Proceso Atención de Enfermería en Neonato con Ruptura Prematura de Membrana y Sepsis Neonatal.

The present clinical case was carried out in order to analyze and understand the premature rupture of membranes and neonatal sepsis from a holistic perspective, the findings found in the neonatal patient are suggestive, since they are complex pathologies, the patient is a moderate premature newborn...

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Autor Principal: Arévalo Fuentes, Jesús Wladimir (author)
Formato: bachelorThesis
Publicado: 2022
Subjects:
Acceso en liña:http://dspace.utb.edu.ec/handle/49000/11208
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Summary:The present clinical case was carried out in order to analyze and understand the premature rupture of membranes and neonatal sepsis from a holistic perspective, the findings found in the neonatal patient are suggestive, since they are complex pathologies, the patient is a moderate premature newborn of 32.5 weeks of gestational age, the same that was calculated from the date of last menstruation, being a product of an emergency cesarean section with a clinical diagnosis of premature rupture of membranes and neonatal sepsis, entering the neonatal intensive care unit at the FF.AA.#1 Specialty Hospital located in the Province of Pichincha, Canton Quito. The symptoms were present abruptly after birth, showing signs of respiratory distress due to his prematurity, so he received support from non-invasive mechanical ventilation, also presented a thermal rise of 38.9 ° C, due to a history of maternal risk factors, laboratory and imaging tests are performed, a central route was channeled through which he received hydration and intravenous antibiotics of the first scheme, antipyretic plus the application of physical means to lower body temperature, received prophylactic phototherapy. Orogastric tube is placed to initiate enteral feeding to help the maturation of the gastrointestinal tract. The presumptive diagnosis is neonatal jaundice, respiratory distress, low birth weight, then the differential diagnosis was made that included anemia; due to the symptoms presented and the result of the laboratory tests, the diagnosis of neonatal sepsis was formulated. The nursing care process was developed in neonates with premature rupture of membranes and neonatal sepsis, with the aim of contributing to the improvement of their health status through physical assessment, by functional patterns using the Marjory Gordon model, the NANDA taxonomy, NOC AND NIC and in this way elaborate and execute a specific care plan according to the needs required by the patient