Ciencias de la Salud
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Item “Insuficiencia respiratoria a causa del sindrome de prader willi”(Carrera de Medicina, 2019-06-01) Mier González, Jonathan Fabricio; Silva Tirado, Mónica Paulina, Dra. Esp.A 22-year-old female patient, oxygen dependent, with a history of Prader Willi syndrome, morbid obesity, severe scoliosis, chronic respiratory insufficiency, primary amenorrhea, intellectual disability of 79% and paravertebral prosthesis placement. Five years ago he presented with progressive dyspnea from large to small efforts, gasometric controls showed hypoxemia, spirometry showed a severe restrictive spirometric pattern, condition associated with thoracic cavity deformation, home oxygen plus respiratory physiotherapy was established. During the evolution of his disease, his respiratory condition was re-evaluated due to worsening of symptoms, polysomnography was performed, which reported apnea-hypopnea syndrome of mild postural sleep, in addition to an echocardiogram where pulmonary hypertension and grade III tricuspid insufficiency were diagnosed. postural changes during sleep, expectant management and serial controls. 1 year ago, the patient presented with exacerbation of the respiratory symptoms, presenting oxygen desaturation of less than 60% with FiO 21%, was diagnosed with pulmonary thromboembolism by pulmonary angiography, so anticoagulant therapy was started, while at the same time, hypercoagulability of autoimmune etiology was ruled out. Without further check-ups, the patient suffers cardiorespiratory arrest at home, dying six months later.Item Síndrome de Dandy Walker más Crisis Convulsivas más Anemia y su relación con el mejoramiento de la calidad de vida en base a los cuidados de enfermería(2016-10-01) Tusa Moreta, María de los Ángeles; Iza Anguisaca, Freddy Bayardo Dr. Esp.This analysis Case Report aimed to analyze and identify critical nodes on Dandy Walker Syndrome more seizures, more anemia, by collecting data and medical history and describe the signs and symptoms presented by the patient with this syndrome, identifying risk factors that favored the evolution of the disease. He is nursing a guide that will contribute to improving the quality of life of patients and their environment was developed, and it serves more for future research. The following analysis is a female patient, 1 month 25 days old, which is entered in the service of Pediatrics Provincial Teaching Hospital Ambato diagnosed with Dandy Walker's seizures during hospital stay anemia is detected, as well of contracting nosocomial pneumonia. Within the data obtained from the mother of the patient and the medical history could determine who presented premature rupture of membranes 3 days, born by distócico, primigesta delivery. At 8 hours of life she was hospitalized in the Neonatal Intensive Care where he remained for eight days for respiratory distress at 26 days old attends the emergency services at Children's Hospital Baca Ortiz by presenting apneas, besides presenting period asphyxia, cyanosis, and widespread flab therefore receive first aid CPR which the patient regains its color, while staying is valued by specialists, according to results of the scan performed is: vermis Cerebellar hypoplastic associating arachnoid cyst Cisterna Magna and hypoplastic corpus callosum. After 10 days of hospitalization is discharged. 25 days per month is hospitalized again for the above, during the period of the implementation of this analysis has shown delayed psychomotor development among other issues that are detailed in this study. We used the descriptive method to describe each of the problems or critical problems presented by the patient with this disease, in addition to documentary research - Bibliographical since aims to learn more about the clinical manifestations related to pathology. Although in most cases the cause is unknown, it is necessary to identify the risk factors that contributed to the evolution of the disease and identify the critical points to guide a guide nursing that will improve the care and quality of life of patients.