Examinando por Materia "Pacientes Ambulatorios"

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Caracterización de interacciones medicamentosas potenciales en las prescripciones médicas atendidas a pacientes ambulatorios
(Universidad Privada Norbert Wiener, 2015) Arce Tintaya, Abner; Castro Luna, Rosa Chabely; Martínez Vargas Araníbar, Humberto Nazario
The objective of this study was to determine the characterization of potential drug interactions present in medical prescriptions attended to outpatients at the InkaFarma pharmacy located in Flora Tristán, La Molina district, between April and June 2014. A descriptive, cross-sectional, retrospective, and observational study was designed for this purpose. Medical prescriptions from various specialties were considered. According to the inclusion criteria, 191 medical prescriptions were analyzed. It was found that 67% did not present drug interactions, while 33% did. Regarding sex distribution, 41% of the population were male and 58% female; 35 females and 28 males presented drug interactions. Concerning the onset of interactions, the majority (77%) were undocumented, 18% had a slow onset, and 6% had a rapid onset. Regarding the severity, 81% of the interactions were moderate, 10% were major, and 9% were minor. By mechanism of action, 48% were pharmacodynamic and 37% were pharmacokinetic. Regarding age groups, the majority of the population were adults (83 patients), followed by young people (81 patients). The specialty with the highest number of drug interactions was internal medicine, with 17 cases out of 88 prescriptions attended.
Acceso abierto
Comportamiento del antígeno carcinoembrionario en diversas patologías de pacientes adultos hospitalizados y ambulatorios en el Hospital Naval, año 2019
(Universidad Privada Norbert Wiener, 2022-03-23) Sotomayor Castro, Miguel Angel; Parreño Tipián, Juan Manuel
Objective: To determine the characteristics of Carcinoembryonic Antigen (CEA) use in oncology patients at the Naval Medical Center in Lima in 2019. Method: The clinical records of individuals with colorectal, gastric, and ovarian neoplastic diagnoses from 2019 were located in the laboratory database and archive area. Serum CEA data were collected for both single and multiple dosages to observe their characteristics under the parameters of dosage, sex, age, cancer type, disease evolution, and type of care. Results: 29 patients had a single monitoring, 17 had two, 9 had three, and 5 had five. 54% of male patients had one dosage, while females had 47%. Younger patients had two monitorings, while adults and older adults had up to five, with 2 and 3 cases respectively. Patients with gastric cancer had five monitorings, and those with colorectal and ovarian cancer had three. 48 patients had a favorable outcome, and 12 patients with an unfavorable outcome received one, two, three, and five monitorings in equal proportion. 39 cases were outpatient, and 21 were hospitalized. Conclusions: In all cases evaluated, the CEA dosage showed that 29 patients had a single dosage and 5 had five monitorings. The dosage was higher in women (up to five monitorings in 9% of cases) and in older adults (39 cases). It was also higher in gastric cancer patients (up to five monitorings). 48 patients had favorable outcomes and 12 patients had unfavorable outcomes.
Acceso abierto
Cumplimiento de las buenas prácticas de prescripción de recetas atendidas a pacientes ambulatorios en un instituto pediátrico Lima – Perú enero a marzo 2021
(Universidad Privada Norbert Wiener, 2022-01-06) Carrión Pozo, Guadalupe Edit; Oyarce Alvarado, Elmer
The research methodology was a basic, non-experimental, quantitative study with probabilistic sampling. The sample consisted of 364 medical prescriptions from outpatient patients who obtained medication from the emergency pharmacy and met the inclusion criteria. An 18-item data collection form was developed to gather information. Data processing was performed using Excel 2010 and SPSS version 23. It was determined that 100% of the prescriptions had some deficiency or omission. The compliance percentages for good prescribing practices across different dimensions were: patient data, 83.8%; medication data, 74.7%; prescription validity, 1.9%; and prescription legibility, 52.2% (with 47.8% non-compliance). The research concluded that the results demonstrate that the prescriptions reviewed do not meet the requirements of current regulations, which has a negative impact on the treatment and health recovery of the pediatric patient.
Acceso abierto
Cumplimiento de las buenas prácticas de prescripción en pacientes de consulta externa del Instituto Nacional de Enfermedades Neoplásicas (INEN) en enero del año 2017
(Universidad Privada Norbert Wiener, 2017-11-20) Julca Chinchay, Alex Paul; Ynga Mendoza, Christian; Herencia Torres, Victor Reynaldo
The present study aims to determine compliance with good prescribing practices in standardized single prescriptions from the Central Pharmacy service for patients attended in the Outpatient Department of the National Institute of Neoplastic Diseases (INEN) in January 2017. A cross-sectional, retrospective, observational, and descriptive study was conducted, in which 1065 standardized single prescriptions were analyzed. According to the results obtained in Indicator 1 (patient data), 100% complied with surname and name; the other sub-indicators did not comply. According to the results obtained in Indicator 2 (drug data), none of the sub-indicators complied. According to the results obtained in Indicator 3 (prescribing physician data), none of the sub-indicators complied. In Indicator 4 (others), 99.06% complied with the use of legible handwriting, and 77.18% recorded the non-use of abbreviations. In conclusion, the application of the present thesis demonstrated that the standards of good prescribing practices in standardized medical prescriptions are not being met.
Acceso abierto
Estilo de vida y adherencia al tratamiento antihipertensivo en adultos mayores de consultorios externos de cardiología de un hospital público, Lima 2022
(Universidad Privada Norbert Wiener, 2023-07-23) Cutti Ramon, Diana; Bernardo Santiago, Grisi
El presente proyecto tiene como objetivo: determinar la relación entre el estilo de vida y la adherencia al tratamiento antihipertensivo en adultos mayores de consultorios externos de cardiología de un hospital público, Lima 2022. Métodos: el estudio aplicará un método aplicativo, seguirá un enfoque cuantitativo, diseño transversal y correlacional. La muestra constará de 250 pacientes adultos mayores con hipertensión arterial que se atienden en los consultorios externos. Se utilizarán dos encuestas y dos cuestionarios validados y confiables a nivel nacional para medir las variables del estudio y con la población objetivo. Los datos reunidos serán procesados en el programa SPSS versión 28. Se realizarán estadísticos inferenciales a través Rho de Spearman y aprobar la hipótesis
Acceso abierto
Evaluación y análisis de las interacciones medicamentosas en prescripciones médicas atendidas a pacientes ambulatorios período enero–julio 2021: revisión sistemática
(Universidad Privada Norbert Wiener, 2021-08-04) Cusipuma Lozano, Meylin Liset; Yslache Neyra, Lizbeth Thalia; Torres Veliz, Ernesto Raúl
A drug interaction occurs when the effect of a drug is altered by the administration of another, which can cause adverse reactions, putting the patient's health at risk. The objective of this research was to evaluate and analyze studies of drug interactions in medical prescriptions filled for outpatient patients. The study was basic, descriptive, with a retrospective and cross-sectional directionality. Data were collected from research published over the last 10 years on drug interactions in prescriptions for outpatient patients. The results were analyzed based on severity, type of interaction, type of documentary evidence, and frequency of interaction using a data collection form. Results: The predominant drug interactions by severity were moderate (62.4%). By type of documentary evidence, 'Good' predominated at 50.7%. By type of interaction, pharmacodynamic predominated at 53.6%, and by frequency, the most common was once (46%). Conclusion: It is important that a pharmacist be present in pharmaceutical establishments to detect possible drug interactions.