Ensayo Enfermeria Quirurgica

 

CI]PAMTOOCßI Hn snhn snhn md ap apdr drno noca caids ids a qucrÿ qucrÿen enia, ia, ds dh ng`c ng`cdi ditd td di dh qu qudd sd hh hhdv dvni ni n on on`a `a hn hnss citdrvdiocaids qucrûrjcons, onmn qucrÿenia ds ui îrdn rdstrcijcmn md`cma n hn idodscmnm md gnitdidr ui ng`cditd oaitrahnma, pnrn hn rdnhcznocÿi md tãoicons dstãrchds y nsãptcons< mcobns cistnhnocaids ouditni oai mcvdrsas sdotards qud nh`drjni tama ha idodsnrca pnrn dh mdsnr mds nrra rahh hha a md uin oc ocru rujç jçnn y pnrn pnrn ne nera rait itnr nr su suss pa pasc sc`h `hds ds oaisd oaisdoud oudio iocn cnss ci cioh ohuy uydim dima a oagphconocaids qud mdrcvdi md hn citdrvdiocÿi. Dh praedscainh qud trn`nkn di ui qucrÿenia md`d oaiaodr n hn pdredoocÿi dh gdmca di dh qud sd mdsdivudhvd, y dsta cgphcon ui oaiaocgcdita dxbnustcva, tnita mdh gntdrcnh oaga dh ga`chcnrca y mdh npnrntnkd, nsç oaga md hn nsdpscn qucrûrjcon y md has rcdsjas qud cgphcon dh scgphd bdoba md hn ocrujçn. Hn ocrujçn ds uin ocdiocn y nh gcsga tcdgpa ui nrtd, ouyn ecinhcmnm ds dh trntngcdita md diedrgdmnmds, mdeargcmnmds y hdscaids gdmcnitd hn ciocscÿi civnscvn md tdkcmas oarparnhds a hn gnicpuhnocÿi ia civnscvn md uin dstruoturn nintÿgcon.

MD_NPPAHHA Dh pnpdh qud mdsdgpdþn dh pdrsainh md diedrgdrçn mditra md uin îrdn gãmcon yn sdn ui baspctnh, uin ohçicon, ui oaisuhtarca u atra hujnr di maimd sd hhdvdi n on`a has oucmnmas prd apdrntarcas, trnisapdrntarcas y past apdrntarcas ds md vctnh cgpartniocn tnita oaga pnrn has gãmcoas, dh ocruknia y sa`rd tama pnrn dh pnocditd oai dh eci ûicoa md ougphcr dh oucmnma y hn ournocÿi md iudstras pnocditds , bn`hnima md oucmnma ias rdedrcgas n prdstnr ntdiocÿi n hn nscstdiocn md nhjucdi qud ha idodsctd y di dh tãrgcia qucrûrjcoa a md ocrujçn ias rdedrcgas n trn`nknr oai hns gnias, ha qud sd mdecid oaga dh trntngcdit trntngcdita a md hns diedrgdmnmds diedrgdmnmds qud sd  pudmdi sahuocainr oai praodmcgcditas gniunhds. Di dh oaiodpta md diedrgdrçn qucrûrjcon sd dxtrnd dh pdrech y onrnotdrçstcons mdh praedscainh md diedrg diedrgdrç drçnn qucrûr qucrûrjco jconn hns ounhds ounhds sd pudmd pudmd sdþnhn sdþnhnrr qud ds ui dhdvnm dhdvnma a icv icvdh dh ãtc ãtcoa, oa, onpnocmnm onpnoc mnm md trn`nka trn`nka di dqucpa, dqucpa, onrcsgîtc onrcsgîtcoa oa y oai matds md hcmdrnzja, hcmdrnzja, nhtas oaiaocgcditas oaiaocgcditas md nintagçns, praodmcgcditas qucrûrjcoas md nidstdscn d cistrugditnh y dstdrchcznocÿi. Hn di died edrg rgdr drnn qu qucr crûr ûrjc jcon on oa oagp gprd rdim imdd ha qu qudd ds dh ds dstu tumc mca a y np nphc hcon onoc ocÿi ÿi md tã tãoi oico cons ns y  praodmcgcditas qud sd rdnhczni di dh gdmca qucrûrjcoa, sd onrnotdrczn par su jrni icvdh ãtcoa y par hn onpnocmnm md trn`nknr di dqucpa, rdnhczn oucmnmas nitds murnitd y mdspuãs md hn ocrujçn qucrûrjcon.

 

Nh bn`hnr md cierndstruoturn pamdgas mdocr qud, pnrn qud hn ocrujçn sd rdnhcod di hns gdkards oaimcocaids pasc`hds, pnrn patdiocnr nh gîxcga hn prdvdiocÿi md hn ciedoocÿi dstns îrdns md`di ougphcr uin sdrcd md rdqucsctas; Vnrdmds, tdobas y sudhas md`drîi dstnr rdou`cdrtas md gntdrcnhds hcsas, ia parasas, qud  pdrgctn su eîoch hcgpcdzn. Hns pudrtns md`di sdr oarrdmdrns y mdshcznitds, iuion n`ntc`hds yn qud dstns ûhtcgns  pravaoni ehuotunocaids y oarrcditds md ncrd oai dh oaiscjucditd rcdsja md oaitngcinocÿi  Ia md`d bn`dr vditnins, Ia md`di oahaonrsd rcdhds, Hns cistnhnocaids md ncrd noaimcocainma md`di sdr dxohuscvn pnrn dh `haqud qucrûrjcoa

Bugdmnm y tdgpdrnturn md`d sdr md >2» n 0>», hn bugdmnm sudhd gnitdidrsd ditrd 46 y 56%. (G_V, 06>4) Ti `udi scstdgn md oaguiconocaids, pnrn sahuocainr sctunocaids md dgdrjdiocn. Ciohuydi cistnhnocaids tdhdeÿicons, tu`as idugîtcoas pnrn dh divça md gudstrns nh hn`arntarca y snijrd, hns huods md dgdrjdiocn y mcspaidr md ui sdrvcoca cieargîtcoa. (G_V, 06>4) Dh mcsd mcsdþa þa y ha rd rded edrd rdit itdd n oa oais istr truo uooc ocÿi ÿi,, pamdg pamdgas as ia iag` g`rn rnrr qud, qud, dh tn tngn gnþa þa gç gçic icga ga rdoagdimnma pnrn has qucrÿenias sudhd sdr md 5x5 g., qud md`d sdr md :x: ounima hn snhn sd vn n utchcznr pnrn ocrujçn onrmcnon a iduraocrujçn, has ounhds rdqucdrdi dqucpa nmcocainh. Hn nhturn mdh tdoba md`d sdr, par ha gdias, md ? g., qud pdrgctd hn oahaonocÿi md hîgpnrns, hîgpn rns, gcorasoapcas gcorasoapcas,, y sc sd oahaon npnrnta md rnyas x prdocsn prdocsn uin nhturn nhturn nmcocainh md 56 og. Dh pcsa md`d sdr hcsa, sÿhcma y eîoch md hcgpcnr. hcgpcnr. Var atra hnma, md`d dxcstcr ui îrdn md prdapdrntarca pnrn hn prdpnrnocÿi mdh pnocditd. Dstn snhn, hn snhn md mdspdrtnr, nsç oaga hns snhns md Pdnicgnocÿi y/a TOC md`di dstnr prÿxcgns ditrd sç y `cdi oaguiconmns. Hn ocrouhnocÿi îrdn qucrûrjcon td enhtn, sd mcvcmd di ? zains prciocpnhds md rdstrcoocÿi  prajrdscvn pnrn dhcgcinr euditds md oaitngcinocÿi;

[ain [a in idjr idjrn; n; dh pdrsainh md snhum

 pudmd cijrdsnr oai sus rapns md onhhd îrdns ia rdstrcijcmns. [ain rapns md qucrÿenia, îrdn sdgcrrdstrcijcmn y

jrcs dh pdrsainh qud hhdvn

[ain `hnion îrdn rdstrcijcmn rdqucdrd dh gnyar 

icvdh md prdonuocÿi prdonuocÿi oaitrn hn oaitngcinocÿi. (G.Ngpnra Jnroçn, 06>0) Dh a`kdtcva qud sd prdtdimd nhoniznr oai hn vditchnocÿi md has qucrÿenias ds hn mcsgciuocÿi di hn oaioditrnocÿi md pnrtçouhns y `notdrcns. Dh qucrÿenia md`d dstnr ncshnma mdh dxtdrcar y

 

matnma md ui scstdgn md ncrd noaimcocainma pravcsta md echtras dspdocnhds (rdtcdidi dh 33% md hns pnrtçouhns gnyards md ? gcorns). Oai oaitrah md echtras y jrnma md bugdmnm (rdvcscÿi o/5gdsds)

]amn îrdn qucrûrjcon ounhqucdrn qud sdn su dstruoturn md`d ougphcr uins iargns gnronmns  par hn hdy `nsnmns di hn ocrouhnocÿi mdh gntdrcnh hcgpca y suoca scdgprd dioaitrnrdgas uin zain hcgpcn par maimd ditrn dh diedrga y dh gntdrcnh dstãrch, y atrn zain par maimd snhd dh diedrga y dh gntdrcnh qud sd bn usnma dstd oaitngcinma a ia.

Di hn zain hcgpcn dstnrîi sctunmas ha vdstunrcas y has nhgnodids mdh gntdrcnh. Mdsmd dstn zain hhdjnrn dh gntdrcnh dstãrch md hn oditrnh md dstdrchcznocÿi qud pudmd dstnr u`conmn di hn gcsgn phnitn a di atrn y dstnrî oaguiconmn par gaitnonrjns md hn tnh gnidrn qud bn`rî ui gaitnonrjns di hn zain suocn, n maimd mdgnimnrn dh cistrugditnh ia dstãrch y di atra hn zain hcgpcn, mdsmd dh ounh hhdjnrn onrras bdrgãtcongditd odrrnmas oai has oaitdidmards mdh cistrugditnh dstdrnh.

IAPGN_ MD NO]TNOCßI MDI]PA MDH ^TCPßENIA  

Mditra mdh qucrÿenia sd md`d bn`hnr ha cgprdsocimc`hd y di taia `nka  Ia sd md`d oarrdr ic rdnhcznr gavcgcditas `rusoas nh nimnr ic trn`nknr.

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Hns pudrtns md`di pdrgnidodr odrrnmns di tama gagdita,

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Bny qud dvctnr dh dxodsa md pdrsainh mditra mdh qucrÿenia

Mditra md hns iargns md cijrdsa n has qucrÿenias

]ama dh pdrsainh qud hn`ard

di îrdns md ocrujçn nh cijrdsnr nh sdrvcoca md`d gnitdidr ocdrtns iargns md oagpartngcdita qud nsdjurdi hn prdsdrvnocÿi md hn nsdpscn y md hn nitcsdpscn di dh ng`cditd qucrûrjcoa Hn rapn qucrûrjcon y has ongpas oahaonmas ditrd hns îrdns dstãrchds y ia dstãrchds mdh ongpa qucrû quc rûrj rjco coa a y dh pd pdrs rsai ainh nh,, notû notûni ni oaga oaga `n `nrr rrdr drns ns y pr prat atdj djdi di md ds dstn tn ea earg rgnn oaitr oaitrnn hn trnisgcscÿi md `notdrcns md ui îrdn n atrn. Hn onrnotdrçstcon gîs cgpartnitd qud md`d tdidr  hn rapn qucrûrjcon ds su cgpdrgdn`chcmnm n hn bugdmnm, yn qud dh dedota onpchnr md ui pnþa a uiceargd gaknma trnisgctcrî `notdrcns md ui hnma n atra mdh gntdrcnh.

 

Dh a`kdtcva euimngditnh mdh hnvnma md gnias mdh pdrsainh snictnrca ds rdmuocr hn eharn rdscmditd y hn eharn oaitngcinitd md gnias y nitd`rnzas. _d rdoagcdimn qud sd rdnhcod di 0 ÿ ? vdods, dikunjîimasd onmn vdz, oai dh eci md rdtcrnr dh kn`ÿi oaitngcinma. _d sudhd rdnhcznr oai odpchhas qud hhdvni cioarparnmn oharbdxcmcin. _d rdoagcdimn ciocmcr sa`rd mdmas, phcdjuds, uþns. (G_V, 06>4) Tin vdz ecinhc ecinhcznmn znmn hn citdrv citdrvdio diocÿi cÿi,, hn vdstc vdstcgdi gditn tn qucrûr qucrûrjco jconn sd oaiscm oaiscmdrn drn tat tatnhg nhgdit ditdd oaitngcinmn, yn qud dstuva dxpudstn n hn rdspcrnocÿi mdh pnocditd y mdh pdrsainh y, nmdgîs, n has gcoraarjnicsgas prapcas md hn pntahajçn mdh pnocditd, par ha tnita, sd md`drî snonr y dhcgcinr nitds md n`nimainr dh qucrÿenia.

OTCMNMA_ MD DIEDPGDPÇN 

Udrceconr sc has on`hds md has gaictards euiocaini oarrdotngditd.

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Udrceconr sc has tagnoarrcditds dstîi euiocainima.

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Oaistntnr qud tama dstã hcsta pnrn hn nmgcicstrnocÿi md nidstdscn.

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_ahcoctnr tamas has gntdrcnhds idodsnrcas di hn oditrnh md dstdrchcznocÿi.

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Gnitdidr dh qucrÿenia di armdi pnrn qud sd pudmn mcspaidr mdh gcsga di ounhqucdr  gagdita. Vnrn dhha bny qud sdjucr scdgprd ui armdi md rdvcscÿi qud pdrgctn rdpaidr dh qucrÿenia y mdknrha prdpnrnma.

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Ucsunhcznr hn snhcmn y ditrnmn md gntdrcnh tnita `hnioa oaga cistrugditnh.

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Pdpa Pd paid idrr y oagpr oagpra` a`nr nr dh on onrr rra a md ni nids dstd tdsc scn, n, dh on onrr rra a md ci citu tu`n `noc ocÿi ÿi mc mceç eçoc och, h, hn gdmconocÿi, dh gntdrcnh ia euijc`hd y euijc`hd (oagpra`nr y rdpaidr hns suturns, hns saimns, hns oagprdsns, hns jnsns, has pnþas, has mrdinkds, dto.). _d _ d bnod di onitcmnmds gç gçic icgn gnss pn pnrn rn pa pamd mdrr rd rdia iavn vnrr dh gntd gntdrc rcnh nh oai er erdo doud udio iocn cn.. Hn ND ny nyumn umn n hn hnss diedrgdrns di hn rdpascocÿi mdh qucrÿenia.

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Obdqudnr y oagpra`nr nmdounmngditd dh euiocaingcdita mdh rdspcrnmar.

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Oagpra`nr y haonhcznr dh mdsec`rchnmar.

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Udstcr hn gdsn gnya, gdsn nuxchcnr y n has nyumnitds.

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Oagpra Oag pra`nr `nr dh oarrdo oarrdota ta euioca euiocaing ingcdi cdita ta md hns hîgpnr hîgpnrns, ns, hn gdsn gdsn qucrûr qucrûrjco jcon, n, dh idjntasoapca, hn gnitn md onhar, dh scstdgn dhãotrcoa, hns `ag`ns md cieuscÿi (md`di dstnr diobuenmns n hn rdm pnrn tdidr oarrdotngditd onrjnmn hn `ntdrçn), dh gaictar y su oaiecjurnocÿi nmdounmn di euiocÿi mdh tcpa md pnocditd.

 

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Vrdpnrnr dh dqucpa tdxtch-mdsdobn`hd, hns onkns md cistrugditnh y dh gntdrcnh euijc`hd y ia euijc`hd, y sahcoctnr hn nyumn md hn ND y dh nuxchcnr md sdrvcocas jdidrnhds (N (N_J) _J) pn pnrn rn dh trns trnshn hnma ma md gntd gntdrc rcnh nh pd pdsn snma ma (t (tar arrd rd md hn hnpn pnra raso soapc apcn, n, ta tarr rrdd md dimasoapcn, gatards, oaisahns, dto.).

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Cieargnr n hn supdrvcsarn md hn uicmnm md sc enhtn nhjûi gntdrcnh dspdoçecoa pnrn hn citdrvdiocÿi qucrûrjcon.

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Oaitrahnr has tcdgpas qucrûrjcoas pnrn sn`dr di quã gagdita md hn ocrujçn sd dstî y nsç pamdr nitcocpnrsd n hns idodscmnmds mdh ocruknia, tnita mditra oaga eudrn mdh ongpa qucrûrjcoa.

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Oagpra Oag pra`nr `nr hn dxcstd dxcstdioc iocnn md tamns tamns hns iugdrnoc iugdrnocaids aids y tnh tnhhns hns mcspaic`h mcspaic`hds ds sc hn citdrvdiocÿi rdqucdrd md cgphnitds qucrûrjcoas dspdoçecoas.

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Di onsa md nusdiocn md nhjûi gntdrcnh a cgphnitd sd md`d iatceconr nh ocruknia nitds mdh oagcdiza md hn ocrujçn pnrn pamdr `usonr atrn nhtdrintcvn.

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Ougphcgditnr dh rdjcstra citrnapdrntarca md diedrgdrçn, has vahnitds, dto. Md dsta vn n dionrjnrsd cicocnhgditd hn DO, pdra ia bny qud ahvcmnr qud hn DC tng`cãi md`d dstnr prdsditd y oahn`arnr oai hn DO di hn ougphcgditnocÿi md has rdjcstras y di hn ditrdvcstn prdapdrntarcn qud ng`ns rdnhczni nh pnocditd di dh nitdqucrÿenia.

OAIOHT_CAID_ 

Bdga Bd gass oa oaio iohu hucm cma a hn cgpa cgpart rtni nioc ocnn md oa oaia iaod odrr hn îr îrdn dn md mdhh qu qucr crÿe ÿeni nia a y sus sus oagpaiditds pnrn `rcimnr ui sdrvcoca maimd sd pratdjd hn citdjrcmnm md pnocditd y mdh pdrsainh gãmcoa qud hn`arn di dstn îrdn.

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Hns iargns iargns md ocrouhnocÿi ocrouhnocÿi di hn îrdn md qucrÿenia qucrÿenia md`di sdr ougphcmns ougphcmns par tamns hns pdrsains pnrn dvctnr ciedoocaids di dh usunrca par ha ounh md`dgas oaiaodrhns y cgphconrhns.

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Hn vdstcgditn ds ui rdqucscta cimcspdisn`hd pnrn trn`nka di hn nãrdn mdh qucrÿenia y su oarrdota usa dvctnrn pasc`hds ciedoocaids di dh pnocditd nh gagdita md rdnhcznrsd uin citdrvdiocÿi qucrûrjcon