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COALA POSTLICEAL LOUIS PASTEUR , CMPINA
-PROIECT DE DIPLOM -NGRIJIRI SPECIFICE ASISTENTEI MEDICALE,
ACORDATEPACIENTULUI CU PLEUREZIE
COORDONATOR: ABSOLVENT:
- PROMOIA !"#-
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Ingrijiri specifice
asistentei medicale
acordate pacientilor cu
$%&'(&)*&
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PLANUL PROIECTULUI
ARGUMENT
Rolul esenial al asistentei medicale const n a ajuta persoanabolnav sau sntoas sa-i mentin sau rectige sntatea (sau s-l asiste nultimile sale clipe) prin ndeplinirea sarcinilor pe care le-ar i ndeplinitsingur dac ar i avut or! voin sau cunotinele necesare"
#sistenta medical trebuie s ndeplineasc aceste uncii! astel nctpacientul sa-i rectige independenta ct mai repede posibil"$
%irginia &euderson
'
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CAPITOLUL I
*R+,+R+ ./0++0/ #+//+ 3/4+0#5/ #06R4#/.#0+/ +56R 07 .5/7R/8+/"
1"1 o iuni de anatomie i i9iologie a aparatului respirator: 1"2 4eini ie" /timologie" 0lasiicare:1"' /valuarea unor semne! simptome! probleme ale pacien ilor cu
pleure9ie:1"; .articiparea asistentei medicale la acte de investiga ii:1"< .articiparea asistentei medicale la interven ii autonome i
delegate:1"= /valuarea (/volu ie! 0omplica ii! .rognostic):
1"> /duca ie pentru sntate:1"? 3suri de securitate a muncii n domeniul sanitar"
CAPITOLUL II
2"1 0ulegerea datelor:2"2 #nali9a i interpretarea datelor:2"' .laniicarea ngrijirilor:
2"; #plicarea ngrijirilor:2"< /@ternarea bolnavului"
CAPITOLUL III
/valuarea inal"
CAPITOLUL IV
#ne@e bibliograice"
;
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CAPITOLUL I
NGRIJIRI SPECIFICE ASISTENTEI MEDICALE
ACORDATE PACIEN ILOR CU PLEUREZIE
"+" NOIUNI DE ANATOMIE I FIZIOLOGIE AAPARATULUI RESPIRATOR
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I++ MANIFESTRI I PROBLEME DE DEPENDENSPECIFICE PACIENILOR CU PLEUREZIE
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A7&%, 6&3* >2 $%&'(&)*&, (&/3 */ 0(1/2&%0( 5&./0$0&*3& && /4&28 /'70/(& /&2'/8, */( (8'2&'% /'$(/ 70(.'%&* (&3& 2&04&(/+ C&&/ 3&, 6&7/$,3/(/3&(*)&/)8 &&2 */% $%&'(&)*/ && 70(./(&/ >2 3/*/&/ $%&'(/%8 / '2'* &'6/%*35*6, 7&20.&2'% 3/$*/ && 0 .04*%*)/(& / /$&*+ E%&.&2&%& 3&%'%/(& 2' ?0/386&3
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A$(&3*&(&/ &(*/4*%&* *.$0(/2 & / /3&&* (&/3 ** 3&%'%/(& / 70 7/%*7*3/8 6*2 )*'/ 323&$' 8 7*& '*%*)/8 &52*3/ 3*06*/120*3'%'*, $& %*35*6&%& >2$(&/%/4*% 3&2(*7'1/&+
D/38 >28 0 6/8 3' *27%/./ */ $%&'(/%8, 30&*8 * 0 *27%/./ *& $'%.02/(8, $0%*2'3%&0)/ * >2 $&3*/% %&'303*0)/ /21'*28 0( $'&/ /*21& 0 *2&2*/&
/$(&3*/4*%8+ A%&0%*/ 3//(/%8 2&3&*8 $&2(' 6&)0%/(&/ / '2 /$0( 6& &%&.&2&/%4&, *27*2* ./* *.$0(/2 6&32 $%&'(&)*/ *.$%8, 6& /*3* '2 /$&% 2&3&/( %/2*&%'% 0(1/2&%0( 6& 5&./0$0&)8, 3/(& & (&7%&38 /'23* >2 3*0%01*/ 23&$& 8 &(&0/(48, 3'(4/ *&)&* 6& &6*.&2/(& 3/6& (&$/, (8.2$&(*0/6/ /3'8 / 40%**, && (/2)*0(*&+
E/.&2'% (/6*0%01*3:
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L/ >23&$' &'6/'% && .04*% * 2*&%'% 8' && /(*/4*% 3' >23%*28(*%&40%2/'%'*, (&3'(1&. %/ /3&& ./2&(& /'23* 323%*28. .'% 40%2/'%+ A$&3'%%'* && /(*/4*%, $0/& $(&)&2/ '.4(& 6& 3026&2/(& /&%/3*38 /' *27%/./0/(&, >2
0(*3& 3/), &% 2' /$/(& 3%/(, 6*2 3/')/ >21(0 8(** $%&'(/%&, .06*7*38(*%& $%&'(&**3&(/%& $0 7* '(.8(*& 6'$8 *2*'*(&/ '2&* $2&'.0&(0/&, 32 3& ./* 4*2& 6&%*.*/8 * /$/(& '4 70(./ '2&* 4&2)* 0$/3&, 3/(& 6&%*.*&/)8 2&, $(& 3/*/&/ $%&'(/%8, 302'('%$/(&235*.'%'*+
D/38 &'6/'% 2' && $(&/ /4'26&2 * 2' 0$/3*7*38 0 5&.*0(/3&%&, 0.$'&/ &/.*2/ (&1*'2&/ 5*%/(8, $(&3'. * $/(&235*.'%+ R/6*0%01**%& 6*2 7/ 8 * $(07*%, 6/( ./* /%& 0.01(/7**%&, / 38(&* *2&($(&/(& $0/& 7* 6*7*3*%8, 2& 0( $'&/$'2& >2 &*6&2 8, /$(0/$& 302/2 >2 $%&'(&)*/ /3'8 * ./* /%& %/ *2&(*, $(&)&2 / 1/21%*02*%0( (/5&0 4(02 *3*+
E/.&2'% (/6*0%01*3 /(& 0 6&0&4*8 *.$0(/2 8 >2 '(.8(*(&/ &0%' *&*
$%&'(&)*&*+ E% 2& $&(.*& 8 '(.8(*. >26&/$(0/$& $(03&'% (&0(4 *&* %*35*6'%'*, /%.06*7*38(*%0( $/(&235*./0/&, $(&3'. * /% &35&%&%0( $%&'(/%&+
2
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I++ PARTICIPAREA ASISTENTEI MEDICALE LAINTERVENII AUTONOME I DELEGATE
2 3/)'% *2&(&2 **%0( /'020.& /. >2 &6&(&:- 8 /&(*&3 3/.&(/- 8 '.&)&3 /&('% >2 >238$&(&- 8 35*.4 6& %&2?&(*/ 6& $/ /' 6& 30($- .02*0(*)&) 7'23@**%& */%& =* &1&/*& 9&2*'2& /(&(*/%8, $'%,
(&$*(/@*& =* &.$&(/'(8;- 8 /$%*3 30.$(&& (&3*, >.$/35&8(* (&3*- 8 &(&3 $/3*&2'% 3' 3/2*8 * ./(* 6& %*35*6&- 8 04&( /(&/ &1'.&2&%0( * .'30/&%0(- 8 3/%3'%&) 4*%/2 '% *21&8-&3(&8 # 5- 8 $(&18&3 $/3*&2'% $&2(' (/6*01(/7*/ $'%.02/(8- 8 $(&18&3 $/3*&2'% * ./&(*/%&%& $&2(' /6.*2*(/(&/ .&6*3/ *&*+ - $(&18&3 6*2 $'23 6& &6&(& $5*5*3 =* 7*)*3 $/3*&2'% >2 &6&(&/
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T(//.&2 * /%*.&2/ *&
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6*&&*3
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- 04&( &7&3'% .&6*3/.&2&%0( /'$(/ 0(1/2*.'%'*+
T(//.&2'% /(*/)8 >2 (/$0( 3' /6*'% /7&3 *'2**: $&(*0/6/ 6& 6&78 '(/(& / $%&'(&)*&*, $&(*0/6/ 3/(& '(.&/)8 (&0(4 *&* %*35*6'%'*, (&6'3&(&/ /3**8 **
$(03&'%'* *27&3 *0 '4&(3'%0, /&2'/(&/ *.$0.&%0( 6/0(*8 $(03&'%'*&'6/*, 3'(/(&/ &0%' *&* 40%**+M*?%0/3&%& %/ 3/(& & (&3'(1& '2: (&1*.'% *1*&20 6*&&*3 * 6& (&$/',
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
C/ .&6*3/ *& /2**27%/./0/(&, 3/$/4*%8 6& / (&6'3& /3'*/&/ $(03&'%'*$%&'(&*3 * / 3&%0( $'%.02/(& '4$%&'(/%& >2(& *280/(&, ./* $0 7* '*%*)/& 7&2*%4'/)02'% * /(1/$*(*2/ 97&2*%4'/)02 * $*(/.*602;, (&$&3* 4'/6*02'%, (&'./)0%'%, (&0$*(*2/: 7&2*%4'/)02 )*%2*3 !,!1 $& 1'(8 /' 0 7*0%8 *2?&3/4*%8 >2*(1/$*(*28+ R&)'%/&%& '2 4'2& 6&&0(*+
A3 *'2*%& /'$(/ $%&'(&* 6*(&3, /' &%& 0 '*%*/&, 6&3* 0 *26*3/ *& T0(/303&2&)/ 3/ .*?%03 6& (//.&2 3'(&2 /% $%&'(&)*&* &(0 7*4(*20/&,
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*26*3/ ** $&3*/%&: 2' & 7/3& 0(/303&2&)8 3
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I++ EDUCAIE PENTRU SNTATE PRIVINDPREVENIREA BOLII
P(07*%/*/ $(*./(8P(07*%/*/ $(*./(8 3028 >2:"+ E*/(&/ 3026* **%0( 6& .&6*' $(&6*$0)/2&, 3'. /( 7*:
- &$'2&(* $(&%'21*& %/ 7(*1 * '.&)&/%8- *25/%/(&/ 6& $(/7 /' 6& /%& '4/2 & *(*/2&- &*%*.- /4/1*.- &$'*)/(& 7*)*38+
+ S& 0( 6&$*/ * 2&'(/%*)/ '(&%& 6& *27&3 *&+ + S& 0( /$%*3/ .8'(* 6& &%*.*2/(& / '(&* 6& (/2.*&(& $(*2
'4&(3'%0/*3&+#+ E*/(&/ /1%0.&(/ **%0( 6& 38(& 48(2 3'*$80/(& - 8 2' (0$&38 >2 ?'( - 8 3'(& & .'30// 4'3/%8 * 6*2 ** 3' /.$0/2& &(*%&+
P(07*%/*/ &( */(8
P(*2 $(07*%/*/ &( */(8 & '(.8(& &: - (&*2&1(/(&/ 03*/%8 * 7/.*%*/%8 - (&$&3/(&/ $%/2'%'* 6& (&3'$&(/(& - 302(0% $&(*06*3 %/ .&6*3'% 6& 7/.*%*& - &*/(&/ 7(*1'%'* * '.&)&%** - (&$&3/(&/ '2'* (&1*. 6& */ 8 &35*%*4(/ - (&$&3/(&/ .8'(*%0( 6& *1*&28 $&(02/%8 /%*.&2/(8 * 6& */ 8 - &*/(&/ &70('(*%0( ./(* 9$(&%'21*&;+
2C
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'D
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CAPITOLUL II STUDIU DE CAZ
CULEGEREA DATELOR
PACIENT " PACIENT PACIENT ume iprenume
E"0 4"%" *""
%rsta 2= ani cm
*rupsanguin
E+++ E+++ #++
3otiveleinternrii
+napetenta! tuse seac! scdere
ponderal! durere(jungHi toracic)!
+napeten! tuse seac! scdere ngreutate! durere (jungHi toracic)!ebr(I'C!2J0! depresii!
+napetenta! tuse seac! scdereponderal! stare ebril(I'?!
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ebr moderat(I'?J0)! depresii!
transpiraii nocturne"
transpiraii nocturne! insomnie!astenie i9ic marcant"
marcant! transpiraii nocturne!insomnie"
+storiculbolii
.acienta se pre9intG pe data de2D"D'"2D1;! la ora 11GDD lapitalul 3unicipal 0mpina! laecia de Eoli +nterne! cuurmtoarele simptomeG -inapeten! tuse seac! scdereponderal! durere! ebr '?J 0"e internea9 de urgen cudiagnosticulG .leure9ie ba9alstnga"
.acientul se pre9intG pe data de1C"D
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ANALIZA NEVOILOR FUNDAMENTALE NESATISFCUTE
PACIENT " PACIENT PACIENT N&0*/7'26/.&2/%82&/*783'8
1" N&0*/ 6& / (&$*(/ =* 6& /&/ 0 4'283*(3'%/@*&
1" N&0*/ 6& / (&$*(/ =* 6& /&/0 4'28 3*(3'%/@*&
1" N&0*/ 6& / (&$*(/ =* 6&/&/ 0 4'28 3*(3'%/@*&
P(04%&./ 6&6&$&26&2@8
- 4ispnee- 6bstrucia cilor respiratorii
- 4ispnee- use- 6bstrucia cilor respiratorii
- 4ispnee
E*0%01*/ - 5ipsa cunoaterii mijloacelor eicace dedegajare i e@pectoraie- .re9ena secreiilor
- .roces inlamator- .re9ena secreiilor
- .roces inlamator
M/2*7&/(&/ 6&6&$&26&2@8
- Eradipnee- 0iano9a bu9elor! ungHiilor! tegumentelor- 8gomot respirator modiicat- 3uco9iti- useG uscat! persistent"
- Eradipnee- 0iano9a bu9elor! ungHiilor!tegumentelor- 8gomot respirator modiicat- 3uco9iti- useG uscat! neproductiv!persistent! Kuinoas"
- Eradipnee- 0iano9a bu9elor! ungHiilor!tegumentelor- 8gomot respirator modiicat- useG uscat! persistent"
''
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PACIENT " PACIENT PACIENT N&0*/7'26/.&2/%82&/*7/3'8
2" N&0*/ 6& / 4&/ =* 6& / .
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N&0*/7'26/.&2/%82&/*7/3'8
'" N&0*/ 6& / &%*.*2/ '" N&0*/ 6& / &%*.*2/ '" N&0*/ 6& / &%*.*2/
P(04%&./ 6&6&$&26&2@8
- 0onstipaia- 4iaore9a
- 4iaore9a - 0onstipaia- 4iaore9a
E*0%01*/ - #limentaie inadecvata- 4iminuarea mobilitaii- &idratare neadecvat
- &idratare neadecvat - #limentaie inadecvat- 4iminuarea mobilitaii- &idratare neadecvat
M/2*7&/(&/ 6&6&$&26&2@8
- ran9it intestinal ncetinit- Ealonare- ranspiraii nocturne
- ranspiraii nocturne abundente - ran9it intestinal ncetinit- Ealonare- ranspiraii nocturne
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PACIENT " PACIENT PACIENT N&0*/7'26/.&2/%82&/*7/3'8
;" N&0*/ 6& / /60(.* =* 6& / & 06*52* ;" N&0*/ 6& / /60(.* =* 6& / &06*52*
;" N&0*/ 6& / /60(.* =* 6& /& 06*52*
P(04%&./ 6&6&$&26&2@8 - 4iicultatea de a se odiHni- /pui9are - 4iicultatea de a se odiHni- /pui9are - 4iicultatea de a se odiHni- /pui9are
E*0%01*/ - 4urere! jungHi tHoracic- 4ispneeLtuse- 4iicultate n a stpni stresul
- 4urere! jungHi toracic- 4ispneeLtuse- 4iicultate n a stpni stresul
- 4urere! jungHi tHoracic- 4ispneeLtuse- 4iicultate n a stpnistresul
M/2*7&/(&/ 6&6&$&26&2@8
- omn insuicient! tre9iri repetate- 4escurajare- lbire- #patie- #stenie
- omn insuicient! tre9iri repetate- 4escurajare- lbire- #patie- #stenie
- omn insuicient! tre9irirepetate- 4escurajare- lbire- #patie- #stenie
'=
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PACIENT " PACIENT PACIENT N&0*/7'26/.&2/%82&/*7/3'8
2%*.*& 20(./%&
P(04%&./ 6&6&$&26&2@8
- &ipertermia - &ipertermia - &ipertermia
E*0%01*/ - .roces inlamator inectios pulmonar - .roces inlamator inectiospulmonar
- .roces inlamator inectiospulmonar
M/2*7&/(&/ 6&6&$&26&2@8
- 4iaore9a- ebr moderat (I'?J0)- risoane- .iele rosie i ierbinte
- 4iaore9a- ebr ridicat (I'C!2J0)- risoane- Piele rosie i ferbinte
- 4iaore9a- ebr moderat (I'?!
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PACIENT " PACIENT PACIENT N&0*/7'26/.&2/%82&/*7/3'8
>" N&0*/ 6& / *28@/ 3'. 8 >=* $8(&)&828/&/
>" N&0*/ 6& / *28@/ 3'. 8 >=*$8(&)& 828/&/
>" N&0*/ 6& / *28@/ 3'. 8>=* $8(&)& 828/&/
P(04%&./ 6&6&$&26&2@8
- 0unotine insuiciente - 0unotine insuiciente - 0unotine insuiciente
E*0%01*/ - +naccesibilitatea la inormaie - +naccesibilitatea la inormaie - +naccesibilitatea la inormaieM/2*7&/(&/ 6&6&$&26&2@8
- 0unotine insuiciente asupra bolii! amsurilor de prevenire! a diagnosticului
medical"
- Cunotine insufcienteasupra bolii, a msurilor deprevenire, a diagnosticuluimedical.
- 0unotine insuicienteasupra bolii! a msurilor de
prevenire! a diagnosticuluimedical"
PLANIFICAREA INGRIJIRILOR
'C
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PACIENT " PACIENT PACIENT
OBIECTIVE
"+ -P/3*&2/ 8 $0/8 (&$*(/20(./% >2 ./*. # 5- P/3*&2/ 8 $(&)*2& 0 /(&6& 2'(**& /6&3/8 >2 ./*.
# 5- P/3*&2/ 8 7*& 5*6(//830(&$'2)80( >2 ./*. # 5- P/3*&2/ 8 &$(*.& /4&2@//' 6*.*2'/(&/ '&* >2 ./*.# 5- P/3*&2/ 8-=* $0/8 .&2@*2&&.$&(/'(/ 30($'%'* >2%*.*&%& 20(./%& >2 ./*. #5++ E6'3 $/3*&2/ >2 &6&(&/3'20/=&(** =* >2@&%&1&(**$(04%&.&%0( %&1/& 6& 40/%8- P/3*&2/ 8 4&2&7*3*&)& 6&
(//.&2 30(&$'2)80( >2&6&(&/ (&7/3&(** 30.$%&&- P/3*&2/ 8 (&$&3&(//.&2'% $(&3(*- P/3*&2/ 8 (&$&3& (&1*.'%*1*&20-6*&&*3 (&30./26/- P/3*&2/ 8 &*& )02&%& 3'/.07&(8 $0%'/8, 7(*1'% =*'.&)&/%/-P/3*&2/ 8 &*& &70('% 7*)*3
"+ P/3*&2'% 8 $0/8 (&$*(& 20(./%>2 ./*. # 5- P/3*&2'% 8-=* $0/8 .&2@*2&&.$&(/'(/ 30($'%'* >2 %*.*&%&
20(./%& >2 ./*. # 5- P/3*&2'% 8 &$(*.& /4&2/ /'6*.*2'/(&/ '&* >2 ./*. # 5- P/3*&2'% 8 7*& 5*6(//30(&$'2)80( >2 ./*. # 5- P/3*&2'% 8 $(&)*2& 0 /(& 6&2'(**& /6&3/8 >2 ./*. # 5++ P/3*&2'% 8-=* (&3/$&& /(&/ 6&4*2&, 3/(& 8 7*& >2 30230(6/2@8 3'6*.*2'/(&/ /' (&)0%/(&/$(04%&.&%0( 3' 3/(& -/ $(&)&2/- P/3*&2'% 8-=* (&3/$&& *26&$&26&2@/3/ ./* (&$&6& $0*4*%- B0/%/ 8 &0%'&)& 78(8 30.$%*3/@**+
+ E6'3 $/3*&2'% >2 &6&(&/3'20/=&(** =* >2&%&1&(** $(04%&.&%0(%&1/& 6& 40/%8- P/3*&2'% 8 4&2&7*3*&)& 6& (//.&230(&$'2)80( >2 &6&(&/ (&7/3&(**30.$%&&- P/3*&2'% 8 (&$&3& (//.&2'%$(&3(*- P/3*&2'% 8 (&$&3& (&1*.'% *1*&20-6*&&*3 (&30./26/
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+ E6'3 $/3*&2'% >2 &6&(&/3'20/=&(** =* >2&%&1&(** $(04%&.&%0(%&1/& 6& 40/%8- P/3*&2'% 8 4&2&7*3*&)& 6& (//.&230(&$'2)80( >2 &6&(&/ (&7/3&(**30.$%&&- P/3*&2'% 8 (&$&3& (//.&2'%$(&3(*- P/3*&2'% 8 (&$&3& (&1*.'% *1*&206*&&*3 (&30./26/
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- /*1'( $0)*@*/ =&)
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APLICAREA INGRIJIRILOR
P(04%&./ O4*&3* I2&(&2** /'020.& =* 6&%&1/& E/%'/(&- '.&)&3 /&('% 6*2 >238$&(&
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- %/ *26*3/@*/ .&6*3'%'* /6.*2*(&) $& 3/%& 0(/%8E.&*(/%9/2*&.&*3;, "3$)*+
- (&30%&) $(04& 4*0%01*3& $&2(' &/.&2&%& 6&%/40(/0(
.'30/&%& '3/&,$*&%& /$(8+
+ ELIMINAREAINADECVAT
P/3*&2/ 8$(&)*2& &%*.*28(*
/6&3/&+
- /*1'( /%*.&2& '=0( 6*1&(/4*%& =* %*35*6& >2 3/2*8@*20(./%&
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- (&30%&)
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+ DIFICULTATEAN A-I MENINETEMPERATURA
CORPULUI NLIMITE
NORMALE
P/3*&2/ 8-=*.&2@*28
&.$&(/'(/30($'%'* >2 %*.*&
7*)*0%01*3& >2'(.80/(&%&
# 5+
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D'$8 # 5 7&4(/-/ 6*.*2'/ =*$/3*&2/ /(& 0
/(& 6& 4*2& 7*)*3=* $*5*3+
PACIENT "+ RESPIRAIAINADECVAT
P/3*&2'% 8$(&)*2& 38*(&$*(/0(**
$&(.&/4*%& =* 04'28 (&$*(/@*& >2
'(.80/(&% 5+
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- /*1'( (&1*. /%*.&2/( 6&06/, 401/ >2 3/%0(** =**/.*2&%&: Q, C, D, C/
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- (&30%&) $(04& 4*0%01*3& $&2(' &/.&2&%& 6&%/40(/0(
+ ELIMINAREAINADECVAT
P/3*&2'% 8$(&)*2& &%*.*28(*
/6&3/&+
- /*1'( %*35*6& >2 3/2*8@* 20(./%&- /*1'( %&2?&(*& 6& 30($ 3'(/8
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- (&30%&)
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+ DIFICULTATEAN A-I MENINETEMPERATURA
CORPULUI NLIMITE
NORMALE
P/3*&2'% 8-=*.&2@*28
&.$&(/'(/30($'%'* >2 %*.*&
7*)*0%01*3& >2'(.80/(&%& # 5+
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TH,C
D'$8 # 5 7&4(/-/ ./* 6*.*2'/*/( $/3*&2'% /(&
0 /(& ./*>24'288@*8 6&
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$*5*3+
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P/3*&2/ 8$(&)*2& 38*(&$*(/0(**
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4'28 (&$*(/@*& >2'(.80/(&% 5+
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2'(*@*02/% >2'(.80/(&%&
# 5+
6& *.$- /*1'( 3%*./ 3/%6, $%83', /%02 /&(**
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V*/.*2/ Q, C, D, C/%3*'- /6.*2*(&) $& 3/%& 0(/%8 E.&*(/%9/2*&.&*3;, "3$)*+
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&1'.&2&%& =*.'30/&%& '3/&,
$*&%& /$(8+
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P/3*&2'% 8$(&)*2& &%*.*28(*
/6&3/&+
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.&6*3:- A%103/%.*29/2/%1&)*3;, 0(/%, " 3$ 6*.*2&/@/, " 3$
&/(/- D*/)&$/.9&6/*&;, 0(/% " 3$ &/(/+
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CORPULUI N
LIMITENORMALE
P/3*&2'% 8-=*.&2@*28
&.$&(/'(/30($'%'* >2 %*.*&
7*)*0%01*3& >2'(.80/(&%& # 5+
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0 /(& ./*
>24'288@*8 6&4*2& 7*)*3 =*
$*5*3+
-
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TRATAMENT
DENUMIREAMEDICAMENTULUI
FORMADE
PREZENTARE
ACIUNE MODDE
ADMINISTRARE
DOZ ZILNIC
PACIENT " STREPTOMICINA Flacoane Antibiotic IM. 1g!i 1gAL"OCALMIN Fiole Analge!ic IM. 1 #iola
$i%ineata& 1 #iola'ea(a
) #
NILFAN Ca*'+le Anti,i'ta%inic O(al 1 c*!i 1 c*PREDNISON Ca*'+le Co(tico'te(oi$ O(al& *(i%a !i - c*
/0%g 'e 'ca$t(e*tat *ana la
$o!a $e int(etine(e$e 12/ c*!i
Se ince*e c+ /0%g'i 'e 'ca$e 1 c* la
3 !ile
DIAZEPAM Ca*'+le Se$ati4 O(al 1 c* 'ea(a 1 c* )%gEMETIRAL Ca*'+le Antie%etic O(al 1 c*!i 1 c*
O5I"ENOTERAPIE Cent(ali!at6 *(in%a'ca
O7igena(e O(al 8092-09concent(atie O)
CODEINA Ca*'+le Antit+'i4 O(al / c*!i PERFUZII2"LUCOZA2
SER FIZIOLO"ICFlacon :i$(atante I;. 2 300 %l
2 300 %l
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PACIENT STREPTOMICINA Flacoane Antibiotic IM. 1g!i 1gACID
ACETILSALICILICCa*'+le Analge!ic O(al 1 c*
$i%ineata& 1 c*'ea(a
) c*
MEPRO
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$o!a $e int(etine(e$e 12/ c*!i
DIAZEPAM Ca*'+le Se$ati4 O(al 1 c* 'ea(a 1 c* )%gEMETIRAL Ca*'+le Antie%etic O(al 1 c*!i 1 c*
O5I"ENOTERAPIE Cent(ali!at6 *(in%a'ca
O7igena(e O(al 8092-09concent(atie O)
DE5TROMETORFAN Ca*'+le Antit+'i4 O(al / c*!i
PERFUZII ="LUCOZA = SERFIZIOLO"IC
Flacon :i$(atante I;. 2 300 %l 2 300 %l
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EAMENE DE LABORATOR
ANALIZA CERUTA MOD DERECOLTARE
VALOARENORMALA
VALOAREAOBTINUTA
PACIENTUL " E/.&2 4/3&(*0%01*3 -$'/
- e ia eprubeta petampon steril! se
ume9ete tamponulde vat cu ap
distilat! se apaslimba cu spatula! seintroduce tamponul
n aringe cerndpacientei s tueasc"
negativ negativ
G%*3&.*& - 2ml snge pelorura de sodiu ;
mg"
D!?D M 1!2DgN D!?>N
T(/2/.*2/)& - snge simplu < M1Dml"
- vacutainer galben"
*6 2 M 2D7+*. 2 M 1=7+
*6 1
-
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D!;ml citrat de sodiu'!?N"
- vacutainer negru
- 1D
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- vacutainer negru"LG - 2ml snge pe
cristale de edt 1N!D!
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VS - 1!=ml snge OD!;ml citrat de sodiu
'!?N"- vacutainer negru"
1 M 1DmmLH - >;- 1D=Lmin
LG - 2ml snge pecristale de /4#
1N! D!
-
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ETERNAREA
D// &&(2/(** S/(&/ %/ &&(2/(& B*%/2'% /'020.*&* R&30./26/(* %/ &&(2/(&PACIENTUL " +!+!"# P/3*&2/ >2
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*2&2*/& ./(& /302'('%'*'$&(*0(, 4*2&6&%*.*/+ I &/$%*38 /*&2@8.&6*3/%8+ D'$8>26&$%*2*(&/
04*&3*&%0( =**2&(&2@**%0(,$/3*&2'% &&&(2&/)8 3'/(&/ /.&%*0(/8+
PACIENTUL "+!#+!"# P/3*&2'% >2
-
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$026&(/%8, 7&4(8 =*6*$2&&, *20.2*&,(/2$*(/@**203'(2& =* /&2*&7*)*38+I & &7&3'&/)8(/6*01(/7*&
$'%.02/(8, 3/(& 8(&7%&3& 0$/3*/&/0.01&28 6&*2&2*/& ./(& /302'('%'*'$&(*0(, 4*2&6&%*.*/+ I &/$%*38 /*&2@8.&6*3/%8+ D'$8>26&$%*2*(&/04*&3*&%0( =**2&(&2@**%0(,$/3*&2'% &&&(2&/)8 3'
/(&/ /.&%*0(/8+
=* $8(&)& 828/&/
=1
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=2
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==
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III+ BIBLIOGRAFIE
P1Q #natomia i i9iologia omului M ndrumtorpentru proesori i elevi:
.roesorG *rad + M 6lga .anaitescu
.roesorG *rad + M /lena .reda
P2Q 3edicina intern.roesorG 4r" 4ocent icolae 0rngulescu
P'Q 3edicin intern4r" R" .un4r" /" eropian.roesor 4r" ." eodorescu
P;Q .leure9ia seroibrinoas4r" +" *ologan
P
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