at low doses. The present clinical case study revealed a neonate diagnosed with perinatal asphyxia, the purpose of the study was to apply the nursing care process in a patient with perinatal asphyxia plus withdrawal syndrome, the study describes different diagnoses such as exchange impairment gas and nursing care plans and interventions were created based on the needs of the neonate, in addition, a follow-up was provided in the pharmacotherapy prescribed by the treating physician, which helped the recovery of the patient during his hospital stay. | es_ES |
| dc.description.abstract | La asfixia perinatal, es una enfermedad prevenible a través de cambios en los factores de riesgo que influyen en su aparición, esta patología se caracteriza por la interrupción en el intercambio gaseoso ya sea a nivel placentario o pulmonar, durante o después de la labor de parto, la prolongada exposición a la falta de oxígeno puede llevar a un estado hipercapnico, hipoxémico para al final terminar en una acidosis metabólica neonatal, el cuadro sintomatológico con el que cursan los pacientes son con episodios de apnea, letargia, bradicardia, hipotensión, aleteo nasal, cambios en la temperatura corporal, tiraje intercostal, cianosis y en estado graves disfunción cerebral e intestinal, su diagnóstico se puede realizar a través de una gasometría del cordón umbilical tanto arterial como venosa, valoración según Apgar y Silverman, los cuales permiten valorar el estado Cardio respiratorio, función motora y neurológica, como tratamiento se tiene la implementación de oxígeno suplementario en base a la gravedad y tiempo de exposición a la falta de oxígeno, otra medida es la reanimación del neonato con masajes cardiacos y farmacoterapia con epinefrina a baja dosis. El presente estudio de caso clínico revelo a un neonato con diagnóstico de asfixia perinatal, el propósito del estudio fue aplicar el proceso de atención de enfermería en paciente con asfixia perinatal más síndrome de abstinencia, en el estudio se describe diferentes diagnósticos como el deterior del intercambio gaseoso y se crearon planes de cuidados e intervenciones de enfermería en base a las necesidades del neonato, además se proporcionó un seguimiento en la farmacoterapia prescrita por el médico tratante lo cual ayudo a la recuperación del paciente durante su internación hospitalaria | es_ES |
| dc.format.extent | 42 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2021 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Asfixia Perinatal | es_ES |
| dc.subject | Proceso de Atención de Enfermería | es_ES |
| dc.subject | Valoración | es_ES |
| dc.subject | Oxigeno | es_ES |
| dc.subject | Cuidados | es_ES |
| dc.title | Proceso de atención de enfermería en neonato con asfixia perinatal más síndrome de abstinencia. | es_ES |
| dc.type | bachelorThesis | es_ES |
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Excepto si se señala otra cosa, la licencia del ítem se describe como Atribución-NoComercial-SinDerivadas 3.0 Ecuador