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Proceso de atención de enfermería en paciente de 65 años de edad con dengue
| dc.contributor.advisor | Gómez Puente, Amada Virginia | |
| dc.contributor.author | Bonilla Redroban, Mercy Paola | |
| dc.date.accessioned | 2021-05-20T17:54:56Z | |
| dc.date.available | 2021-05-20T17:54:56Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/9240 | |
| dc.description | Dengue is a health problem with a growing proportion in the American continent, so it is important to understand primary care and management at other levels of care at the national level, to identify possible complications in each of them. The following case study is written in a 65-year-old patient with a history of hypothyroidism and chronic gastritis, who was admitted due to non-quantified pyrexia, asthenia, dynamic, arthralgia, myalgia, and nausea that evolved to vomiting on 5 occasions in the absence of mucus. , nor presence of hematic content, previously she received primary medical care by private means where they only alleviate symptoms and do not indicate diagnosis, after the aforementioned she goes to a type C health center for not obtaining clinical improvement of her symptoms and I monitor her for 2 hours continuous, vital signs were controlled and parenteral hydration and paracetamol 500 mg every 8 hours were induced, a venous sample was extracted in tubes for complete hematic biometry, in the obtained thrombocytopenia and leukopenia were evidenced, at the end of its surveillance the clinical picture does not improve, she is diagnosed with dengue and is referred to a level of greater complexity once in the area d e emergency, a new hematic biometry is performed, the diagnosis is confirmed and diclofenac and penicillin and azithromycin are administered orally, after which he received immediate hospitalization, with transfer to the internal medicine area 1, a urinalysis was performed and the results, ciprofloxacin 200 mg intravenously every 12 hours after the treatment, a new urinalysis was performed which gave normal results, it was decided to change the drug treatment to ceftriaxone 2 grams intravenously every 12 hours and a test was performed on the sixth day of hospitalization Serological for dengue, giving positive IgM results, the patient had blood tests every 72 hours. During her hospitalization, she would develop new signs and symptoms such as epigastralgia, eyelid edema, pruritus and dyspnea, the necks resolved adequately | es_ES |
| dc.description | Dengue is a health problem with a growing proportion in the American continent, so it is important to understand primary care and management at other levels of care at the national level, to identify possible complications in each of them. The following case study is written in a 65-year-old patient with a history of hypothyroidism and chronic gastritis, who was admitted due to non-quantified pyrexia, asthenia, dynamic, arthralgia, myalgia, and nausea that evolved to vomiting on 5 occasions in the absence of mucus. , nor presence of hematic content, previously she received primary medical care by private means where they only alleviate symptoms and do not indicate diagnosis, after the aforementioned she goes to a type C health center for not obtaining clinical improvement of her symptoms and I monitor her for 2 hours continuous, vital signs were controlled and parenteral hydration and paracetamol 500 mg every 8 hours were induced, a venous sample was extracted in tubes for complete hematic biometry, in the obtained thrombocytopenia and leukopenia were evidenced, at the end of its surveillance the clinical picture does not improve, she is diagnosed with dengue and is referred to a level of greater complexity once in the area d e emergency, a new hematic biometry is performed, the diagnosis is confirmed and diclofenac and penicillin and azithromycin are administered orally, after which he received immediate hospitalization, with transfer to the internal medicine area 1, a urinalysis was performed and the results, ciprofloxacin 200 mg intravenously every 12 hours after the treatment, a new urinalysis was performed which gave normal results, it was decided to change the drug treatment to ceftriaxone 2 grams intravenously every 12 hours and a test was performed on the sixth day of hospitalization Serological for dengue, giving positive IgM results, the patient had blood tests every 72 hours. During her hospitalization, she would develop new signs and symptoms such as epigastralgia, eyelid edema, pruritus and dyspnea, the necks resolved adequately | es_ES |
| dc.description.abstract | El dengue es un problema de salud con una creciente en alta proporción en el continente americano, por lo que es importante comprender la atención primaria y el manejo en los demás niveles de atención a nivel nacional, para identificar posibles complicaciones en cada una ellas. El siguiente estudio de caso redacta a un paciente de 65 años de edad con antecedentes de hipotiroidismo y gastritis crónica, la cual ingreso por pirexia no cuantificada, astenia, adinamia, artralgias, mialgias y náuseas que evolucionan a vómitos en 5 ocasiones en ausencia de moco, ni presencia de contenido hemático, anteriormente recibió atención médica primaria por medios particulares donde solo alivian síntomas y no indican diagnóstico, posterior a lo mencionado acude a un centro de salud tipo C por no obtener mejoría clínica de sus síntomas se la vigilo durante 2 horas continuas, se controlaron signos vitales y se indujo a la hidratación por vía parenteral y paracetamol 500 mg cada 8 horas, se procedió a extracción de muestra venosa en tubos para biometría hemática completa , en lo obtenido se evidencio trombocitopenia y leucopenia, al final de su vigilancia el cuadro clínico sin mejoras es diagnosticada con dengue y es referida a un nivel de mayor complejidad donde por el pase del área de emergencia se realiza una nueva biometría hemática se confirma diagnóstico y se administra por vía parenteral diclofenaco y penicilina y azitromicina por vía oral posterior a ello recibió hospitalización inmediata, con pase al área de medicina interna 1, se realizó un uroanálisis y a la obtención de los resultados se prescribe ciprofloxacino 200 mg por vía intravenosa cada 12 horas posterior al tratamiento se realizó un nuevo uroanálisis el cual da resultados normales, se decide cambiar el tratamiento farmacológico por ceftriaxona 2 gramos vía intravenosa cada 12 horas y al sexto día de hospitalización se realizó prueba serológica para dengue dando como resultados IgM positivos la paciente quedo con controles hemáticos cada 72 horas , en el transcurso de su hospitalización desarrollaría nuevos signos y síntomas nuevos como epigastralgia, edema palpebral, prurito y disnea las cueles se resolvieron adecuadamente. | es_ES |
| dc.format.extent | 29 | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2021 | 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 | Proceso de Atención de Enfermería | es_ES |
| dc.subject | Dengue | es_ES |
| dc.subject | Pirexia | es_ES |
| dc.subject | Tratamiento | es_ES |
| dc.subject | Hospitalización | es_ES |
| dc.title | Proceso de atención de enfermería en paciente de 65 años de edad con dengue | es_ES |
| dc.type | bachelorThesis | es_ES |
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