Ciencias de la Salud
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Item Intervención de Enfermería en Trauma Craneoencefálico Moderado, Hematoma Epidural en Región Parieto-Temporal Izquierda más Trauma Periorbitario en el Servicio de Pediatría del Hospital Provincial General Latacunga(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Enfermería, 2016-10-01) Mejías Barrera, Jonathan Anderson; Landázuri Troya, Teresa de Jesús Lcda. Mg.This work is done in order to analyze the intervention and application of nursing care in a trauma patient suffering from moderate brain trauma, epidural hematoma in parieto-temporal left periorbitario, which will be aimed at improving the health status and the quality of life of the patient. The epidural hematoma is a collection of blood that occurs between the dura which is the layer surrounding the central nervous system and the skull; This research will be aimed precisely those measures and basic health care for the patient should apply to somehow mitigate the problems and consequences that can cause this pathological involvement. This analysis details the case of a male pediatric patient has a diagnosis of mild traumatic brain injury, epidural hematoma in parieto-temporal left more trauma periorbitario because it showed a drop of about 2 meters, presented loss of consciousness for about 2 hours, accompanied by injury occipito-parietal region left, edema and ecchymosis peri-orbital left, from which the patient begins to exacerbate the box symptoms and complications of the diagnosis as nutritional disorder, skeletal muscle and in the affective domain and psychological. It was taken as a basis for valuation functional patterns of M. Gordon the same as will serve to assess the health status of the patient and identify appropriate interventions that complement medical and drug treatment. In the case analysis may detail nursing care the patient received, if they were in line with the established management protocol, in addition to analyzing a priority education, training and emotional support to the patient and his mother; which it is of great importance to be able to positively adapt to changes and minimize complications that arise during their hospital stay; to achieve this objective a plan of nursing intervention based on functional patterns of M. Gordon and taxonomy NANDA NIC and NOC which is aimed at the patient and family on a guide behaviors and care to follow for maintenance is made optimal lifestyle.Item Útero de Couvelaire y Óbito Fetal tras desprendimiento Normoplacentario en embarazo de 31.5 semanas(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Pérez Salazar, Carlos Andrés; Castro Acosta, Norma del Carmen Dra. Esp.Female patient of 31 years old, who is in her second pregnancy, currently 31.5 weeks of pregnancy with no medical or family history of importance, who has about 6 hours ago abdominal pain, cramping, located in the lower abdomen and irradiated region lumbar, high intensity +++ / +++ (hand intensity from 0 to three crosses), its accompanied by vaginal bleeding, glittering red in small quantities, why go to health center where evaluating Quero and refer to emergency service HPDA so it is entered the service of Gynecology and Obstetrics. With a Pregnancy diagnosed of 31.5 weeks + placental abruption + fetal death, so that emergency caesarean section was performed, finding a womb Couvelaire more stillbirth procedure continues with Hysterectomy, the service is requested interconsultation Intensive Care who value and enter that area, diagnosed with hypovolemic shock, Hysterectomy, placental abruption, renal failure.Item Hematoma Subcapsular Hepático como Complicación del Procedimiento Colangiopancreatografía Retrógrada Endoscópica (Cpre)(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-05-01) Areopaja Escobar, Ana Gabriela; Pancho Zela, Marlon Mauricio Dr.In order to know the causes that lead to liver subcapsular hematoma post Endoscopic retrograde cholangiopancreatography (ERCP), the following case is analyzed occur. 47-year-old cholecystectomiced 10 years ago; 3 months entered in the service of General Surgery, abdominal pain of great intensity and jaundice, through laboratory tests are diagnostic of acute pancreatitis lithiasic origin, it is sent to perform an ERCP where they observe dilated bile duct and perform endoscopic sphincterotomy makes biliary stent placement, posterior apparent improvement icterohemorrhagic presented obstructive picture for which he was discharged. At 10 days post ERCP comes a new abdominal pain of great intensity, perform abdominal ultrasound which reported fluid collection in volume of approximately 240 ml located between the diaphragm and the right lobe of the liver, which indicate drainage directed the Subdiaphragmatic liquid which is not performed risk of acute bleeding, as was compatible with hepatic subcapsular, probably secondary to complications of the procedure ERCP, hematoma indicate conservative clinical treatment with antibiotics, and wait reabsorption of hematoma or decide to transfer to tertiary hospital for probable surgical resolution. It is not transferred and expectant management is decided, the next few days continues with analgesics and intravenous antibiotic, the patient has adequate hemodynamic stability and decides to discharge. Patient came to controls with ultrasounds results where reported that the collection had been reabsorbed liquid 110ml, 100ml and after continuing indicated Watchful waiting for the full resorption of hematoma. ERCP is a complex procedure, ideally endoscopists are highly trained; however, you can not avoid complications in most cases.