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Proceso atención de enfermería en paciente de 19 años con síndrome de Guillain Barré Clásico.
| dc.contributor.advisor | Estrada Concha, Tania Isabel | |
| dc.contributor.author | Esparza Ramos, Martha Nichol | |
| dc.date.accessioned | 2021-11-04T15:54:39Z | |
| dc.date.available | 2021-11-04T15:54:39Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10381 | |
| dc.description | Guillain Barre Syndrome is a neurological disease, in which there is an attack by the immune system towards the peripheral nervous system exactly in the myelin sheaths. The present clinical case deals with a 19-year-old male, admitted to the IESS Babahoyo Hospital with a clinical picture of 15 days of evolution that begins with a decrease in strength and progressive muscular sensitivity in the lower limbs, ascending towards the upper limbs. , hypotonia, absence of tendon reflexes and difficulty in making bowel movements. During his stay, he presented respiratory complications characterized by dyspnea and tachypnea. He was stabilized with oxygen support by means of a simple 5-liter mask and with strict surveillance due to possible need for mechanical ventilation. Imaging examinations were performed: magnetic resonance imaging of the spine, the results showed a slight alteration that was determined to be not significant and did not contribute to the diagnosis. In addition, his cerebrospinal fluid was analyzed having the following results: Proteins 75 mg / dl, GI: 573 mg / dL, Albumin: 2.92 g / dL, Lymphocytes: 1 cell / mm3, Monocytes: 0 cell / mm3. Through the tests carried out, it was possible to confirm the diagnosis of Guillain Barre Syndrome, the precise treatment for this disease is intravenous immunoglobulin but due to the absence of this in the hospital, the administration of corticosteroids and immunosuppressants was chosen. | es_ES |
| dc.description | Guillain Barre Syndrome is a neurological disease, in which there is an attack by the immune system towards the peripheral nervous system exactly in the myelin sheaths. The present clinical case deals with a 19-year-old male, admitted to the IESS Babahoyo Hospital with a clinical picture of 15 days of evolution that begins with a decrease in strength and progressive muscular sensitivity in the lower limbs, ascending towards the upper limbs. , hypotonia, absence of tendon reflexes and difficulty in making bowel movements. During his stay, he presented respiratory complications characterized by dyspnea and tachypnea. He was stabilized with oxygen support by means of a simple 5-liter mask and with strict surveillance due to possible need for mechanical ventilation. Imaging examinations were performed: magnetic resonance imaging of the spine, the results showed a slight alteration that was determined to be not significant and did not contribute to the diagnosis. In addition, his cerebrospinal fluid was analyzed having the following results: Proteins 75 mg / dl, GI: 573 mg / dL, Albumin: 2.92 g / dL, Lymphocytes: 1 cell / mm3, Monocytes: 0 cell / mm3. Through the tests carried out, it was possible to confirm the diagnosis of Guillain Barre Syndrome, the precise treatment for this disease is intravenous immunoglobulin but due to the absence of this in the hospital, the administration of corticosteroids and immunosuppressants was chosen. | es_ES |
| dc.description.abstract | El Síndrome de Guillain Barre es una enfermedad neurológica, en la cual existe un ataque por parte del sistema inmunitario hacia el sistema nervioso periférico exactamente en las vainas de mielina. El presente caso clínico trata de un joven de 19 años de edad de sexo masculino, ingresado en el Hospital IESS Babahoyo con un cuadro clínico de 15 días de evolución que inicia con disminución de fuerza y sensibilidad muscular progresiva en miembros inferiores ascendiendo hacia los miembros superiores, hipotonía, ausencia de reflejos osteotendinosos y dificultad para realizar deposiciones. Durante su estancia presentó complicaciones respiratorias caracterizadas por disnea y taquipnea, fue estabilizado con soporte de oxígeno por medio de una mascarilla simple a 5 litros y con estricta vigilancia por posible necesidad de ventilación mecánica. Se realizaron exámenes de imagen: resonancia magnética de columna, los resultados presentaron una leve alteración que se determinó que no era significativa y no aportaba al diagnóstico. Además se analizó su líquido cefalorraquídeo teniendo los siguientes resultados: Proteínas 75 mg/dl, IG: 573 mg/dL, Albumina: 2.92 g/dL, Linfocitos: 1 cel/mm3, Monocitos: 0 cel/mm3. Mediante los exámenes realizados se logró confirmar el diagnostico de Síndrome de Guillain Barre, el tratamiento preciso para esta enfermedad es la inmunoglobulina intravenosa pero debido a la ausencia de esta en el hospital, se optó por la administración de corticosteroides e inmunosupresores. | es_ES |
| dc.format.extent | 42 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2021 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Síndrome de Guillain Barre | es_ES |
| dc.subject | Hipotonía | es_ES |
| dc.subject | Arreflexia | es_ES |
| dc.subject | Corticosteroides | es_ES |
| dc.subject | Inmunosupresores | es_ES |
| dc.title | Proceso atención de enfermería en paciente de 19 años con síndrome de Guillain Barré Clásico. | es_ES |
| dc.type | bachelorThesis | es_ES |
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