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Intervención de enfermería en paciente de 38 años con diagnóstico de preeclampsia.
| dc.contributor.advisor | Izquierdo Cirer, Alina | |
| dc.contributor.author | Mejía Monar, Lady Belén | |
| dc.date.accessioned | 2020-10-07T17:19:20Z | |
| dc.date.available | 2020-10-07T17:19:20Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8595 | |
| dc.description | In the present clinical case, the case of a 30-week gestation woman with a diagnosis of preeclampsia at the Hospital León Becerra Camacho del Cantón Milagro is shown, who presented alarming signs and symptoms such as high blood pressure (170/90 mm / hg), during the last weeks, in addition to this, I have presented alterations in the values of complementary tests and findings in the physical examination carried out by the OB-GYN. The patient did not have a record of her blood pressure before, did not attend all prenatal check-ups and also claims to have gained around 10kg, which gave signs of an inadequate diet, added to stress factors due to her work activities. The physical examination was performed and all functional patterns were evaluated, so there were six affected patterns that required primary care and the application of nursing care. Once the nursing care process was established and applied, the follow-up was maintained, due to its score of 9 in the mom Score, a strict plan was established which consisted of applying the mom Score every 30 minutes, evaluating vital signs, plus signs of maternal danger, continually assess fetal well-being until verifying that both mother and fetus were out of danger. These activities were carried out for 5 days until it was certain that the patient was out of danger. On the fifth day, she was discharged, but she had to continue treatment with antihypertensive drugs, complete rest, and undergoing blood tests and fetal monitoring until she was at least 38 weeks pregnant and was able to carry out the cesarean section. | es_ES |
| dc.description | In the present clinical case, the case of a 30-week gestation woman with a diagnosis of preeclampsia at the Hospital León Becerra Camacho del Cantón Milagro is shown, who presented alarming signs and symptoms such as high blood pressure (170/90 mm / hg), during the last weeks, in addition to this, I have presented alterations in the values of complementary tests and findings in the physical examination carried out by the OB-GYN. The patient did not have a record of her blood pressure before, did not attend all prenatal check-ups and also claims to have gained around 10kg, which gave signs of an inadequate diet, added to stress factors due to her work activities. The physical examination was performed and all functional patterns were evaluated, so there were six affected patterns that required primary care and the application of nursing care. Once the nursing care process was established and applied, the follow-up was maintained, due to its score of 9 in the mom Score, a strict plan was established which consisted of applying the mom Score every 30 minutes, evaluating vital signs, plus signs of maternal danger, continually assess fetal well-being until verifying that both mother and fetus were out of danger. These activities were carried out for 5 days until it was certain that the patient was out of danger. On the fifth day, she was discharged, but she had to continue treatment with antihypertensive drugs, complete rest, and undergoing blood tests and fetal monitoring until she was at least 38 weeks pregnant and was able to carry out the cesarean section. | es_ES |
| dc.description.abstract | En el presente caso clínico se muestra el caso de una mujer de 30 semanas de gestación con diagnóstico de preeclampsia en el Hospital León Becerra Camacho del Cantón Milagro, la cual presentó signos y síntomas alarmantes como una presión arterial elevada (170/90 mm/hg), durante las últimas semanas, sumado a esto presento alteración en los valores de exámenes complementarios y hallazgos en la exploración física realizada por el Ginecobstetra. La paciente no tenía registro de su presión arterial anteriormente, no acudió a todos los controles prenatales y también afirma haber aumentado alrededor de 10kg lo cual dio indicios de una alimentación inadecuada, sumado a factores de estrés por sus actividades laborales. Se realizó la exploración física y se evaluaron todos los patrones funcionales, por lo que se tuvieron seis patrones afectados que requirieron atención primordial y la aplicación de cuidados de enfermería. Una vez establecido y aplicado el proceso de atención de enfermería, se mantuvo el seguimiento, por su puntuación de 9 en el Score mamá se estableció un plan estricto el cual constaba de aplicar el Score mamá cada 30 minutos, evaluar signos vitales, más signos de peligro maternos, evaluar continuamente el bienestar fetal hasta constatar que tanto la madre como el feto estuviesen fuera de peligro. Estas actividades se llevaron a cabo durante 5 días hasta tener seguridad de que la paciente estaba fuera de peligro. Al quinto día fue dada de alta, pero debió continuar con el tratamiento con medicamentos antihipertensivos, reposo absoluto, y realizándose exámenes de sangre y monitorizaciones fetales hasta cumplir al menos 38 semanas de embarazo y poder llevar a cabo la cesárea. | es_ES |
| dc.format.extent | 35 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | 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 | Preeclampsia | es_ES |
| dc.subject | Eclampsia | es_ES |
| dc.subject | Hipertensión | es_ES |
| dc.subject | Gestación | es_ES |
| dc.subject | Patrones Funcionales | es_ES |
| dc.title | Intervención de enfermería en paciente de 38 años con diagnóstico de preeclampsia. | 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