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Proceso de atención de enfermería en gestante de 31 semanas con sepsis pulmonar.
| dc.contributor.advisor | Sellan Icaza, Víctor Manuel | |
| dc.contributor.author | Punina Lema, Silvana Elizabeth | |
| dc.date.accessioned | 2021-06-11T18:57:58Z | |
| dc.date.available | 2021-06-11T18:57:58Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/9695 | |
| dc.description | The present clinical case analyzes a 31-week pregnant woman with pulmonary sepsis who attended the emergency service of the Alfredo Noboa Montenegro Hospital accompanied by her mother around midnight due to symptoms such as cough, dyspnea, chronic fatigue and moderate-intensity abdominal pain. It is worth mentioning that the patient was transferred from the Chillanes Hospital for worsening her clinical picture, since she did not obtain satisfactory results with the administration of an analgesic termofin to relieve mild-moderate pain. The objective of the case is to apply the nursing care process through the study of the patient's medical history in order to improve the altered functional patterns. The examinations performed are physical, blood, X-rays and ultrasound, the results indicate dyspnea, insomnia, in addition to alterations in vital signs, reasons for which, the respective treatment is applied which consists of: a more liquid balanced diet, absolute rest, control of edema and vital signs C/12H, fetal monitoring, clindamycin 900 mg, oxygen per whisker at 3 liters, nebulizations with ipatropium bromide 1ml plus 2cc of saline C/6H. During the controls the patient presented pain at the hypogastric level accompanied by nausea, uterine contractions, disorientation and drowsiness, tachynean episode, deterioration of gas exchange, oxygen saturation. The interventions carried out were satisfactory, however, the patient was transferred to another health home due to the fact that there is no Intensive Care Unit or Neonatology available in the hospital. | es_ES |
| dc.description | The present clinical case analyzes a 31-week pregnant woman with pulmonary sepsis who attended the emergency service of the Alfredo Noboa Montenegro Hospital accompanied by her mother around midnight due to symptoms such as cough, dyspnea, chronic fatigue and moderate-intensity abdominal pain. It is worth mentioning that the patient was transferred from the Chillanes Hospital for worsening her clinical picture, since she did not obtain satisfactory results with the administration of an analgesic termofin to relieve mild-moderate pain. The objective of the case is to apply the nursing care process through the study of the patient's medical history in order to improve the altered functional patterns. The examinations performed are physical, blood, X-rays and ultrasound, the results indicate dyspnea, insomnia, in addition to alterations in vital signs, reasons for which, the respective treatment is applied which consists of: a more liquid balanced diet, absolute rest, control of edema and vital signs C/12H, fetal monitoring, clindamycin 900 mg, oxygen per whisker at 3 liters, nebulizations with ipatropium bromide 1ml plus 2cc of saline C/6H. During the controls the patient presented pain at the hypogastric level accompanied by nausea, uterine contractions, disorientation and drowsiness, tachynean episode, deterioration of gas exchange, oxygen saturation. The interventions carried out were satisfactory, however, the patient was transferred to another health home due to the fact that there is no Intensive Care Unit or Neonatology available in the hospital. | es_ES |
| dc.description.abstract | El presente caso clínico analiza a una gestante de 31 semanas con sepsis pulmonar que acude al servicio de emergencia del Hospital Alfredo Noboa Montenegro acompañada de su madre cerca de la media noche por presentar síntomas como tos, disnea, fatiga crónica y dolor abdominal de moderada intensidad. Cabe mencionar que la paciente fue transferida del Hospital Chillanes por empeorar su cuadro clínico, ya que no obtuvo resultados satisfactorios con la administración de termofin analgésico para aliviar el dolor leve-moderado. El objetivo del caso es aplicar el proceso de atención de enfermería a través del estudio de historial médico de la paciente con el fin de mejorar los patrones funcionales alterados. Los exámenes realizados son físicos, de sangre, rayos X y ecografía, los resultados indican disnea, insomnio, además de alteraciones en los signos vitales, razones por las cuales, se aplica el respectivo tratamiento que consto de: dieta balanceada más líquida, reposo absoluto, control de edemas y signos vitales C/12H, monitoreo fetal, clindamicina 900 mg, oxigeno por bigotera a 3 litros, nebulizaciones con bromuro de ipatropio 1ml más 2cc de solución salina C/6H. Durante los controles la paciente presento dolor a nivel hipogastrio acompañado de nauseas, contracciones uterinas, desorientación y somnolencia, episodio de taquipnea, deterioro del intercambio gaseoso, saturación de oxígeno. Las intervenciones realizadas fueron satisfactorias, sin embargo, la paciente fue traslada a otra casa de salud debido a que en el hospital no existe Unidad de Cuidados Intensivos ni Neonatología disponible. | es_ES |
| dc.format.extent | 40 p | 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 | Sepsis | es_ES |
| dc.subject | Embarazo prematuro | es_ES |
| dc.subject | Shock séptico | es_ES |
| dc.subject | Sepsis en gestación | es_ES |
| dc.title | Proceso de atención de enfermería en gestante de 31 semanas con sepsis pulmonar. | es_ES |
| dc.type | bachelorThesis | es_ES |
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