+ All Categories
Home > Documents > Cazuri+ Planuri Ingrijire

Cazuri+ Planuri Ingrijire

Date post: 04-Jun-2018
Category:
Upload: ioana-parvan
View: 375 times
Download: 4 times
Share this document with a friend

of 48

Transcript
  • 8/13/2019 Cazuri+ Planuri Ingrijire

    1/48

    PLANURI DE NGRIJIRE ALE PACIENILOR ITEHNICI DE LUCRU

    CAZUL IPLAN DE NGRIJIREI. CULEGEREA DATELORDATE GENERALEIniiale: H.S.;V!"#a: $% ani;Se&: ';S#a!e (i)il*: (*"*#+!i#*;

    N!. (+,ii: -;Reliie: +!#+/+&*;

    Nai+nali#a#e: !+0n*;

    L1. )+!1i#*: !+0n*;O(2,aia: ,en"i+na!*;D+0i(ili2l: l+(ali#a#ea One3#i; l+(2ie3#e (2 "+2l 3i (2 (+,iii.

    DIAGNOSTICUL: HTA ESENIAL4 "#a/i2l III

    O5INUINE DE VIA4 I 6UNC4:al(++l7 #2#2n7 (a8ea: n2 (+n"20*!e2#a#e: 9 ; ?@ =-@; ,2l" > 99 1*#*i 0in.;

    !e",. > @ ! 0in.; #B > -%7$ BC.CO6PORTARE 'A4 DE 6EDIU: +!ien#a# #e0,+!+",aial.6OTIVELE INTERN4RII: )al+!i #en"i+nale > -@ =-@ 00 H; (e8alee ,!e/+0inan# +((i,i#al*; )e!#iF; /2!e!i ,!e(+!/iale.ANA6NEZA:An#e(e/en#e e!e/+(+la#e!ale: 0a0a > HTA;

    An#e(e/en#e ,e!"+nale: P6 > =? ani7 U6 > $= ani7 S > $7 A > 7 N > - =$? ani: HVA e,a#i#* )i!al* a(2#* = -9 ani: a"#0 1!+n3i( ale!i(; =9 ? ani: HTA ESENIAL4.ISTORICUL 5OLII:Pa(ien#a (2n+"(2#* (2 an#e(e/en#e /e HTA ESENIAL4 /e a,!+&i0a#i) =$ani TA 0a& > ?@ =?@ 00 H.

    =

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    2/48

    n 2!0* (2 #!ei ani e"#e in#e!na#* la S,i#al2l One3#i 3i ,!i0e3#e #!a#a0en# (2ENAP7 NI'EDIPIN7 CAPTOPRIL ,e (a!e

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    3/48

    Pa(ien#a: HS7 $% /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    S2!"e /e /i8i(2l#a#e: /e +!/in 1i+8ii(: )!"#a7 "e&2l7 +!ani"02l ,!e/i",2"7 ali0en#aie; /e +!/in ,"i+l+i(: "#!e"7 nelini3#e 8a* /e /ian+"#i(; /e +!/in "+(i+l+i(: "(i01a!ea 0+/2l2i /e )ia*7 i0,+"i1ili#a#ea /e a2!0a /ie#a; li,"a (2n+a3#e!ii: (2n+3#ine in"28i(ien#e /e",!e 1+al* 3i (+0,li(aiile

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    4/48

    /. ". Re",i!aia/. ". Ten"i2neaA!#e!ial*/. ". Di2!e* S(a2n G!e2#a#ea-.@= -%7$ -%79MC 9 9?

    ,0in. =% =!e",0in -=- =00H =@@ 0l @ 9 ?.@= -%7 -%7%MC 9% 9

    ,0in. =% =%!e",0in === ===

    00H @@@ 0l = 9= $.@=-%79 -9MC 9@ 9?

    ,0in. =9 =%!e",0in =9=@ =%==00H =@@ 0l @ 9= %.@=-%7$ -9

    MC 9% 9?,0in. =% =$!e",0in =9 =900H =@@ 0l = 9@ 9.@=-%7$ -%7%MC % 9%

    ,0in. =$ =!e",0in =% =%00H =9@@ 0l

    = 9@

    ?

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    5/48

    Pa(ien#a: HS7 $% /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    GRA'IC

    Zi2a -.@= ?.@= $.@= %.@= 9.@=Zile /e 1+al*=-

    ?$Re",. T.A. P2l" Te0,.DSDSDS

    DSDS

    -$-@=%@?=

    -@$=?@?@

    $@

    $

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    6/48

    =@-

    @=$=@@-

    =$=@@-9

    =@

    $%@-%

    Pa(ien#a: HS7 $% /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    EKA6ENE PARACLINICE I DE LA5ORATOR

    Da#a Analie "+li(i#a#e Val+!ile analiel+! ,a(ien#ei Val+!i n+!0aleale analiel+!?.@= TGPGli(e0ieU!eeC!ea#inin*C+le"#e!+lHDL (+lLDL (+l

    (al(e0ieHe0a#+(!i#VSHT!+01+(i#eHe0+(2l#2!*:Rea(ieAl120in*

    %

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    7/48

    Se/i0en#E..G.EK. '.O.EK. !a/i+l+i( (a!/i+,2l0+na!E(+!a8ie (a!/ia(* 3i !enal*.== UI=7@ $@ 0 Q=7? 0=@@0L@? 0=@@0L?? 0 Q=-7 0 Q?.%$@.@@@00-?=Q

    00 = =@.@@@

    a(i/*a1"en#S21 =@.@@@ @?@ UI9@ =@ 0=@@0L@ =?@ 0=@@0L@7% =7= 0=@@0L

    =@ @@ 0=@@0L7$ =@7$ 0=@@0L

    ?.@@.@@@$.@@@.@@@.00-?=$Q ==$@.@@@ -@@.@@@00-

    a1"en#$.@= U!ee

    C!ea#ininaNa ?@ 0 Q=7-$ 0 Q?7? 0 0+li l

    9

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    8/48

    Pa(ien#a: HS7 $% /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    TRATA6ENT 6EDICA6ENTOS

    Da#a 6e/i(aia D+a ? 3i ,!i* Calea /ea/0ini"#!a!e A(i2nea0e/i(a0en#2l2i

    -.@=.

    =.ASPACARDIN

    . NI'EDIPINII (,. ===

    III (,. === ,e! +" (2 2n ,aa! /e a,*

    ,e! +" (2 a,* =."(a/e e&(i#a1ili#a#ea (!e"(2#* a ini0ii

    . 1e#a1l+(an#7 an#ii,e!#en"i)?.@=. =7 7-. Diae,a0= #1 +!a @ ,e! +"-. "e/a#i)

    $.@=. 9.@=.=77-

    ?.Pia8en= 8i+l*inF. i.0.?.analei(

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    9/48

    Pa(ien#a: HS7 $% /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    ALI6ENTAIA

    Da#a Rei02l ali0en#a! Ali0en#aia ,a(ien#2l2i A,+!#2l /e (al+!iii 6+/2l/e "e!)i!e

    -.@=

    Rei0 i,+"+/a# P: O 8elie ,ine ,!*Fi#*=@@!. Ca!ne /e )i#* "la1*=$@!. 6+!(+) 8ie!# la a12!= +2 8ie!# 0+ale+!a =%: =@@!. ia2!# 1i"(2iiC: $@ (i+!1* /e a!a)a#+ 8elie /e ,ine !aa0$@ !. 12/in(*

    =@

    Pa(ien#a "e!)e3#e 0a"a a(#i) la "ala /e 0e"e.

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    10/48

    ?.@=

    Rei0 i,+"+/a# D: @@ 0l la,#e+ 8elie /e ,ine in#e!al*$@ !. 2n#+!a=@:12/in(* /e )anilie=@@P:@@0l "2,* /e (a!ne78elie /e ,ine=@@ !. +!e 8ie!#

    =?-Pa(ien#a "e!)e3#e 0a"a a(#i) la "ala /e 0e"e.

    $.@=%.@=

    Rei0 i,+"+/a# O!a =@: ? 1i"(2ii=@@0l ia2!#P: $@ 0l "2,* /e ,e!i3+a!e+ 8elie /e ,ine nea!*72n +2 8ie!#.

    O!a =%: 8elie /e ,ine ,!*Fi#*$@ ! 2n#7 =@@ 0l (eaiC:=@@ !. 1!n* /e )a(i+ 8elie ,ine ,!*Fi#*2n 0*! 8*!* (+aF*.Pen#!2 n+a,#e i "e ,!e*#e"( ,e n+,#ie!* 8elii /e ,ine ,!*Fi#*.

    =@

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    11/48

    =9Pa(ien#a "e!)e3#e 0a"a a(#i) la "ala /e 0e"e7 ia! "ea!a

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    12/48

    Ne)+ia /e a (+02ni(aPa(ien#a ,!ein#* ina,e#en*7 a!e an20i#e lei2ni la ni)el2l iniil+!. Ei!a"(i1il*7 an&i+a"*7 n2 /+!e3#e "* "e ali0en#ee.Pa(ien#a "* 8ie e(ili1!a#* i/!+ele(#!+li#i(7 "* n2 0ai ,!ein#e !*ni la ni)el2l(a)i#*ii 12(ale. Pa(ien#a a

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    13/48

    Teni(* /e l2(!2: NREGISTRAREA TENSIUNII ARTERIALE

    De8iniie: Ten"i2nea a!#e!ial* !e,!ein#* ,!e"i2nea e&e!(i#a#* /e "nele(i!(2lan#a"2,!a ,e!eil+! a!#e!iali.

    Val+!i n+!0ale: @ $@ ani: ==$ =?@ 9$ @ 00H; ,e"#e $@ ani: =$@@00H.

    S(+,: e)al2a!ea 82n(iei (a!/i+)a"(2la!e7 "i"#+li(e 0a&i0a 3i /ia"#+li(e0ini0a

    P!e*#i!ea 0a#e!ial2l2i: #en"i+0e#!2 (2 0an+0e#!27 "#e#+"(+, 1ia2!i(2la!7

    #a0,+n/e )a#*7 al(++l7 ,i& al1a"#!27 8+aia /e #e0,e!a#2!* a ,a(ien#ei.

    P!e*#i!ea ,"ii(* a ,a(ien#ei: an2n ,a(ien#a 3i

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    14/48

    /ein8e(#e +li)ele 3i 0e01!ana "#e#+"(+,2l2i /2,* (a!e 0* ",*l ,e 0ini.

    A((i/en#e 3i in(i/en#e:

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    15/48

    +1ine!ea /e !e2l#a#e e!+na#e.

    Pa(ien#a: HS7 $% /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    Teni(* /e l2(!2: PREG4TIREA PACIENTEI HS PENTRU EG

    S(+,: e&,l+!a#+!. AF2# 1+lna)a

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    16/48

    CULEGEREA DATELOR

    DATE GENERALEIniiale: U.E. ;V!"#a: 9 ani;Se&: 6;S#a!e (i)il*: (*"*#+!i#;

    N!. (+,ii: =;Reliie: +!#+/+&*;

    Nai+nali#a#e: !+0n*;L1. )+!1i#*: !+0n*;O(2,aia: ,en"i+na!;D+0i(ili2l: l+(ali#a#ea One3#i; l+(2ie3#e (2 "+ia.G!. San)in AII7 RH . Ale!i( la ,eni(ilin*.

    Da#a in#e!n*!ii: 9.@?.@@% ,!in U!en*

    Dian+"#i(: HTA "#a/i2l III

    6+#i)ele in#e!n*!ii: /2!e!i ,!e(+!/iale7 )e!#iF7 (e8alee7 /i",nee.S#a1ili!ea le*#2!ii (2 ,a(ien#2l: =@=@@ 00H7 "#a!e ene!al* al#e!a#*7 #e20en#e,ali/e7 e/e0e a01ie!e.An#e(e/en#e ,e!"+nale:HTA /in =99An+! in"#ala# /in =$5,a"" (+!+na!ian =%Dia1e# aa!a# #i, II =$ #!a#a0en# (2 in"2lin* /in @@'i1!ilaie a#!ial* @@@AVC e01+li( @@@

    An#e(e/en#e e!e/+(+la#e!ale6a0a /e(e/a#* la $$ ani /e (an(e! a"#!i(.Ta#*l /e(e/a# la ? /e ani.C+n/iii /e )ia*: l+(2ie3#e la 1l+(

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    17/48

    C+0,+!#a0en#: n2 a 820a# ni(i+/a#*. C+n"20* (a8ea 3i a !en2na# a(20 ani la al(++l.O1i3n2ine ali0en#a!e: !ei0 i,+l2(i/i( 3i i,+"+/a#.A",e(# 8ii(: T>=7%907 G>@

    ISTORICUL 5OLII:Pa(ien#2l "28e!* /e HTA /in =97 e"#e anin+"7 /ia1e#i( 3i (2 +1"#!2(ie+1li#e!an#* /in =$ (2 1,a"" a+!#+(+!+na!ian7

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    18/48

    Pa(ien#2l: UE7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    > Dian+"#i( /e n2!"in >

    =. a.A(#2alHTA (a2a#* /e e8+!#2l 8ii( 0ani8e"#a#* ,!in /2!e!i ,!e(+!/iale7 /i",nee7(e8alee7 ,al,i#aii.

    1.P+#enialPe!i(+l /e 3+( !e",i!a#+!7 AVC /a(* n2 "e in#e!)ine ,en#!2 "(*/e!ea TA.. a.A(#2alDi8i(2l#a#ea /e a3i ,*"#!a "*n*#a#ea (a2a#* /e (!e"#e!ea li(e0iei ,e"#e)al+!ile n+!0ale 3i HTA 0ani8e"#a#e ,!in )e!#iF7 (e8alee7 +1+"eal*7

    i,e!li(e0ie.1.P+#enialPe!i(+l /e (+0* /ia1e#i(* /a(* n2 "e in#e!)ine ,en#!2 "(*/e!ea li(e0iei.

    Pa(ien#2l: UE7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    'UNCII VITALE I VEGETATIVE

    Da#a Te0,e!a#2!a/. ". P2l"

    /. ". Re",i!aia

    =

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    19/48

    /. ". Ten"i2neaa!#e!ial* Di2!e* S(a2n G!e2#a#ea.@? -%7 -%7-MC 9$ 9

    ,0in. =9 =!e",0in ==@ =9=@00H =@@ 0l = 9 .@? -%7$ -%7MC 99 99

    ,0in. =% =9!e",0in =$ =?00H @@@ 0l = 9= =@.@?-%79 -9

    MC 9? 9@,0in. = =9!e",0in =-9 =-00H =@@ 0l @ 9= ==.@?-%7 -9MC 9- 9?

    ,0in. = =%!e",0in =- =-9

    00H =@@ 0l = 9@

    Pa(ien#2l: UE7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    GRA'IC

    Zi2a.@? .@? =@.@? ==.@?

    =

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    20/48

    Zile /e 1+al*=-?Re",. T.A. P2l" Te0,.DSDSDSDS

    -$-@=%@?=

    -@$=?@

    ?@$@=@-

    @=$=@@

    -

    =$=@@-9

    @

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    21/48

    =@$%@-%Pa(ien#2l: UE7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    EKA6ENE PARACLINICE I DE LA5ORATOR

    Da#a Analie "+li(i#a#e Val+!ile analiel+! ,a(ien#ei Val+!i n+!0aleale analiel+!==.@? Gli(e0ieI+n+!a0* "e!i(*

    Na

    TGPU!eeC!ea#inin*C+le"#e!+lHDL (+lLDL (+l(al(e0ieHe0a#+(!i#

    VSHT!+01+(i#eHe0+(2l#2!*:Rea(ieAl120in*Se/i0en#E..G.EK. '.O. =%

    =-$7?

    %7?=== UI$@ 0 Q=7 0=@@0L@? 0=@@0L?- 0 Q=7 0 Q

    =

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    22/48

    ?.@.@@@00-9Q= 00 = =%@.@@@

    a(i/*a1"en#S21 =@.@@@ 9@ =@ 0=@@0L

    =-9=$ 0=@@0l-7$7?? 0=@@0L@?@ UI@ =?@ 0=@@0L@7% =7= 0=@@0L

    =@ @@ 0=@@0L7$ =@7$ 0=@@0L

    ?.@@.@@@$.@@@.@@@.00-?=$Q ==$@.@@@ -@@.@@@00-

    a1"en#

    Pa(ien#2l: UE7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    TRATA6ENT 6EDICA6ENTOS

    Da#a 6e/i(aia D+a ? 3i ,!i* Calea /ea/0ini"#!a!e A(i2nea0e/i(a0en#2l2i

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    23/48

    ==.@? =.'UROSE6ID

    . DIGOKIN

    -.TRO65OSTOP

    ?. PIA'EN = 8==@=#1=@@ #1

    -#1=== in#!a)en+"

    +!al

    +!al

    +!al=./i2!e#i(

    . #+ni(a!/ia(

    -. an#i(+a2lan#

    ?. analei(

    Pa(ien#2l: UE7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    ALI6ENTAIA

    -

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    24/48

    Da#a Rei02l ali0en#a! Ali0en#aia ,a(ien#2l2i A,+!#2l /e (al+!iii 6+/2l/e "e!)i!e

    .@?Rei0 i,+"+/a#7 i,+l2(i/i( 9-@: O (an* (2 (eai7 /+2* 8elii /e ,ine (20a!a!in*=-: S2,* /e le20e (2 8i/ea7 "a!0ale /e ,+"#=%: $@ (i+!1* /e a!a)a#+ 8elie /e ,ine !aa0$@ !. 12/in(* /ie#e#i(*

    =@Pa(ien#2l "e!)e3#e 0a"a a(#i) la "ala /e 0e"e

    .@?Rei0 i,+"+/a#7 i,+l2(i/i( 9-@: O (an* (2 (eai7 /+2* 8elii /e ,ine (20a!a!in*=: S2,* /e a!a)a# (2 8i/ea7 ,ila8 (2 (a!ne /e ,2i

    =?-Pa(ien#2l "e!)e3#e 0a"a a(#i) la "ala /e 0e"e=@.@? Rei0 i,+"+/a#7 i,+l2(i/i( 9-@: O (an* (2 (eai7 + 8elie /e ,ine (20a!a!in*==-@ S2,* /e a!a)a#7 )a!*==@@Pa(ien#2l "e!)e3#e 0a"a a(#i) la "ala /e 0e"e==.@? Rei0 i,+"+/a#7 i,+l2(i/i( 9-@: O (an* (2 (eai7 + 8elie /e ,ine (20a!a!in*

    =-: Ci+!1* /e 8a"+le=@@Pa(ien#2l "e!)e3#e 0a"a a(#i) la "ala /e 0e"e

    Pa(ien#2l: UE7 9 /e ani

    ?

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    25/48

    Dian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    Da#a Ne)+ia ,e!#2!1a#* P!+1le0e 3i 0ani8e"#*!i O1ie(#i)eIn#e!)enii a2#+n+0e 3i /elea#e E)al2a!e ,a!ial*

    .@? .@?Ne)+ia /e a a)ea + 12n* (i!(2laie 3i !e",i!aieNe)+ia /e a e)i#a ,e!i(+leleNe)+ia /e a eli0ina Ci!(2laie /e8i(i#a!*7 HTA 0ani8e"#a#* ,!in (e8alee7)e!#iF7 /2!e!i ,!e(+!/iale7 ,al,i#aii.Di8i(2l#a#ea /e a3i ,*"#!a "*n*#a#ea 0ani8e"#a#* ,!in )al+!i (!e"(2#e ale TA3i li(e0iei.Eli0ina!e /e8i(i#a!* 0ani8e"#a#* ,!in e/e0e7 /2!e!i la ni)el2l 0e01!el+!

    in8e!i+a!e. Pa(ien#2l "* ,!ein#e TA

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    26/48

    li0i#e n+!0ale. TA>=-7 P>%%7 R>=9Pa(ien#2l: UE7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l III

    EVALUARE 'INAL4

    Pa(ien#2l UE

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    27/48

    ! 0a!a!in* )ee#al*7 8elii /e ,ine ,!*Fi#* =@@!; (an* (2 (eai [email protected]!e*#i!ea ,"ii(* a ,a(ien#2l2i: an2n ,a(ien#2l "* )in* la "ala /e 0a"e/2,* (e la0

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    28/48

    P!e*#i!ea ,"ii(* a ,a(ien#2l2i: an2n ,a(ien#2l 3i

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    29/48

    !2n/2l "* "e a3ee ,e 2n "(a2n.Teni(a: ,en#!2 alee!ea l+(2l2i ,!in "#!*,2ne!ea )enei "a2 !e#!ae!eaa(2l2i 0eninn/ "#aa )en+a"* /a#+!i#* a!+2l2i ne/e"8*(2#; in#e!i" a "e ,2n(i+na )ena /in n+2 /2,* 8+!0a!ea e0a#+02l2i; #20e8ie!ea 1!2"(* a #e"2#2l2i ,e!i)en+" 3i ,a!a)en+"> !e)*!"a!ea "21"#aneiin a8a!a )enei; ,+# !e2l#a ne(!+e inFe(#a!ea !a,i/* "a2 e8e(#2l i!i#a#i) al "+l2iei inFe(#a#e a"2,!a

    en/+)enei; "e 0ani8e"#* ,!in /2!e!e )ie;

    CAZUL III

    PLAN DE NGRIJIRE

    CULEGEREA DATELORDATE GENERALEIniiale: N.C.; V!"#a: 9 ani; Se&: ';S#a!e (i)il*: (*"*#+!i#*; N!. (+,ii: ;Reliie: +!#+/+&*; Nai+nali#a#e: !+0n*;L1. )+!1i#*: !+0n*; O(2,aia: ,en"i+na!*; D+0i(ili2l: l+(ali#a#ea One3#i;l+(2ie3#e (2 "+2l

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    30/48

    DIAGNOSTICUL: HTA ESENIAL4 "#a/i2l II

    O5INUINE DE VIA4 I 6UNC4: al(++l: nea* (+n"202l /e al(++l; (a8ea: n2 (+n"20*; #2#2n: ne820*#+a!e.!e2#a#e: $ ; =%@ =@; ,2l" > 9? 1*#*i 0in.;!e",. > = ! 0in.; #B > -%7% BC6OTIVELE INTERN4RII: /i",nee la e8+!#2!i 0i(i; +!#+,nee; #2"e "ea(*; /2!e!e la ni)el2l 0e01!el+! in8e!i+a!e; a0eeal*.

    An#e(e/en#e e!e/+(+la#e!ale:0a0a > /e(e/a#* la @ ani n2 3#ie (a2a;#a#a > /e(e/a# la % ani a8e(i2ni (a!/ia(e ;+ "+!*: %% ani a8e(i2ni (a!/ia(e ; (+,ii a,a!en# "*n*#+3i.An#e(e/en#e ,e!"+nale: P6 > =? ani7 U6 > ?% ani7 S > -7 A > =7 N > =- =% ani: a,en/i(e(#+0ie =% ?@ ani: HTA

    =$ %- ani: )a!i(e 0e01!ele in8e!i+a!e =@ % ani: HTA ESENIAL47 anin* ,e(#+!al* @@@ 9 ani: HTA ESENIAL4 i,e!(+le"#e!+le0ie7 +1ei#a#e !.IIIISTORICUL 5OLII:Pa(ien#a

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    31/48

    Pa(ien#a: NC7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l II

    ANALIZA DATELOR

    Din "#2/i2l +1ie(#i) e8e(#2a# a"2,!a ,a(ien#ei a0 (+n"#a#a# (* a(ea"#a a!e,e!#2!1a#e 2!0*#+a!ele ne)+i:N!.(!#. Ne)+i ,e!#2!1a#e P!+1le0e !e2l#a#e /in ne)+ile ,e!#2!1a#e 6ani8e"#*!i=.A !e",i!a 3i a a)ea + 12n* (i!(2laie (i!(2laie 3i !e",i!aie /e8i(i#a!*7 HTA

    Val+!i (!e"(2#e ale #en"i2nii a!#e!iale.De a e)i#a ,e!i(+lele /i8i(2l#a#ea /e a3i ,*"#!a "*n*#a#ea P+"i1ili#a#eaa,a!iiei (+0,li(aiil+!-. Ne)+ia /e a /+!0i 3i a "e +/ini in"+0nie7 ai#aie7 nelini3#e O/inain"28i(ien#* (ali#a#i) 3i (an#i#a#i)?. Ne)+ia /e a

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    32/48

    /. ". P2l"

    /. ". Re",i!aia/. ". Ten"i2neaa!#e!ial* Di2!e* S(a2n G!e2#a#ea.@$ -%7 -%7$MC %@ %=

    ,0in. = =!e",0in ==@ =9=@00H =$@@ 0l = = $ .@$ -%7 -%7-MC %@ %$

    ,0in. = =9!e",0in =9 =$

    00H =%@@ 0l @ ? =@.@$-%7? -9MC %$ %

    ,0in. = =%!e",0in =- =?900H =$@@ 0l = ? ==.@$-%7$ -%7

    MC %? %-,0in. = =!e",0in =$ =-900H =@@ 0l = $

    -

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    33/48

    Pa(ien#a: NC7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l II

    GRA'ICZi2a.@? .@? =@.@? ==.@?Zile /e 1+al*

    =-?Re",. T.A. P2l" Te0,.DSDS

    DSDS

    -$-@=%@?=

    -@$=?@?@

    $@

    --

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    34/48

    =@-

    @=$=@@-

    =$=@@-9

    =@

    $%@-%

    Pa(ien#a: NC7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l II

    EKA6ENE PARACLINICE I DE LA5ORATORDa#a Analie "+li(i#a#e Val+!ile analiel+! ,a(ien#ei Val+!i n+!0aleale analiel+!==.@$ Gli(e0ieI+n+!a0* "e!i(*

    NaTGPU!ee

    C!ea#inin*C+le"#e!+lHDL (+l(al(e0ieHe0a#+(!i#VSHT!+01+(i#e

    -?

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    35/48

    E..G.EK. '.O. ==@

    ==$7?$7? UI=@ 0 Q@7 0=@@0L=@ 0=@@0L? 0 Q$7@=@.@@@00--Q@ 00 = =$@.@@@

    9@ =@ 0=@@0L

    =-9=$ 0=@@0l-7$7?? 0=@@0L@?@ UI@ =?@ 0=@@0L@7% =7= 0=@@0L=@ @@ 0=@@0L7$ =@7$ 0=@@0L

    ?.@@.@@@$.@@@.@@@.00-?=$Q ==$@.@@@ -@@.@@@00-

    -$

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    36/48

    Pa(ien#a: NC7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l II

    TRATA6ENT 6EDICA6ENTOS

    Da#a 6e/i(aia D+a ? 3i ,!i* Calea /ea/0ini"#!a!e A(i2nea0e/i(a0en#2l2i ==.@$ =.'A6OTIDIN

    . TERTENSI'

    -. CRADIL

    ?. ATENOLOL = (,@@@=#1=@@-#1

    ===#1=@= +!al

    +!al

    +!al

    +!al=. ini1a "e(!e#ia a(i/a a"#!i(a

    . an#ii,e!#en"i)

    -. an#ianin+"

    ?. an#ii,e!#en"i) 1e#a1l+(an#

    -%

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    37/48

    Pa(ien#a: NC7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l IIALI6ENTAIADa#a Rei02l ali0en#a! Ali0en#aia ,a(ien#2l2i A,+!#2l /e (al+!iii 6+/2l

    /e "e!)i!e

    .@$Rei0 i,+"+/a#7 i,+l2(i/i(7i,+li,i/i( 9-@: O (an* (2 (eai7 /+2* 8elii /e ,ine (2 0a!a!in*=-: (i+!1* /e le20e=%: ia2!# /ie#e#i(+ 8elie /e ,ine !aa0

    =?$@

    Pa(ien#a "e!)e3#e 0a"a a(#i) la "ala /e 0e"e

    -9

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    38/48

    .@$Rei0 i,+"+/a#7 i,+l2(i/i(7i,+li,i/i( 9-@: O (an* (2 (eai7 /+2* 8elii /e ,ine (2 0a!a!in*=: "2,* /e a!a)a# 7 ,e3#e "la1

    =$@@Pa(ien#a "e!)e3#e 0a"a a(#i) la "ala /e 0e"e=@.@$ Rei0 i,+"+/a#7 i,+l2(i/i(7i,+li,i/i( 9-@: O (an* (2 la,#e7 + 8elie /e ,ine (2 0a!a!in*==-@ S2,* (2 *l23#e. '!2(#e 2n 0*! =@@Pa(ien#a "e!)e3#e 0a"a a(#i) la "ala /e 0e"e==.@$ Rei0 i,+"+/a#7 i,+l2(i/i(7i,+li,i/i( 9-@: O (an* (2 (eai7 + 8elie /e ,ine (2 0a!a!in*

    =-: (a!ne 8ia!#* (2 (a!#+8i na#2!=%@@Pa(ien#a "e!)e3#e 0a"a a(#i) la "ala /e 0e"e

    Pa(ien#a: NC7 9 /e aniDian+"#i( (lini(: HTA ESENIAL4 "#a/i2l IIDa#a Ne)+ia ,e!#2!1a#* P!+1le0e 3i 0ani8e"#*!i O1ie(#i)eIn#e!)enii a2#+n+0e 3i /elea#e E)al2a!e ,a!ial*

    .@$ .@$Ne)+ia /e a a)ea + 12n* (i!(2laie 3i !e",i!aie

    Ne)+ia /e a e)i#a ,e!i(+lele

    Ci!(2laie /e8i(i#a!*7 HTA 0ani8e"#a#* ,!in a0eeli7 /2!e!i ,!e(+!/iale.

    Di8i(2l#a#ea /e a3i ,*"#!a "*n*#a#ea 0ani8e"#a#* ,!in )al+!i (!e"(2#e ale TA3i +1ei#a#e.

    -

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    39/48

    Pa(ien#a "* ,!ein#e TA

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    40/48

    /a#a /e .@$.@@% ,n* ,e =@.@$.@@%. n 2!0a #!a#a0en#2l2i 0e/i(a0en#+"3i a in#e!)eniil+! ",e(i8i(e "#a!ea ,a(ien#ei "a

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    41/48

    S2,!a)ee

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    42/48

    Dian+"#i( (lini(: HTA ESENIAL4 "#a/i2l II

    Teni(* /e l2(!2: 6ASURAREA I NOTAREA DIUREZEI

    De8ini#e: Di2!ea e"#e (an#i#a#ea /e 2!in* eli0ina#*

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    43/48

    0e#!+!aie a,+!# in"28i(ien# /e +&ien 0en#ine!ea 2nei (i!(2la#ii a/e()a#e,!in +,!i!ea e0+!aiei a"i2!a!ea a,+!#2l2i /e +&ien lini"#e"( 1+lna)a7/e#e!0in )al+a!ea ,2l"2l2i la ni)el2l a!#e!ei !a/iale7 /e#e!0in )al+a!ea T.A.

    ,!in 0a"2!a!e ei (2 aF2#+!2l #en"i+0e#!2l2i a"i2! (+n/i#ii /e 0i(!+(li0a#a/0ini"#!e +&ien ,!ea#e"( 0a#e!iale "#e!ile ,en#!2 !e(+l#a!e "i !e(+l#e"ane ,en#!2 e&a0enele !e(+0an/a#e ,!ea#e"( "i 0+n#e ,e!82iaa/0ini"#!e 0e/i(a#ia ,!e"(!i"a /e 0e/i( (l+!a08eni(+l i Vi#a0ina C; VI 8i+le P.E.V. "+l2#ie l2(+a =@Q $@@ 0l(l+!a08eni(+l== Vi#a0ina C 8i+le I Cal(i2 l2(+ni( 8i+le I 1+lna)a !e",i!a a,!+a,en+!0al7 a!e 2n a,+!# "28i(ien# /e +&ien H.L.G. H1 > =@7? ! QL> =@@@0WU!ee ; @7% 0.Q C!ea#inina ; @79@TGP > =$ U.I.TGO > =@ U.I.5T >@795D > @7C2l#2!a (+l 2#e!in. A 1ea "i a 0an(a =@?.@?@@ ina,e#en#a ine"#ie /e ali0en#e (e n2"a#i"8a( ne)+ile al#e!a!ea 2"#2l2i an&ie#a#e "la1i(i2ne7 +1+"eala

    0en#ine!ea 2nei "#a!i n2#!i#i+nale ,!in ali0en#e "i li(i/e in (an#i#a#e "i(ali#a#e (+!e",2na#+a!e(a!e "ai a"i2!e ne(e"a!2l /e (al+!ii e&,li(

    1+lna)ei ne(e"i#a#ea ali0en#a!ii "i i/!a#a!ii7 a/0ini"#!e /ie#a ,!e"(!i"a /e0e/i( X 1+lna)a "e ali0en#eaa (+!e(# "i !e",e(#a in/i(a#iile /a#e-. Ne)+ia /e a eli0ina =@.@@@-@?.@.@@ 0e#!+!aie 0e#!+!aie!e/2"a /2!e!e la 0i(#i2ne an&ie#a#e ,!+(e" in8e(#i+" an&ie#a#e "#!e"" +,!i!ea e0+!aiei a0eli+!a!ea /2!e!ii ,!ea#e"( 0a#e!iale ne(e"a!e

    ,en#!2 !e(+l#a!ea 2!inei ii e&,li( 1+lna)ei (a e"#e n+!0al "a ai1a /2!e!i7/a#+!i#a (i2!e#aF2l2i 2#e!in7 /a! "e )+! a0eli+!a (2 #i0,2l ; - ile

    ,a!#i(i, la e8e(#2a!ea (i2!e#aF2l2i 2#e!in E&a0en 2!ina 8a!a "e/i0en#8!e()en#e e,i#elii "i le2(+(i#e 1+lna)a "e "i0#e 0ai 1ine /2!e!ea (e/eaa

    ?. Ne)+ia /e a "e 0i"(a "i a a)ea + 12na ,+"#2!a =@.@@@-@?.@.@@ (e8alee )e!#iF /2!e!e (e8alee )e!#iF an&ie#a#e /2!e!e ane0ie (i2!e#aF2#e!in ane0ie (+01a#e!ea (e8aleei "i a )e!#iF2l2i (+01a#e!ea (e8aleei "i a)e!#iF2l2i "8a#2ie"( 1+lna)a "a e)i#e e0+#iile "i "a n2 8a(a e8+!#7a/0ini"#!e 0e/i(a#ia ,!e"(!i"a /e 0e/i( "8a#2ie"( 1+lna)a "a e)i#e e0+#iile

    ,2#e!ni(e ii e&,li( (a (e8aleea "i )e!#iF2l "2n# "i0,#+0e 2"+a!e (a!e )+!(e/a !e(+l#e HLG X (e8aleea (e/eaa)e!#iF2l /i",a!e (e8aleea "i )e!#iF2l a

    (e/a#HLG: H > ==7 !QL > $@@ 00W$. Ne)+ia /e a /+!0i "i a "e +/ini =@.@.@@-@?.@.@@ +1+"ealanelini"#e ai#a#ie nelini"#e ai#a#ie /2!e!e 0e#!+!aie ",i#alia!e",i#alia!e 0e#!+!aii (+01a#e!ea "#a!ii /e nelini"#e "i ai#a#iei(+01a#e!ea +1+"elii (+01a#e!ea /2!e!ii (+01a#e!ea "#a!ii /e ai#a#ie iie&,li( 1+lna)ei "a e)i#e +1+"eala7e8i(ien#a "+0n2l2i "i a +/inei ae!i"e"("al+n2l a"i2! (+n/i#ii /e 0i(!+(li0a# in "al+n ,en#!2 (a 1+lna)a "a "e ,+a#a

    ?-

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    44/48

    +/ini ii !e(+0an/ a(#i)i#a#i !e(!ea#i)e ,li01a!i in a!e li1e! in"+#i#a lain(e,2# a/0ini"#!e "ea!a !+0e!an !+0e!an >= /!aFe2 "ea!a 1+lna)a!e",e(#a in/i(a#iile "i in(ea!(a "a "e +/inea"(a 1+lna)a !e",e(#a +!ele /e+/ina "i a!e 2n "+0n lini"#i#%. Ne)+ia /e a "e i01!a(a "i /e1!a(a X X X X X X X9. Ne)+ia /e a "e 0en#ine #e0,e!a#2!a (+!,2l2i in li0i#e n+!0ale =@?.@.@@ i,e!#e!0ieT > -BC li,"a (2n+a"#in#el+!/e ,!e)eni!e "i(+01a#e!e a in8e(#iil+! a)+!# ",+n#an in8e(#a# a/2(e!ea #e0,e!a#2!ii(+!,2l2i in li0i#e n+!0ale +1"e!) "i 0a"+! la in#e!)ale !e2la#e #e0,e!a#2!a"i ,2l"2l 1+lna)ei ii a/2( la (2n+"#in#a 0e#+/ele /e ,!e)eni!e a in8e(#iil+!n+#e #e0,e!a#2!a in '.O. 2!0a!e"( a",e(#2l "i 0i!+"2l "(2!e!ii a/0ini"#!e an#i#e!0i(e "i an#i1i+#i(ele ,!e"(!i"e /e 0e/i( a",i!ina =#1.-+!ii (l+!a08eni(+l=i la = +!e @=.@.@@T > -B C DT > -979B C S@.@.@@T > -9B C DT > -%7B C S@-@?.@.@@T > -%7B C DT >

    -%7B C S. Ne)+ia /e a 8i (2!a#7 in!iFi# "i a"i ,!+#eFa #e20en#ele "i 02(+a"ele =@?.@.@@ in(a,a(i#a#ea /e a"i e8e(#2a "in2!a #+ale#a 1+ala "la1i(i2ne#!e02!2l 0ainil+! "a 8ie (2!a#a #e20en#e (2!a#e 1aie ,e !ei2ni aF2#

    1+lna)a la e8e(#2a!ea #+ale#ei "(i01 lenFe!ia /e ,a# "i /e (+!, a 1+lna)2l2iii e&,li( ne(e"i#a#ea #+ale#ei ilni(e (l+!a08eni(+l=i la = +!e a",i!ina =#1. - +!i i 1+lna)a e"#e 0ai lini"#i#a e"#e 0ai +/ini#a "i !e",e(#ain/i(a#iile. Ne)+ia /e a e)i#a ,e!i(+lele =@?.@.@@ ai#a#ie 8!i(a /2!e!e

    ne(2n+a"#e!e a 2n+! n+#i2ni /e",!e 1+ala nea((e,#a!ea 1+lii i+la!e e)i#a!ea a,a!i#iei (+0,li(a#iil+! ii )+!1e"( (al0 1+lna)ei ,en#!2 aiin/e,a!#a #ea0a ii e&,li( 0+#i)2l in#e!na!ii "i ne(e"i#a#ea in#e!)en#iei(i!2!i(ale (i2!e#aF2l 2#e!in a,li( (+!e(# #!a#a0en#2l ,!e"(!i" /e 0e/i(2!0a!e"( e)+l2#ia 1+lna)ei (l+!a08eni(+l =i la = +!e a",i!ina = #1. -+!ii 1+lna)a e"#e 0ai lini"#i#a e"#e 0ai +/ini#a "i !e,e(#a in/i(a#iile=@. Ne)+ia /e a (+02ni(a =@?.@.@@ /i8i(2l#a#e /e a "e (+n(en#!a an&ie#a#e e,2ia!e li,"a /e (2n+a"#e!e e)eni0en#e a0enin#a#+a!e in(2!aFa!ea "i lini"#i!ea 1+lna)ei ,en#!2 a +1#ine + (+02ni(a!e e8i(a(e lini"#e"( 1+lna)a (2 ,!i)i!e la "#a!ea "a "i ,2ne!ea ei in lea#2!a (2 al#e

    1+lna)e in (+n)ale"(en#a X 1+lna)a "e lini"#e"#e (+02ni(a "28i(ien#==. Ne)+ia /e a a(#i+na (+n8+!0 ,!+,!iil+! (+n)ine!i "i )al+!i /e a ,!a(#i(a!eliia X X X X X X X=. Ne)+ia /e a 8i ,!e+(2,a# in )e/e!ea !ealia!ii X X X X X X X=-. Ne)+ia /e a "e !e(!ea =@?.@.@@ !e82 /e a ,a!#i(i,a la a(#i)i#a#i!e(!ea#i)e ,ie!/e!ea i0ainii /e "ine +1+"eala7 e,2ia!e (+01a#e!ea "#a!ii/e +1+"eala "i e,2ia!e "i a"i2!a!ea (+n/i#iil+! /e !e(!ee!e "8a#2ie"(

    ??

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    45/48

    1+lna)a "a (i#ea"(a7 "a 8a(a ,li01a!i in ae! li1e!7 le(#2!i7 "a a"(2l#e !a/i+ "a,!i0ea"(a )ii#e X ,!ein#a + "#a!e /e ",i!i# "a#i"8a(a#+a!e=?. Ne)+ia /e a in)a#a (20 "a"i ,a"#!ee "ana#a#ea =@?.@.@@ !e82 /e ain)a#a "a2 a (2n+a"#e li,"a (2n+"#in#el+! ene!ale 0e/i(ale n2 (2n+a"#ee8e(#ele 8ii+l+i(e "i ,a#+l+i(e ale "a!(inii e/2(a#ie ,en#!2 "ana#a#e (+n#in2a!ea #!a#a0en#2l2i !e,a2" "e&2al ,!een#a!ea la (+n#!+l !e,a2" 8ii(

    X 1+lna)a a in#ele" "i #ine (+n# /e (2n+"#in#ele a(202la#e

    CAZ II 5N!.C!# Ne)+ia 82n/a0en#ala Da#a 6ani8e"#a!i /e /e,en/en#a S2!"a /e/i8i(2l#a#e O1ie(#i)e A(#i)i#a#eP!+,!ie /elea#a E)al2a!e=. Ne)+ia /e a !e",i!a "i a a)ea + 12na (i!(2la#ie =%=9.@-.@@ #e20en#e

    ,ali/e 0e#!+!aie an&ie#a#e "#!e"" 0en#ine!ea 2nei (i!(2la#ii n+!0ale /e#e!0in )al+a!ea ,2l"2l2i7 #en"i2nea a!#e!iala ,!in 0a"2!a!ea ei lini"#e"(

    1+lna)a ae!i"e"( "al+n2l ,!ea#e"( 0a#e!iale ne(e"a!e,en#!2 !e(+l#a!ea,!+1el+! /e la1+!a#+!: HLG7 VSH7 e&a0en 2!ina 1i"e,#+l #a1. IV(l+!a08eni(+l8l. ? i la = +!e in/+(i/ "2,. ? I.T.A. > =@@$@00 (+l.H,2l" > @ 1a#0inII.T.A. > =@%@ 00 (+l. H,2l" > 9@ 1a#0inHLG: H1 =7 QL > 9@@@n 0WVSH ? 0l = ?9 0lE&a0en 2!ina:Al120ina: 2!0e 8ine7 l2(+a a1"en#. Ne)+ia /e a 0an(a "i a 1ea =%=9.@-.@@ ina,e#en#a !ea#a "la1i(i2ne +1+"eala al#e!a!ea 2"#2l2i "i 0i!+"2l2i (+01a#e!ea ina,e#en#ei in8+!0e 1+lna)a a"2,!a ali0en#el+! ,e!0i"e ii a/0ini"#!e li(i/e in!a,+!# (2 (an#i#a#ea in/i(a#a /e 0e/i( X 0anan(a "i 1ea in (an#i#a#i n+!0ale-. Ne)+ia /e a eli0ina =%=9.@-.@@ (+n"#i,a#ie )a!"a#2!i 0e#!+!aie ali0en#a#ie "a!a(a (an#i#a#i) "i (ali#a#i) 1+ala (+01a#e!ea ina,e#en#ei

    ,!ea#e"( 0a#e!ialele7 "#e!ile ne(e"a!e e&e(2#a!ii (i2!e#aF2l2i 2#e!in aF2# lae)a(2a!ea (a)i#a#ii 2#e!ine a/0ini"#!e #!a#a0en#2l ,!e"(!i" /e 0e/i(=%.@-.@@ (i2!e#aF 2#e!in (l+!a08eni(+li la = +!e in/+(i/ "2,. > ? eli0ina!ea "e 8a(e n+!0al 82n(#ii )i#ale "i )ee#a#i)e in li0i#e n+!0ale?. Ne)+ia /e a "e 0i"(a "i /e a a)ea + 12na ,+"#2!a =%=9.@-.@@ a0e#eli(e8alee /2!e!i l+01a!e +1+"eala 1+ala 0e#!+!aie 0en#ine!ea 2nei

    ,+"#2!i a/e()a#e "8a#2ie"( 1+lna)a "a "#ea lini"#i#a in ,a# "a e)i#e e8+!#2!ile

    8ii(e + aF2# "a"i ,a"#!ee + ,+i#ie a/e()a#a 0+1ilia!ea 1+lna)ei X a0e#elile a2 (e/a# /2!e!ea "a a0eli+!a# e0+!a0a$. Ne)+ia /e a /+!0i "i a "e +/ini =%=9.@-.@@ in"+0nii +1+"eala ",i#alia!e 1+ala (+01a#e!ea +1+"elii "i a in"+0niei e&,li( 1+lna)eine(e"i#a#ea "+0n2l2i "i a +/inei lini"#e"( 1+lna)a ae!i"e"( "al+n2l X

    1+lna)a !e",e(#a ,!+!a02l /e "+0n%. Ne)+ia /e a "e i01!a(a "i /e1!a(a X X X X X X X

    ?$

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    46/48

    9. Ne)+ia /e a 0en#ine #e0,e!a#2!a (+!,2l2i in li0i#ele n+!0ale X X X X X XX. Ne)+ia /e a 8i (2!a#7 in!iFi#7 /e a ,!+#eFa #e20en#ele "i 02(+a"ele X X X X

    X X X. Ne)+ia /e a e)i#a ,e!i(+lele =%=9.@-.@@ #ea0a ,ani(a /2!e!ene(2n+a"#e!ea n+#i2nil+! /e",!e 1+ala lini"#i!ea 1+lna)ei e)i#a!ea(+0,li(a#iil+!7 ,!in !e",e(#a!ea !e2lil+! /e a","ie in(e!( "ai inla#2! #ea0a!e8e!i#+a!e la ",i#alia!e "i #!a#a0en# a/0ini"#!e 0e/i(a#ia ,!e"(!i"a /e0e/i(7 ii 2!0a!e"( 82n(#iile )i#ale "i )ee#a#i)e 0a#inal "i )e",e!al 1i"e,#+l> #a1 IV (l+!a08eni(+l >i la = +!e 1+lna)a "e 0ai lini"#e"#e 82n(#iile)i#ale "i )ee#a#i)e "2n# n+!0ale=@. Ne)+ia /e a (+02ni(a X X X X X X X==. Ne)+ia /e a a(#i+na (+n8+!0 (+n)ine!il+! "i )al+!il+! ,!+,!ii /e a"i

    ,!a(#i(a !eliia =%=9.@-.@@ /i8i(2l#a#e /e a a(#i+na /2,a )al+!ile "i

    (!e/in#ele "ale ",i#alia!e inla#2!a!ea "en#i0en#2l2i /e a1an/+na!e a l2iD20nee2 e&,li(a0 1+lna)ei ne(e"i#a#ea ",i#alia!ii X 1+lna)a e"#ein/e,a!#a#a /e a(e"# "en#i0en#=. Ne)+ia /e a 8i ,!e+(2,a# in )e/e!ea !ealia!ii X X X X X X X=-. Ne)+ia /e a "e !e(!ea =%=9.@-.@@ n2 ,a!#i(i,a la a(#i)i#a#i !e(!ea#i)e nea/a,#a!ea la !+l2l /e 1+lna) +1+"eala (+01a#e!ea "#a!ii /e +1+"eala "8a#2ie"( 1+lna)a "a (i#ea"(a ii !e(+0an/ ,li01a!i in ae! li1e! X ,!ein#a +"#a!e /e ",i!i# "a#i"8a(a#+a!e=?. Ne)+ia /e a in)a#a =%=9.@-.@@ in"28i(ien#a (2n+a"#e!e li,"a /e

    in8+!0a#ie "a (2n+a"(a ii e&,li(a0 +!i(e in8+!0a#ie lea#a /e 1+ala7#!a#a0en# ,!een#a!ea !e2la0en#2l2i /e +!/ine in#e!i+a!a a ",i#al2l2i 1+lna)a e"#e !e(e,#i)a la in8+!0a#ie

    CAZ III C

    N!.C!# Ne)+ia 82n/a0en#ala Da#a 6ani8e"#a!i /e /e,en/en#a S2!"a /e/i8i(2l#a#e O1ie(#i)e A(#i)i#a#eP!+,!ie /elea#a E)al2a!e=. Ne)+ia /e a !e",i!a "i /e a a)ea + 12na (i!(2la#ie -9.@-.@@ #e20en#e ,ali/e (ian+a ,e!i+!ala "i ,e!inaala 0e#!+!aie a,+!#

    in"28i(ien# /e +&ien 0en#ine!ea (i!(2la#iei in li0i#ele n+!0ale aF2#a0 "e!e",i!e n+!0al ae!i"e"( "al+n2l lini"#e"( 1+lna)2l a/0ini"#!e +&ien ,e(ale naala /e#e!0in )al+a!ea T.A. /e#e!0in )al+a!ea ,2l"2l2i la ni)el2la!#e!ei !a/iale ,!ea#e"( 1+lna)a ,en#!2 e8e(#2a!ea (i2!e#aF2l2i 2#e!ine0+!a0a e&a0en "20a! /e 2!ina O&i#+(in 8i+le > = E!+0e# 8i+le IIVi#a0ina C 8i+le II Al+(al0in 8i+le II A",i!ina #1 IV Peni(ilina G >0il.% -.@-.@@T.A. > =@@%@00. (+l. H ,2l" > 1a#.0in. $

    ?%

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    47/48

    9.@9.@@T.A. > =@%@ 00 (+l. H,2l" > 9@ 1a#0in !e",i!a#ien+!0alaH.L.G.H1 > $ !QL > @@0WE&a0en 2!ina al120ina a1"en#l2(+a a1"en#. Ne)+ia /e a 1ea "i a 0an(a -9.@-.@@ li,"a a,e#i#2l2i !ea#aine"#ia /e ali0en#e "i li(i/e ne"a#i"8a(an/ ne)+ile +!ani"02l2i li,"a /ein#e!e" in a "e ali0en#a an&ie#a#e7 "#!e"" "a 0anan(e "i "a 1ea in (an#i#a#i"28i(ien#e ii e&,li( 1+lna)ei (e ali0en#e "2n# ,e!0i"e "i ne,e!0i"ea/0ini"#!e /ie#a ne(e"a!a X 1+lna)a !e",e(#a /ie#a7 ali0en#a#ia(+!e",2na#+a!e-. Ne)+ia /e a eli0ina -9.@-.@@ 0e#!+!aie )a!"a#2!i /e"i/!a#a!e

    ,!+(e" in8e(#i+" e8+!# 8ii( (+01a#e!ea )a!"a#2!il+! "i 0e#!+!aiei ,!ea#e"( 0a#e!iale ne(e"a!e ,en#!2 e8e(#2a!ea (i2!e#aF2l2i 2#e!in 2!0a!e"(a",e(#2l7 0i!+"2l7 (an#i#a#ea "(2!e!ii (i2!e#aF 2#e!in e)a(2a!ea (a)i#a#ii2#e!ine X

    ?. Ne)+ia /e a "e 0i"(a "i /e a a)ea + 12na ,+"#2!a -9.@-.@@ a0e#eli(e8alee /2!e!i l+01a!e 1+ala +1+"eala #ea0a /e a (a/ea 0en#ine!ea2nei ,+i#ii a/e()a#e "8a#2ie"( 1+lna)a "a "#ea lini"#i#a la ,a# "i "a e)i#ee8+!#2!ile 8ii(e. aF2# 1+lna)a "a"i 0en#ina + ,+"#2!a (a# 0ai a/e()a#a X

    1+lna)a !e",e(#a ,e (a# ,+"i1il in/i(a#iile /a#e ,+"#2!a a/e()a#a$. Ne)+ia /e a /+!0i "i a "e +/ini -9.@-.@@ nelini"#e +1+"eala ",i#alia!e 0e#!+!aie (+01a#e!ea +1+"elii e&,li( 1+lna)ei i0,+!#an#a "ine(e"i#a#ea ",i#alia!ii ae!i"i!ea "al+n2l2i X 1+lna)a !e",e(#a ,!+!a02l /e+/ina

    %. Ne)+ia /e a i01!a(a "i /e1!a(a -9.@-.@@ /i8i(2l#a#e in a "ei01!a(a "i /e1!a(a ne(+n(+!/an#a0ainil+! #!e02!2l 0ainil+! aF2#a!ea1+lan)ei /e a "e i01!a(a "i a "e /e1!a(a "in2!a aF2# 1+lna)a "a "ei01!a(e "a2 "a "e /e1!a(e (2 ainele /e ",i#al "(i01 lenFe!ia /e ,a# "a2/e (+!, a 1+lna)ei /e (a#e +!i e"#e ne)+ie X 1+lna)a ,!ein#a 2n a",e(#in!iFi#

    9. Ne)+ia /e a"i 0en#ine #e0,e!a#2!a (+!,2l2i in li0i#e n+!0ale -9.@-.@@ i,e!#e!0ieT > ?@B C ,!+(e" in8e(#i+" li,"a /e (2n+a"#e!e a

    ,!e)eni!ii in8e(#iei !e/2(e!ea i,e!#e!0iei (+01a#e!ea in8e(#iil+!

    0en#ine!ea #e0,e!a#2!ii in li0i#e n+!0ale a/2( la (2n+"#in#a 1+lna)ei (20"e ,!e)in in8e(#iile a/0ini"#!e #!a#a0en#2l ,!e"(!i" /e 0e/i( 0a"+!#e0,e!a#2!a Peni(ilina G #e0,e!a#2!a "(a/e /e la ?@B Cla -9B C. Ne)+ia /e a 8i (2!a#7 in!iFi#7 /e a ,!+#eFa #e20en#ele "i 02(+a"ele X X X X

    X X X. Ne)+ia /e a e)i#a ,e!i(+lele -9.@-.@@ #ea0a ,ani(a /2!e!ee)eni0en#e (+0,!+0i#a#+a!e ",i#alia!e7 #!a#a0en# lini"#i!ea 1+lna)2l2i

    ?9

  • 8/13/2019 Cazuri+ Planuri Ingrijire

    48/48

    !e",e(#a!ea!e2lil+! /e a"e,"ie. 2!0a!i!ea e)+l2#iei 1+lii ii )+!1e"( (al0,en#!2 a "e lini"#i "i !e(a,a#a in(!e/e!ea in "ine ii 2!0a!e"( 82n(#iile )i#ale "i)ee#a#i)e. X 1+lna)a a!e #en/in#a /e a "e lini"#i 82n(#iile )i#ale "i)ee#a#i)e in li0i#ele n+!0ale=@. Ne)+ia /e a (+02ni(a -9.@-.@@ X X X X X X==. Ne)+ia /e a a(#i+na (+n8+!0 ,!+,!iil+! (+n)ine!i "i )al+!i /e a"i

    ,!a(#i(a !eliia -9.@-.@@ 8!2"#a!e 8a#a /e ,e!"+anele /in "al+n ",i#alia!e li,"a /e (2n+a"#e!e a a#i#2/inii (el+! /in F2! inla#2!a!ea"en#i0en#2l2i/e i+la!e "i #ea0a e&,li(a0 ne(e"i#a#ea ",i#alia!ii X

    1+lna)a e"#e in/e,a!#a#a /e a(e"# "en#i0en#

    =. Ne)+ia /e a 8i ,!e+(2,a# in )e/e!ea !ealia!ii -9.@-.@@ "en#i0en#/e in(+0,e#en#a in(a,a(i#a#e /e a !a",2n/e a"#e,#a!il+! al#+!a an&ie#a#ea#i#2/ini ne8a)+!a1ile ale an#2!aF2l2i #ea0a /e an2 8i in#elea"a /e al#ii i"i

    !e",e(#a in(!e/e!ea in "ine aF2# 1+lna)a in !e(2,e!a!ea ,"ii(a /a#+!a#a,ie!/e!ii "a!(inii X 1+lna)ei ii /i",a!e "en#i0en#2l /e #ea0a "i i"i !e(a,a#ain(!e/e!ea in ea=-. Ne)+ia /e a "e !e(!ea -9.@-.@@ /i0in2a!ea 0iFl+a(el+! /e in#e!e"7!e82an/ ,a!#i(i,a!ea la a(#i)i#a#i /2!e!e an&ie#a#e7 "#!e"" "la1i(i2ni (+01a#e!ea"#a!ii /e an&ie#a#e "i "#!e"" inla#2!a!ea /2!e!ii "8a#2ie"( 1+lna)a"a (i#ea"(a "a2 "a a"(2l#e e0i"i2ni !a/i+ ii !e(+0an/ ,li01a!i in ae! li1e! X

    ,!ein#a + "#a!e/e ",i!i# "a#i"8a(a#+a!e=?. Ne)+ia /e a in)a#a -9.@-.@@ in#e!,!e#a!ea !e"i#a a in8+!0a#ieiin"28i(ien#a (2n+a"#e!e a 1+lii (!e/in#e /i8e!i#e 8a#a /e "ana#a#e ,!inne(2n+a"#e!e a e8e(#el+! ,a#+l+i(e "i 8ii+l+i(e ale "a!(inii in8+!0e

    1+lna)a (2 ,!i)i!e la (a2ele 1+lii7 a,a!i#ia7 ,!e)eni!ea "i (+01a#e!ea ei e/2(a#ie ,en#!2 "ana#a#e X 1+lna)a a in#ele" "i #ine (+n# /e (2n+"#in#elea(202la#e


Recommended