Ciencias de la Salud

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    Revisión de caso clínico de paciente con tuberculosis pulmonar
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-03-01) Guanina Nieto, Helen Angelica; Benavides Rovalino, Esther del Rocio Lic. Mg
    INTRODUCCIÓN: Tuberculosis is defined as an infectious disease, caused by the bacterium Mycrobacterium Tuberculosis (1), that is to say; Bacteria can spread easily from one infected person to another, it develops in a certain environmental, social, health and individual context, the contagion is acquired by inhaling water droplets when sneezing or coughing. The factors that cause susceptibility to infection are malnutrition, overcrowding, various immunosuppressive causes, and genetic factors, among others(2). OBJECTIVE: Analyze the evolution of the user and adherence to antituberculous treatment related to the determinantsof health. PRESENTATION OF THE CASE: 24-year-old patient, onset of symptoms 15 days ago accompanied by a dry cough, suddenly mobilizes secretions, presents night sweats, fatigue, gradual weight loss. The collection of information will be obtained through the review and analysis of the clinical history, function in the Clinical Practice Guide for Prevention, Diagnosis, Treatment and Control of Tuberculosis and the bibliographic review of scientific articles in which relevant information on the evolution will be detailed. CONCLUSIONS: Whenanalyzing the clinical case; We cover a series of procedures according to the pathology presented, this will improve extensive knowledge about the proposed disease, risk factors, adherence to treatment and propose an adequate nursing care process, which have been fundamental tools to carry out the correct analysis and assessment.
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    “Fístula enterocutánea secundaria a adherencias intestinales + resección de segmento intestinal por laparotomía con anastomosis de termino terminal por isquemia intestinal + abdomen congelado”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-06-01) Pacheco López, Carolina Lissette; Vélez Salgado, Jaime Efraín Dr. Esp.
    The Enterocutaneous fistulas are pathologies that represent a very large problem in surgical practice. They usually present in postoperative processes developing 90% after surgery. Despite medical advances, morbidity and mortality rates remain high. In the clinical case studied, three complications were identified: electrolyte imbalance, levels of malnutrition and sepsis. The objective of the management of the presented clinical case is the spontaneous closure and the installation of an adequate nutritional support to achieve the success of the treatment. The control of sepsis is a priority, uncontrolled sepsis must be attacked quickly because it is the main cause of death. Spontaneous closure has increased in recent years; however, it is likely that still a large part of the patients merit surgical treatment, and this must be done at the right time.