Proceso de atención de enfermería en paciente gestante de 31 años de edad de 36 semanas con preeclampsia severa.

Currently, hypertensive disorders in pregnancy, such as gestational hypertension, preeclampsia and eclampsia, are essential due to the high risk of maternal and fetal morbidity and mortality. Preeclampsia is a pregnancy-induced hypertensive disorder that manifests clinically after 20 weeks gestation. If left untreated, in time it can lead to severe complications, even death, for both mother and baby. The worldwide incidence of preeclampsia is reported between 5 to 8% of all pregnancies. In Ecuador, these diseases have been reported as the leading causes of maternal death and represent 27.53% of total maternal deaths from 2006 to 2014. The Chimborazo province has the third highest rate of these diseases nationwide with 28.16%. Preeclampsia is diagnosed if you have hypertension after 20 weeks of pregnancy and at least one of the following symptoms such as: protein in the urine (proteinuria), blurred vision, thrombocytopenia, increased liver enzymes, headache that does not go away with pain medication. It is usually recommended as a treatment, that you immediately administer antihypertensive drugs prescribed by the attending physician and monitor vital signs constantly. In the present work, we review the signs and symptoms that contribute to the diagnosis of preeclampsia and evaluate which is the most appropriate treatment for this pathology. Within patient care, the main nursing care is to evaluate and verify the warning signs of the pathology. In this case, the mother and the NB must be safe before, during and after delivery. Therefore, the following care is established; evaluate vital signs, breath sounds, saturation levels. The contribution of the nursing care process is the constant evaluation and verification of vital signs if they worsen due to this pathology. The fetus must be safe for the pregnant woman, newborn before, during and after delivery. The patient evolved favorably thanks to nursing interventions and the administration of pharmacotherapy, it was possible to reduce the values of blood pressure that she maintained during her stay in hospitalization, her current condition is stable and we proceeded to give the medical discharge and indications that puerperium controls should be carried out in the health unit near her home as a prophylaxis of possible complications.

• Autor Principal: Jaña Aguiar, Anthony Johan (author)
• Formato: bachelorThesis
• Publicado: 2023
• Subjects: Trastornos hipertensivos; Preeclampsia; Gestante; Signos vitales; Muerte materna
• Acceso en liña: http://dspace.utb.edu.ec/handle/49000/14092