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Froggy Jumps
Froggy Jumps

Caso: Triage en Segundo Nivel – Dolor Torácico

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Caso: Triage en Segundo Nivel – Dolor Torácico

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Estudio y análisis de caso clínico del servicio de urgencias mediante al modelo de triage

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Rubi Esmeralda Arguellez Perez HGZ1 CHETUMAL
Rubi Esmeralda Arguellez Perez HGZ1 CHETUMAL
Mexico

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Caso: Triage en Segundo Nivel – Dolor Torácico
 

Froggy Jumps

Caso: Triage en Segundo Nivel – Dolor TorácicoOnline version

Estudio y análisis de caso clínico del servicio de urgencias mediante al modelo de triage

by Rubi Esmeralda Arguellez Perez HGZ1 CHETUMAL
1

Paciente femenina de 65 años, dolor torácico opresivo irradiado a mandíbula, Sato2 89%, Fc 110lpm, TA 160/90 mmHg. ¿Qué dato pesa más para la clasificación inicial?

2

Con base en la cuadro clínico presentado y la alteración de los signos vitales, en que nivel del Modelo Triage lo clasificarían? Y el porqué?

3

¿Qué dato clínico justifica la clasificación de la paciente como Nivel II- Emergencia (color naranja)?

4

Durante el triage inicial, ¿qué decisión de enfermería marca la diferencia entre una urgencia controlada y una emergencia desbordada?

5

La paciente permanece en triage en espera de traslado ¿Qué función de enfermería es prioritaria en este momento?

6

Durante la vigilancia, la saturación sube a 92%, pero la paciente continúa diaforética y con dolor 8/10. ¿Cuál es la interpretación clínica correcta?

7

¿Cuál de las siguientes decisiones sería clínicamente peligrosa, aunque parezca razonable en un servicio saturado?

8

Si otro paciente llega gritando dolor abdominal intenso, ¿qué argumento defiende mejor la prioridad de esta paciente?

9

¿Porque enfermería asegura accesos venosos desde triage?

10

¿Cuándo enfermería debe insistir en escalar la atención aunque “todo esté en proceso”?

 
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