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Paciente femenino de 31 años con neumonía bacteriana adquirida en la comunidad.
| dc.contributor.advisor | Valle Delgado, Verónica María | |
| dc.contributor.author | Jurado Averos, Génesis Nicole | |
| dc.date.accessioned | 2021-06-18T15:51:02Z | |
| dc.date.available | 2021-06-18T15:51:02Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/9841 | |
| dc.description | The present clinical case is a 31-year-old female patient, who is admitted to the emergency room due to a clinical picture characterized by 4 days of cough with yellowish expectoration, which has turned green in the last 48 hours, accompanied by a major fever. at 38 ° C, general malaise, chest pain and shortness of breath for 2 days. On physical examination, the patient was tachypneic and hypotensive and desaturating. On auscultation, wheezing and crackles appeared in the right lower lobe. Complementary tests were used to diagnose the patient, such as: complete blood count, chest X-ray, and sputum culture, which confirmed the diagnosis of community-acquired bacterial pneumonia. The CURB-65 scale was also used, which helped to assess the severity of the disease and thus define the hospital treatment according to the scale's evaluation. In this type of patients with community-acquired bacterial pneumonia, antibiotics were used as the main treatment to treat the infection, aerosol therapy in which bronchodilator drugs such as Atrovent were administered, which helped to improve the patient's clinical picture, physiotherapy techniques were used respiratory system to help the patient release the secretions and expel them through the mechanism of coughing. Low flow oxygen therapy was started with a nasal cannula at 3 liters per minute to improve oxygen saturation and maintain adequate gas exchange. The objective of this clinical case study is to determine the importance of respiratory physiotherapy techniques and procedures as adjunctive treatment in community-acquired bacterial pneumonia. | es_ES |
| dc.description | The present clinical case is a 31-year-old female patient, who is admitted to the emergency room due to a clinical picture characterized by 4 days of cough with yellowish expectoration, which has turned green in the last 48 hours, accompanied by a major fever. at 38 ° C, general malaise, chest pain and shortness of breath for 2 days. On physical examination, the patient was tachypneic and hypotensive and desaturating. On auscultation, wheezing and crackles appeared in the right lower lobe. Complementary tests were used to diagnose the patient, such as: complete blood count, chest X-ray, and sputum culture, which confirmed the diagnosis of community-acquired bacterial pneumonia. The CURB-65 scale was also used, which helped to assess the severity of the disease and thus define the hospital treatment according to the scale's evaluation. In this type of patients with community-acquired bacterial pneumonia, antibiotics were used as the main treatment to treat the infection, aerosol therapy in which bronchodilator drugs such as Atrovent were administered, which helped to improve the patient's clinical picture, physiotherapy techniques were used respiratory system to help the patient release the secretions and expel them through the mechanism of coughing. Low flow oxygen therapy was started with a nasal cannula at 3 liters per minute to improve oxygen saturation and maintain adequate gas exchange. The objective of this clinical case study is to determine the importance of respiratory physiotherapy techniques and procedures as adjunctive treatment in community-acquired bacterial pneumonia. | es_ES |
| dc.description.abstract | El presente caso clinico se trata de un paciente femenino de 31 años de edad, que ingresa a emergencia por presentar un cuadro clínico caracterizado por 4 días de tos con expectoración amarillenta, que se ha tornado verdosa en las últimas 48 horas, acompañado de fiebre mayor a 38°C, malestar general, dolor torácico y dificultad para respirar desde hace 2 días. En el examen físico la paciente se encuentra taquipneica e hipotensa y desaturando, en la auscultación se exteriorizo sibilancias y crepitantes en el lóbulo inferior derecho. Para el diagnóstico de la paciente se utilizó exámenes complementarios como: biometría hemática completa, radiografía de tórax y cultivo de esputo los cuales confirmaron el diagnostico de neumonía bacteriana adquirida en la comunidad. También se empleó la escala CURB-65 la cual sirvió de ayuda para valorar la gravedad de la enfermedad y de esta manera definir el tratamiento hospitalario según la evaluación de la escala. En este tipo de pacientes con neumonía bacteria adquirida en la comunidad se utilizó como tratamiento principal antibióticos para trata la infección, aerosolterapia en el cual se administran fármacos broncodilatadores como el Atrovent el cual ayudo a mejoro el cuadro clinico del paciente, se empleó técnicas de fisioterapia respiratoria para ayudar al paciente a despegar las secreciones y que se expulsen mediante el mecanismo de la tos. Se instauro oxigenoterapia a bajo flujo con cánula nasal a 3 litros por minutos para mejorar la saturación de oxígeno y mantener un adecuado intercambio gaseoso. Este estudio el caso clínico tiene como objetivo determinar la importancia de las técnicas y procedimiento de la fisioterapia respiratoria como tratamiento adyuvante en la neumonía bacteriana adquirida en la comunidad. | es_ES |
| dc.format.extent | 36 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 | Neumonía bacteriana adquirida en la comunidad | es_ES |
| dc.subject | Aerosolterapia | es_ES |
| dc.subject | Escala Curb-65 | es_ES |
| dc.subject | Oxigenoterapia | es_ES |
| dc.subject | Fisioterapia Respiratoria | es_ES |
| dc.title | Paciente femenino de 31 años con neumonía bacteriana adquirida en la comunidad. | es_ES |
| dc.type | bachelorThesis | es_ES |
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