23 Ingrijiri in pediatrie.pdf

7/25/2019 23 Ingrijiri in pediatrie.pdf

1/13

capitolul23, iNGRIJIIU iN

fEDrAl

Rlf

23.1 SnprNeghoe

tunctiilor

vit le l.

copil,

i

a lltor

Darmctri

a) Mnsurarea tenDcmhni corpor.lc

-

suprnvcghma sbMatic ln o{drul

unei spitalizlnl

- supmvcghe(d

unui

sindm

infcctios.

-

redomerrolelectronic:

-

@nDrcsc, solulic

dozinfsLntdr

- epi$nc

pdl,a pmtcllia

temomaFuluij

mct

lcntu

noiara valorlloi.

-

nismFa se face didinala

$

sctr s.u sfm rcsmandirii

nedicale;

-

pontru

snrsvcelcM in linpul spilaliztrii

nisu@t

sd

f&e

inainto


2/13

MON

TORULOFICALAL

ROMANIE

M,sumrer

in

plici

(dxil,rsal

inshnrah)

-

se

apLica cdphrorul remonchlui

intttca

jn

plica

lxit.ri rvjnd

eriii

si

se asigore un

conhr bun cL

pielcai

-

ronndmehl

hbuie

si

fic

b

nc

pozilionarl

s. rsreapti

30

secundccind

sc

hrd. \e'nn

atu I sonor

sc circgo rcmperarnr.

anlaidl

-

scad.trgr0

5

gmdc

pcnru

a

obriire

tcnpdaruo

rcata.

hn

racrr

..ii'i

du.errrc .d

t'tund..-....Jptu

:

-rold

ricJ

t

:.eorntr

.

J,

-.

,

J.'u..

fl.mr,

tr o,rdti|r,:

.

n

'i

',

lr ,'

'

'

n I

qaj

.c._\.

riup

tu,

.,g,

rcpclrrea

Disurin

i

Doalc

fiN.riztr

apanria

ulccnliitor

Lanivct t pdcretuirch

i

misumrc.

sc face nr

r.Fus,ld

dcccrsioE

din

r.

in

ozu

infccliilor

misumd

sc ldce

in

ftison

irrimDutconvulsiiloi

in

rrnspiritici

- sc

s..ate

icnnomcltu

scci(d{cj

- seind

incur crpis.nul

Misurirco

r_r

calndrcd

buclla

sords r.nDnehllui

sc

inboducc intr-un

crpison din

narerjaL

tti(i.l

sc

pl.

scrzi

subl ingnal

i

-

sc

mcnrinc

lm.mer4i

paM

suni:

..,,d...-.

ire.

-

h

n

r'.r.

.,..

inJepJdcr.

i,..

p.,

1rt.

Mismrea

in .onducrul

audnl

'

canrxrnul

cslc

prorcjar

de

un

carison

dc

unjci nnoshi

sc

ilrodlcc

iD

nrcdhea

-

se

rolc{c

usdr

fiind

rdus

cfu

nai

aprool]c

dd

riDpar:

'nistrmrca

sr

lace

iminr.

de

scularc.. pil t fi ind

i

poTiric

dc

dccubir

$bihcr

ntei pulstrt i:

depisraEr

uror

nFdi[.in

pardo:i.c.

La

Do nisclt

i

la

susar

i.

pnmclc

I'nn,lr id ;

p

s

'l\c

n.xk

nr I

n

r

mtutlutuutui

-

pulMriiG

$

por nsreepc

i

numiira rpttcand

hina

pc

rcgnbcr prccordjatii

-

:.,iiir

nd'r

'

i...'.tr.d.(frctxrcDi,,rnnoirre;dnt,rn .

p d,pt

n tu,

"d.1

. ub,Ji".rnD

ir,a

f(J01{

L'n.atrjrr

.jJ,. .

{dJ:

laconilulsu0r

cghor

sisiematic

in tinrDlL

0trci spir.tizin

nrsurarud

sc facc

dc 2

ori

lc

zi

dimlncala

si

scdh

odati

cu r.mDerdtlmi

io

timprt

n;rrarii

.opitut rebujc

sa

lic linig

dcoarecc

agnarir

i

plinsut

acccitucazi

- nou

nisat=

ll0/t40

p.

minur:

unan= 100/120

rc

,ninut:

2 oni- 100/l

l0

pe

ninuri


3/13

l

4 ni

=

r0/l

L0

pe

rninut:

-

5-?

ani=80/llr0:

3

l0di 30/90

Dcniiuli

lll6=30lcninll

c) M

tsun rc.

si

supravcgh crca

respiruliei

Scopu l: dq

islarer hodi

ncinlor apinrc

tu afccliuDi

rcspirrorii.

sc il.c

prin

ntspccric/obscrva ic in tiDpu somrrluii

sc dczbncii lhra mrfiiodrri

rordcc[ri

s] d rbdomcnuluii

- seaplcnmADa

p

e':oele

copilulli:

-

$ascapri

l-2 sinnt dupnlringerer

copilullii

so

cn,nonrerrevi,.

sc

nuniri

$iscnrilc

dc

ridicarc

a

loracclui;

n, ah.i

dc

frcclcrti

sc

Dul

urmrqrre:

- simcrirnri:cirilorlomcice:

-

rihul sj

dplirdinc.

rcspimtici;

sc

observi

libe rtcrciiLorrcsp;arorii:

-

rnisur6rca

se

l]lce dinrlnealr

$i

sdans'tr

dlpi

un

ohr

{abilii

de nedic

in ftn.lrc

dc $fcr

nol-ni$trr

=

45-ssnni"ur:

-

I

rn=llr40/'nn :

-

3

ani:i0/ninur.

Rcsp;dia

hbuid ri fic

s

ut lt hri

gcan

srl in

$ i

ri

de

zgo'not.

Fard

cdniLului

tebuie

si

lie

no.nral

oolorii .

d)

Mn nrca

tcnsiunii

lto.i|lc

Nu

face

pane

dft.e

misuE.ilc

dc otini.

lunci cdnti csic

cml misurorca sc focc

cu

atai.lc

pcrttr

oopli .drc

au

nanlcra

insBrll

Tchnic

mii$trilii cic ascnin

o.ru

ctr ocr dc l. adtrlr.

(poccdura

ese

dcscns:l t. caDnotul.t.

4.1 Misurafta

$i

notarer presiDuil

sangelui).

e)

Obs.nnrcn

i

supntaghcrca

scannului

l.

sug..

si

copilul mic

spcctol

$i

culorrta

scaunului

difer:i

in

funclie

dc

ldDta

copilului,

dbndrarid

ti

sraF

dc

aprcidrca

modulli

dc tunctionan

a

apanru

uidigestiv:

- depistuca unor boli

insonr

dc diarcc

sN

dc..nsripatii.

-

in

pinclc

2-3

zllcdc

h trdslcro, sodtrtr0l cic lcrdebdn

inchis

(ncconiu)i


4/13

.

5 :tuIr irncnn'

lJ

nf chm'n

{JU'.drLUo

L

ldlbcn

rdal(ipJ'.],,

ten cr

Ll

r

lruz

.\ rlr

tr

t

Lbrnc,

nuDirulscaurclor

l.

inccpur

e$c ftccveDl

apotscldc

tiind

dlrcrsllic, scruDul

iri

schimhi

c0lofca.

climint un

scaun conshtcDr.

qatben

dcschis.

crrc .

ade,n

I

ScxmuLprczin{rh.Jifici

pivind

.onsisicnta.

cxn(nalcr,

conpozirir,

ctrloa,ea:

podo

con

ti're

eleDcnrc

pa

nnog ic.

i

sc

insobie

(G

durri. borborisnr..

rcncine:

-

sdunere

Ducoenmjo$c

au

(orsisrcnli

nc.nlgena,

scbitidhid..

cu

Fnictrtc

rotidc

ir

mult

nrucN nr

fomr d. lilamdntc

$i

nocornc,

c(to.rc galbcnjr,r,,t"

."-o,rr po,r

rjunsc

h 5 l0in2aordi

Scunclc

lichidc

si

scmi

lichidc

surtclimim{c nrle.:

Dol

oonrinc grunji

ii

nocus:

Dtrnin'll0airn:c

la

i0 i

2,1oto.

-

sunr

llohidc cu mu.us

sub

lbtri

dc

simezi

$scorsc.

gilbui

ccr

si.

.\c'nlnar.jre un.r

-

nuharulsoauNl.r

dlnd

alitucnhlir

sc

CdpiluL

alincddr afr itici t

conrin

Drucustipuoi:

-

xu

cuLoo.lalbu

vel^ji

Scauie mucosrtrshinolenrc

.o

i.:

m&us gonjut

dc

nmrcrii

fccaLe.

sange

Nunitul

i

aspNrul

scauDutui clinrimr

sc

ioreazi

lbtujnd semc

Scrun

scnriconsisr.nrlenilichid (/)

-

sour

opos

(

),

grunjos

{z):

mu{s

(r)

Scaun c

stfge

G)

s

se

noicazii

cu r.\u

in crtrutri

vambilc

sru .trmai

mudus sl

Cand

scalnul

co.rine

maimu rc clcmdnre

sc tdos.sc

rodc simbotM

edc

oxcnptu

(v)

mucostunj$:

(xs)

mrcosrnghllond

crc


5/13

23.2

Prcl.urcn

probclorpcniru

llborrtor

la

sugarri.opilul

nric

a)

Pr.lov.ror

sangclui

pcntru

cranrnul dc l8boruto.lr

sugr

Recdttrred

sAngolri

prih

inroprrer cnkiiioltri

-

oblncM nNi mo$c de sange

pcntu

Jcrcmina dgluco/risi heDulocritutuii

efeduarer Gnelor dc

lih.raror

pcNru

idilcdonu e,

ga

lactozcmic.

hinornoidisnr

hno ri

ldnclc

dc

liboFlori

xc

pentu

inlepfiun sa.

lrm.

pcnm

scadioaEr

mrnu\i dc nici 6losinii

$ vftiiici idcnhrdtcl

copilultrii

c

vrifici rccomindma

fr.dicalii

\c d\erli

uopllul

inr{

Nzirid

coDtdi:

-

sc d.^ clcnc

p1c

iorul a les

peDtu

recoltlre

sc

cxrnrincaz.

l.cul

(mr.eirca

hrerocxicnri

cdlcai hi)j

sc snala mairilc

si

sc

putr

Dranuiil

- scdczirliclc{zi lod'lcuun llirporctrilcoo

i

-

sc

lclgc

{Fl6ul dc

spnr c o

sc .rnfict zona cu l.m. siu sc imcini

cu

un

& $cnl:

pri'na

picin{a

de sdnge se

gerge

ou un hnpon nscati

se coledeazi

singcle

cuajutorul

pipctclorcapil.rci

'

lrsfirt sc

mli.,

un

tanpon.tol

unpansrment$enl:

se erichctcrzi \i

sc

trimitc probr

ia Lrboerori

sc lini c$ccoDiLulduDi rc.olhrc.

Rttokxrcr stngclui prin

pnn.tirrcnor.i

Obtin.rer unel can(iriii nrai mrri de

stnse

pentru

cx

rcDedc

lahombr

-

pitra

pcmfl

infnsrsa

(nnobdzdror)

.opihlui;

scringiae

de unice

folosinril

-

mabnal dc

dezinfecric:

rlcodlT0

gndei


6/13

MONTORULOF

C

ALALROMAN

E

miNii

de

un

icn

h

osim..i

$ nrirsi coDnul

dupi

rchnio

nunjcj.arc permirc

imohii^rc

Eri

sajcneu.:isc

trs,

a.ccslr4Da

uruhrr.

sc

vorifici

rccomxndatua

mcdtcrter

c.ajuguu

cxrcni. coDth'i

lttrkl dru4r

cu

c.ptrt:naijos

dccir

corputfot.sird

uf

pmsop

nrlar

sau ntBi'rco

rrcsci:

vena

lcmuLari..pozith

brdrjci

copil ttiind

iixrtli

nneht

genurctrit r

{

mtDa

evirind

pEsiunci

pc.o.psc:

sc dc/inlectcrz.i

locul si

sc fade p

unclix veD

oosar

.

dqrirccoLrrcpcl.culinFpiturnseapLicaunlanponcuc.re

sD.clnrlrlc

colrrre\erinir

tr

aboElor

DtrDc ia

poaie

fi cLdtrrr,

dc

c

r.

ftcdic

sru

dcrn

xsistcnt

mcdicalsljc.iaLinstruirpc

baa

trtrtri

pmn,col

clabord

s

scNr0l dc

ciLrc

medi.

b)

Itelevarcr probclor

de nrini t,

coDit

se ticc

bxlerr

ollotrclor ni11le:

$

fixdza

in

jo d

p.nncutu

$nr

vcj

o

p0ngisr.n6 di.

malcriitplNicl

..

,lr

n

-'..1'nn..{"..i'rufh,

n.,,aJ

,omd

n

r..r,

T.'un

.-,tr

..,.. nF t..,r.

ie

J ,cFfl nJr

.t,.sr

.

c)

Prclevxtur

probolor

din

sc, n

tncopit

Dcnh

c\rDrcnul

coprotaruzirotosr

se

rccotrcaTi din scrtrnuL

eD( sporran

tid

supoznori

,1u r..

r.,qfl

c

n,1,q.,

Jacascaunut

N

fl

czjnrimoditicin.Ecotiorldsctrccdirmdi

rllczone:

pcntu

cofro.rlrtrrircuoLt{ca

sc

taccdjrccr

din

Eci

cu $nda

mclaron

scnln

VJ..'Jl-.(rn'r.,,

c.

r,

'nt

Jcr,u.huc

th.tn-r.nrt{e.,e

P,,,.To

, ,l.

.n""rt

c

r.

te.

'i

"

a

.

.r

r[,

tr

,e.r

tcr

(cae

icinn

-.

r

i. Jt Lb.'.,o.

J, it,nhJlr

r..'. i

tor.c.,

F

-r,tr

.,reu....or

J..,1,ot..,.,

23.3 i

ngrij

ire r pEeii

onbilic,t

Scop:

muniticdrur

cordonului

si

pftvenirq

intcrici

Ingriririlcinccp

hnuremirarc tse

cofrirNli

tr

donicitiu.

Se

cxccuri

depc$onatdc

spocirlirare

sau dc carc

mami/subnn

u1

marq

tr

ti

doDicitiu

dupi

o

preata[]t,

intbnnm/insiruirc.

ingrijiri

lnriuica.iderii

bonrutui

onbjticat

nomal

bontul

otrib

icdl sc rnumiti.i

dupr 6

LIo

d.

ld nafrcrc

si

s. dcoscrn:


7/13

MoNlToR LoFICIALALRoMANIE

in

primclc

orc sc

contmlcrnprnsrncntul

pcnm

d+isra

cvcmlalc hcnoDgiii

-

in

zilrlc

unnatodrc

sc

rcticc

lans

rentullsis.

obscn

a

cvolulia

(de

ualc

semne

de

infec{ii.

roreald, secrelii.

rcbri)i

tenku

prclcnnca

inllclici

si

lrabn$

nNnitictrii

pesre

bont

se

aplidr

cdtuprcsc ncrilc

-

j1L-Jn.dl

rL

rF"ntu

dc\incr rt

1ln

\'it

4.

ingrijiru

pligii

odbilitNldin

cnz

dc

inrcctii

-

$ Nnla medicul.

sc tspc.lii

rcc.

rlnd irile:

se

cufrli

nlaga

cu api oxigcndri

sc

ating

Dlne.

cu bchdird:

-

sc

aflicd

Dulbc.cde

hancocin.

Dalr

pl.g. prczinti gDnul.n

sc

atirge

nugrui

cu

sdlrrlio dc nirrar

dc arginl

t%. Sc lplici

23,4 SupraveghereN

nou-nisuutuluiio

incubrto.

lncubrtotul.ncmhabitaclu(lrcas)r_ncIisc0pDrclidinNatcrirlpldtictrDsparenicrrepc.nnc

obscnaEa

ndu

nascutului,

Elli7au

insrijrilor si

jini{tco

Drin

atilrgcrc.

Pr.Tinli

oificii

crre

Demn

rcscrca

tubunkn

si

sondclor cccsdrc

dcoftiariiinsijirildr

in nnqi.r

ocn,lambiantenc

cald.

umidin

car

ti

rennprospitdt p.nmcnr

nou niscurii

ptoD{luri

sau a

srcutatc

Drici h nalrcrc:

.

nour.scuiii

rngilij

sub

suptuvcslrcrc

clinic.

stricla

dczcchilibmti hclnrodiranic.

rcspintor.

i'iltrbili ldmic, l. orre

lrDbtric

obscralc

mi$iri anonnolc, coloFlia

rcguncm'lui.

scrrc de agnvfc

a

ntni

dc

l,ntrdrci

no nrscurii sub loiorcmpie.

incubdor

dml

icconhnr

inat,

p reincilzit

i

g.rdrl

dc mridil.rc ru8hr

(40%)

-

o..piclc

dc o.ic

sintctici

penrrudcopdnrta salrdldil

-

trn s rcc inpituit sub

cap:

- o penza

pcntfl acopori

a

corpuhi copiluluii

'

o

panzi penturopcnrta

in.trbdtotol0i.

d crmi$lii

si

cvcnturl

:oFte


8/13

MONTORULOFICALAL

ROMANIE

-

sc

infomeaTa

limilir

sd

explica

nc.csnrka

puncriinr

iDc0brror.

nudutde

ln.crjonam siposibiliraiea

dc

conracr

sc dczbmcii

nor ntscurll:

-

sc

toglczi

rcmperaturidin

fcnb.nn cu ajutoruluci

s.ndd

cuen

cj

-

rc

inshLe,islu

sc v$inci

sondi

dc

galaj,

pcrlilzia

si

ox

ieenu

I drci esrc

ncvoici

'

sc

inshleaTi

o

punSa

dc urira:

.

l.JlLc" {J.,.,

l.

'D'.u:cl

'ne.n

...'n

e

sc a.opcra cu o lcnifiicnorldi

sc

r.sncd mntrl $nm vcehe. in

tinDntn'nrnutuirci.opc.i

incubatofllcu

uD

cc0rccat

-

llnilia

va

fi

infomatnlnrpn

confo

uuic.tiuLuitictrhporiepmlicjpiLanrgriiro.

sc

obseNa

t1scn.r.n/i

rempcniura

Lr orcrcgularcdi'r

6ln 6

oR:

sc

asigur:l

pdTiria$ndcicutanatc

cmc r.imnc rot rimput.ir

dopitutni

in incubarori

,

sclcriliciumidihica:

.

porrtuna.ca

cori

ulri la

ficcaa

ingijire

(in

rnnntft.ioadcidc

vcshe).

rcsn.criv

drcrrta-

cu'ilirm

rczdvotulL'i

dc

rpd

ti

schinbxrea

b

24

olc

cj. dc

dorir

cr

jrunci

cind

Frinrii

_

iau lc .tufl cL copilul

sipo.rc cchiFmcftdc pdu.ric

I'rlrctincrd c.ridilnn

indbxrorulul

-

sc lrc cind

oopilul csr.

scos

pentN

roalcrij

sc

indcp.ncazr

Lenierial

sc orrli

rccesoriiLc,

ncrclii

inrfion apoi

cci cxr$i.n:

-

scdc,lnfectcazacxroloi0l,scpftlc.iapi$critisauscruttiziologicpcnrui,ac

orj

-

n.nhdczinticlictr0s0tblosdscnrodusc

rox cc

(jinoti,

dldihide,

h.togeni.

acizt, xl.ol):

Cotilu

pfurscnd

incubatonlcn

avi/ul

ocdicului ddci:

- iar.xclinicititcflni.r.{estabili,s

aprudusdnrarudzarcsujicic

i:

-

'l:.c,

o'

." 'd.-

1"n

-.'d'.'.nr.'rnEs

ht,

daca

c$c

nrenraiur

sau arc

eru(arc

nrioi:

rcfrpcturum

corprtui

si lic

$biti

irr cc. a

mcdn'lui injurdc

2n-30

gradci

-

iixinic

dc

a

li

scls

dr

incubarorsc

lnce

acon.drrc.

cu rcmDeratufu

exrcri.rrt

Pinndi

\or

ti inslruili cum

si

nigrijcas.i

coDitul

I

a

slirsir

ro.rarr

lise

dcconlxmindr/i

incubaronrt.

tulbuEri

dc rcmoEslarcdiD

cauza:

pte.dcritordc..Ldu,

(indhiderc.

n

dcschidcm

rcpcrari

a incubrtonhrj)i

rcnrpDrortrii ncrdaprarei

-

u

m1d

ir ii ndrdJptore.

lnlcclii

nozdconrlale

din

c.uzx:

-

lipsci

dc rgienia

incublroruhri:


9/13

vo\|oauloFrcrAL.-covnNF

Do/irir

in$nrodi

.

hnina purrnici. zgon.r:

.

inh.lara regrgiurii

ori

r^un ca

unarc a

linsci

circulirii

tunrlui

nr

n $ior

Sc

pozitioDeazi

salicau. dc asx

..

a- i .

i

td'u

-atu

,

..ir"

r

r nt.,

..r

pu

p,u.o.

NOTi INCUbITORUL

ITSTE

UN )P/R,1t t(7R1C

I

Nt:CllStTi

SUPR,IIEGHERE

:J.5

Su

pravceh

cre nounnscutului

sub

fololernpiu

f_. xcnpi{

cslc

cxpuncar lardJirlii lr noasc

lcrcrui b copil(erlbenI regumenrelor

ca

nnnarc

a

unui cx.es

de

biLirubind srtrSViDa)

lcten

I

lizio logic s.u hipcrbi

lnubincni.

hn;

rorie nconahla

-

arure in pmpo4ic

dc

60%

70%

lanou

nisculii

La lcnnctr si 95% din

pftmaruil

esrc

o

corsccir{i

a

hcmolizci

iiziologicc

pos-.dhlu:

dcbulcaza

a dotra, .

lr0ia zi dc

vi.ti:

c c

pllin

inrons, tu cic idoln dc lcbli. Lneon

Tare

o uto.r.i s.nnolenlai

-

ifcr

gdcrili

csc huni:

-

ltrina

cic Je a\pecr nonnal.

N

parca2,

r.ur.cele. Du

conlinc

pilmcmi

biLidri

urobilinogeNl

ulor

crcscut taralclc aua:Ded Donnrl.

lj\,oluiia

c$c

f.lofu

bi lil.

iolerulscrde

mpid

jr

i

cfsiritc

tidisprn

sponran

dupd5-7 zrtc firi nr

Nu

n.cesiri tDianrc

-

Nmai doci

cslc

loanc inl.ns

mcdicul

rcconandi lcnobarbir.

litr

sum

cd'secinle

01c

tulburarilor

frchbolirnuLuibiliruhinci

cdn

por

tnter.sa

ttudu.er.r

caprarc. hcparidl, conjL's.rr

sau

*crctia sai

-

lro.l. hcnoLnici r nou niscutuhii

dcrtrmni sl icb

en

p

n

incdnrDrtibjtihrc

H

:au

cnb.blanoTi fchli cstc

un diD

c.tr^lc

hipcbilirubineiplrologico.

FototeEpia

rcprczlnl:l hramcnrul hipcbil;ubinemici

nNn.hte

i

]

iclcnrl

pin

c\DUneGo

t*nmcflclor

copilulli la ftdiaric trmi']oasd

inrcns:I. spcclrul

ukrsiolcr di.

ndiarta

luminorsi

con lb i

ld

clidinadbiLirubifei

diD

piclca

c.nilL'lui.

-

l.mri

dc

fololcrapic:

ochclari dc lorolor{p1c

pcnh

protcclia

ochllorcopiluhij

-

alczri d. unici lolosinril

pungi

dc

uri'ie

penh

baiciii

-

scutcc

pcnrrurcalizfea

rmi invelis(c.c.n).


10/13

MONTORULOFCIALALROMANE

r.idcnlilicituDllulpcrh,

fi sgur

ci

tr[rJtr

\c

aplici

..tui c]r.

r(bric:

-

rc

Dnfielzi

onmlidc .iri

daca cic biid:

scprotj.x/iocl,ii

o, odtlx

sp.cirLi.

Rorul,skicntului

mcdicd

'

dinmI i

rejuNadc

lodcrap]e

si

0js

cr ropiLLLLtri

F0,,10cfi):

-

pozirircor

a a och.larlrdc foi.rcnDir:

rcg

l Lc.

rcn

peniur

ii

ruhalor

trisiuminlt rc.:

rcnpcrxlun

corDorrd:

.

ti..renli crrdiicit

$i.$ptrrbncrcop

utrr:

dnm/r.ctrlorcrui'ili.r

s.uNlri.\i

grcurrrc.

opilL,tuir

omponanrf lrl

copihluii

.

col$diasi

hidmrrrtr

pclii.

sc da

hprtulli

si

bco

t...rerc scxtrplimcnrcaza

li.hiddc

frrj

lD

luzic

sub

lre{riF

ilc

mcJi.. c

c.lncr/i copih'lrni

curnlc hlinded.ci

cne

agirar:

.

scdiorc.

*i

copilulL'i,

cu rco

ulprnnrikn:

sc

c (ii

hzira

si

sc

rsiguia

coihtul:

sc cv(a

ftdi,riiLc luDnF.sc

trin

r.o|['ir$

rclbaronhr (\c.{strrli

rrrict

si rrtnccija

0ctrtr1

ccihLrlcopii

cxrc

n'ni

nr

imiictuJ:

- pcntru

realizmcx

in-qriliil.r ieictrirc

(schimb.rc..tirncnkticl

\

protiri

dc

0.,iodr

dc

c.{he

cotilu tri

\c

inrcnr|c

h'npr dc torotJxnje.

se iktcpxflca/i

o.hotrij:

\r \

e riti.i c

licrcnr r.x rtrolcftpicr

S{prnrqhcrc"

dupii aoderrDie

-

tirnNl

dc c\puncrc

h fdornpic

c

sc

t

r.s.ris

dc

nulicutpedirrn

in

l.uncric

dcs.ayndc.

sc

[nLdrcrzi

in

connnuxr. coniul0c

crd.raLi

sau i .

oericolul

nrdicril

o.uLnrc

cnc

rbr

cxisll

nsc dc

apicc

cccr

rc

i'nDunc

cliftinrt

p,i',

ImUrcr

ochitorcofi

uh,i:

supnvcShcr.

[r.\en{q

cxrdirrc

$1

satrmlia

ii

origcn

nd

r.

pr

r v'nrJ\eltr(i

lunr i

?1,6

[frctulr.r

injccrid inrumusctrtrrc

tr

ug r

I'nroduc$.d

Lfcis.h(iirncdi.amcnbAer..onundar.

dc ncdic nr

BurutDnNc,,t^r

-

mcJnmenrlr... ,n,1,


11/13

Ar

RovaMF,PAcTEA \.6bab-

t

\

zor.

'

acc

pcnrtr

aspirlrca fcdi. ncmrluidin fioltllacoil

-

acsubliE$in,io

apratgr.simiinusdn'lui;

-

scringi

dc capNitarc corespun/ttoarc

ranririlil

de $nurie nredicancnlo.s:l

rccodandatii

-

mrleridl de ds/lnlccric:

rccipicnt

pcnlru

colcclarca

mrterirlelor fobsire

se

vcrific, inci 6ddli

prcsciplir mcdi.dl.rii

- s. dlcgc

locul:

rtinca mcdic

a felei extcnc

a co.psei

(mu$hnrl

van

l.tmD nrairarfrla

anre'iori.

Mu:chn

slur.rl

posroior

nndc

sc lac dc obicci injeclii intlNusculorc cstc

inanc

putin

dc^olrot h

susar

i

n'rne

apupc

de

neRnl

sciatic. ru

sc

rccoman, lr Loc

sc dcz

intcctcaz,

locu l

i

cu o

nrtni

sc fixcazi

pi.ionrlcopiluluil

- 0u o niscarc

npid6

se aflerpinuschiul,

tcul

fiind

usoroncnhroblioi

.

sc

lcnfci

pozifi..o

uitise

i',tecrcv,

solullaj

- dupx

injecure se

rpli.i

dn tarpotr cu solqic

dcziilbctafi

il

sc

retnge

rcul:

se

colectc'd

mrterirlele

f.l.silc

conlom

prNiurliloi

uniresrLe

irerijirea copilulri dnpi

proccdurn

sc

xscazi inrr

.

pozirid

cododtl

23.?

Administrrrc. mcdicnncnlclorpc cnlcoriln ll.opil

I c

i.rdduceRa

in or-qanism

pe

cilc omli

unei

caDrir i

dc mc,licrmcm.

c.rc si

acrione4

- prhx.

dc

unici

Llosinrij

mcdi

camen

ie

p rescri\e:

'

api, ccai..k

lichrd

turonmdati

lavi sau mosusii uobiLii

-

minusidcutuciLlosi.ti

'

sc

tblosc,ttc

hcrod,

dc

jo.ci

Dsh

a

obtin. c.opeore:

-

e

hfomcazic.tiLulciu

prinriun

nrcdlcamcDl

lnu

bomboanci

sc

inhrnrc.z.

0supm dnctuhi

si

rtaciiiloradvcEci

-

sc orplidi

prnnrilor

roluldcdicrmcnlrlln,

nnpodd.tu

admnrisrririi,

actiuim

$iereniuaicLc

-

se

asiAurt

o

pozilic

corcspuzlroare

i'r

&pon cu $dca conih'luij


12/13

MOMTORULOF

CALAL

ROMAN E

sc

vlYilici daci

suni indcplinnc cdnditi lc

Dctrlr0

hint$Drc:

dri

nu

cxdi

nirt

o

coDrrird

{ric

s0

inlocuic{c

rpa

o

un

rk

tich

d.

dc preteror dulcc

( uc.

ccai). Nu

se

inloscsc

oli'ncn(c

sau

lichide prtimre

dc

copit

dcoarcce

le-ar

rurcx

-

su

dscrz, marerialclc

p.

o rxvi sauciruclorDc

tu lrarrmcnc

rc rerifica pLcscntria

rnedicrli:

ounrtc

mcdrrtocn{utui.

doz.

Drodut

dc

ldmrisharc.

cllca

dc

administnrc:

-

sc indentifici

licorc

mcdic.tucnr

pccre

lprnnclc prdtentul

cljchcra dmbrtaiul:

run

ir.lr...

r.btr. .

i

..

,,.,.,tp^

sc

vc'llicx

rrnr;irul

salonului

ti

f

umclc

nr.ienhlui:

sc idtr.. rivirdmrsu$

cu

nedicamcnrcLein

sa

or

-

sc

cxplici

prcienruhibiriilitor

ce

DdicrDcfr

D

mcnc.

acliurF.

acestuir.

da.r dc

gtrs

se aFaza

n..icilulin

pozitic

rcziird

dacinu c

nicio

conrxindicrric.

MU opouiric

romodi

ir

cric

srl

rrorli

ber

lichidurir

ti"rc rc dc sarer

aue$tr ix

i

.

scshe$cl]JcicDtului

dozdutuclii

.

se

TdDbcst.

s r su

liagtucnrcrzi

rablctslc

penrlr

r

ti m.i lytr

de

hscnl si nr njod

dcoscbn

h

copn hici:

.

i"".. '0.1.,1'

fi'

,,,,p.

"

uiu.o,

Ln

sug,ri

se

proc.dc.zl

*tarl

sr

rdrcbelc

ncdi.anenrll \i

sc

tuic

ift

o lingurila

cu

..ar:

\e

inroducc

lingurihnr

SUra.opiluhi

sc

rp sa

nJor tinrba

s

sc

rn$ornraconrintrlut:

-.

'd'fn 'd.

Di.'l

i.doo'..,.'r'-. .r.

Supr.\

tgture

copilului

dupn

dminjstrarc

(opiLL,lnu

Icbr,c lis]{ sn,gur

s.tr, rirun.

aspcculrcguncntuLL'i.

por

aDar

cnDlir.

cr7

ir catu scaN

tiibdlicuti

1.

.paiM rlbur;rilor

rcspnabi

sc miniircrz,

oxigcn.

.rj

sc

anunr, mediol

Se

p.clircsc

b s

dc

nrg..ri:

2a.SInsuriinc{ulunorrenrtiiNpnru&dupr.dmi'isrrfe.nodi.{ncnlck,rl,copit

D.cii

rcuza scnzdlic

dc gtoaLi

vomi

sc

acriscs inctpcreri

-

so

c.tu

c.piluii

s. insfe

protund

(d.cr

cic la d

versh

tacarcpo

c

imctege)i

-

sc iirucopilul prini

crind

sc simlc bincl

daca cn..i/ul-

sc

anurra

nrdid'l:

Daci

vasi

o

prnediD

'ncdlcrmc

Dnci

r.c

rcact

i. : lcryici

sa

anati

ladica

-

su

oprcnd

adrnini$nrca

ncdicrfrentuhi:

c

anunla

ugDnr

nodicul:

se

plq:atcsc

medicrnrr tc

r ntih

isko

icc


13/13

MONI-OF-LOFICIALALROVAN

E

-

sc

a$cd2i

oDilul

in

decubn

cu

c.nul

pnft

ndicati

-

sc evaluui sennele

viele din

15 in 15 i

sc rmtrcilc

doc.

prczintd

hiDolcnsiunc

sou oro

dificullatc in

rcspiElic;

-

d{cA s

diticulEli

rcspnarorn

so dminislrrzi ongcn

pe

n6c4 6vnini

sc

,icgnriG

o hsa

dc ucntc

(la

lndcn ni);

- s sigurn

suport

psiiologic

copilului

penlru

a Ed@

anxietoiea;

-

sc

norc.zi

tinul

si

cvoluia

rcactici alcreicc.

Documents

23 Ingrijiri in pediatrie.pdf