Proceso de atención de enfermería en el manejo de pacientes con hemotórax masivo.

Abstract

Thoracic trauma is set the third injury more prevalent in a patient poly traumatized causing around 20% to 25% of the deaths caused mainly by complications such as massive hemothorax defined as the rapid accumulation of blood in the pleural cavity. The hemothorax is traumatic origin and not traumatic, classified as mild less than 300 ml of blood, severe and moderate 300 to 1500 ml of blood or mass more than 1500 ml of blood in the thoracic cavity, the predominant symptoms is tachycardia shock hypovolemic, chest pain and shortness of breath being necessary for diagnosis a tomography or simple chest x-ray and the resolution of the clinical grade depends on the correct placement of a thoracic drainage tube to prevent complications such as hemothorax retained or coagulated, empyema, atelectasis, among others. The overall objective of this research work was to propose a plan of care to apply the nursing process in the management of patient with massive hemothorax by planning based on Diagnostics NANDA, the results of these NOC and the interventions to make NIC, through the application of the model of Virginia Henderson evaluating the affected respiration, elimination and mobility needs to achieve the independence of the patient and improve the quality of life.