MANEJO DEL PACIENTE CONVULSIVO EN LA EMERGENCIA DEL HOSPITAL VERDI CEVALLOS BALDA DE PORTOVIEJO. PERIODO DE ENERO A JUNIO DEL 2007

Abstract

The present study analyzes the convulsive patient's Handling and its repercussion in the hospital stay in the emergency of the Hospital Verdi Cevallos Balda of Portoviejo in the period of January to June of the 2007. He/she was carried out a descriptive study; retroprospectyc of traverse cohort, with the objective of determining the handling of these patients, the same one had a population of 50 clinical histories that you/they were assisted in the emergency of this house of health. The present study embraced the ages of the 28 days from now on considering that these they have convulsions of another origin that is not the study reason, being in 32% the age from 1 to 5 years the most frequent. Inside the analyzed variables they were the convulsive patient directly with all their characteristics and the hospital stay of these patients. Inside the carried out procedures it was found that to 90% they were carried out canalization of veined roads, followed by 60% with protection of via air, 40% with appropriate position to avoid damage, 18% was placed probe nasogastric, 14% they were placed heart monitor, 12% they were applied muscular relaxants and 8% intubation endotraqueal. In relation to the pharmacological handling in 80% were applied diazepam, followed by 46% with fenitoína, 24% paracetamol and 14 antihypertensive%. The hospital stay of these patients was in 18% with 24 hours, 8% with 48 hours, followed by 22% with 72 hours, 30% of 1 week, 16% with 2 weeks, 4% with 3 weeks and 2% with 1 month in the hospital. To verify the handling of these patients an observation guide it was elaborated that contained a treatment outline; observing that the applied procedures are not the correct ones, for that which an application protocol was elaborated all convulsive patient in the emergency area.