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Proceso de atención de enfermería en gestante con 25 años de edad de 30 semanas de gestación con polidramnios.
| dc.contributor.advisor | Aguirre Rodríguez, Ingrid | |
| dc.contributor.author | Quijije Zambrano, Santiago Javier | |
| dc.date.accessioned | 2020-10-09T21:47:58Z | |
| dc.date.available | 2020-10-09T21:47:58Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8634 | |
| dc.description | Polyhydramnios is defined as a pathological accumulation of amniotic fluid secondary to an increase in production or deficiency in elimination, which is why there has been a respectively frequent pathology in obstetrics that can bring complications to pregnancy depending on the degree of severity. Due to its evolution, it will be classified as acute and chronic. The acute stage is sudden onset and appears in the second trimester, when associated with congenital malformations not compatible with life and evolving to a previous delivery. While the chronic degree appears in the third trimester, it is associated with maternal factors and is mainly idiopathic. Regarding its clinical manifestations, the patient will present a progressive and rapid increase in his height of the uterine fundus (AFU), symptoms of compression and / or distension, as he may also notice respiratory distress, lower limb edema, edema. vulvar and abdominal cut, weight gain, development of pre-eclampsia. The diagnosis will be based on a higher AFU for gestational age, difficulty palpating fetal parts, difficulty auscultating fetal focus, and subjective palpation of increased amniotic fluid. However, ultrasound will provide the diagnosis with the measurement of amniotic fluid, the most frequently detected technique is that of Phelan. The treatment is based on the use of indomethacin, but it has now been implemented as an invasive procedure, amniocentesis. The present structured investigation in this clinical case, will provide us with the necessary and correct information, to know the importance of this pathology and to carry out the nursing care provided by the 25-year-old pregnant woman with 30 weeks of gestation with a medical diagnosis of polyhydramnios. | es_ES |
| dc.description | Polyhydramnios is defined as a pathological accumulation of amniotic fluid secondary to an increase in production or deficiency in elimination, which is why there has been a respectively frequent pathology in obstetrics that can bring complications to pregnancy depending on the degree of severity. Due to its evolution, it will be classified as acute and chronic. The acute stage is sudden onset and appears in the second trimester, when associated with congenital malformations not compatible with life and evolving to a previous delivery. While the chronic degree appears in the third trimester, it is associated with maternal factors and is mainly idiopathic. Regarding its clinical manifestations, the patient will present a progressive and rapid increase in his height of the uterine fundus (AFU), symptoms of compression and / or distension, as he may also notice respiratory distress, lower limb edema, edema. vulvar and abdominal cut, weight gain, development of pre-eclampsia. The diagnosis will be based on a higher AFU for gestational age, difficulty palpating fetal parts, difficulty auscultating fetal focus, and subjective palpation of increased amniotic fluid. However, ultrasound will provide the diagnosis with the measurement of amniotic fluid, the most frequently detected technique is that of Phelan. The treatment is based on the use of indomethacin, but it has now been implemented as an invasive procedure, amniocentesis. The present structured investigation in this clinical case, will provide us with the necessary and correct information, to know the importance of this pathology and to carry out the nursing care provided by the 25-year-old pregnant woman with 30 weeks of gestation with a medical diagnosis of polyhydramnios. | es_ES |
| dc.description.abstract | El polihidramnios se define como acúmulo patológico de líquido amniótico secundario a un aumento en la producción o deficiencia en la eliminación, por lo que se ha considerado una patología respectivamente frecuente en obstetricia que puede traer complicaciones el embarazo según el grado de severidad. Por su evolución se va a clasificar en agudo y crónico, la etapa aguda es de inicio súbito y aparece en el segundo trimestre, asociándose a malformaciones congénitas no compatibles con la vida y evoluciona a parto pre término. Mientras que el grado crónico hace su aparición en el tercer trimestre, asociándose a factores maternos y es principalmente idiopático. En cuanto a sus manifestaciones clínicas la paciente va a presentar un aumento progresivo y rápido de su altura de fondo uterino (AFU), síntomas de compresión y/o distensión como puede darse también una dificultad respiratoria, edema de miembros inferiores, edema vulvar y de pared abdominal, aumento de peso, desarrollo de pre-eclampsia. El diagnóstico se basará por altura de fondo uterino mayor para su edad gestacional, dificultad para palpar partes fetales, dificultad para auscultar foco fetal y palpación subjetiva de aumento de líquido amniótico. Sin embargo, el ultrasonido nos brindará el diagnóstico con la medición del líquido amniótico, la técnica más utilizada es la de Phelan. El tratamiento se basa en el uso de la indometacina, pero ahora se ha implementado utilizar como un procedimiento invasivo, la amniocentesis. La presente investigación estructurada en este caso clínico, nos brindará la información necesaria y correcta, para saber la importancia que tiene dicha patología y ejecutar los cuidados de enfermería que brindaremos a la gestante de 25 años de edad con 30 semanas de gestación con un diagnóstico médico de polidramnios. | es_ES |
| dc.format.extent | 29 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 | Polihidramios | es_ES |
| dc.subject | Ultrasonografico | es_ES |
| dc.subject | Indometacina | es_ES |
| dc.title | Proceso de atención de enfermería en gestante con 25 años de edad de 30 semanas de gestación con polidramnios. | es_ES |
| dc.type | bachelorThesis | es_ES |
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