Valoración de enfermería en paciente con rabdomiolisis según modelo de Marjorie Gordon: Reporte de caso

Abstract

Rhabdomyolysis is a pathology in which there is muscle destruction and necrosis through which toxins are released into the bloodstream causing damage to the renal system leading to acute renal failure. Methods or procedures used: This case study is descriptive and analytical, because the most relevant clinical data are observed, specified and analyzed. Retrospective since information is collected over several days. Objective: To identify and prioritize the altered functional patterns through the review of the clinical history for the elaboration of a care process according to this pathology oriented to the prevention of complications and changes in the quality of life. Main results: When carrying out a holistic assessment, the patient presented her own symptomatic triad such as: pain (myalgia), muscle weakness and reddish urine. In addition to levels of the enzyme CK (creatine kinase) elevated 20 times higher than normal and the presence of globulins in the urine. Nursing identified altered patterns such as elimination, activity-rest, sleep-rest, and adaptation-tolerance to stress. For which, through nursing interventions such as the administration of serum therapy and bicarbonate, it was possible to alkalize the urine and help the prevention of complications such as acute renal failure. Education on the correct technique of self-catheterization is essential to minimize the risk of recurrent infections in this case, since the patient presented neurogenic bladder as an associated factor