CASO CLINICO MEDICO QUIRURGICO.docx

8/16/2019 CASO CLINICO MEDICO QUIRURGICO.docx

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REPUBLICA BOLIVARIANA DE VENEZUELAMINISTERIO DEL PODER POPULAR PARA LA DEFENSA

UNIVERSIDAD NACIONAL EXPERIMENTAL DE LA FUERZA ARMADABOLIVARIANA (UNEFA)

NUCLEO: GUATIRE- EXTENSION: CAUCAGUA

ENFERMERIA 3° SEMESTRE SECCION UNICAMEDICO QUIRURGICO

BACHILLER:MONTAÑEZ WINES!

C"I" #$"%%&"'$3

CAUCAGUA MA!O #$'REPUBLICA BOLIVARIANA DE VENEZUELA

MINISTERIO DEL PODER POPULAR PARA LA DEFENSA


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UNIVERSIDAD NACIONAL EXPERIMENTAL DE LA FUERZA ARMADABOLIVARIANA (UNEFA)

NUCLEO: GUATIRE- EXTENSION: CAUCAGUAENFERMERIA 3° SEMESTRE SECCION UNICA

MEDICO QUIRURGICO

PROFESORA: BACHILLER:LCDA" RE!ES CARMEN MONTAÑEZ WINE!

C"I #$"%%&"'$3

CAUCAGUA MA!O #$'INDICE

INTRODUCCION**************************


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OB+ETIVO GENERAL************************

OB+ETIVO ESPECIFICO***********************

FISIOPATOLOG,A*************************"

RESUMEN DEL CASO***********************"""

+ERARQUIZACIN DE PROBLEMAS ! NECESIDADES*********

DIAGNOSTICO DE ENFERMERIA******************""

PLANES DE CUIDADOS**********************""""

RELACION CON LA TEORIA DE FLORENCE NIGHTINGALE*******

CONCLUSION***************************"

RECOMENDACIONES************************

BIBLIOFRAF,A***************************

ANEXOS******************************

INTRODUCCION

L. A/0/1012 S4015. 4/6765. 8. 198.;.51 8. ./015?8.51 2> ;.911>20. 46/ =686/>9/6>51;1>906 195.906 => 0>;4>/.0?/. 865.8"


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A8?9.2 4>/269.2 01>9>9 8. >9>/;>=.= 22>2 6 46/ ?96 6 =62.62 56;6 >2 9?>20/6 5.26" D>24?2 =>2.4./>5> 219 5.?2./ =.62" O0/.2 4>/269.2 01>9>9465.2 >9 @?> 862 2906;.2 >;4>6/.9 (/60>2) 465.2 >9 @?> 2> ;>6/.9 (/>;12169>2)" E9862 5.262 ;2 /.7>2 8. >9>/;>=.= 4?>=> =?/./ ;?562 .62 6 06=. 8. 71=." E20. 6/;. =>8. >9>/;>=.= 4?>=> 5.?2./ =.62 /.7>2 . 8.2 ./015?8.5169>2"

E8 =1.9620156 2> 2624>5. 46/ 862 2906;.2 5./.50>/2015.2 =>8 4.51>90> >2 ;?1;46/0.90> />.81./ ?9. 4?95120?=1./ >8 81@?1=6 219671.8 4./. 56;4/6./ 21 >J120>9/;>9>2 >9 >8 ;12;6 />.81./ ?9 5?80176 4./. .7>/1?./ 5?8 >2 8. .50>/1. />24692.8> >8 0/.0.;1>906 ;2 .=>5?.=6"

E9 65.2169>2 >2 9>5>2./16 />.81./ >8 =/>9.> => 8. ./015?8.517.5?./ >8 5690>91=6 4?/?8>906 @?> 2> >95?>90/. >9 2? 190>/16/" P6/ >9=> . 0/.72 => >20> 5.26 0>9=/>;62 8. 646/0?91=.= => 56965>/ ;2 . 69=6 26/>8. ./0/1012 24015. 06=6 86 =>2569651=6 @?> 46/ ;>=16 => >88. >J120.9 60/62 .>90>2

5.?2.8>2 => 1?.8 ;.9>/. 962 .51810./. 56;6 >20?=1.90>2 ?0?/.2 4>/269.8 => E9>/;>/.7.86/./ .8 4.51>90> 4./. =>0>/;19./ 8.2 9>5>21=.=>2 K6 4/68>;.2 ;2 >J120>90>2 4/16/10./162 >9 >8 ;12;6 4./. 8?>6 48.9115./ ?9. 2>/1> => .55169>2 @?> .?=>9 ./>20.8>5>/ >20.181./ 8. 2.8?= =>8 4.51>90> 4620>/16/;>90> >>5?0./8.2 569 >8 19 =>6401;1./ >8 1>9>20./ /19=9=68> 06=. 8. .0>9515>2./162"

OB+ETIVO GENERAL

A4815./ >8 4/65>26 => .0>951 >9>/;>/. (PAE) . 4.51>90> ;.25?8196 => 3 .62=> >=.= 19/>2.=6 >9 >8 2>/71516 => 62410.81.518 H62410.8 V./.2 => C./.5.2 S.8. #


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C.;. & 569 ?9 =1.9620156 => A/0/1012 S4015." R>8.5169.9=6 8. 0>6/. => F86/>95> N1019.8>"

OB+ETIVO ESPECIFICO

V.86/./ 862 4.0/69>2 ?95169.8>2 9>5>21=.=>2 .80>/.=.2 >9 >8 4.51>90> 569 =1.9620156;>=156 => A/0/1012 S4015. =>2=> >8 =. $'K$K#$' 62410.81.=6 >9 >8 H62410.8 V./.2=> C./.5.2 S.8. # C.;. &" R>8.5169.9=6 8. 0>6/. => F86/>95> N1019.8>"

P8.9115./ PLAN DE ATENCION DE ENFERMERIA (PAE) .=.40.=6 . 9>5>21=.=>2=>8 4.51>90> 569 =1.9620156 ;>=156 => A/0/1012 S4015. =>2=> >8 =. $'K$K#$' =>.5?>/=6 569 8.2 5.4.51=.=>2 .5010?=>2 > 190>/>2>2 4./. 2? 4/690. />5?4>/.519 >8 H62410.8 V./.2 => C./.5.2 S.8. # C.;. &" R>8.5169.9=6 8. 0>6/. =>F86/>95> N1019.8>"

E>5?0./ PLAN DE ATENCION DE ENFERMERIA (PAE) . 4.51>90> 569 =1.9620156;>=156 => A/0/1012 S4015. =>2=> >8 =. $'K$$' 62410.81.=6 >9 >8 H62410.8 V./.2=> C./.5.2 S.8. # C.;. &" R>8.5169.9=6 8. 0>6/. => F86/>95> N1019.8>"

E7.8?./ >8 48.9 => 5?1=.=62 => >9>/;>/. .4815.=6 .8 4.51>90> 569 =1.9620156 =>A/0/1012 S4015. =>2=> >8 =. $'K$K#$' 62410.81.=6 >9 >8 H62410.8 V./.2 => C./.5.2S.8. # C.;. &" R>8.5169.9=6 8. 0>6/. => F86/>95> N1019.8>"

FISIOPATOLOG,A

A/0/1012 >2 8. 198.;.51 ?9. 6 ;2 ./015?8.5169>2 ?9. ./015?8.512 >8 />. =69=>862 ?>262 2> >95?>90/.9"


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L. ./0/1012 19768?5/. 8. =>/.=.518 5./08.6 96/;.8 4/60>> ?9. ./015?8.51/;10> @?> >20. 2> ;?>7. => 6/;. 2?.7>"E8 5./08.6 0.;19 .26/> >8 684> 5?.9=6 2> >>/5> 4/>21 8. ./015?8.515519>/.8;>90> 46/ .50>/1.2 6 71/?2"

E9 8. ;.6/. => 862 5.262 8. 198.;.512.4./>5> =>24?2 => @?> 8. 5.?2.=>2.4./>5> 6 />51> 0/.0.;1>906" A8?9.2 7>5>2 96 2?5>=> .2" C?.9=6 >206 2?5>=> ?20>=01>9> ./0/1012 5/ A/0/1012

• E2469=181012 .9@?1862.90>: E2 ?9 0146 => ./0/1012 5/ .>50. 56;9;>90> 862?>262 8.2 ./015?8.5169>2 >9 8. .2> => 8. 568?;9. =69=> 20. 2> 569>50. 569 8. 4>8712"

• A/0/1012 6965/.8 21=6 . ?9. 19>551 696//>."

• A/0/1012 426/1215.: E2 ?9 4/68>;. ./015?8./ (./0/1012) @?> . ;>9?=6 65?//> 569 ?9..>551 8. 41>8 88.;.=. 426/1.212"

• A/0/1012 />.5017.: E2 ?9 /?46 => .>55169>2 @?> 4?>=> 56;4/6;>0>/ 8.2./015?8.5169>2 8. ?/>0/. 862 662" E20.2 />.2 />2?80.9 195.=.2 > 198.;.=.2 569/>5?>951. >9 />24?>20. . 51>/0.2 19>55169>2"

• A/0/1012 />?;.061=>.: E2 ?9. >9>/;>=.= 5/ 88>7. . 8. 198.;.51 8.2./015?8.5169>2 0>1=62 51/5?9=.90>2" T.;19 4?>=> .>50./ 60/62 9>/;>=.= 4/6869.=. (5/ 65.2169. =686/ >198.;.512 ?9 0146 => ./0/1012 (198.;.51 8.2 ./015?8.5169>2) 6 19>551 4?>=> =>>/ . ?9. 19>551768?517. . 8. 2?4?/.5120/?5518 5./08.6 ./015?8./ 8. 7.25?8./1.518 ?>26 .=.5>90>" E9 8. /.9;.6/. => 862 5.262 8. 7. => 5690.;19.512 8. >;.09. . 4./01/ => ?9 656 4/1;./16

http://www.nlm.nih.gov/medlineplus/spanish/ency/article/001243.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/000434.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/000434.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/001243.htm


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60/.2 7.2 => .55>26 . 8. ./015?8.51962 />5?>90>2 269: 8. 4/=1=. => 569019?1=.= >1965?8.5150. 8. 19>5518 ?>26 6 => 0>1=62 8.9=62"

L62 2906;.2 => 8. ./0/1012 24015. =11>/>9 =>4>9=1>9=6 => 8. /.7>=.= => 8. 19>551 2> 0/.0>" L.2 19>55169>2 .50>/1.9.2 46/ >>;486" A>50.9 . ?9. 268. ./015?8.5190> ?9. ./015?8.51 56;6 8. /6=188.) >2062 2906;.2 269: =686/ ./015?8./(;6=>/.=6 6 2>7>/6) .?;>906 => 8. 0>;4>/.0?/. 865.8 >/10>;. (>9/6>51;1>906) >=>;.(195.9 .8?962 5.262 4?>=>9 .56;4../2> => 1>/>" L. ./0/1012 24015. 2> =>2.//688. 5?.9=6 8.2 .50>/1.2 ? 60/62 6/.912;62(;15/66/.912;62) 4.0962 =1;19?062 2> 4/64..9 . 0/.72 =>8 06//>90> 2.9?9>6 . ?9../015?8.512 4./.>20> 0146 => 19>551/."

L. ;.6/. => 862 5.262 => ./0/1012 24015. .?=. 269 5.?2.=62 46/ .50>/1.2 0.8>2 56;6>20.18656562 >20/>40656562"

L. ./0/1012 24015. 5/ >2 ;>962 56;9) >2 5.?2.=. 46/ ;15/66/.912;62 0.8>256;6 Mycobacterium tuberculosis Cándida albicans"

L.2 21?1>90>2 210?.5169>2 195/>;>90.9 >8 /1>26 => 4.=>5>/ ./0/1012 24015.:

• I;48.90>2 => ./015?8.5169>2 ./01151.8>2"

• I9>551/1.9. >9 .8?9. 60/. 4./0> =>8 5?>/46"

• P.=>51;1>906 6 >9>/;>=.= 5/0>2 ./0/1012 />?;.061=>. >9>/;>=.= =/>4.965015.)"

• C692?;6 => =/6.2 46/ 7. 190/.7>962. (IV) 6 46/ 19>55151>90> >9 ?9. ./015?8.51 4?>=> 62>/7./ . 5?.8@?1>/ >=.=" E9 862 9162 65?//> 569 ;.6//>5?>951. >9 .@?>8862 ;>96/>2 => 3 .62 => >=.=" L. 5.=>/. >2 ?9 8?./ => 19>5515?>90> >9 862 >2"

http://www.nlm.nih.gov/medlineplus/spanish/ency/article/002215.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/002312.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/000431.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/002215.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/002312.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/000431.htm


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L. ./0/1012 24015. 96 >2 56;9 =>2=> 862 3 .62 => >=.= .20. 8. .=68>25>951." L62 9162569 ./0/1012 24015. 269 ;2 4/64>9262 @?> 862 .=?8062 . />2?80./ 19>50.=62 569>20/>40656562 =>8 /?46 B 6 H.>;6418?2 198?>9. 21 96 .9 21=6 7.5?9.=62"

Síntomas

L62 2906;.2 46/ 86 >9>/.8 .4./>5>9 => ;.9>/. /41=." S> 4/>2>90. 1>/> > 198.;.51 >9>/.8;>90> >20 >9 ?9. 268. ./015?8.51/ 8. ./015?8.5150.=. (46/ >>;486: >8 5.;16 => 4..8 4/6765.88.906 21 8. 5.=>/. >20 19>50.=.)

• F1>/>• I95.4.51=.= 4./. ;67>/ 8. >J0/>;1=.= 569 8. ./015?8.5150.=. (2>?=64./81212)• I//10.181=.=

Síntomas en niños y adultos:

• I95.4.51=.= 4./. ;67>/ 8. >J0/>;1=.= 569 8. ./015?8.5150.=. (2>?=64./81212)• D686/ ./015?8./ 190>926• I98.;.51 8. ./015?8.5151;1>906 => 8. ./015?8.51/5?8.• S> 4?>=>9 4/>2>90./ >25.86/62 4>/6 96 >2 56;9"

Pruebas y exámenes

• A241/.=6 => 8@?1=6 ./015?8./ 4./. />.81./ 5690>6 5>8?8./ .981212 => 5/120.8>2 .6 >8;15/6256416 01951 G/.; 5?80176"

• H>;65?80176"• R.=16/.. => 8. ./015?8.5150.=."

Tratamiento

S> ?0181.9 .9011551.81./ >>/515162 >9 8. ./015?8.5150.=..?=. .8 4/65>26 => />5?4>/.512 4?>=>9 />@?>/1/ 51/?. 4./. =/>9./ >8 8@?1=6 => 8. ./015?8.5150.=."

Pronóstico

L. />5?4>/.512 2.012.506/1. 21 >8 0/.0.;1>906 569 .9011 />.81. => ;.9>/.646/0?9. 4>/6 21 >8 0/.0.;1>906 2> =>;6/. 2> 4?>=>9 4/6=?51/ =.62 4>/;.9>90>2 >9 8.2./015?8.5169>2"P6218>2 56;4815.5169>2

http://www.nlm.nih.gov/medlineplus/spanish/ency/article/001366.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/000080.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003262.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003262.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003261.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003629.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003742.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003744.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003810.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/002216.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/001366.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/000080.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003262.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003262.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003261.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003629.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003742.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003744.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/003810.htmhttp://www.nlm.nih.gov/medlineplus/spanish/ency/article/002216.htm


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+ERARQUIZACIN DE PROBLEMAS ! NECESIDADES

PROBLEMA NECESIDAD TIPO DE NECESIDAD

DOLOR BIENESTAR FISICO COGNITIVOKPERCEPTUAL

AISLAMIENTO SOCIAL DEAMBULACIN ACTIVIDADKREPOSO

ESTREÑIMIENTO ELIMINACIN INTESTINAL FISIOLOGICA

• DJ D> E9>/;>/.: A80>/.518 B1>9>20./ F2156 (D686/) RKC A/0/1012 S4015. MKPE8 P.51>90> S?=6/.51 E9>/;>/.: A80>/.518 P.0/ E81;19.51 19>20. =>L@?1=62 F1/.2 MKP E20/>1;1>906"


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PLANES DE CUIDADOS DE ENFERMERIA

• DJ D> E9>/;>/.: A80>/.518 B1>9>20./ F2156 (D686/) RKC A/0/1012 S4015. MKPE8 P.51>90> S?=6/.51=1.90> 8.2.55169>2 =>

>9>/;>/."

C6;?915.519>/;>/. 4.51>90>"

C.0>0>/1./ V.P>/1/15."

A=;19120/./M>=15.;>906(A9.82156)"

L6/./ @?> >8 4.51>90> 2> 5686@?> >9?9. 46215165?4.5195?.906 .8 =686/"

P./. 8..=;19120/.51;>=15.;>9062 2>99>2 ;>=15.2 46/VKE"

P./. 86/./ =12;19?1/ 862 917>8>2 =>8 =686/"

S> 86/6 =12;19?1/>8 =686/ >9 >8;1>;/6 19>/16/=>/>56 569 8.2.55169>2 =>>9>/;>/. >9 >8

01>;46 >2014?8.=6"


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• DJ => E9>/;>/.: A80>/.518 P.0/ E81;19.51 19>20. =>L@?1=62 F1/.2 MKP E20/>1;1>906"

OB+ETIVOACCIONES

DEENFERMERIA

RAZONAMIENTOCIENTIFICO

EVALUACION

L6/./ @?> >8 4.51>90> >7.5?>=1./1.;>90> =>6/;. 96/;.8 >9 ?98.426 => # 6/.2"

C6;?915.519>/;>/.-4.51>90>"

# E=?5./ .8 4.51>90>>9 5?.906 . 19>/1/810/6 => .?. 6 ;2.8 =."

3 R>712./ @?> 8.=1>0. 2>. .?9=.90> >9

1/.2 /?0.2 7>/=?/.2 46/@?> ?906. 2? /1@?>. >9710.;19.2 .76/>5> 8.=1>201?8.9 >80/92106 190>2019.8 @?>.?=. . >710./ >8>20/>1;1>906"

E201;?8./ .8 4.51>90> 4./. @?>

=>.;?8> ?9 /.06 . 868./6 =>8 =. 4././>5?4>/./ >8;671;1>906 >9 >80/.506 190>2019.8"

' V.86/./ >8 ?26 =>862 8.J.90>2 6 >9>;.2

P>/;10> @?> >8 4.51>90> 2> 21>90. >95691.9."

# E8 .?. 190>/71>9>>9 ;80148>2 4/65>26256;6 269 8. 19>2012018190>20196"

3 L. 1/. 7>>0.8>>/5> ?9. .5512019.8 ;6=115..8?962 .24>5062?95169.8>2 8. 1/..?;>90. >8 768?;>9=> 5690>91=6 6 />21=?6190>2019.8 >20. 4/16/1=.= 8. .5> 0185690/. >8

>20/>1;1>906 . @?>.?;>90. >8 768?;>9=>8 5690>91=65.8


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21>;4/> 6/=>9.5?80.0176"

CONCLUSION

L?>6 => 8. 5?8;19.518 >20?=16 => 5.26 589156 2> 4?>=> 56958?1/ @?> >8 P/65>26=>8 C?1=.=6 => E9>/;>/. 5692010?> ?9. >//.;1>90. 215. 4/1;6/=1.8 >9 8. 8.6/5601=1.9. =>8 4>/269.8 => >9>/;>/. =>1=6 . @?> ;>=1.90> >20. ;>06=686. => 0/..6 >8 4/6>2169.8 190>/.50. 569 >8 4.51>90> 4./. 5692>?1/ 862 =.062 9>5>2./162 4./. 8.6/;?8.51 =1.9 >9>/;>/. @?> =.9 . 56965>/ 8.2 9>5>21=.=>2 @?> =>>9

2.012.5>/2> >9 >8 ?2?./16" C.> />2.80./ @?> 4./. 8. .4815.51 >20> 4/65>26 >2 9>5>2./16;.90>9>/ ?9 >8>7.=6 /.=6 => 190>/.5518 ?2?./16 569 >8 .;181./ =>8 ;12;6"

E2 ;? 1;46/0.90> 56965>/ @?> 8. A/0/1012 S4015. 5692120> >9 8. 197.218 >24.516./015?8./ 46/ ?9. .50>/1. ? 60/6 .>90> 19>551626 86 5?.8 4/6765. 8. 198.;.51 8../015?8.51 2> ;.911>20. 46/ =686/ >9/6>51;1>906 195.906 =>0>;4>/.0?/. 865.8" P?>=> 4/6765./ /.7>2 5692>5?>951.2 56;6 8. =>20/?551 8../015?8.515?>8.2 1//>7>/218>2" L. ./0/1012 24015. >2 ?9. />.5515?9=./1. . 8. 197.21 ?9 ;15/66/.912;6 >9 8. 5.71=.= ./015?8./ >20/18" S? >768?517. . 8. 2?4?/.5120/?5518 5./08.6 ./015?8./ 8. 7.25?8./1.518?>26 .=.5>90>" E9 8. /.9 ;.6/. => 862 5.262 8. 7. => 5690.;19.5169>2 8. >;.09.

. 4./01/ => ?9 656 4/1;./16 60/.2 7.2 => .55>26 . 8. ./015?8.51962 />5?>90> 269: 8. 4/=1=. => 569019?1=.= > 1965?8.5150. 8. 19>5518 ?>26 6 =>0>1=62 8.9=62"

C.21 21>;4/> >20 4/6765.=. 46/ .50>/1.2 /./. 7> 46/ 71/?2 ? 6962" L62 /;>9>2;2 />5?>90>2 269 >8 >20.1865656 >8 >20/>4065656" M2 /./.;>90> >8 6965656" 8>21>88. 42>?=6;69. .>;6418?2 198?>9.> ;56.50>/1?; 0?>/5?86212 ? 6962 46/ >>;486 59=1=.2"

http://es.wikipedia.org/wiki/Articularhttp://es.wikipedia.org/wiki/Bacteriahttp://es.wikipedia.org/wiki/Inflamaci%C3%B3nhttp://es.wikipedia.org/wiki/Artritishttp://es.wikipedia.org/wiki/Bacteriashttp://es.wikipedia.org/wiki/Virushttp://es.wikipedia.org/wiki/Estafilococohttp://es.wikipedia.org/wiki/Estreptococohttp://es.wikipedia.org/wiki/Estreptococohttp://es.wikipedia.org/wiki/Estreptococohttp://es.wikipedia.org/wiki/Gonococohttp://es.wikipedia.org/wiki/Gonococohttp://es.wikipedia.org/wiki/Gonococohttp://es.wikipedia.org/wiki/Klebsiellahttp://es.wikipedia.org/wiki/Pseudomonahttp://es.wikipedia.org/wiki/Haemophilus_influenzaehttp://es.wikipedia.org/wiki/Haemophilus_influenzaehttp://es.wikipedia.org/wiki/Mycobacterium_tuberculosishttp://es.wikipedia.org/wiki/Mycobacterium_tuberculosishttp://es.wikipedia.org/wiki/Candidahttp://es.wikipedia.org/wiki/Articularhttp://es.wikipedia.org/wiki/Bacteriahttp://es.wikipedia.org/wiki/Inflamaci%C3%B3nhttp://es.wikipedia.org/wiki/Artritishttp://es.wikipedia.org/wiki/Bacteriashttp://es.wikipedia.org/wiki/Virushttp://es.wikipedia.org/wiki/Estafilococohttp://es.wikipedia.org/wiki/Estreptococohttp://es.wikipedia.org/wiki/Gonococohttp://es.wikipedia.org/wiki/Klebsiellahttp://es.wikipedia.org/wiki/Pseudomonahttp://es.wikipedia.org/wiki/Haemophilus_influenzaehttp://es.wikipedia.org/wiki/Mycobacterium_tuberculosishttp://es.wikipedia.org/wiki/Candida


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T.;19 5.> =>20.5./ @?> 2> 86/./69 862 6>01762 4/64?>2062 .8 19151./ >20> >20?=16 =>5.26 1958?>9=6 862 @?> 56//>2469=>9 . 862 4/65>262 => >9>/;>/."


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ORDENES MDICAS

• V.956;1519. '$$; VKE 5K= # 6/.2• R.9101=19. '$; VKE 5K= # 6/.2• P/6>91= $$; VKE 5K= 6/.2• D141/69. / VKE 5K= 6/.2 (SOS)• I;14>9>9 '$$; VKE• O;>4/.68 $; VKE 5K= 6/.2• RJ => 061886 =>/>56" A4 L.0"• RJ => 0/ => M"I"D• I90>/5692?80. 569 T/.?;.0686. M>=" I90>/9.


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FICHA FARMACOLOGIA

Vancomicina:

Indicaciones: E2 ?9 .9011/17.=6 => N65./=1. 6/1>90.812" S> 56921=>/. =>>24>50/6 />=?51=6" E20 19=15.=. 56;6 0/.0.;1>906 => 2>?9=. >8>5519 4.51>90>2.8/1562 . 4>9151819.2 >9 19>55169>2 5.?2.=.2 46/ ;15/66/.912;62 2>9218>2 >9>9>/;>=.=>2 >9 8.2 @?> .9 .88.=6 60/62 0/.0.;1>9062 56;6: >9>/;>=.=>2>20.18659=65./=1012 2>4015>;1. 19>55169>2 .2 =>8 0/.506 />241/.06/16 .6 41>8 0>1=62 8.9=62" S> . ?2.=6 0.;19 56;6 0/.0.;1>906 4/>7>90176 >9 >8 =/>9.> @?1//1-56 => .25>262 46/ >20.18656562"Contraindicaciones: 2> >95?>90/. 5690/.19=15.=. .268?0.;>90> >9 4.51>90>2 569.90>5>=>90>2 6 1206/1.8 => />.55169>2 .8/15.2 . V.956;1519."Posología: O/.8" A=2": '$$ ;K=. />4./01=62 >9 3- 06;.2 &-$ =.2 5.262 /.7>2 .20. #K=." N162: $ ;KK=. />4./01=6 >9 3- 06;.2 &-$ =.2"IV (>9 ;9" $ ;19)" A=2": 19151.8 3$-'$ ;KK=. .10?.8: K# 6 '$$ ;K " N162:$ ;KK " P/>;.0?/62 9162 ;>2: 19151.8 ' ;K 2>?1=6 => $ ;KK# =?/.90> Y 2>; $ ;KK .20. ;>2 => >=.=" I"R": C85/ '$ ;8K;19: =6212.10?.8K# " C85/ #'-'$ ;8K;19: .10?.8K# " C85/ [ #' ;8K;19: .10?.8K "

anitidina:


17/20

Com!osición: C.=. .;4688. => # ;L 56901>9>: R.9101=19. (56;6 586/1=/.06) '$ ;A55101017. />7>/218> 8. .551 8. 120.;19. 26/> 862 />5>406/>2 H# => 8.2 58?8.2 4./1>0.8>2 =>8 0/.506 .20/6190>2019.80.;19 191> 8. 2>5/>51201;?8.=. 46/ .81;>906 >0.68 4>90..20/19.5.>9. 192?819. >8 />8>6 7..8 12168> >7.8?./2> 8. />8.5126->9>1516 >9 8.2 21?1>90>2210?.5169>2 58915.2: C1//6212 569 .90>5>=>90>2 => >95>.864.0. 46/0.8 2120;15. =12?9514015. /.7> 6 =12?9519.8 (8. =12;19?518 .58./.;1>906 >40156 6 />9.8 => 862.90.69120.2 => 862 />5>406/>2 H# => 8. 120.;19. 4?>=> .?;>90./ 8.2 5695>90/.5169>2 48.2;015.2 569 >886 >8 /1>26 => >>5062 2>5?9=./162 >24>51.8;>90> 862 >>5062 26/> >82120>;. 9>/71626 5>90/.8 (SNC) 2> />56;1>9=. />=?51/ 8. =62115.51 862 .90.69120.2=> 862 />5>406/>2 H# => 8. 120.;19. 6 .?;>90./ 862 190>/7.862 >90/> =6212 >9 5.26 =>=12?9519.8 4?>=> 2>/ 9>5>2./16 >9 8. =12?9514015.)"

•

Pro"enid: Com!osición: C6901>9>: >064/6>96 $$ ;" EJ5141>90>2: H1=/ S6=16G81519. A51=6 C0/156 M6961=/.06"Indicaciones: A/0/1012 />?;.061=> O20>6./0/1012 E2469=181012 .9@?1862.90> G69./0/6212R>?;.012;62 ./015?8./>2 A/0/1012 426/1215. G60. T/.?;.0686."Contraindicaciones: E9 4.51>90>2 569 />.55169>2 .8/15.2 2>7>/.2 .8 51=6.5>0182.8158156" L. />8.519>1516K/1>26 =>> 56921=>/./2> >9 4.51>90>2 569:A9>;1. .2;. 569=15169>2 @?> 4/>=12469>9 . 06J151=.= .20/6190>2019.8 (.8566812;6.50176 85>/. 44015. 5681012 ?85>/.017. >9>/;>=.= .20/6190>2019.8 .80. 1206/1. => 85>/. 44015. ?26 => 0..56) 569=15169>2 @?> 4/>=12469>9 . />0>951 8@?1=6 (?95101=. 14>/0>9212017. =1.>0>2 ;>8810?2 >=>;.

4/>>J120>90> =>48>51 768?;>9 >J0/.5>8?8./ 2>4212 >;6181. 51//6212 >4015.=12?9514015. ?9519.8 =12;19?1=. >206;.01012 8?4?2 >/10>;.0626 2120;156"Tolerabilidad: P/5015.;>90> >J>906 => >>506 .20/68>2176 4/646/5169. ;? ?>9.068>/.181=.= =1>2017. =>1=6 . 2? 5.4. .20/6//>2120>90>"#dvertencia: E9 /.=.= => 46218>2 ;.91>20.5169>2 .20/6190>2019.8>2>24>51.8;>90> >9 862 >9>/;62 @?> 88>7.9 ?9 0/.0.;1>906 .90156.?8.90> >2 5697>91>90>7118./ 4./015?8./;>90> 8. .4./151 ?9. 21906;.0686. =1>2017." E9 5.26 => >;6//.1.190>2019.8 190>//?;41/ >8 0/.0.;1>906"E9 8.2 .>55169>2 => 9.0?/.8>. 19>55162. @?> 1;4815.9 ?9 /1>6 19>551626 (.95690/68.=6) 862 21962 9.0?/.8>2 => 19>551=>9 2>/ >9;.25./.=62" E2 4/?=>90>=12;19?1/ 8. 462686. >9 2?>062 => >=.= .7.9.=."

E710./ 8. 19>20. => >1=.2 .856 >8 0/.0.;1>906"Posología: V. I"V" D12687>/ >8 5690>91=6 => ?9 /.256 .;4688. => $$ ; 569 ' ;8 =>.?. 4./. 19>551.81. 46/ 4>/?2190. (=> 3$ . $ 60.2 46/#$ ;19?062) . 8. 462686. => $$ . 3$$ ; 46/ =." N6 ?0181./ 21 8. 268?5120/.924./>90>" L. =?/.518 0/.0.;1>906 >9=67>9626 >2 => 6/.2 ;J1;6 (21 >29>5>2./16 2> 4?>=> 569019?./ >8 0/.0.;1>906 46/ 7. 6/.8 6 />50.8)"


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• $i!irona:

Com!osición: C.=. .;4688>0. => # ;L 56901>9> $$ ; => D141/69. # ; =>;>0.12?8106 => 26=16 .?. 4./. 19>55190/.2 @?> 8.2 0.8>0.2 2> 4/>2>90.9 >9 820>/ => $ 0.8>0.2 => 3$$ ; 5.=. ?9." Indicaciones: S> 19=15. 4./. >8 =686/ .?=6 46264>/.06/16 6 4620/.?;0156 =686/ 5/> (/>2120>90> . 60/62 .9010/;1562)"

Contraindicaciones: E20> ;>=15.;>906 >20 5690/.19=15.=6 >9 4.51>90>2 569 .90>5>=>90>2=> />.55169>2 => 14>/2>921181=.= (46/ >>;486 .9.18.J12 6 ./.9?865106212) .8 ;>0.;168? 60/62 =>/17.=62 41/.68205690/.19=15.=6 >9 5.262 => 46/1/1. .?=. 190>/;10>90> =>151>951. 569910. => 8?562.--62.06- =>21=/6>9.2." E8 0/.0.;1>906 2>/ 190>//?;41=6 => 6/;. 19;>=1.0. 21 .4./>5>.89 2196 6 2906;. 2?>20176 => .9.18.J12 (265 .9.1850156 =115?80.= 4./. />241/./.2;. /191012 >=>;. .9169>?/921/?451/> .80. >25.8696 =686/ => ./.90. 198.;.519 65. 9./1 6 ./.90. 8>2169>2 >9;?562. 6/.8 6 >910.8)" Posología: A=?8062 9>2 . 4./01/ => 862 ' .62: .;4688>0.

($$ ;) 5.=. -# 6/.2 46/ 7. 190/.;?25?8./" N162 8.50.90>2: >9 5.26 => 2>/.268?0.;>90> 9>5>2./1. 8. .=;19120/.5190>/.8 =?/.90> >8 4/1;>/ .6 => 71=. 2=> >;48>./2> 8. 7. 190/.;?25?8./ ?0181.9=6 ?9. >/19?188. /.=?.=. 4./. .=;19120/./8. =6212 4/>512. 2>9 5/10>/16 ;=156 >9 5.26 => ?9. 26/>=6212 => ;>0.;168 =>>.5?=1/2> .8 ;=156 19;>=1.0.;>90> 06=. 7> @?> 4?>=> 2>/ >81;19.=6 ;>=1.90>H>;6=181212 6 >;64>/?2124>50/6"Indicaciones: E20 19=15.=6 4./. >8 0/.0.;1>906 => 8.2 21?1>90>2 19>55169>2 5?.9=6 2>=>>9 . ;15/66/.912;62 2>9218>2 =>0>/;19.=62 569 .90116/.;.: 190/..=6;19.8>2 =>80/.506 />241/.06/16 19>/16/ 19>5684015>;1. .50>/1.9. 19>55169>2 =>8 0/.506>9106?/19./16 .2 ./015?8./>2 => 8. 41>8 0>1=62 8.9=62 >9=65./=1012 .50>/1.9."Posología: E8 ;=156 =>> 19=15./ 8. 462686. >8 01>;46 => 0/.0.;1>906 .4/641.=62 . 2?5.26 4./015?8./ 96 620.90> 8. =6212 ?2?.8 />56;>9=.=. >2: L. =6212 />56;>9=.=. => >20> 4/6=?506 >2 >J4/>2.=6 569 8. 5.901=.= => .=;19120/.51 I;14>9>9 .2 56;6 0.;19569 8. ;12;. =6212 => 518.20.019." L. =6212 =1./1. 060.8 => >20> 4/6=?506 =>4>9=> =>8 0146 8. 2>7>/1=.= => 19>5519 ?9 =. =>> 2>/ =.=. .8 4.51>90> >9 8. ;12;.

5.901=.= =171=1=. >9 =6212 .2.=.2 >9 8. 2>7>/1=.= => 8. .50>/1. 4.06915. 8. ?9519.8 >8 4>26 56/46/.8"%odo de &m!leo: V. => .=;19120/.51 .=;19120/.51/.8;>90> 5.=. . 6/.2 6 2>9 8.2 19=15.5169>2 => 2? ;=156" L>. .4/>9=. 06=.28.2 1920/?55169>2 => 4/>4./.51 6/>5> >8 ./15.90>" S1 2? 4/6=?506 2> ;>58.21. 8.2 1920/?55169>2 26/> 558./86 56//>50.;>90> 569 862 8@?1=62 190/.7>9626256//>5062" A90>2 => ?2./ >20> 4/6=?506 7>/11@?> 712?.8;>90> @?> 96 4/>2>90> 4./05?8.2 91=>5686/.51


19/20

>>501762 5?.9=6 2? 5695>90/.519 >8 6/.912;6 2> ;.901>9> 56920.90>" P6/ 86 0.906=>> ?2./2> . 190>/7.862 1?.8;>90> >24.51.=62" L. =62115.514>9=>/ => 8. .>551 2? />.551906" U2> >20> ;>=15.;>906 .20. 56;48>0./ >8 4>/6=6=> 0/.0.;1>906 />5>0.=6 .?9@?> 862 2906;.2 =>2.4./>5.9 .90>2"

•

'me!ra(ol:Com!osición: C.=. /.256 ;4?8. 56901>9>:

O;>4/.68 $ ;Indicaciones: E26.1012 46/ />8?6 .20/6>26156"]85>/. =?6=>9.8 85>/. 20/15. >919. (1958?>9=6 8.2 4/6=?51=.2 46/ (AINES)"S9=/6;> => Z68819>/-E881269"T/.0.;1>906 => 85>/. 20/15. =?6=>9.8 .2651.=. . H>8156.50>/ 486/1"Contraindicaciones: H14>/2>921181=.= . 862 56;469>90>2 => 8.


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Documents

CASO CLINICO MEDICO QUIRURGICO.docx