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Proceso de atención de enfermería en paciente femenino de 24 años con colelitiasis más pancreatitis aguda.
| dc.contributor.advisor | Moran Calderón, José Adalverto | |
| dc.contributor.author | Vera Díaz, Kiara Lisseth | |
| dc.date.accessioned | 2021-11-10T20:54:37Z | |
| dc.date.available | 2021-11-10T20:54:37Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10450 | |
| dc.description | The present clinical case is focused on a 24-year-old female patient who came to the emergency area for presenting a clinical of evolution characterized by colicky abdominal pain of intensity 10/10 located in the epigastrium, accompanied by nausea that they lead to vomiting of moderate quantity. Vital signs were taken where BP: 90 / 60mmHg, HR: 78xmin, FR: 20xmin, Axillary: 36.5ºC, STO2: 96% were evidenced. She's height: 162cm, weight: 61kg and BMI: 23.2 with a Glasgow of 15/15. The doctor orders an ultrasound of the bile ducts due to the location of the pain and the symptoms that the patient presents. Upon receiving the medical results, she noticed that she had 7mm common bile duct stones and manifested performing endoscopic retrograde cholangiopancreatography (ERCP). Finally, the doctor refers immediate hospitalization in the area of internal medicine I, where the patient was received and vital signs were taken and a physical assessment was carried out. Using as an essential procedure the functional patterns of Marjorie Gordon with the sole purpose of being able to identify the dysfunctional patterns that are altering and compromising the health and well-being of the patient. Similarly, once the patient was stabilized, the Nursing Care Process was developed in order to develop a care plan, using the taxonomies Nanda, Nic and Noc as tools, to achieve the objectives proposed in this study of clinical case. | es_ES |
| dc.description | The present clinical case is focused on a 24-year-old female patient who came to the emergency area for presenting a clinical of evolution characterized by colicky abdominal pain of intensity 10/10 located in the epigastrium, accompanied by nausea that they lead to vomiting of moderate quantity. Vital signs were taken where BP: 90 / 60mmHg, HR: 78xmin, FR: 20xmin, Axillary: 36.5ºC, STO2: 96% were evidenced. She's height: 162cm, weight: 61kg and BMI: 23.2 with a Glasgow of 15/15. The doctor orders an ultrasound of the bile ducts due to the location of the pain and the symptoms that the patient presents. Upon receiving the medical results, she noticed that she had 7mm common bile duct stones and manifested performing endoscopic retrograde cholangiopancreatography (ERCP). Finally, the doctor refers immediate hospitalization in the area of internal medicine I, where the patient was received and vital signs were taken and a physical assessment was carried out. Using as an essential procedure the functional patterns of Marjorie Gordon with the sole purpose of being able to identify the dysfunctional patterns that are altering and compromising the health and well-being of the patient. Similarly, once the patient was stabilized, the Nursing Care Process was developed in order to develop a care plan, using the taxonomies Nanda, Nic and Noc as tools, to achieve the objectives proposed in this study of clinical case. | es_ES |
| dc.description.abstract | El presente caso clínico está enfocado en un paciente femenino de 24 años de edad que acudió al área de emergencia por presentar un cuadro clínico caracterizado por dolor abdominal tipo cólico de intensidad 10/10 localizado en epigastrio, acompañado de nauseas que llevan al vomito de cantidad moderada. Se procedió a la toma de constantes vitales donde se evidenció PA: 90/60mmHg, FC: 78xmin, FR: 20xmin, Axilar: 36.5ºC, STO2: 96%. Talla: 162cm, peso: 61kg e IMC: 23,2 con un Glasgow de 15/15. Medico ordena realizar una ecografía de vías biliares debido a la localización del dolor y a la sintomatología que presenta el paciente. Al recibir los resultados medico se percata que presenta litos en colédoco de 7mm y manifiesta realizar colangiopancreatografía retrograda endoscópica (CPRE). Por último, medico refiere hospitalización inmediata en el área de medicina interna I, donde se recibió a la paciente y se procedió a la toma de constante vitales y a la valoración física. Empleando como procedimiento esencial los patrones funcionales de Marjorie Gordon con la única finalidad de poder identificar los patrones disfuncionales que están alterando y comprometiendo el estado de salud y bienestar del paciente. De igual manera, una vez estabilizado el paciente se procedió a la elaboración del Proceso de Atención de Enfermería con la finalidad de elaborar un plan de cuidados, utilizando como herramientas las taxonomías Nanda, Nic y Noc, para lograr los objetivos propuestos en este estudio de caso clínico. | es_ES |
| dc.format.extent | 39 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 | Epigastrio | es_ES |
| dc.subject | Colangiopancreatografía | es_ES |
| dc.subject | Endoscopia | es_ES |
| dc.subject | Ecografía | es_ES |
| dc.subject | Proceso de Atención de Enfermería | es_ES |
| dc.title | Proceso de atención de enfermería en paciente femenino de 24 años con colelitiasis más pancreatitis aguda. | es_ES |
| dc.type | bachelorThesis | es_ES |
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