| dc.contributor | Robledo Gáleas, Sanny Sofía | |
| dc.creator | Moyano Molina, Génesis Geraldine | |
| dc.date | 2022-05-25T21:23:37Z | |
| dc.date | 2022-05-25T21:23:37Z | |
| dc.date | 2022 | |
| dc.date.accessioned | 2023-08-08T17:41:04Z | |
| dc.date.available | 2023-08-08T17:41:04Z | |
| dc.identifier | http://dspace.utb.edu.ec/handle/49000/11930 | |
| dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/8054896 | |
| dc.description | This clinical case study is based on a 54-year-old male patient who is taken to the IESS Babahoyo hospital by an ambulance from the fire department in the company of his family member with oxygen support through a simple mask presenting tachycardia and respiratory distress. He is admitted by emergency where he remains in the hydration area, a peripheral line is channeled and established to pass his medication, in addition, vital signs are controlled and laboratory samples are taken. The relative reports that the patient has a surgical history since 2 years ago he underwent cervical lymph node cancer, after which radiotherapy and chemotherapy were performed. In 2020 he was diagnosed with pulmonary metastasis, continuing treatment with chemotherapy. Subsequently, the patient is taken to the observation area where an oncology assessment was carried out, who indicated performing a tomography, showing images of balloon release in both lung fields; disease in frank progression without favorable response to chemotherapy treatment. The next day of his stay in the observation area, his respiratory difficulty increased, presenting desaturation, intense pain and tachycardia. Pain therapy was instituted and the oxygen device was changed to a reservoir mask. On the third day, the patient presented severe respiratory distress requiring endotracheal intubation and mechanical ventilatory support. Family members were informed who refused the medical request, signing the documents ordering no intubation and no resuscitation. As the hours passed, patients went into cardiorespiratory arrest. | |
| dc.description | This clinical case study is based on a 54-year-old male patient who is taken to the IESS Babahoyo hospital by an ambulance from the fire department in the company of his family member with oxygen support through a simple mask presenting tachycardia and respiratory distress. He is admitted by emergency where he remains in the hydration area, a peripheral line is channeled and established to pass his medication, in addition, vital signs are controlled and laboratory samples are taken. The relative reports that the patient has a surgical history since 2 years ago he underwent cervical lymph node cancer, after which radiotherapy and chemotherapy were performed. In 2020 he was diagnosed with pulmonary metastasis, continuing treatment with chemotherapy. Subsequently, the patient is taken to the observation area where an oncology assessment was carried out, who indicated performing a tomography, showing images of balloon release in both lung fields; disease in frank progression without favorable response to chemotherapy treatment. The next day of his stay in the observation area, his respiratory difficulty increased, presenting desaturation, intense pain and tachycardia. Pain therapy was instituted and the oxygen device was changed to a reservoir mask. On the third day, the patient presented severe respiratory distress requiring endotracheal intubation and mechanical ventilatory support. Family members were informed who refused the medical request, signing the documents ordering no intubation and no resuscitation. As the hours passed, patients went into cardiorespiratory arrest. | |
| dc.description | El presente estudio de caso clínico se basa en un paciente de sexo masculino de 54 años quien es llevado al hospital IESS Babahoyo por una ambulancia del cuerpo de bombero en compañía de su familiar con soporte de oxígeno por medio de mascarilla simple presentando taquicardia y dificultad respiratoria. Es ingresado por emergencia donde permanece en el área de hidratación, se procede a canalizar e instaurar una vía periférica para pasar su medicación, además se realiza control de signos vitales y toma de muestras de laboratorio. El familiar refiere que el paciente tiene antecedentes quirúrgicos ya que hace 2 años se le realiza por cáncer de ganglios cervicales, posterior a ello se realiza radioterapia y quimioterapia. En el año 2020 fue diagnosticado con metástasis pulmonar continuando el tratamiento con quimioterapias. Posteriormente el paciente es llevado al área de observación donde se realizó valoración por oncología quien indica realizar tomografía evidenciándose imágenes a suelta globos en ambos campos pulmonares; enfermedad en franca progresión sin respuesta favorable a tratamiento quimioterapéutico. Al siguiente día de su estancia en el área de observación aumenta la dificultad respiratoria, presentando desaturación dolor intenso y taquicardia. Se procede instaurar terapia del dolor y se cambia de dispositivo de oxígeno por mascarilla de reservorio. Al tercer día paciente presenta dificultad respiratoria grave con necesidad de intubación endotraqueal y soporte ventilatorio mecánico, se comunica a los familiares quienes se niegan a petición medica firmando los documentos de orden de no intubación y no reanimación. Al pasar las horas pacientes entre en parada cardiorrespiratoria. | |
| dc.format | 28 p. | |
| dc.format | application/pdf | |
| dc.language | es | |
| dc.publisher | Babahoyo: UTB-FCS, 2022 | |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | |
| dc.rights | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | |
| dc.subject | Insuficiencia respiratoria | |
| dc.subject | Metástasis pulmonar | |
| dc.subject | Oxigenoterapia | |
| dc.subject | Quimioterapéutico | |
| dc.subject | Desaturación | |
| dc.title | Intervención del terapista respiratorio en paciente masculino de 54 años de edad con insuficiencia respiratoria aguda. | |
| dc.type | bachelorThesis | |
