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Proceso de atención de enfermería en paciente pre escolar de 4 años de edad con status convulsivo.
| dc.contributor.advisor | Vargas Angulo, Ligia | |
| dc.contributor.author | Vega Franco, Iván Eduardo | |
| dc.date.accessioned | 2020-10-11T03:04:12Z | |
| dc.date.available | 2020-10-11T03:04:12Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8656 | |
| dc.description | Seizures are the most common events in the pediatric population, representing a great risk according to the time period of the same seizure event. The longer the seizure is, the more resistant it is to the anticonvulsant drug it also causes an increased risk of morbidity (depression). respiratory and permanent neurological damage) and mortality. Collection of information from the clinical case developed from the clinical history of a pediatric patient who comes to the Guasmo Sur hospital in the city of Guayaquil who comes to the emergency area for a seizure crisis evolution of current disease mother refers to a clinical picture of approximately 3 hours of evolution characterized by presenting spasticity with a fixed gaze that is subsequently accompanied by fasciculations and masticatory movements and that the left hemibody is generalized, so he goes to a health center where he is evaluated by a pediatrician and impregnated with phenytoin 20 mg / kg and due to the persistence of the convulsive events without recovery of the sensorium decided to request a space at the Guasmo Sur hospital, and they coordinated their transfer. Upon arrival, it is striking that he presents with hypertonic clouding with bradypnea, so it was decided to start a rapid sequence with intubation for neurological protection and report the case to the tera service intensive pia for management in critical area. Convulsive status is a neurological emergency that must be evaluated and treated expeditiously and appropriately. The most frequent causes are poor adherence to epilepsy treatment. The definitive diagnosis is with an electroencephalogram. | es_ES |
| dc.description | Seizures are the most common events in the pediatric population, representing a great risk according to the time period of the same seizure event. The longer the seizure is, the more resistant it is to the anticonvulsant drug it also causes an increased risk of morbidity (depression). respiratory and permanent neurological damage) and mortality. Collection of information from the clinical case developed from the clinical history of a pediatric patient who comes to the Guasmo Sur hospital in the city of Guayaquil who comes to the emergency area for a seizure crisis evolution of current disease mother refers to a clinical picture of approximately 3 hours of evolution characterized by presenting spasticity with a fixed gaze that is subsequently accompanied by fasciculations and masticatory movements and that the left hemibody is generalized, so he goes to a health center where he is evaluated by a pediatrician and impregnated with phenytoin 20 mg / kg and due to the persistence of the convulsive events without recovery of the sensorium decided to request a space at the Guasmo Sur hospital, and they coordinated their transfer. Upon arrival, it is striking that he presents with hypertonic clouding with bradypnea, so it was decided to start a rapid sequence with intubation for neurological protection and report the case to the tera service intensive pia for management in critical area. Convulsive status is a neurological emergency that must be evaluated and treated expeditiously and appropriately. The most frequent causes are poor adherence to epilepsy treatment. The definitive diagnosis is with an electroencephalogram. | es_ES |
| dc.description.abstract | Las convulsiones son los eventos más comunes en la población pediátrica representando un gran riesgo según el periodo de tiempo del mismo evento convulsivo cuanto más se prolonga la convulsión cada vez se hace más resistente al fármaco anticonvulsivo también causa un aumento en el riesgo de morbilidad (depresión respiratoria y daño neurológica permanente) y mortalidad. Recolección de información del caso clínico desarrollado de la historia clínica de un paciente pediátrico que acude al hospital del Guasmo Sur de la ciudad de Guayaquil que acude por área de emergencia por una crisis convulsivas evolución de enfermedad actual madre refiere cuadro clínico de aproximadamente 3 horas de evolución caracterizado por presentar espasticidad con mirada fija que posteriormente se acompaña de fasciculaciones y movimientos masticario y que se generalizan hemicuerpo izquierdo por lo que acude a centro de salud donde es valorado por médico pediatra y se procede impregnación con fenitoína 20 mg/kg y debido a la persistencia de los eventos convulsivo sin recuperación del sensorio decide solicitar un cupo al hospital Guasmo Sur, y coordinaron su traslado A su llegada llama la atención se presenta obnubilado hipertónico con bradipnea por lo que se decide iniciar secuencia rápida con intubación para protección neurológica y se comunica del caso al servicio de terapia intensiva para manejo en área crítico. Status convulsivo es una emergencia neurológica que debe ser evaluado y tratada en forma expedita y adecuada las causas más frecuentes es la mala adherencia al tratamiento para la epilepsia el diagnóstico definitivo es con un electroencefalograma. | es_ES |
| dc.format.extent | 34 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 | Convulsiones | es_ES |
| dc.subject | Pediátrico | es_ES |
| dc.subject | Evolución | es_ES |
| dc.subject | Protección Neurológica | es_ES |
| dc.subject | Tratamiento | es_ES |
| dc.title | Proceso de atención de enfermería en paciente pre escolar de 4 años de edad con status convulsivo. | es_ES |
| dc.type | bachelorThesis | es_ES |
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