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						<section class="elementor-section elementor-top-section elementor-element elementor-element-a23b090 elementor-section-boxed elementor-section-height-default elementor-section-height-default" data-id="a23b090" data-element_type="section" data-e-type="section">
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									<p style="text-align: justify;">Es el <a href="https://youtu.be/7VbMMXIMNBM?si=pyJRy69MnH-qpFSH">procedimiento</a> que permite cuantificar la<a href="https://youtube.com/shorts/vlbmbSPb_UA?si=-Jj4F_yo1soRNcer"> fuerza que ejerce la sangre</a> en el interior de las arterias, determinando los parámetros de <a href="https://prevencionsaludproactiv.com/2017/07/02/signos-vitales-enfermeria-y-primeros-auxilios/">presión arterial</a> a través de una técnica indirecta.</p><p style="text-align: justify;"><strong>Valoración</strong></p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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</script><ul><li style="text-align: justify;">Determine el nivel de conocimiento del paciente sobre el procedimiento.</li><li style="text-align: justify;">Evalúe si el paciente conoce los valores de su presión arterial.</li><li style="text-align: justify;">Determine patologías preexistentes del paciente, que influyan en el valor de la presión arterial (obesidad, cardiopatías, hipertensión y otros).</li></ul>								</div>
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									<p style="text-align: justify;"><strong>Equipo</strong></p><ul><li style="text-align: justify;">Esfigmomanómetro de mercurio, (también se controla con aneroides o análogo y digitales).</li><li style="text-align: justify;">Un estetoscopio.</li><li style="text-align: justify;">Tórulas con alcohol.</li><li style="text-align: justify;">Depósito para desechos.</li></ul><p style="text-align: justify;"><a href="https://www.youtube.com/playlist?list=PLi7BpIv3eaVjMVBR32sbfXLvEsr66p3cz"><strong>Técnica</strong></a></p><ul><li style="text-align: justify;">Realice lavado de manos clínico.</li><li style="text-align: justify;">Reúna el equipo y llévelo al lado del paciente.</li><li style="text-align: justify;">Identifique verbalmente al paciente leyendo en la ficha clínica y/o brazalete.</li><li style="text-align: justify;">Explique el procedimiento que va a realizar.</li><li style="text-align: justify;">Deje descansar 5 minutos y asegúrese que no ha fumado ni ingerido café por lo menos en los 30 minutos previos a la medición.</li><li style="text-align: justify;">Limpie el diafragma y auriculares del estetoscopio con una tórula con alcohol.</li><li style="text-align: justify;">Acomode a la persona, sentada o acostada, con el brazo a nivel del corazón, la palma de la mano hacia arriba apoyado en la cama o mesa.</li></ul>								</div>
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									<ul><li style="text-align: justify;">Ubique el manómetro a nivel de sus ojos lo suficientemente cerca, leer la escala graduada.</li><li style="text-align: justify;">Descubra el brazo dejando libre 15 cm sobre el codo. Evite que la ropa comprima el brazo.</li><li style="text-align: justify;">Ubique la arteria braquial o humeral por palpación en la parte interna del brazo.</li><li style="text-align: justify;">Coloque el mango del manómetro envolviendo el brazo de modo que su borde inferior quede a 2,5 cm sobre el pliegue del codo (2 traveses de dedos).</li><li style="text-align: justify;">El mango estándar de adultos sirve para brazos con una circunferencia de 26 a 33 cm. Si la persona tiene una circunferencia de brazo mayor o si el mango no cubre bien el brazo y no dispone de un manguito de obeso, ubique el mango estándar en el antebrazo y controle en arteria radial.</li><li style="text-align: justify;">Ubique el pulso en la arteria radial.</li><li style="text-align: justify;">Determine el nivel máximo de insuflación.</li><li style="text-align: justify;">Coloque los dedos índice y medio sobre sobre la arteria radial, insufle el mango del manómetro en forma continua y rítmica hasta que el pulso desaparezca (presión sistólica palpatoria).</li><li style="text-align: justify;">Espere 30 segundos antes de volver a inflar el mango.</li><li style="text-align: justify;">Coloque el diafragma del estetoscopio sobre la arteria braquial, sin cubrirlo con el mango. La arteria se ubica por palpación en el lado interno.</li><li style="text-align: justify;">Presione suavemente con los dedos del brazo y pliegue del codo.</li></ul>								</div>
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									<ul><li style="text-align: justify;">Colóquese los auriculares del estetoscopio.</li><li style="text-align: justify;">Cierre la válvula de aire.</li><li>Insufle hasta el nivel máximo de insuflación, 30 mmHg. por sobre el valor de la presión sistólica palpatoria.</li><li style="text-align: justify;">Suelte la válvula suavemente y haga descender la columna de Hg a razón de 2 a 4 mmHg. por segundo. Observe que el mercurio se deslice fácilmente.</li><li style="text-align: justify;">A través del estetoscopio escuchará un primer ruido o latido (<a href="https://prevencionsaludproactiv.com/2019/08/19/ruidos-de-korotkoff/">ruidos de korotkoff</a>), observe el nivel de la columna de mmHg. o latido. Esta cifra corresponde a la presión máxima o sistólica.</li><li style="text-align: justify;">Siga escuchando los ruidos hasta el punto donde se deja de oír éste con claridad o desaparece, esta cifra corresponde a la presión mínima o diastólica.</li><li style="text-align: justify;">Si tiene duda repita el procedimiento dejando descansar a la persona durante algunos minutos.</li><li style="text-align: justify;">Retire el estetoscopio del brazo, saque el mango, expulse el aire y guárdelo, cierre la llave de paso de mercurio del esfigmomanómetro.</li><li style="text-align: justify;">Deje cómodo al paciente e informe su nivel de presión arterial en términos sencillos.</li><li style="text-align: justify;">Lávese las manos.</li><li style="text-align: justify;">Retire el esfigmomanómetro, limpie y guarde.</li><li style="text-align: justify;">Registre en el formulario de enfermería o ficha electrónica: hora, <a href="https://prevencionsaludproactiv.com/2017/07/02/signos-vitales/">valores de la presión arterial</a>, el brazo donde se controló y nombre de persona responsable.</li><li style="text-align: justify;">Compárelo con mediciones anteriores.</li><li style="text-align: justify;">Registre en gráfico de signos vitales.</li><li style="text-align: justify;">Referir si corresponde a institución de salud o a su médico, en caso de presión arterial elevada en dos mediciones.</li></ul>								</div>
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									<p><strong>La Medición Perfecta (Nuestra Principal Función)</strong></p><p><strong>2.1. Técnica Estándar de Oro (Paso a Paso)</strong></p><p>El 80% de los errores en el diagnóstico se deben a una técnica de medición incorrecta.</p><ol><li><strong>Preparación del Paciente (5 minutos antes):</strong><ul><li><strong>Descanso:</strong> Sentarse tranquilamente por 5 minutos.</li><li><strong>Posición:</strong> Espalda recta y apoyada, pies planos en el suelo, no cruzar las piernas.</li><li><strong>Silencio:</strong> No hablar ni moverse durante la medición.</li><li><strong>Restricciones:</strong> No haber tomado café, fumado, o hecho ejercicio intenso 30 minutos antes.</li></ul></li><li><strong>Ubicación y Equipamiento:</strong><ul><li><strong>Brazalete (Manguito):</strong> Elegir el tamaño correcto para el brazo (esto es crucial). El manguito debe cubrir el 80% del brazo.</li><li><strong>Posición del Brazo:</strong> Descansando sobre una mesa o soporte, a la <strong>altura del corazón</strong>.</li></ul></li><li><strong>Realización de la Medición:</strong> Tomar 2 o 3 mediciones separadas por 1-2 minutos y registrar el promedio de las últimas dos.<ul><li>Nota <strong>TENS</strong><em>:</em> Siempre preguntar al paciente si usó el brazo contrario para una vena o si tiene fístula arteriovenosa.</li></ul></li></ol>								</div>
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									<p> <strong>Educación al paciente</strong></p><p>La importancia que 5 minutos antes de la medición de la presión arterial debe descansar y 30 minutos antes no fumar ni ingerir café, el autocuidado en estilos de vida y de alimentación, especialmente en personas con factores de riesgo.</p><p><strong>Educar en lo que indica el médico al paciente: (Cambios de Estilo de Vida)</strong></p><p>Como TENS o estudiante de enfermería, la educación al paciente es su herramienta más poderosa.</p><p><strong>3.1. Dieta y Sodio (El pilar)</strong></p><ul><li><strong>Recomendación Simple:</strong> Reducir el <strong>Sodio (Sal)</strong> y aumentar el <strong>Potasio</strong>.<ul><li><em>Ejemplo de Sodio:</em> Evitar alimentos procesados (embutidos, sopas enlatadas, comidas rápidas).</li><li><em>Ejemplo de Potasio:</em> Consumir más frutas (banana, naranja) y verduras.</li></ul></li><li><strong>Dieta (Énfasis):</strong> Explicar que es una dieta rica en frutas, verduras y lácteos bajos en grasa.</li></ul><p><strong>3.2. Ejercicio y Peso</strong></p><ul><li><strong>Meta de Peso:</strong> Perder incluso un poco de peso (5% del peso corporal) puede bajar significativamente la PA.</li><li><strong>Actividad Física:</strong> Recomendar <strong>30 minutos</strong> de caminata rápida o ejercicio moderado <strong>casi todos los días</strong> (150 minutos a la semana).</li></ul><p><strong>3.3. Otras Recomendaciones Cruciales</strong></p><ul><li><strong>Alcohol y Tabaco:</strong> El <strong>cese de fumar</strong> es obligatorio. Limitar el consumo de alcohol (máximo 1-2 copas al día, o menos).</li><li><strong>Estrés y Sueño:</strong> El estrés crónico y la falta de sueño aumentan la PA. Promover técnicas de relajación y una buena higiene del sueño.</li></ul>								</div>
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Paula Rojas Hormazábal</p> 
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank" target="_blank" >Tendinitis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank" target="_blank" >Superficies de Trabajo</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank" target="_blank" >Riesgo Eléctrico</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank" target="_blank" >Primeros Auxilios</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/20/rcp-solo-con-las-manos/" class="_blank" target="_blank" >RCP Solo con las Manos</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/01/18/maniobra-de-heimlich-charla-de-seguridad/" class="_blank" target="_blank" >Maniobra de Heimlich</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/12/07/ley-numero-21-156-desfibriladores-dea/" class="_blank" target="_blank" >Ley N° 21.156 Desfibriladores (DEA)</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank" target="_blank" >Escala de EVA en Enfermería</a></h4>
<div class="pt-cv-content">La escala del dolor EVA en enfermería (Escala Visual Analógica), ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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Control Presión Arterial
