bachelorThesis
Proceso atención de enfermería en lactante menor con neumonía adquirida (NAC) en la comunidad.
Autor
Carpio Loor, Litzi Inocenta
Institución
Resumen
Community-acquired pneumonia (CAP) or also known as extra-hospital, is a pathology of infectious origin that mainly affects the lungs, causing inflammation in the lung parenchyma. Pneumonia is currently the leading cause of death in children under five years of age. The present clinical case is based on a minor infant, 5 months old, the mother reports that she goes to the Health Center of her locality and to a private doctor, with her infant due to a clinical picture of hyperthermia, maculopapular lesions, respiratory deficit, approximately with a evolution of two months ago with a productive cough that produces emesis. When she did not see improvement, she was referred to the Martín Icaza General Hospital on the third day, with a medical diagnosis of Bronchopneumonia, the infant was admitted active - reactive with signs of respiratory distress with subcostal drawing (1 point), Silverman scale (1 point), Glasgow 15 / 15, productive cough, maculopapular lesions, edema in upper extremities, hyperthermia, hypohydration and intolerance to breastfeeding. Physical examination: chest with crackling lung fields on the left and right bases, soft depressible abdomen not painful on palpation, swollen upper extremities at the level of the hands. Vital signs: Blood pressure 87 / 50mmHg, Heart rate: 175 beats per minute, Respiratory rate: 64 breaths per minute, Body temperature: 38.9oC, SpO2: 82% in ambient air. The nursing care process has as its fundamental objective the adequate planning and execution of care in order for the young infant to recover her health in the shortest possible time. Community-acquired pneumonia (CAP) or also known as extra-hospital, is a pathology of infectious origin that mainly affects the lungs, causing inflammation in the lung parenchyma. Pneumonia is currently the leading cause of death in children under five years of age. The present clinical case is based on a minor infant, 5 months old, the mother reports that she goes to the Health Center of her locality and to a private doctor, with her infant due to a clinical picture of hyperthermia, maculopapular lesions, respiratory deficit, approximately with a evolution of two months ago with a productive cough that produces emesis. When she did not see improvement, she was referred to the Martín Icaza General Hospital on the third day, with a medical diagnosis of Bronchopneumonia, the infant was admitted active - reactive with signs of respiratory distress with subcostal drawing (1 point), Silverman scale (1 point), Glasgow 15 / 15, productive cough, maculopapular lesions, edema in upper extremities, hyperthermia, hypohydration and intolerance to breastfeeding. Physical examination: chest with crackling lung fields on the left and right bases, soft depressible abdomen not painful on palpation, swollen upper extremities at the level of the hands. Vital signs: Blood pressure 87 / 50mmHg, Heart rate: 175 beats per minute, Respiratory rate: 64 breaths per minute, Body temperature: 38.9oC, SpO2: 82% in ambient air. The nursing care process has as its fundamental objective the adequate planning and execution of care in order for the young infant to recover her health in the shortest possible time. La neumonía adquirida en la comunidad (NAC) o también conocida como extra-hospitalaria, es una patología de origen infeccioso que afecta principalmente a los pulmones, que produce inflamación en el parénquima pulmonar. En la actualidad la neumonía es la principal causa de muerte en niños menores de cinco años de edad. El presente caso clínico se basa en lactante menor, de 5 meses de edad, madre refiere que acude a Centro de Salud de su localidad y a médico particular, con su lactante por presentar cuadro clínico de hipertermia, lesiones maculopapulares, déficit respiratorio, aproximadamente con una evolución de hace dos meses con tos productiva que produce emesis. Al no ver mejoría es referida al tercer día al Hospital General Martín Icaza, con diagnóstico médico de Bronconeumonía, lactante ingresa activa – reactiva con signos de dificultad respiratoria con tiraje subcostal (1 punto), escala de Silverman (1 punto), Glasgow 15/15, tos productiva, lesiones maculopapulares, edema en extremidades superiores, hipertermia, hipohidratación e intolerancia a la lactancia materna. Al examen físico: tórax con campos pulmonares crepitantes en base izquierda y derecho, abdomen blando depresible no doloroso a la palpación, extremidades superiores edematizadas a nivel de manos. Signos vitales: Presión Arterial 87/50mmHg, Frecuencia cardiaca: 175 latidos por minuto, Frecuencia respiratoria: 64 respiraciones por minuto, Temperatura corporal: 38,9oC, SpO2: 82% al aire ambiente. El proceso de atención de enfermería tiene como objetivo fundamental la adecuada planificación y ejecución de los cuidados con la finalidad de que la lactante menor recobre en el menor tiempo posible su salud.