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Diagnósticos de Enfermería

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Diagnósticos de Enfermería

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About this activity

Leer caso clínico y armar el diagnóstico de enfermería que corresponda

Created by

CECILIA MELISA ROCIO DELGADO
CECILIA MELISA ROCIO DELGADO
Argentina

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Diagnósticos de Enfermería
 

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Diagnósticos de EnfermeríaOnline version

Leer caso clínico y armar el diagnóstico de enfermería que corresponda

by CECILIA MELISA ROCIO DELGADO
1

Paciente encamado
Paciente : Juan , 65 años . Antecedentes : Ingresa al servicio de clínica médica por presentar una fractura de fémur izquierdo tras una caída .
Situación actual : Se encuentra en reposo absoluto en cama desde hace 4 días . El paciente manifiesta sentirse " muy adolorido y sin ganas de moverse " . Durante la valoración física , observas piel intacta pero muy pálida y seca . Al tocar sus talones , notas enrojecimiento y temperatura elevada en la zona . El paciente refiere un dolor 7 / 10 al mínimo movimiento .

Deterioro r / c m / p ) .

r / c .

2

Paciente con dificultad respiratoria
Paciente : María , 78 años . Antecedentes : Hipertensión arterial en tratamiento . Situación actual : Acude al servicio de urgencias por presentar dificultad para respirar ( disnea ) y tos seca desde la madrugada . Al valorarla , se encuentra sentada al borde de la cama , usando los músculos accesorios del cuello para respirar . Presenta una frecuencia respiratoria 26 rpm , SpO2 88% y presenta cianosis en el lecho ungueal de los dedos .

r / c m / p .

 
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