{"id":301,"date":"2012-07-31T17:04:04","date_gmt":"2012-07-31T17:04:04","guid":{"rendered":"http:\/\/hectorgallego.codigo-binario.com\/?p=301"},"modified":"2012-07-31T17:04:04","modified_gmt":"2012-07-31T17:04:04","slug":"ulceras-por-presion","status":"publish","type":"post","link":"https:\/\/geriatriamexicali.com\/index.php\/ulceras-por-presion\/","title":{"rendered":"ULCERAS POR PRESION"},"content":{"rendered":"<p>Las <strong>ulceras por presi\u00f3n<\/strong> son la consecuencia de la necrosis isqu\u00e9mica (Gangrena)\u00a0 a nivel de la piel y los tejidos subcut\u00e1neos, generalmente se produce por la presi\u00f3n ejercida por\u00a0 un hueso sobre la piel. (Cadera, Sacro, Talones, etc).<\/p>\n<h3><strong>FACTORES DE RIESGO: <\/strong><\/h3>\n<ul>\n<li><em>\u00a0<\/em>Desnutrici\u00f3n.<\/li>\n<li>Anemia.<\/li>\n<li>Alteraciones neurol\u00f3gicas.<\/li>\n<li>Alteraciones Circulatorias.<\/li>\n<li>Inmovilidad<\/li>\n<\/ul>\n<h3 align=\"center\"><strong>SITIOS M\u00c1S FRECUENTES<\/strong>:<\/h3>\n<p>Depende de la posici\u00f3n en la cual se encuentra el paciente:<\/p>\n<div id=\"attachment_305\" style=\"width: 272px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.2.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-305\" class=\"size-full wp-image-305\" title=\"screenshot.2\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.2.jpg?resize=262%2C145&#038;ssl=1\" alt=\"\" width=\"262\" height=\"145\" \/><\/a><p id=\"caption-attachment-305\" class=\"wp-caption-text\">Fig. 1: Sentado: En sill\u00f3n o en silla de rueda.<\/p><\/div>\n<div id=\"attachment_304\" style=\"width: 271px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.3.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-304\" class=\"size-full wp-image-304\" title=\"screenshot.3\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.3.jpg?resize=261%2C112&#038;ssl=1\" alt=\"\" width=\"261\" height=\"112\" \/><\/a><p id=\"caption-attachment-304\" class=\"wp-caption-text\">Fig. 2: Acostado en cama sin movilidad.<\/p><\/div>\n<div id=\"attachment_303\" style=\"width: 269px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.4.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-303\" class=\"size-full wp-image-303\" title=\"screenshot.4\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.4.jpg?resize=259%2C128&#038;ssl=1\" alt=\"\" width=\"259\" height=\"128\" \/><\/a><p id=\"caption-attachment-303\" class=\"wp-caption-text\">Fig. 3: Acostado Lateralmente en cama.<\/p><\/div>\n<div id=\"attachment_302\" style=\"width: 268px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.5.jpg?ssl=1\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-302\" class=\"size-full wp-image-302\" title=\"screenshot.5\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.5.jpg?resize=258%2C152&#038;ssl=1\" alt=\"\" width=\"258\" height=\"152\" \/><\/a><p id=\"caption-attachment-302\" class=\"wp-caption-text\">Fig: 4.- En cama o en silla de ruedas: Poca movilidad.<\/p><\/div>\n<h3 align=\"center\"><strong>CLASIFICACION DE LAS ULCERAS POR PRESION<\/strong><\/h3>\n<p><strong>Estadio 1:\u00a0<\/strong>Piel intacta, solo esta roja.<\/p>\n<p><strong>Estadio 2:\u00a0<\/strong>Perdida parcial de la piel, fondo rosado, puede haber una ampolla.<\/p>\n<p><strong>Estadio 3:\u00a0<\/strong>Perdida total del grosor de la piel. Se expone la grasa subcut\u00e1nea.<\/p>\n<p><strong>Estadio 4:\u00a0<\/strong>Ya existe exposici\u00f3n de tendones, hueso o m\u00fasculo.<\/p>\n<p><strong>\u00a0NO CLASIFICABLE:\u00a0<\/strong>Existe una escara necr\u00f3tica en la base de la ulcera. <strong>\u00a0<\/strong><\/p>\n<h3 style=\"text-align: center;\">\u00a0<strong>TRATAMIENTO<\/strong><\/h3>\n<p>Depende del estadio en el que se encuentre, si esta infectada o no.<\/p>\n<p style=\"text-align: center;\"><strong>\u201cLO MAS IMPORTANTE EN EL MANEJO DE LAS ULCERAS POR PRESION ES LA MOVILIDAD DEL PACIENTE\u201d. <\/strong><\/p>\n<ol>\n<li>Se deben establecer horarios para los cambios de posici\u00f3n del paciente<\/li>\n<li><strong>Uso de superficies Din\u00e1micas:<\/strong>\u00a0Superficie con propiedades de reducci\u00f3n o alivio de la\u00a0 presi\u00f3n que se ejerce sobre la piel al sentarse o acostarse:<\/li>\n<li>Colchones y aditamentos de Presi\u00f3n alterna<\/li>\n<\/ol>\n<p>NOTA: <em>Los aditamentos son auxiliares en el manejo de\u00a0 las ulceras por presi\u00f3n, y <strong>JAMAS<\/strong> sustituyen la<strong> \u00a0MOVILIZACION<\/strong> del paciente.<\/em><\/p>\n<h3 style=\"text-align: center;\"><strong>QUE NO SE DEBE HACER?<\/strong><\/h3>\n<p>Desafortunadamente existen muchas intervenciones err\u00f3neas y da\u00f1inas que a trav\u00e9s de los a\u00f1os se han realizado, entre ellas destacan:<\/p>\n<ul>\n<li>\u00a0Uso de Isodine en ulceras limpias.<\/li>\n<li>Uso de Alcohol directamente sobre la ulcera.<\/li>\n<li>Uso de las populares \u201cDonas\u201d sobre pie, cadera, codos.<\/li>\n<li>Colocar parches coloides en ulceras infectadas.<\/li>\n<li>\u00a0Curaci\u00f3n cada tercer d\u00eda.<\/li>\n<li>No movilizar al paciente.<\/li>\n<\/ul>\n<h3 align=\"center\"><strong>CUIDADOS LOCALES DE LA ULCERA<\/strong><\/h3>\n<ul>\n<li>\u00a0Curaci\u00f3n diaria de la ulcera.<\/li>\n<li>Desbridamiento.<\/li>\n<li>Colocaci\u00f3n de parches seg\u00fan indicaci\u00f3n.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Las ulceras por presi\u00f3n son la consecuencia de la necrosis isqu\u00e9mica (Gangrena)\u00a0 a nivel de la piel y los tejidos subcut\u00e1neos, generalmente se produce por la presi\u00f3n ejercida por\u00a0 un hueso sobre la piel. (Cadera, Sacro, Talones, etc). FACTORES DE RIESGO: \u00a0Desnutrici\u00f3n. Anemia. Alteraciones neurol\u00f3gicas. Alteraciones Circulatorias. Inmovilidad SITIOS M\u00c1S FRECUENTES: Depende de la posici\u00f3n [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":306,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[5,1],"tags":[],"class_list":["post-301","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-geriatria","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ULCERAS POR PRESION - Dr. Hector Gallego<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/geriatriamexicali.com\/index.php\/ulceras-por-presion\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ULCERAS POR PRESION - Dr. Hector Gallego\" \/>\n<meta property=\"og:description\" content=\"Las ulceras por presi\u00f3n son la consecuencia de la necrosis isqu\u00e9mica (Gangrena)\u00a0 a nivel de la piel y los tejidos subcut\u00e1neos, generalmente se produce por la presi\u00f3n ejercida por\u00a0 un hueso sobre la piel. (Cadera, Sacro, Talones, etc). FACTORES DE RIESGO: \u00a0Desnutrici\u00f3n. Anemia. Alteraciones neurol\u00f3gicas. Alteraciones Circulatorias. 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