INSTITUTO SUPERIOR DE EDUCACION PÚBLICO 13 DE JULIO DE 1882
ENFERMERIA TÈCNICA
INFORME DE PRÁCTICAS PREPROFESIONALES FINALES
PRESENTADO A LA JEFATURA DE FORMACION FO RMACION TECNOLOGICA TECNOLOGICA
PRESENTADO PRESENTADO POR: CHOLAN CASTREJON, Marilú CRUZADO DE LA CRUZ, Rosa TERAN AYAY, Marina
LUGAR DE EJECUCION:
CENTRO DE SALUD MICRO RED PACHACUTEC
SAN PABLO 2011
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INSTITUTO SUPERIOR DE EDUCACION PÚBLICO 13 DE JULIO DE 1882
ENFERMERIA TÈCNICA
INFORME DE PRÁCTICAS PREPROFESIONALES FINALES
PRESENTADO A LA JEFATURA J EFATURA DE FORMACION TECNOLOGICA
PRESENTADO PRESENTADO POR: CHOLAN CASTREJON, Marilú CRUZADO DE LA CRUZ, Rosa TERAN AYAY, Marina
LUGAR DE EJECUCION:
CENTRO DE SALUD MICRO RED PACHACUTEC
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A nuestros queridos padres y hermanos por su apoyo incondicional para Cumplir nuestros objetivos de ser profesional grandes profesionales
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INDICE Dedicatoria:..II Introducción:.05 I.
Datos generales:06
II.
Caso clínico:
III.
Aspecto técnico técnico de las prácticas: pr ácticas: 3.1
objetivos y metas.
3.2 objetivo general 3. 3
objetivo especifico
3. 3
metas
IV.
Actividades Actividades realizadas en la empresa
V.
Logros
VI.
Dificultades
VII.
Conclusiones
VIII.
Recomendaciones
IX.
Bibliografía
X.
Anexos.
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INTRODUCCION La especialidad de enfermería técnica es una rama de la medicina humana, donde el personal técnico cumple una labor importante en el equipo de salud donde brinda una una atención de calidad. calidad. Por lo tanto es importante cumplir con con lo s conocimientos conocimientos teóricos y prácticos.
El presente informe se hace con el propósito de dar a conocer del desenvolvimiento durante el desarrollo de las prácticas profesionales finales. Los conocimientos teóricos y prácticos obtenidos obtenidos durante durante el transcurso d e mi formación en el I.S.SP I.S.SP 13 de julio de 1882 se ha puesto en práctica al rotar por los diferentes ambientes con los que cuenta el centro de salud Pachacutec.
Este informe está basado basad o en las actividades realizadas realizada s en el centro de salud micro red pachacutec cono son: asistencial, preventivo, promocional, así como actividades administrativas administrativas con un total de 504 horas
Para mayor entendimiento entendimiento el presente informe consta de las siguientes partes: introducción datos generales, caso clínico, objetivos objetivos y metas logros dificultades conclusiones anexos, etc con la culminación de este trabajo pongo a su disposion para su respectiva lectura análisis y evaluación.
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I.
DATOS GENERALES:
1.1 Nombres y apellidos. y
CHOLAN CASTEJÓN, Marilú
y
CRUZADO DE LA CRUZ, Rosa
y
TERÁN AYAY, Marina
1.2 Carrera profesional
Enfermería técnica
1.3 Razón social del centro de salud
Centro de Salud Pachacutec
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El centro de salud de Pachacutec se encuentra ubicado en la Av. Perú Nº 900 distrito y provincia de Cajamarca
1.6 Ejecución de las prácticas.
fecha de inicio ini cio
: 17 de enero del 2011
fecha de termino : 19 de marzo del 2011
1.7 total de horas realizadas 504 horas.
1.8 Asesoramiento.
Lic. Javier Raúl Escobedo Vásquez. Asesor. Instituto superior de educación público 1 3 de julio de 1882 san pablo.
Medico obstétrico. Juan Julca Araujo jefe del centro de salud de Pachacutec.
Nutricionista Olga Carranza días jefa del centro de salud Pachacutec
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2
Alojamiento Alojamiento
600.00
3
Movilidad
300.00
4
Elaboración Elaboración informe
100.00
5
Otros
90.00
TOTAL
3590.00
Financiamiento. Autofinanciado, porque el alumno practicante ha corrido con todos los gastos que demanda la l a practica realizada.
1.10 Recursos Recursos humanos y materiales
a) Humanos
Nombrados. 5 licenciadas 4 técnicos
en enfermería
de enfermería
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4 técnicas de enfermería
Serums.
2 químicas farmacéuticas
3 enfermeras
1 psicólogo
b) Materiales.
Admisión
Historias clínicas
Traje.
Balanza con tallimetro
Termómetro
Escritorio
Equipo de presión arterial (tensiómetro y estetoscopio)
Tópico
Esterilizador
Coche de curaciones
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estadística 3 computadoras
Fichas de formatos de atención
1 computadora
1 escritorio
Formatos de atenció a tención n
Fichas de afiliación
Fichas de evolución socioeconómica familiares. Fese
SIS
Consultorio medico
Camilla
1 escritorio
Equipo de presión arterial
Baja lengua
Otros
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Estante
Especulo
Porta sueros
Sala de hospitalización hospitalización
lámpara de ganso
8 camas
8 porta sueros
2 camillas
Coche de curaciones
Sala de partos
Bombilla
Sabanas
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Algodón en torunda
Balanza reloj pediátrica p ediátrica
Batería de te psi
Alcohol
Estantes
Consultorio de odontología
Pinzas
2 MESAS
2 cajas de huantes
2 riñoneras
1 tambor
Alcohol
Un lavatorio de manos y material esterelizado: pinsas, espejos, algodón
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b. Etiología.
Los agentes etiológicos más frecuentes son los VIRUS: influenza (A y B), parainfluenza, adenovirus, rinovirus, virus sincitial o mixovirus; como agentes infecciosos no virales se incluye incluye el mico plasma neumonía. Los factores que predisponen o contribuyen a ella son:
Exposición a la intemperie
Exposición al enfriamiento
La fatiga
La desnutrición en pacientes debilitados
Tabaquismo
Exposición a polvos irritables
Exposición a gases tóxicos (amoniaco- ácido sulfhídrico)
Inhalación de humo (tabaco)
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Se ha referido que la bronquitis aguda se puede presentar en tres fases clínicas
Primera: Un período prodrómico, con fiebre y los síntomas respiratorios ya mencionados, dura dos a tres días.
Segunda: Un período de cuatro a seis días caracterizado por sintomatología traqueo bronquial, manifestado por tos y mal estado general.
Tercero: O período de recuperación que puede durar hasta dos semanas y se caracteriza por tos seca aislada.
Los signos de alarma tales como fiebre permanente, dificultad respiratoria, sibilancias y producción de esputo purulento.
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Dúchese frecuentemente con agua caliente
Reposo en cama
Si la tos es muy molesta y dolorosa y existe alza térmica administrar aspirina o paracetamol en dosis de:
En niños con un peso menor a 15 Kg. administrar paracetamol en jarabe 8 gotas por Kg. de por cada 8 horas
En pacientes cuyo peso es de 15 a 20 Kg. administrar paracetamol de 500 mg, 10 ± 15 mg/Kg. dosis cada 6 horas.
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A nivel del Perú la población afectada por bronquitis aguda, es en un 6,7% de la población, son más frecuentes en la población pediátrica especialmente en la etapa neonatal y preescolar.
b. Mundial:
La población mundial que es afectada por la bronquitis aguda de acuerdo a los estudios realizados por la OMS, hay una evidencia que el 27% padece esta enfermedad, siendo los más susceptibles los niños menores y personas de 65 años.
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Al controlar las funciones vitales presentan:
Pulso: 85 x`
Respiraciones: 18 x`
Presión arterial: 120/90 mm Hg
Además el paciente se encuentra ansioso y preocupado por su enfermedad.
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b) Dolor torácico c) Malestar general d) Disnea e) Sensación de presión en el pecho f) Pulso: 85 x¶ g) Respiraciones: 18 x¶ h) Presión arterial: 120/90 mm Hg Hg i) Tos con esputo purulento j)
Cefalea
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Frecuencia respiratoria
18 x`
Frecuencia cardiaca
85 x¶
Presión arterial
120/90 mm Hg
12 ± 20 x` 60 ± 80 x¶ Sistólica 120-140 mmHg
Diastólica 90 mmHg
2.3.3 Interpretación de datos a. Elevación de la temperatura corporal por encima de lo normal por encima de 37 ºC, lo cual se acompaña de escalofríos, cefalea, la elevación por encima los 40 ºC, ºC, produce delirios y convulsiones en los niños. La fiebre en
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g. Proceso
de intercambio intercambio de oxigeno y bióxido de carbono entre el
organismo y su entorno. El paciente con infección respiratoria aguda suele presentar una respiración un poco elevado debido a la disnea que presenta
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o. Permite fluidificar las secreciones secreciones de tal forma que pueden ser ser expectorado con más facilidad por medio de la tos.
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Alteración del bienestar psicológico: Ansiedad relacionada a la dificultad respiratoria
y
preocupación
por
la
enfermedad.
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Diagnostico de Enfermería Dificultad
Resultados Resultad os esperados
Actividades de enfermería
respiratoria Al cabo de 48 horas el Auscultación
relacionada a acumulo
paciente
de
secreciones
secreciones
no
presenta
de
campos pulmonares.
Fundamento científico
ambos Método físico de exploración del enfermo que consiste en escuchar los sonidos que se producen en el organismo a nivel de los
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Acción por el cual nos permite identificar cambios de la función respiratoria frente a un
Valorar
la
frecuencia
respiratoria cada 2 horas
diagnostico de bronquitis aguda, en la cual nos indica el aumento o disminución. Si esta aumentado no es favorable para la evolución del paciente debido a la presencia de disnea
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