10
REVISIÓN BIBLIOGRÁFICA - INTERVENCIÓN ENFERMERA EN PACIENTE INCONSCIENTE EN DOMICILIO (DE ETIOLOGÍA HIPONATRÉMICA GRAVE)
Authors: Redondo Castán, L.C
Number of views: 83
Introduction
This study is a systematic literature review about a case of an unconscious octogenarian patient at home where the nursing interventions performed are described. The etiology of the process that we studied after subsequent clinical follow-up was attributed to a process of severe hyponatremia.
Objective
The main objective of this paper is to summarize the updated scientific evidence related to the hyponatremia process and the signs and symptoms of this process to apply nursing interventions in the out-of-hospital environment.
Methodology
To carry out this study, a bibliographic search was carried out in the main databases, combining MESH search terms of scientific articles published in the last decade, clinical practice guidelines, protocols, manuals and interventions, and scientific literature.
Results
In the selected bibliography we did not find articles aimed at specific nursing interventions.
The interventions performed in the case are included in the treatment of hyponatremia from the first contact with the patient until being discharged.
Conclusions
In unconscious patients in the out-of-hospital environment, the nursing assessment is incomplete. Access to the clinical history of patients at home is important, although the emergency makes it difficult to consult.
Early intervention on assessed signs and symptoms is decisive for the recovery and prevention of complications, aspects closely related to the morbidity and mortality of this pathology.
Monitoring in the out-of-hospital setting in the patient described is based on the following parameters: RF, HR, SatO2%, NIBP, diuresis, fluid therapy control, capnography in a non-intubated patient allows monitoring of the respiratory pattern, neurological assessment scales (AVDN, ECG, pupillary reactivity) and 12-lead electrocardiogram with rhythm strip.
Knowing the complications of a prolonged decubitus, greater than 2 hours, such as: dehydration, decubitus ulcers, rhabdomyolysis, hypothermia and pneumonia.
It is important to give continuity to nursing interventions from the first care until hospital discharge.