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18 Ingrijirea pacientilor cu af. neurologice.pdf

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capitotnt 13. iNGRT.nREAr,\cll:N rILoR cu AllcTluNl Nf,uRoloclcE Miclosaiia consi in cxplorore, tudiogatici d conlinutului o[idian Prin irJcclarca nr sp]tiul  , i.\' ro 'n J 'T' .uh JnFdc.ni. oo.'c,'J'- hb1.. Acc$ *onrcD pc.mite st sc vi^alia cu ptocizic sttrcrurilc vcncbrdlc si paravorlcbrdlc lonbec (vcnlbrc. dhcuri inienencbralc. ljtsamenc 'nuscularc. niJuvr spinnni) DLPi inroduccnd scdnrcFului ti lDoi a rel.n.nrci Dagndicc, lcelsri rehniri esre din ce tu re mli - siidm.nc nc.rologice deidmindrcdoo comprcsirtrc nrcdulari sau mdiculffii tumori cerebrile sru ncuonenineiene (arlnci cinJ s.amcr ul ri IRM sum nc.oncludcnrc). - alcrsic 10 slbsianla io{bri: - hircncnsiuncinrEmniani: - $ cxpllca pacie$ului pr.ccduai  eobrinec.nsinlrlnintllinfomail sc lacc anamne,a pentu . cxclude un erenrual isbnc dc drgie la nil - sc nrc lunduldcochitcniru a.xcludc scnnclc dclripetcnsiunc nhcranianr: so pldnin.li la r.diolosicl .",ertr'i ..ri.ri . c"Jtur - dn1 Je "ni'- ii ' sc Doleazi un carctd / brdndll pc o vcna pcritcrici: sd injercazi sub$ la iodati in crndld ..thidjar (Omnipaq0c) prin pmctic tunidixni cfcct ati lombrr, dird pc msrradioL.gi.i: - dup, locaLizarca Edioscolici a scgmcDtnlui corsidcm slspeci, se efectuea- rdiogEfii din 2 planrri: rnreropo(criorii pronli
Transcript
Page 1: 18 Ingrijirea pacientilor cu af. neurologice.pdf

 

capitotnt

13. iNGRT.nREAr,\cll:N

rILoR

cu

AllcTluNl

Nf,uRoloclcE

Miclosaiia

consi in cxplorore,

tudiogatici d conlinutului o[idian

Prin

irJcclarca nr sp]tiul

 , i.\'

ro

'n

J

'T'

.uh JnFdc.ni.

oo.'c,'J'-

hb1..

Acc$ *onrcD

pc.mite

st

sc

vi^alia

cu

ptocizic sttrcrurilc vcncbrdlc si

paravorlcbrdlc

lonbec

(vcnlbrc.

dhcuri inienencbralc.

ljtsamenc

'nuscularc.

niJuvr

spinnni)

DLPi

inroduccnd scdnrcFului

ti

lDoi

a rel.n.nrci Dagndicc,

lcelsri rehniri

esre

din

ce

tu re

mli

-

siidm.nc nc.rologice deidmindrcdoo

comprcsirtrc nrcdulari sau

mdiculffii

tumori

cerebrile

sru ncuonenineiene

(arlnci

cinJ s.amcr ul ri IRM

sum

nc.oncludcnrc).

-

alcrsic 10 slbsianla

io{bri:

-

hircncnsiuncinrEmniani:

-

$

cxpllca

pacie$ului pr.ccduai

 eobrinec.nsinlrlnintllinfomail

sc lacc anamne,a

pentu

. cxclude un erenrual

isbnc dc drgie la

nil

-

sc nrc lunduldcochitcniru

a.xcludc scnnclc dclripetcnsiunc nhcranianr:

so

pldnin.li

la r.diolosicl

.",ertr'i

..ri.ri .

c"Jtur

-

dn1

Je

"ni'-

ii

'

sc Doleazi un carctd

/ brdndll

pc

o vcna

pcritcrici:

sd

injercazi sub$

la

iodati

in crndld ..thidjar

(Omnipaq0c)

prin pmctic

tunidixni

cfcct ati lombrr, dird

pc

msrradioL.gi.i:

-

dup, locaLizarca

Edioscolici

a scgmcDtnlui corsidcm slspeci, se efectuea- rdiogEfii

din 2

planrri:

rnreropo(criorii

pronli

Page 2: 18 Ingrijirea pacientilor cu af. neurologice.pdf

 

MON TORULOF

C

ALAL

ROMAN

E

pcfttr

efc.tuau

in tunc coDdilij

.

mdiodii troirc

prcvizot

.u rirri

aDlnilcdonLl

de

luDnrozirdE

cqrlxr

hnic

ptuqr6

contn ridiariil.r x

Nlielognlir

|runc

nr.vidcrli:

Lnna

si

dincnsiunil

c$aluhi

spimt:

tc

n.abl arca acestuia.

cr.nrurlel. .hidcdlc:

lonM.dimensiunlcsi.uneori.chiar

rruRob$asolutu.

Pi.cntul

vr ramanc

la

pxr pini

iodu vr

kcccinciEnt.tia

sincrnica(j

6 ore).

13,2

f, lcdrocncciatogrdir (t.l].(;)

it$.

mttnan.

dplrrd funcrlonati

b./ard

l)c

dcrccturca. anrptili.iEa

sij-iscicrca

gLati.i

..tlliiirii

biorlcctrcc cerebmtc

cn

xjdomt

ufor clcrko/i

antt^Jii

Dc

rcxlp

jj

con-c.rari tr

,'

Fd

'

.tr.

....,"c

\c

e xpllci

tmceduD,

i'n ponanrr

rcc$eia pcn1ru

dirgi o

rc:

sc obl,fe

coDr nraDiin'l

ntbnmr:

sc inrcrut. cu

24 h nnint nredicitir

.iE inuucilcrzi

rdi ir.tca

.crbrdtrl

.

so soli.iri pr.icnr'lui s

tispctc

prn'tc'puh,i

pcnrru

I

iltiruD

qc.$l

dc

sebufr

m,eloa'alif.

sc rccomandi

utiizau

mli anrnr d.

hN(L

inr.

'clc ,lJr

.L

'.' r

rnpL,ftrr

n

i,,

\ trn m,

nif

T\

sc i'(tuic(

prci.ntut

si

rrnril'i

rh\rl

in rimprl

iire htlirii

si sii

inrcr.

pc

D

icrnfu

..rptrru

si

.1. och tor

{ iiuzii

el(r.7ir

Drdxlici

rc

piclcr

capuh

cu rjuroul

uior bcrTi

.Lr(icc.

dtrpi

o

d. rcrc

nrcaLtrbila

a :rcicia

(drca

ck crnt):

.c

,J

il..t.41r.

y,

in

,, fi(1,

n..n,,

,r,1

.,,eJ..

.1..,

'cn

,l

t'iii'.'i

,..h.p.n'

,r.

.",|

,

L

e,LJ.

.

brcu'cftir

uprari

li

anplinctLf dc

dispoznivul

.tccr.ni.

dc

abpLiti .r.

strni

nr+isrrri

I

i r.

-ri'

-

P oIECrdfijircgiyrdc]Lfdenomrle(rltir.bcrasirhcfu)sio

ii

pjrotoei.i

if

nr.

dcr.ghe. darfonhali

pentru

annnre

jizc

dc somn

unda

deLh:

Uidele.r

ru o ltudsta

do 3.il H/

iisr

ifscriu

Lr

subicdtrtor

ochn

inchitii

r-lDdclc

p

sc crildcnzc./ii pri'n.

o tucvcnri

dc t4 l0 flzi

sc inscdr

cind subrcdLt

{e

'

Unddlc rh i..u

o ihcvqrla

(tr,17Ir

lncidcnrr undct.r

rhda

crcrre

troerujv

pc mr$m

in{ahrn

la^lrdc loinn pmftn4

lncx/detollnraricftularorilnalorc.

H]1(;

r'a1i

u

jrtobali

r

i.dnirit

conjcrte

Sc

nrcducc

o s.adcrc a ftecvcnici

sianrplitudtnii

undc

or

jllir

ii

nrinciDrl:

Page 3: 18 Ingrijirea pacientilor cu af. neurologice.pdf

 

MON

TOFUL OF CALAL ROMAN

E

-

EEC

lroxF

si

przdc.

cticr. cxre

sLr iiD.Dr.D.

p

xznc J. fxrurit

crrnccrehrri Fl.

i\i xu

origncr Jic lx ficinDr.dtrl hcorir..ilor

s iD

apf.toiL trritiTdi

(ct.n

i

tscrcnt nnefdcrc

suDr ,nis.i,i.

.{lrc. rcmtrriiruile.

trip. .nriL ir.

hroni,nnlr.r

iinrbi irrics c.ctr./Lrortxra

nc

ltrr. DnLficienra.

r

3,3 Ilftrronnxrrfir

0ii[G)

El.dmn,n,grur'i]

cs.

un rn lnlosr

n.nhL

nncgsrarc. a.rnlarii

clrdrice

I nnN.[jLf

(

inn

nrufhii

sur .cnri. x..{i.

prudLLc

irnntrlnni.Lrr'i..

(li'.cr

pDponbnxtc

cu

N,clu

rdtr iil

FNll;.{c r.onmdxlli

in

unniibanlc

ralu' :

.

pcrtu

(bilncr

cxu/eLo.i',explilabilc

d. nibi.iune

(hitiof.)

nnacLtr,:

bllirtr

diiiLcrlcln

{dr. hinohn I

nru{r xri

Dm\

Drnrrl

i ic{

d.lennndi

d. rle riLDi

ilc

sircrntrlui

fc

)s:

s.brln r dirgDo{icoh ditirtrrxr ir1r.

hrpororir dcr.nrrtnnft

dc nte.rtrtri. Dn^urrrl

pmD

nr

Tis. s c$

thrci ni,ida

d.

irnobilizrro din.ruli

du.nnn srtr t|scidr

rrolndLl

i,'

ci^'lxdLltrLr dnc ru

[e\upuDc

pr.gnni\necn

c:

.

i"

ozLl nirilld s. reloDr

da

o dn.uric

de\dnsi

trlir

pdiru

i

j

hmtrf/r rr

proc.dtrii

dura

d. clcdrorniogrxfi e

pcfto

c[crrrcr

cn3 rlL'is. tr trLlcaN

eer&/i

nj

nr.te

oiini

tr

rrtlLtnrl|.t]

ti; rl

inrtrlirnrlki i. i. (niicl.dirr

I rrc$ril

xch\iraicr

rl..i.l

dr irrclnbad \izuxt

.u

ljubrl

rrur

olri.\.op

r. unrr rj

:riLronLtrtru

rpuk

'.

|.fto

o inrr{in .

.d nrai cu.ihrii

a rdn irfu

cl(ric.

r

nrs.hj. {brt.lj.

rjr

r.c.sxii

ln

o\n.x iui N'lnY .lc. r,l

.

prtz.n[.

ni]ritucx

n

nff hniioi

nnbc

(por.Drlt

dc.crtrnr).its .

p.

o.ltL6rop

tin,i^x/i

trlirMlird.nnccrprciht.fnrscl

ilorttrxEspu.dctrnnuLir.no\i:

filr

erN.hi.rres.conr.ritiodu$LnporenirLdcn.huc:

rari'n3r l:ihri n sn,l.r

nrllutr/i rrr

f.nna'i]

u triDolcrrt.ldrrctruDc)rl

brpirudii,.1

f

orcihxlLrltri d. r.liunei

ir NDc

tul x tuducsliaoetor

ctrdm/ipar, r

Dncll,tn

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s.r41io

d. dn.onfor

llzj .schiniitrlrc

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r..

drj rLirdiiLd i[r.muscu

]r:

-

dupii

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Lr

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a

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i

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nr

orr. crluric

s.rLr

(itxslor

rlnrc/

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h r.it.c lirnptL,

jinrid

Page 4: 18 Ingrijirea pacientilor cu af. neurologice.pdf

 

A

POVNNI

OAO

Descri

$., sco

rul

ui C t,sgorv

Sc.rul

(ihsglw

(6hsgoN

Conr scxlc.

CCS)

i tdn con.cp0r

dc

Tc.sdalc

si Jcnnert

{t97.1)

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triui

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sru a

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Lr

ni'n'rlan.

-

rasptrns

n,ororprin

neric

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spft L.cul

duEnN).

mui ni.,nbtu

satr I

ambc o. nrc,nhn.

suncriod .la

{

nnrlxrea d

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tr n.r,

I

tn

frn{r

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tinndsuri

ncctar.. paci.nr

L

Inrcrprcrarer

rezultarcl.r

sc .

15(dr\imum)

fonnrt

Scor 1:l

=

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arii

trsoari

scor 9 r2

-

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cb'dlinoderura

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Doror

pri'i

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inlcligibilc)


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