Plan de cuidados a paciente intervenida de cesárea con preeclampsia / Care plan for women with cesarean section and pre-eclampsia

Las afecciones del embarazo en general, y la preeclampsia en particular, son problemas que habitualmente se tratan en las unidades de recuperación postanestesia y de hospitalización. La preeclampsia es la forma más frecuente de hipertensión arterial asociada al embarazo (50%), que afecta del 7% al 10% de las mujeres gestantes. Se define como un síndrome multisistémico del embarazo y puerperio, en el que se presenta una reducción de la perfusión sistémica generada por vasoespasmo y activación de los sistemas de coagulación. Se presenta un caso clínico del postoperatorio inmediato de una paciente intervenida de cesárea urgente tras ser diagnosticada de preeclampsia, elaborando un plan de cuidados enfermeros basado en los patrones funcionales de M. Gordon y guiado por la taxonomía NANDA-NOC-NIC, donde se identifican 6 diagnósticos de Enfermería, que serán la base de la realización de este proceso enfermero: riesgo de infección, exceso de volumen de líquidos, riesgo de sangrado, conocimientos deficientes sobre su proceso patológico, dolor agudo y ansiedad. La aplicación de este plan de cuidados supone una mejora en la atención al paciente y en la organización del trabajo

Pregnancy pathologies in general, and pre-eclampsia in particular, are problems usually treated in post-anesthesia recovery and hospitalization units. Pre-eclampsia is the most frequent form of hypertension associated with pregnancy (50%). It affects from 7% to 10% of pregnant women. It is known as pregnancy and puerperium multisystem syndrome. It is due to a reduction of the systemic perfusion generated by the vasospasms and the activation of the coagulation systems. A clinical case is presented of the immediate post-surgery period of a patient, who has been operated on cesarean section after having been diagnosed with pre-eclampsia. A nursing care plan was prepared, based on Marjory Gordon functional patterns and guided by NANDA-NOC-NIC taxonomy, where 6 nursing diagnoses, which are the basis for the fulfillment of this nursing process, are identified: Risk of infection, excess fluid volume, risk of bleeding, insufficient knowledge about its pathological process, severe pain, and anxiety. The application of this care plan leads to an improvement in the patient care and in the work organization

[Care plan for women with cesarean section and pre-eclampsia]. / Plan de cuidados a paciente intervenida de cesárea con preeclampsia.

Pregnancy pathologies in general, and pre-eclampsia in particular, are problems usually treated in post-anesthesia recovery and hospitalization units. Pre-eclampsia is the most frequent form of hypertension associated with pregnancy (50%). It affects from 7% to 10% of pregnant women. It is known as pregnancy and puerperium multisystem syndrome. It is due to a reduction of the systemic perfusion generated by the vasospasms and the activation of the coagulation systems. A clinical case is presented of the immediate post-surgery period of a patient, who has been operated on cesarean section after having been diagnosed with pre-eclampsia. A nursing care plan was prepared, based on Marjory Gordon functional patterns and guided by NANDA-NOC-NIC taxonomy, where 6 nursing diagnoses, which are the basis for the fulfillment of this nursing process, are identified: Risk of infection, excess fluid volume, risk of bleeding, insufficient knowledge about its pathological process, severe pain, and anxiety. The application of this care plan leads to an improvement in the patient care and in the work organization.