Trabajos de Titulación - Medicina
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/23
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Examinando Trabajos de Titulación - Medicina por Asesores "Coyago Íñiguez, Juan Antonio"
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Ítem Acceso Abierto Complicaciones Renales de Shock Séptico(Universidad Católica de Cuenca., 2024) Orbe Veintimilla, Marcela Roxanna; Coyago Íñiguez, Juan Antonio; 0104688932Introduction: The importance of renal complications of septic shock lies in their high incidence and significant impact on morbidity and mortality. Renal dysfunction is a common complication in patients with septic shock and is associated with worse clinical outcomes. Literature Review: Renal dysfunction in septic shock is highlighted as being multifactorial, influenced by factors such as reduced renal blood flow, the establishment of a systemic inflammatory state, and the manifestation of endothelial dysfunction. In addition, acute kidney injury is closely associated with a higher mortality rate, complications, and prolonged hospital stay. Intervention strategies such as hemodynamic improvement and the prudent use of nephrotoxic agents are emphasized to prevent acute and chronic renal injury. Conclusion: This literature review underlines the importance of early detection and intervention to prevent and treat renal dysfunction in the context of septic shock. Implementation of management strategies and rigorous monitoring of renal function improve outcomes and reduce morbidity and mortality in this vulnerable clinical population.Ítem Acceso Abierto Control glucémico con el sistema híbrido de asa cerrada en pacientes con Diabetes Mellitus Tipo 1(Universidad Católica de Cuenca., 2023) García Verdugo, Adriana Soledad; Coyago Íñiguez, Juan Antonio; 0107122434Introduction: Closed Loop Systems in patients with Type 1 Diabetes Mellitus have provided adequate insulin management, a significant improvement in time in range, and a lower Glycosylated Hemoglobin however these systems only work well in the absence of prandial glucose intakes and it is for this reason that it is difficult to prevent episodes of hyperglycemia. At present there is an improved system called "Closed Loop Hybrid System", it offers better glycemic control, reduction of hypoglycemia and hyperglycemia. These systems have implemented an algorithm where the patient can enter the amount of carbohydrates ingested, this system can also be used in its "automatic" mode, where the system predicts an episode of hyperglycemia or hypoglycemia and sends an alert signal to the user. The Closed Loop Hybrid System has been shown to have better glycemic control, improvement in time in range, a reduction in HbA1C. They represent the most current, effective and safe form of automatic insulin delivery available to patients with type 1 diabetes mellitus.
