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Proceso Atención de Enfermería en Neonato con Ruptura Prematura de Membrana y Sepsis Neonatal.
| dc.contributor.advisor | Ingrid Sandra, Aguirre Rodríguez | |
| dc.contributor.author | Arévalo Fuentes, Jesús Wladimir | |
| dc.date.accessioned | 2022-04-20T16:06:37Z | |
| dc.date.available | 2022-04-20T16:06:37Z | |
| dc.date.issued | 2022 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/11208 | |
| dc.description | The present clinical case was carried out in order to analyze and understand the premature rupture of membranes and neonatal sepsis from a holistic perspective, the findings found in the neonatal patient are suggestive, since they are complex pathologies, the patient is a moderate premature newborn of 32.5 weeks of gestational age, the same that was calculated from the date of last menstruation, being a product of an emergency cesarean section with a clinical diagnosis of premature rupture of membranes and neonatal sepsis, entering the neonatal intensive care unit at the FF.AA.#1 Specialty Hospital located in the Province of Pichincha, Canton Quito. The symptoms were present abruptly after birth, showing signs of respiratory distress due to his prematurity, so he received support from non-invasive mechanical ventilation, also presented a thermal rise of 38.9 ° C, due to a history of maternal risk factors, laboratory and imaging tests are performed, a central route was channeled through which he received hydration and intravenous antibiotics of the first scheme, antipyretic plus the application of physical means to lower body temperature, received prophylactic phototherapy. Orogastric tube is placed to initiate enteral feeding to help the maturation of the gastrointestinal tract. The presumptive diagnosis is neonatal jaundice, respiratory distress, low birth weight, then the differential diagnosis was made that included anemia; due to the symptoms presented and the result of the laboratory tests, the diagnosis of neonatal sepsis was formulated. The nursing care process was developed in neonates with premature rupture of membranes and neonatal sepsis, with the aim of contributing to the improvement of their health status through physical assessment, by functional patterns using the Marjory Gordon model, the NANDA taxonomy, NOC AND NIC and in this way elaborate and execute a specific care plan according to the needs required by the patient | es_ES |
| dc.description | The present clinical case was carried out in order to analyze and understand the premature rupture of membranes and neonatal sepsis from a holistic perspective, the findings found in the neonatal patient are suggestive, since they are complex pathologies, the patient is a moderate premature newborn of 32.5 weeks of gestational age, the same that was calculated from the date of last menstruation, being a product of an emergency cesarean section with a clinical diagnosis of premature rupture of membranes and neonatal sepsis, entering the neonatal intensive care unit at the FF.AA.#1 Specialty Hospital located in the Province of Pichincha, Canton Quito. The symptoms were present abruptly after birth, showing signs of respiratory distress due to his prematurity, so he received support from non-invasive mechanical ventilation, also presented a thermal rise of 38.9 ° C, due to a history of maternal risk factors, laboratory and imaging tests are performed, a central route was channeled through which he received hydration and intravenous antibiotics of the first scheme, antipyretic plus the application of physical means to lower body temperature, received prophylactic phototherapy. Orogastric tube is placed to initiate enteral feeding to help the maturation of the gastrointestinal tract. The presumptive diagnosis is neonatal jaundice, respiratory distress, low birth weight, then the differential diagnosis was made that included anemia; due to the symptoms presented and the result of the laboratory tests, the diagnosis of neonatal sepsis was formulated. The nursing care process was developed in neonates with premature rupture of membranes and neonatal sepsis, with the aim of contributing to the improvement of their health status through physical assessment, by functional patterns using the Marjory Gordon model, the NANDA taxonomy, NOC AND NIC and in this way elaborate and execute a specific care plan according to the needs required by the patient | es_ES |
| dc.description.abstract | El presente caso clínico se realizó con la finalidad de analizar y comprender la ruptura prematura de membranas y sepsis neonatal desde una perspectiva holística, los hallazgos encontrados en el paciente neonato son sugestivos, puesto que se tratan de patologías complejas, el paciente es un recién nacido prematuro moderado de 32.5 semanas de edad gestacional, la misma que fue calculada a partir de la fecha de ultima menstruación, siendo un producto de una cesárea de emergencia con diagnóstico clínico de ruptura prematura de membranas y sepsis neonatal, ingresando a la unidad de cuidados intensivos neonatales en el Hospital de Especialidades FF.AA.#1 ubicado en la Provincia de Pichincha, Cantón Quito. Los síntomas se hicieron presentes de forma brusca luego del nacimiento, evidenciándose signos de dificultad respiratoria debido a su prematurez, por lo que recibió apoyo de ventilación mecánica no invasiva, además presentó un alza térmica de 38.9 °C, por antecedentes de factores de riesgo maternos, se realiza exámenes de laboratorio e imagen, se procedió a canalizar una vía central por la cual recibió hidratación y antibióticos intravenosos de primer esquema, antipiréticos más la aplicación de medios físicos para disminuir la temperatura corporal, recibió fototerapia profiláctica. Se coloca sonda orogástrica para iniciar alimentación enteral para ayudar a la maduración del aparato gastrointestinal. El diagnóstico presuntivo es una ictericia neonatal, distrés respiratorio, bajo peso al nacimiento, luego se realizó el diagnostico diferencial que incluyo anemia; por los síntomas presentados y el resultado de los exámenes de laboratorio se procedió a formular el diagnóstico de sepsis neonatal. Se elaboró el proceso de atención de enfermería en neonato con ruptura prematura de membranas y sepsis neonatal, con el objetivo de contribuir a la mejora de su estado de salud mediante la valoración física, por patrones funcionales utilizando el modelo de Marjory Gordon, la taxonomía NANDA, NOC Y NIC y de esta manera elaborar y ejecutar un plan de cuidados específicos acorde a las necesidades requeridas por el paciente. | es_ES |
| dc.format.extent | 34 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2022 | 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 | Ruptura Prematura de Membranas | es_ES |
| dc.subject | Sepsis Neonatal | es_ES |
| dc.subject | Neonato | es_ES |
| dc.subject | Infección | es_ES |
| dc.subject | Prematuro | es_ES |
| dc.title | Proceso Atención de Enfermería en Neonato con Ruptura Prematura de Membrana y Sepsis Neonatal. | es_ES |
| dc.type | bachelorThesis | es_ES |
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