Proceso atención de enfermería en paciente con hernia inguino escrotal bilateral.
| dc.contributor.advisor | Ordoñez Hinojosa, Martha | |
| dc.contributor.author | Muñoz Vaca, Lizbeth Estefanía | |
| dc.date.accessioned | 2021-11-08T16:37:16Z | |
| dc.date.available | 2021-11-08T16:37:16Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10417 | |
| dc.description | The present clinical case was carried out in a 61-year-old male patient with a history of a right inguinal hernioplasty. More than 8 days of evolution with pain in the hypogastrium of moderate intensity plus emesis of 6 per day of the fecaloid type plus constipation of 8 days, the physical examination shows swollen scrotum, a scrotal inguine mass is palpated, so a doctor performs an abdominal ultrasound Giving as a medical diagnosis of bilateral scrotal inguine hernia, nasogastric tube is administered to control gastric fluid and urinary catheter to control diuresis, the patient is prepared for exploratory laparotomy of scrotal inguino hernia. Laboratory tests are performed obtaining the following result: red blood cells: 3.01xmm3; Hemoglobin: 13.2 g / dl; Hematocrit: 39.0%; Leukocytes: 12.86 10 ^ 3 / uL; Platelets: 308 10 ^ 3 / uL; Creatinine: 1.6 mg / dl; Potassium: 3.8 mEq / L; Sodium: 132 mEq / L; Chlorine: 91 mEq / L; Amylase: 39 U / L; Tp: 13.2 sec.; VDRL: Non-reactive; HIV 1 + 2 rapid test; Non-reactive. The doctor leaves an open wound except where the mesh is located to drain septic liquid, prescribes medication and control laboratory orders, and interconsultation for urology since he continues with swollen scrotum. | es_ES |
| dc.description | The present clinical case was carried out in a 61-year-old male patient with a history of a right inguinal hernioplasty. More than 8 days of evolution with pain in the hypogastrium of moderate intensity plus emesis of 6 per day of the fecaloid type plus constipation of 8 days, the physical examination shows swollen scrotum, a scrotal inguine mass is palpated, so a doctor performs an abdominal ultrasound Giving as a medical diagnosis of bilateral scrotal inguine hernia, nasogastric tube is administered to control gastric fluid and urinary catheter to control diuresis, the patient is prepared for exploratory laparotomy of scrotal inguino hernia. Laboratory tests are performed obtaining the following result: red blood cells: 3.01xmm3; Hemoglobin: 13.2 g / dl; Hematocrit: 39.0%; Leukocytes: 12.86 10 ^ 3 / uL; Platelets: 308 10 ^ 3 / uL; Creatinine: 1.6 mg / dl; Potassium: 3.8 mEq / L; Sodium: 132 mEq / L; Chlorine: 91 mEq / L; Amylase: 39 U / L; Tp: 13.2 sec.; VDRL: Non-reactive; HIV 1 + 2 rapid test; Non-reactive. The doctor leaves an open wound except where the mesh is located to drain septic liquid, prescribes medication and control laboratory orders, and interconsultation for urology since he continues with swollen scrotum. | es_ES |
| dc.description.abstract | El presente caso clínico se realizó en un paciente de sexo masculino con 61 años de edad con antecedentes de una hernioplastia inguinal derecha es ingresado al hospital general Martín Icaza con diagnóstico de abdomen agudo por ser referido del Hospital Básico Juan Montalvo por manifestar un cuadro clínico de más de 8 días de evolución con dolor en hipogastrio de intensidad moderada más emesis de 6 por día de tipo fecaloide más constipación de 8 días, al examen físico se observa escroto edematizado, se palpa una masa inguino escrotal, por lo que medico realiza ecografía abdominal dando como diagnostico medico de hernia inguino escrotal bilateral, se administra sonda nasogástrica para control de líquido gástrico y sonda vesical para controlar la diuresis, se prepara a paciente para laparotomía exploratoria de hernia inguino escrotal. Se realiza exámenes de laboratorio obteniendo el siguiente resultado: Hematíes: 3.01xmm3; Hemoglobina: 13.2 g/dl; Hematocrito: 39.0 %; Leucocitos: 12.86 10^3/uL; Plaquetas: 308 10^3/uL; Creatinina:1.6 mg/dl; Potasio: 3.8 mEq/L; Sodio: 132 mEq/L; Cloro: 91 mEq/L; Amilasa:39 U/L; Tp: 13.2 seg.; VDRL: No reactivo; HIV 1+2 prueba rápida; No reactivo. Medico deja herida abierta excepto donde se encuentra la malla para que drene liquido séptico, prescribe medicación y órdenes de laboratorio de control, e interconsulta para urología ya que continua con escroto edematizado. | es_ES |
| dc.format.extent | 35 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 | Laparotomía | es_ES |
| dc.subject | Hernia Inguino Escrotal | es_ES |
| dc.subject | Abdomen Agudo | es_ES |
| dc.subject | Edema | es_ES |
| dc.subject | Emesis | es_ES |
| dc.title | Proceso atención de enfermería en paciente con hernia inguino escrotal bilateral. | es_ES |
| dc.type | bachelorThesis | es_ES |
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