La enfermedad de v\ueda biliar es una de las patolog\uedas m\ue1s frecuentes en el servicio de Cirug\ueda. El S\uedndrome de Mirizzi es una de las complicaciones poco frecuente de estas patolog\uedas, m\ue1s frecuente en pa\uedses en v\uedas de desarrollo, alcanzando en Latinoam\ue9rica entre el 4,7 y 5,7 % de los casos. La presente investigaci\uf3n tiene como objetivo identificar dominios y clases afectadas a un paciente con S\uedndrome de Mirizzi. Estudio de caso en paciente femenina de 45 a\uf1os de edad con antecedentes de ictericia obstructiva secundaria a coledocolitiasis que hab\ueda precisado colocaci\uf3n de pr\uf3tesis pl\ue1stica mediante colangiopancreatograf\ueda retr\uf3grada endosc\uf3pica(CPRE) para asegurar drenaje de la v\ueda biliar, ante la imposibilidad de su extracci\uf3n mediante arrastres con bal\uf3n de Fogarty. Se objetiv\uf3 tambi\ue9n litiasis en conducto c\uedstico que inicialmente no condicionaba obstrucci\uf3n de la v\ueda biliar principal, en una instituci\uf3n de salud del sector p\ufablico de Barquisimeto, Lara, Venezuela. Se administraron los cuidados de enfermer\ueda a trav\ue9s del proceso enfermero, realizando la valoraci\uf3n de enfermer\ueda con la Taxonom\ueda II de Diagn\uf3sticos de enfermer\ueda, se describen los dominios y clases afectadas en el periodo postoperatorio, implement\ue1ndose el plan de cuidados de enfermer\ueda con las interrelaciones diagn\uf3sticos, intervenciones y resultados. Resultados: Despu\ue9s de administrar los cuidados de enfermer\ueda a trav\ue9s del Proceso de Enfermer\ueda durante la estad\ueda hospitalaria de la paciente, evolucion\uf3 favorablemente Conclusiones: Al finalizar la investigaci\uf3n del caso, se observ\uf3 la importancia de llevar a cabo el plan de cuidados de enfermer\ueda con las respectivas interrelaciones para brindar atenci\uf3n de calidad.
Palabras clave: S\uedndrome de Mirizzi, Proceso Enfermero, NANDA, NIC-NOC.
ABSTRACT
Bile duct disease is one of the most common pathologies in the Surgery Department. Mirizzi Syndrome is one of the uncommon complications of these pathologies. It is more frequent in developing countries, reaching in Latin America between 4.7% and 5.7% of the cases. The present investigation aims to identify domains and affected classes to a patient with Mirizzi Syndrome. Case study in a 45-year-old female patient with a history of obstructive secondary jaundice to choledocholithiasis who had required placement of a plastic prosthesis using endoscopic retrograde cholangiopancreatography (ERCP) to ensure drainage of the biliary tract, due to the impossibility of extracting it through trawls with Fogarty's ball. Lithiasis in cystic duct that initially did not condition obstruction of the main biliary tract was also observed in a public health institution in the city of Barquisimeto, Lara State, Venezuela. Nursing care was administered through the nursing process. Nursing assessment was performed with the Nursing Diagnostics Taxonomy II. The domains and affected classes were described in the postoperative period; the nursing care plan was implemented with the diagnostic interrelationships, interventions and results. Results: The patient progressed unfavorably, dying after 60 days due to complications. Conclusions: At the end of the investigation of the case, it was observed the importance of carrying out the nursing care plan with the respective interrelations to provide quality care.
Key words: Mirizzi Syndrome, Nurse Process, Nanda, Nic and Noc.<br
