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Conducta obstétrica en primigesta de 18 años con trastorno hipertensivo en embarazo de 38.5 semanas.
| dc.contributor.advisor | Encalada Salcedo, Edmundo | |
| dc.contributor.author | Carvajal Cerezo, Ambar Jaena | |
| dc.date.accessioned | 2022-05-09T14:50:54Z | |
| dc.date.available | 2022-05-09T14:50:54Z | |
| dc.date.issued | 2022 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/11512 | |
| dc.description | The clinical case that is written is based on an 18-year-old primigravid patient with 38.5 weeks of gestation who was admitted to hospital emergency due to severe preeclampsia with arterial hypertension of 169/114 mmHg, headache, photopsia, edema in both limbs. So the obstetric staff decides to perform laboratory tests that came to determine the presence of hypertensive disorder, in such a way that the proper treatment is established to achieve maternal well-being and proceed with an emergency cesarean section. Gestational hypertension at 6 weeks postpartum improves, but in the case of severe preeclampsia, hypertension and proteinuria may remain 3 to 6 months after delivery. Blood pressure should be measured between 3 to 6 days after delivery since postpartum blood pressure peaks on these days. Therefore, when the patient entered the operating room for an emergency caesarean section, the newborn was obtained in stable clinical conditions, thus completing the surgery without complications, after 6 hours of delivery, a pattern of seizures, high blood pressure, hemorrhage, and a fever of 39º C, antihypertensive therapy treatment is administered, intravenously for its stabilization, and it is transferred with a red code to the University Hospital of Guayaquil. | es_ES |
| dc.description | The clinical case that is written is based on an 18-year-old primigravid patient with 38.5 weeks of gestation who was admitted to hospital emergency due to severe preeclampsia with arterial hypertension of 169/114 mmHg, headache, photopsia, edema in both limbs. So the obstetric staff decides to perform laboratory tests that came to determine the presence of hypertensive disorder, in such a way that the proper treatment is established to achieve maternal well-being and proceed with an emergency cesarean section. Gestational hypertension at 6 weeks postpartum improves, but in the case of severe preeclampsia, hypertension and proteinuria may remain 3 to 6 months after delivery. Blood pressure should be measured between 3 to 6 days after delivery since postpartum blood pressure peaks on these days. Therefore, when the patient entered the operating room for an emergency caesarean section, the newborn was obtained in stable clinical conditions, thus completing the surgery without complications, after 6 hours of delivery, a pattern of seizures, high blood pressure, hemorrhage, and a fever of 39º C, antihypertensive therapy treatment is administered, intravenously for its stabilization, and it is transferred with a red code to the University Hospital of Guayaquil. | es_ES |
| dc.description.abstract | El caso clínico que se redacta se basa en paciente de 18 años primigesta con 38,5 semanas de gestación que fue ingresada a emergencia hospitalaria por presentar preeclampsia severa con cuadro de hipertensión arterial de 169/114 mmHg, cefalea, fotopsia, edema en ambos miembros inferiores por lo que personal obstétrico decide realizar exámenes de laboratorio que llegaron a determinar la presencia de trastorno hipertensivo, de tal manera se establece el debido tratamiento para lograr el bienestar materno y proceder con cesárea de emergencia. La hipertensión gestacional a las seis semanas postparto mejora, pero en el caso de preeclampsia severa, la hipertensión y la proteinuria pueden permanecer de 3 a 6 meses después del parto. La presión arterial debe ser medida entre los 3 a 6 días posteriores al parto, ya que en estos días existe el pico de presión arterial posparto. Por lo que paciente al ingresar a quirofano para cesarea de emergencia y se obtiene a recien nacido en condiciones clínicas estables culminando así la cirugía sin complicaciones, después de las 6 horas de parto un cuadro de convulsiones, hipertensión alta, hemorragia y fiebre de 39º C, se administra tratamiento de terapia antihipertensiva, via intravenosa para su estabilización, y se procede a transferir con código rojo al Hospital Universitario de Guayaquil. | 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 | Primigesta | es_ES |
| dc.subject | Preeclamsia | es_ES |
| dc.subject | Eclampsia | es_ES |
| dc.subject | Morbilidad | es_ES |
| dc.subject | Mortalidad | es_ES |
| dc.title | Conducta obstétrica en primigesta de 18 años con trastorno hipertensivo en embarazo de 38.5 semanas. | es_ES |
| dc.type | bachelorThesis | es_ES |
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