Proceso de atención de enfermería en paciente de 48 años de edad con pie diabético.

The present clinical case is focused on a 48-year-old diabetic patient diagnosed with type II diabetes mellitus two years ago, who attends the Baba Basic Hospital through the emergency area in the company of his son, who reported a clinical picture of approximately 3 days of evolution accompanied by hyperthermia 39 ºC, blurred vision, frequency, polydipsia and paresthesia. He also presented a septic point in the hemodialysis catheter and ulcer in the left lower limb (foot - heel) that urgently required surgical cleaning. Constants were taken; blood pressure: 132/74 mmHg, heart rate: 94 l/min, respiratory rate: 19 r/min, axillary temperature: 39 ºC, oxygen saturation 98%, weight 52 Kg and height 165. A glycolysis test was performed, resulting in 250mg/dl (13.9mmol/L). The patient reported that he did not take Metformin for three days. 14 units of insulin were administered and peripherally channeled into the right upper limb for medication administration. The doctor ordered urinalysis, hematology, blood chemistry and ultrasound examinations of the foot, to clearly appreciate the depth of the ulcer. A physical assessment was performed using the Marjorie Gordon patterns in order to identify the altered patterns that were compromising their health and well-being. Surgical cleaning was performed on the left foot. The Nursing Care Process was elaborated, using the Nanda, Nic and Noc taxonomies as tools, to meet the proposed objectives.

• Glavni avtor: Montero Andrade, Oscar Alexander (author)
• Format: bachelorThesis
• Izdano: 2022
• Teme: Diabetes mellitus; Insulina; Úlcera
• Online dostop: http://dspace.utb.edu.ec/handle/49000/11294