Análisis de caso preeclampsia severa en gestante atendida en el hospital general Teófilo Dávila durante el período enero del 2017
Introduction: Severe pre-eclampsia is a pathology of pregnancy responsible for a high rate of maternal and perinatal deaths globally, in developing countries like Ecuador reached a total of 4.51%, for the year 2016 (1). Its origin remains unknown but is associated with multiple maternal factors, eac...
Պահպանված է:
| Հիմնական հեղինակ: | |
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| Այլ հեղինակներ: | |
| Ձևաչափ: | bachelorThesis |
| Հրապարակվել է: |
2018
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| Խորագրեր: | |
| Առցանց հասանելիություն: | http://repositorio.utmachala.edu.ec/handle/48000/12311 |
| Ցուցիչներ: |
Ավելացրեք ցուցիչ
Չկան պիտակներ, Եղեք առաջինը, ով նշում է այս գրառումը!
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Ավելացրեք ցուցիչ | Ամփոփում: | Introduction: Severe pre-eclampsia is a pathology of pregnancy responsible for a high rate of maternal and perinatal deaths globally, in developing countries like Ecuador reached a total of 4.51%, for the year 2016 (1). Its origin remains unknown but is associated with multiple maternal factors, each year during pregnancy hypertensive disorders represent some 50,000 maternal deaths, and 900,000 perinatal, as well as constituting a predisposition to present cardiovascular complications in the future. In the American Congress of obstetrics and gynecology (ACOG), criteria associated with severe preeclampsia include one of the following signs: blood pressure ≥ 160 / 110 mmHg, persistent headache, visual disturbances, pulmonary edema, epigastric pain or right upper quadrant, hemolysis, thrombocytopenia, microangiopathic, impairment of renal function, oliguria ≤ 500 ml / 24 hours, creatinine ≥ 1.1 mg/dl, elevation of liver enzymes to twice the normal value. (2) Objective : The aim of this study is to analyze a case of severe pre-eclampsia in a patient primigesta of the Teofilo Davila Hospital, by reviewing the medical history and scientific articles, taking into account the fetal maternal risk and the process of care for Nursing. Method : The methods used are the clinical method, with the reference of the clinical history of the patient. Heuristic method: based on scientific information and the Foundation of patient data. Analytical method: applies to disintegrate the categories of analysis of the case. The type of research is qualitative because seen the clinical features of the unit of analysis. The study is descriptive, because it is based mainly in the enunciation of the characteristics of the unit of analysis. Results: found a trigger for the emergence of this disease are risk factors, including Valdes mentions hereditary, environmental, immunologic and individual that they seem to interact in various ways to pre-eclampsia appears. It occurs in 5-10% of all pregnancies, they suffer from it of the 14.5 to 20% of patients with multiple pregnancy and 25% of women with chronic hypertension. The criteria found in the patient for diagnosis include hypertension 160/90 mmHg, disruption of the central nervous system (blurred vision, intense headache); pain epigastric or right upper quadrant (by distention of the capsule or hepatic rupture) vasomotor signs as scotomas 24 hours in evolution about lab tests reported reactive Strip in urine +++ which are considered as signs of pre-eclampsia found related to the results of Laza and Vargas. Conclusion: Pre-eclampsia has become a problem that has been growing every day. According to the study we can conclude that the causes attributed to different risk factors predominate, maternal age less than 20 years and primigravida. To achieve an effective job was designed the plan of care in relation to the patient's needs following a logical order with all stages of the process of care nursing by which attention will be improved, and users will receive care suitable. |
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