Examinando por Materia "Hipotensión"

Mostrando 1 - 8 de 8

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CUIDADOS EFICACES PARA PREVENIR LA HIPOTENSION DURANTE LA SESION DE HEMODIALISIS
(Universidad Privada Norbert Wiener, 2017) Armas Rincón, Jacqueline Marisabel; Mg. Mendigure Fernandez, Julio
Objetivo: Sistematizar las evidencias disponibles, sobre los cuidados eficaces para prevenir la hipotensión durante la hemodiálisis. Material y método: Se trata de una Revisión Sistemática de 10 artículos en base de datos SCIELO, LILACS, MEDLINE, CINAH, cuya búsqueda se ha restringido a artículos con texto completo, los artículos seleccionados se incluyeron los más importantes según nivel de evidencia y se excluyeron los menos relevantes. Resultados: Los cuidados de enfermería, que según estudios de investigación, son más efectivas para controlar la hipotensión durante la hemodiálisis son; disminuir o anular la tasa de ultrafiltración (UF), colocar al paciente en posición de trendelenburg o decúbito supino, infundir solución salina al 0.9% de 100-200 ml o más cantidad si es necesario. Conclusión: Los 10 artículos revisados, el 60% (n=06/10) de estos, muestran que el uso de perfiles decrecientes de ultrafiltración, reduce significativamente el número de hipotensiones arteriales
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Effective care to prevent hypotension during hemodialysis session
(Universidad Privada Norbert Wiener, 1905-07-09) Armas Rincón, Jacqueline Marisabel; Cahuana Limaco, Kandy; Mendigure Fernandez, Julio
Objective: Systematize the available evidence on effective care to prevent hypotension during hemodialysis. Material and method: This is a Systematic Review of 10 articles in the SCIELO, LILACS, MEDLINE, CINAH database, whose search has been restricted to articles with full text, the selected articles were included the most important according to level of evidence and were They excluded the least relevant ones. Results: Nursing care, which according to research studies, is most effective in controlling hypotension during hemodialysis is; decrease or cancel the ultrafiltration (UF) rate, place the patient in the Trendelenburg or supine position, infuse 0.9% saline solution of 100-200 ml or more if necessary. Conclusion: The 10 articles reviewed, 60% (n=06/10) of them, show that the use of decreasing ultrafiltration profiles significantly reduces the number of arterial hypotension
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Effectiveness of a physical activity program in reducing blood pressure in older adults with hypertension
(Universidad Privada Norbert Wiener, 2018-12-16) Coayla Caller, Kattia Yesenia; Ramírez Dávila, Ana Maribel; Pretell Aguilar, Rosa María
This paper is a systematic review of selected articles subjected to the GRADE evaluation to identify their level of evidence. Articles from countries such as Chile, Cuba, Colombia, Peru, Venezuela, and Brazil were chosen; where 100% demonstrated the effectiveness of the physical activity program in reducing blood pressure in hypertensive older adults. It is concluded that physical exercise is an effective tool in the treatment of hypertension in the hypertensive older adult population, improving cholesterol and triglyceride levels, quality of life, and reducing morbidity and mortality.
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Effectiveness of permissive hypotension in controlling bleeding and improving survival rates in traumatic hemorrhagic shock patients
(Universidad Privada Norbert Wiener, 2020-02-16) Guerra Cabana, Carmen Jesus; Pampa Pablo, Raquel Elizabeth; Fernández Rengifo, Werther Fernando
OBJECTIVE: Systematize evidence on the effectiveness of permissive hypotension to control bleeding and survival rate in patients with emergency traumatic hemorrhagic shock. MATERIAL AND METHOD: The study has a systematic, observational and retrospective review design; of articles with full text, which identified their quality of evidence according to the Grade System. Likewise, the population was made up of 10 articles from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs. Of the following countries, Canada 20%, Thailand 10%, Japan 10%, Chile 10%, China 10%, Germany 10%, United Kingdom 20%, and United States 10%; Likewise, the scientific studies reviewed were of a systematic review design in 70% (7/10) and randomized clinical trials in 30% (3/10). RESULTS: Of the 10 articles reviewed, 100% showed that permissive hypotension in patients with emergency traumatic hemorrhagic shock is effective in controlling bleeding and survival rate. CONCLUSIONS: Permissive hypotension in patients with emergency traumatic hemorrhagic shock is effective in controlling bleeding and survival rate; That is, resuscitation with moderate fluids regularizes systolic pressure, reduces blood loss, avoids cardiorespiratory arrest, preserving cerebral perfusion.
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Efficiency of descending conductivity and ultrafiltration profiles in renal patients
(Universidad Privada Norbert Wiener, 1905-07-09) Medina Rujel, Blanca Esmidia; Casanotán Ayay, Nadia Bernabita; Mendigure Fernández, Julio
Objective: Systematize the available evidence on the efficiency of descending conductivity and ultrafiltration profiles in renal patients on hemodialysis. Methodology: This is a Systematic Review of 10 articles in the MEDLINE, PUBMED, LILACS, SCIELO database, whose search has been restricted to articles with full text, and the selected articles were subjected to critical reading, using the Sackett evaluation. to identify its level of evidence. Results: With the use of descending conductivity and ultrafiltration profiles, renal patients on hemodialysis have better tolerance to the treatment, their application reduces intradialytic complications such as hypotension, cramps, nausea, vomiting and headaches, and also allows the patient to complete in a stable manner. its treatment time and helps it maintain an adequate dry weight since it is possible to sequester all the accumulated volume. All of this leads to the patient reaching their ideal dialysis dose goal, making hemodialysis a safe and effective treatment that benefits their quality of life. Conclusion: In light of the evidence, the effectiveness of descending conductivity and ultrafiltration profiles in improving the care of renal patients is concluded by verifying that they reduce intradialytic complications, help maintain the patient's dry weight and improve morbidity and mortality rates. in hemodialysis treatment, improving their quality of life.
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Factors associated with intraventricular hemorrhage in neonates
(Universidad Privada Norbert Wiener, 1905-07-09) Bernabe Ponte, Corina; Miranda Palomino, Rosa Angélica; Avila Vargas Machuca, Jeannette Giselle
Methodology: Systematic review of 10 articles, we found that 20% (02) correspond to Peru, with 80% (08) correspond to Saudi Arabia, Mexico, Spain, Poland, China, Iran, Pakistan and Nigeria. All of them mostly represent quantitative case-control studies with 80%. Likewise, a systematic review was found published in Saudi Arabia (10%) and we also have a cross-sectional quantitative study (10%) belonging to Nigeria. Results: The factors associated with intraventricular hemorrhage are low birth weight and lower gestational age. They also mention as factors associated with the male sex, weight less than 1000 g, Apgar score less than 6 at five minutes, necrotizing enterocolitis, complications of ventilatory support, invasive procedures such as orotracheal intubation, resuscitation due to asphyxiation, chorioamnionitis, respiratory disease. , distress syndrome, hypotension and multiple birth; They are factors associated with developing intraventricular hemorrhage Conclusions: According to everything mentioned above, corresponding to 100% of the articles analyzed, it is concluded that they are factors associated with intraventricular hemorrhage in neonates.
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Use of adenosine versus calcium channel antagonists for the care of patients with supraventricular tachycardia in the emergency room
(Universidad Privada Norbert Wiener, 2020-08-02) Castillo Lazo, Gilmer Eduardo; Soto López, Karla Alexandra; Fernández Rengifo, Werther Fernando
Objective: Systematize the evidence on the use of adenosine compared to calcium channel antagonists in the treatment of supraventricular tachycardia in the emergency room. Material and methods: Algorithms were created and a search was carried out in the PubMed, Cochrane, TripdataBase and PlosOne metadata. Results: A total of 1915 studies were found and of them ten were included in the study. Two publications are from the United Kingdom, two from the USA, two from Australia, one belongs to Singapore, another to Uruguay, another from Germany, and the last from India. Conclusion: According to this review, the quality of the evidence is medium and high and the strength of the recommendation is high only in three articles reviewed. The seven studies affirm that the efficacy of adenosine and calcium channel blocker products are similar in effectiveness. Both medications differ in their side effects: Adenosine due to redness, nausea, chest pain and headache. Calcium channel antagonists have been shown to produce hypotension.
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Variación de los signos vitales en procedimientos odontológicos en pacientes del consultorio “dientecito” del distrito de Puente Piedra, Lima 2024
(Universidad Privada Norbert Wiener, 2025-09-03) Farroñay Torres, Evelyn del Rosario; Villacorta Molina, Mariela Antonieta
La investigación tuvo por objetivo determinar la variación de los signos vitales en procedimientos odontológicos en pacientes del consultorio “Dientecito” del distrito de Puente Piedra, Lima 2024. Investigación de enfoque cuantitativo, de tipo longitudinal de nivel explicativo. La muestra fue de 100 pacientes ASA I (50 de operatoria dental y 50 de exodoncia), al que se evaluó con el tensiómetro digital los signos vitales de presión arterial (Presión arterial media PAM, presión sistólica PS, presión diastólica PD) y frecuencia cardiaca (FC). Para contrastar las hipótesis se utilizó la prueba no paramétrica de Kruskal Wallis y Friedman con un nivel de significancia de 0.05. Los resultados reflejaron que la PAM antes del procedimiento de operatoria dental fue de 85.08 mmHg, durante 86.20 mmHg y después 85.12 mmHg (p>0.05); y en el procedimiento de exodoncia el antes fue de 86.96 mmHg, durante 86.62 mmHg y en después 84.30 mmHg (p<0.05). La PS antes del procedimiento de operatoria dental fue de 113.84 mmHg, durante 114.82 mmHg y después 113.68 mmHg (p<0.05); y en el procedimiento de exodoncia el antes fue de 114.04 mmHg, igual en el durante 114.04 mmHg y en después 113.12 mmHg (p>0.05). La PD antes del procedimiento de operatoria dental fue de 70.76 mmHg, durante 72.00 mmHg y después 70.28 mmHg (p>0.05); y en el procedimiento de exodoncia el antes fue de 73.34 mmHg, durante 72.98 mmHg y en después 70.04 mmHg (p<0.05). La FC antes del procedimiento de operatoria dental fue de 68.54 lpm, durante 71.88 y después fue de 71.22 lpm (p<0.05); y en el procedimiento de exodoncia el antes fue de 68.56 lpm, durante con 68.52 y en el después 67.02 lpm (p<0.05). Se llegó a concluir que la variación de los signos vitales en los pacientes fue parcial en los procedimientos odontológicos, debido a que no todas las variables variaron significativamente (p>0.05).