CAPITOLUL III
PLANURI DE ĪNGRIJIRE ALE PACIENŢILOR
CU AVORT SPONTAN
CAZUL I
o &nb 23223d320x sp; Apartinatorii
o &nb 23223d320x sp; Pacienta
o &nb 23223d320x sp; Echipa de īngrijire
o &nb 23223d320x sp; F.O.
§ &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; Aparat respirator: torace normal conformat, simetric, murmur vezicular prezent bilateral, sonoritate pulmonara normala, cai aeriene superioare permeabile, fara raluri, frecventa respiratorie - 10 respiratii pe minut.
§ &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; Aparat cardio-vascular: aria matitatii cardiace īn limite normale, soc apexian īn spatiul V i.c. pe linie medioclaviculara, zgomote cardiace regulate, bine batute. TA - 100/70mmHg, AV - 90 b/min.
§ &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; Aparat digestive: greturi, varsaturi (mai ales matinale), pervertirea gustului, pirozis, senzatie de balonare, sialoree, ficat de dimensiuni normale, nedureros la palpare, cu marginea interioara la rebordul costal, splina nepalpabila, tranzit intestinal prezent - constipatie.
§ &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; Aparat uro-genital : polakiure, diureza 1500 ml/24 ore, rinichi usor mariti ca volum, vagin vascularizat, col fara leziuni.
§ &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; Sistem nervos si organe de simt : pacienta orientata temporo-spatial, ROT prezente, RFM normal, anxietate, tulburari ale somnului, cefalee, vertij.
§ &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; &nb 23223d320x sp; Metabolism : temperatura bazala crescuta : 37 grade Cerlsius.
|
