Valoración del estado hemodinámico del recién nacido que ingresa a la unidad de cuidados intensivos neonatales del Hospital Manuel Ygnacio Monteros de la ciudad de Loja en el epriodo julio 2013-enero 2014.
The physiological events that occur in the neonatal period influence the hemodynamic constants, which vary according to gestational age, weight and hours of life, and the method used. Analytical , prospective, qualitative study , Noninvasive hemodynamic status of the newborn was admitted to the neon...
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| Format: | master thesis |
| Status: | Published version |
| Publication Date: | 2014 |
| Country: | Ecuador |
| Institution: | Universidad Nacional de Loja |
| Repository: | Repositorio Universidad Nacional de Loja |
| Language: | Spanish |
| OAI Identifier: | oai:dspace.unl.edu.ec:123456789/18860 |
| Online Access: | http://dspace.unl.edu.ec/jspui/handle/123456789/18860 |
| Access Level: | Open access |
| Keyword: | RECIÉN NACIDOS MONITOREO HEMODINÁMICO |
| Summary: | The physiological events that occur in the neonatal period influence the hemodynamic constants, which vary according to gestational age, weight and hours of life, and the method used. Analytical , prospective, qualitative study , Noninvasive hemodynamic status of the newborn was admitted to the neonatal intensive care unit of the Hospital Manuel Ygnacio Monteros city of Loja in the period July 2013 - January 2014. Vital signs , hematocrit , and urine output was determined at 24, 48, 72 hours of life and 1,2,3 and 4 weeks of postnatal age. A comparative analysis was performed internationally established tables . Of the 38 infants with gestational age between 32 and 41 weeks , 60.5 % had weight > 2500g , with a slight predominance of males with 65.8 %. The average blood pressure for newborns to 24 hours of life was 40.5 mmHg; 48h 44mmHg ; 42mmHg at 72h ; 46mmHg in the first week ; the second week and third week 45mmHg 43mmHg . The peripheral pulse, capillary refill and temperature were maintained within normal ranges . During the first 72 hours diuresis occurred 0.5 to 0.7 corresponding to the oliguric phase; hematocrit dropped at a rate of 4 to 9 points per week. The blood pressure was found to be a dependent variable of gestational age and birth weight , independent of sex, APGAR or the birth canal . The values of vital signs recorded in the patients studied are within normal parameters considered internationally . Keywords: Newborn, intensive care unit, hemodynamics. |
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