ingrijirea pacientilor cu pleurezie

8/13/2019 Ingrijirea Pacientilor Cu Pleurezie

1/10

Iova Alexandra

Anul II AMG

Fundatia Ecologica Green

PREZENTARE DE

CAZIngrijirea pacientilor cu pleurezie

1/16/2014


2/10

[IOVA ALEXANDRA] January 16, 2014

PREZENTARE DE CAZ

Nume: M.I.Data internrii: 04.12,2014e!: Ma"#u$inData na%terii: 22,11,1&4'D(mi#i$iu$: )*+u$ Miai -iteau, )$. A/, A. 2, iiutare #i3i$: C"t(ritn$5ime: 1,/7reutate: '6 89.

Na5i(na$itate: R(mnRe$i9ie: ;rt(+(!itua5ie "(#ia$: )unun9i t(ra#i#, a"tenie, #e=a$ee, tu"e entru #are "e a$armea %i "e

reint $a me+i#u$ +e =ami$ie #are ?i re#(man+ internarea.

E!amen #$ini# 9enera$:

tare 9enera$: re$ati3 a$terat, =er /&( C

Te9umente %i mu#(a"e: n(rma$ #($(rate, ume+e, +i"#ret #ian( eri(ra$ %ierinaa$.Be"utu$ mu"#u$(*a+i(": n(rma$ +e3($tat.i"temu$ 9an9$i(*$im=ati#: nea$ai$i"temu$ ("te(*arti#u$ar: inte9ru.Aaratu$ re"irat(r: t(ra#e n(rma$ #(n=(rmat, >un9i t(ra#i# "umame$(nar.t9, tu"e, R/0min, 3ira5ii 3(#a$e e!a9erate.Aaratu$ #ar+i(*3a"#u$ar: 9(m(te #ar+ia#e ritmi#e, tai#ar+ie, TA11060mm9, P104 u$"a5iimin.Artere %i 3ene u$"ati$e.

Aaratu$ +i9e"ti3: aetitu$ e"te +iminuat, $im "aura$.A+(men "u$u, ne+urer(" $a a$are. i#atu$ %i "$ina "unt ?n $imite n(rma$e.

2


3/10


Tranit inte"tina$ ?n#etinit.Aaratu$ ur(*9enita$: e$e rena$e $iere, ne+urer(a"e, mi#5iuni =ii($(9i#e.NC %i R;T %i ai$are reente. Pa#ientu$ e"te (rientat tem(r(*"a5ia$.

E!$(rri +e $a(rat(r %i ara#$ini#e:* -2/1 * (m($eu#(9ram*


4/10


* a+m +e ;2 $a ne3(ie* umi+i=i#area aeru$ui* m"(r =un#5ii$e 3ita$e FTA, P, R, TG e #are $e #(n"emne ?n .;.* a+m tratamentu$ me+i#ament(" re"#ri"* e+u# a#ientu$ ?n 3e+erea "emne$(r +e re#un(a%tere a e3entua$e$(r#(m$i#a5ii.E3a$uare: Re"ira5ia a#ientu$ui a =("t ar5ia$ ame$i(rat. Pa#ientu$ a ?n5e$e"in=(rma5ii$e +e"re a=e#5iunea "a %i a#um e"te mai $ini%tit.

D! 2. iertermia.M+:

* =er /&( C* #e=a$ee* =ri"(ane, tran"ira5ii aun+ente

;ie#ti3e: Pa#ientu$ "*%i men5in temeratura ?n $imite$e =ii($(9i#e %i " =iee#i$irat i+r(*e$e#tr($iti#.IN:* reau" $a at e t(at eri(a+a =eri$* aeri"irea ?n#erii* +e #te (ri e"te ne3(ie "e "#im $en>eria +e at %i #ea +e #(r* a$i# #(mre"e re#i, un9 #u 9ea5, =ri#5iuni, ?ma#etri re#i* a+m a#ientu$ui me+i#a5ia re"#ri" Fantitermi#eG.* a+m a#ientu$ui #antit5i mari +e $i#i+e* m"(r t a#ientu$ui %i n(te ?n ;.

E3a$uare: Temeratura a#ientu$ui a "#ut $a /( C %i "tarea "a e u%(rame$i(rat.

D! /. A$terarea "trii +e #(n=(rt:M+:* >un9i t(ra#i#* a"tenie* in"(mnie#(: r(m(3area #(n=(rtu$ui %i "e#urit5ii a#ientu$ui e eri(a+a "ita$irii.;ie#ti3e: a#ientu$ "*%i re#aete #(n=(rtu$ %i una +i"(i5ie.

IN:* a"i9ur #(n+i5ii #(n=(rtai$e a#ientu$ui: "a$(n aeri"it, $ini%te* ?$ a>ut "*%i 9"ea"# ( (i5ie ?n #are >un9iu$ t(ra#i# e +iminuat* a+mini"tre "e+ati3e$e in+i#ate +e me+i#* e+u# a#ientu$ " #ear a+m +e ana$9ei#e (ri +e #te (ri are ne3(ie* ?n35 a#ientu$ teni#i +e re$a!are, e!er#i5ii re"irat(rii #u #te3a minute?nainte +e #u$#are.* (=er a#ientu$ui ( #an +e #eai #a$+.E3a$uare: Pa#ientu$ "e "imte mai ine, >un9iu$ t(ra#i# e +iminuat +u a+m +eana$9ei#e.

D! 4. Cun(%tin5e ine=i#iente +at(rit $i"ei "ur"e$(r +e in=(rma5ie.

4


5/10


+:* aartenen5a $a ( #u$tur +i=erit* ina##e"ii$itate $a in=(rma5ieM+:* a#ientu$ une ?ntreri +e"re a=e#5iunea "a* nu ?n5e$e9e +e #e ia une$e me+i#amente#(: in=(rme a#ientu$ +e"re a=e#5iunea "a;ie#ti3e: a#ientu$ "*%i ?n"u%ea"# in=(rma5ii$e +e"re (a$a "a.IN:* in=(rme a#ientu$ +e"re e3($u5ia ($ii, ne#e"itatea in3e"ti9a5ii($r* in=(rme a#ientu$ +e"re m(+u$ +e a+mini"trare a me+i#amente$(r %i e=e#te$ea#e"t(ra* e!$i# a#ientu$ui #t e"te +e im(rtant re9imu$ +e4 3ia5, =r tutun, a$#(($* e!$i# ne#e"itatea #(ntr($u$ui me+i#a$ eri(+i#.E3a$uare: Pa#ientu$ %i*a ?n"u%it #un(%tin5e$e +e"re a=e#5iunea "a %i a ?n5e$e"t(ate re#(man+ri$e (=erite.

D! . A(rt a$imentar ine=i#ient +at(rit an(re!iei.+:* an(re!ie* +urere* +i"#(n=(rtM+:* "#+ere ?n 9reutate

* re=u +e a "e a$imenta;ie#ti3e: Pa#ientu$ " #(n"ume a$imente ?n =un#5ie +e ne#e"aru$ #a$(ri#.IN:* e+u# a#ientu$ ?n ri3in5a ne#e"it5ii a$imenta5iei e#i$irate* a+mini"tre 3itamina C entru a*i =a#e (=t +e mn#are* "er3e"# a#ientu$ #u mu$te $i#i+e entru a*i +etermina "ena5ia +e =(ame* a+mini"tre "timu$ente a$e (=tei +e mn#are* (=er a#ientu$ui ( ran e#i$irat %i $a in+i#a5ia re"#ri" +e me+i#.E3a$uare: Pa#ientu$ reint ( u%(ar ame$i(rare a (=tei +e mn#are.

A 2 * / i.

D! 1. A$terarea re"ira5iei.M+:* ($inee* #ian(* tu"e #u e!e#t(ra5ie.;ie#ti3e: a#ientu$ " reinte ( re"ira5ie a+e#3at.IN:

* a"i9urarea rea("u$ui $a at ?n eri(a+a +e a#utiare* #amera " =ie $umin(a", ine aeri"it $a ( temeratur +e 20(C


6/10


* a+m +e ;2 $a ne3(ie* umi+i=i#area aeru$ui* m"(r =un#5ii$e 3ita$e FTA, P, R, TG e #are $e #(n"emne ?n .;.* a+m tratamentu$ me+i#ament(" re"#ri"* e+u# a#ientu$ ?n 3e+erea "emne$(r +e re#un(a%tere a e3entua$e$(r#(m$i#a5ii.E3a$uare: Re"ira5ia a#ientu$ui a =("t ar5ia$ ame$i(rat. Pa#ientu$ a ?n5e$e"in=(rma5ii$e +e"re a=e#5iunea "a %i a#um e"te mai $ini%tit.

D! 2. iertermia.M+:

* =er /&( C* #e=a$ee* =ri"(ane, tran"ira5ii aun+ente

;ie#ti3e: Pa#ientu$ "*%i men5in temeratura ?n $imite$e =ii($(9i#e %i " =iee#i$irat i+r(*e$e#tr($iti#.IN:* reau" $a at e t(at eri(a+a =eri$* aeri"irea ?n#erii* +e #te (ri e"te ne3(ie "e "#im $en>eria +e at %i #ea +e #(r* a$i# #(mre"e re#i, un9 #u 9ea5, =ri#5iuni, ?ma#etri re#i* a+m a#ientu$ui me+i#a5ia re"#ri" Fantitermi#eG.* a+m a#ientu$ui #antit5i mari +e $i#i+e* m"(r t a#ientu$ui %i n(te ?n ;.

E3a$uare: Temeratura a#ientu$ui a "#ut $a /( C %i "tarea "a e u%(rame$i(rat.

D! /. A$terarea "trii +e #(n=(rt:M+:* >un9i t(ra#i#* a"tenie* in"(mnie#(: r(m(3area #(n=(rtu$ui %i "e#urit5ii a#ientu$ui e eri(a+a "ita$irii.;ie#ti3e: a#ientu$ "*%i re#aete #(n=(rtu$ %i una +i"(i5ie.

IN:* a"i9ur #(n+i5ii #(n=(rtai$e a#ientu$ui: "a$(n aeri"it, $ini%te* ?$ a>ut "*%i 9"ea"# ( (i5ie ?n #are >un9iu$ t(ra#i# e +iminuat* a+mini"tre "e+ati3e$e in+i#ate +e me+i#* e+u# a#ientu$ " #ear a+m +e ana$9ei#e (ri +e #te (ri are ne3(ie* ?n35 a#ientu$ teni#i +e re$a!are, e!er#i5ii re"irat(rii #u #te3a minute?nainte +e #u$#are.* (=er a#ientu$ui ( #an +e #eai #a$+.E3a$uare: Pa#ientu$ "e "imte mai ine, >un9iu$ t(ra#i# e +iminuat +u a+m +eana$9ei#e.


6


7/10


+:* aartenen5a $a ( #u$tur +i=erit* ina##e"ii$itate $a in=(rma5ieM+:* a#ientu$ une ?ntreri +e"re a=e#5iunea "a* nu ?n5e$e9e +e #e ia une$e me+i#amente#(: in=(rme a#ientu$ +e"re a=e#5iunea "a;ie#ti3e: a#ientu$ "*%i ?n"u%ea"# in=(rma5ii$e +e"re (a$a "a.IN:* in=(rme a#ientu$ +e"re e3($u5ia ($ii, ne#e"itatea in3e"ti9a5ii($r* in=(rme a#ientu$ +e"re m(+u$ +e a+mini"trare a me+i#amente$(r %i e=e#te$ea#e"t(ra* e!$i# a#ientu$ui #t e"te +e im(rtant re9imu$ +e4 3ia5, =r tutun, a$#(($* e!$i# ne#e"itatea #(ntr($u$ui me+i#a$ eri(+i#.E3a$uare: Pa#ientu$ %i*a ?n"u%it #un(%tin5e$e +e"re a=e#5iunea "a %i a ?n5e$e"t(ate re#(man+ri$e (=erite.

D! . A(rt a$imentar ine=i#ient +at(rit an(re!iei.+:* an(re!ie* +urere* +i"#(n=(rtM+:* "#+ere ?n 9reutate

* re=u +e a "e a$imenta;ie#ti3e: Pa#ientu$ " #(n"ume a$imente ?n =un#5ie +e ne#e"aru$ #a$(ri#.IN:* e+u# a#ientu$ ?n ri3in5a ne#e"it5ii a$imenta5iei e#i$irate* a+mini"tre 3itamina C entru a*i =a#e (=t +e mn#are* "er3e"# a#ientu$ #u mu$te $i#i+e entru a*i +etermina "ena5ia +e =(ame* a+mini"tre "timu$ente a$e (=tei +e mn#are* (=er a#ientu$ui ( ran e#i$irat %i $a in+i#a5ia re"#ri" +e me+i#.E3a$uare: Pa#ientu$ reint ( u%(ar ame$i(rare a (=tei +e mn#are.

D! 6. In"(mnie.+:* +urere* >un9i t(ra#i#M+.* (("ea$ matina$* #ear#ne* ten+in5 +e a +(rmi mai mu$t +iminea5a.;ie#ti3e: Pa#ientu$ " ai un "(mn (+init(r #a$itati3 %i #antitati3.IN.

* a+mini"trarea me+i#a5iei re#(man+at +e me+i# %i $a ne3(ie a+mini"trarea +etran#i$iante H Diaeam


8/10


* "er3e"# a#ientu$ #u ( #an +e $ate #a$+ ?nainte +e #u$#are* "=tuie"# a#ientu$ " nu mnn#e "eara triu* (=er a#ientu$ui "=aturi $e9ate +e a=e#5iunea "a: ?i e!$i# # treuie "*%i #aute( (i5ie a+e#3at +e a +(rmi* ?n35 a#ientu$ teni#i +e re$a!are* ?n#ura>e a#ientu$ "*%i e!rime "tri$e +e a=e#ti3itate, #n+ e tri"t ?$ ?n#ura>e$a #(muni#are* m"(r , TA (ri +e #te (ri e"te ne3(ie.E3a$uare: Pa#ientu$ +u #e a $uat un +iaeam %i +u #e a "er3it $ate$e

reint un "(mn (+init(r.

A 4 i.

D! 1. A$terarea re"ira5iei.M+:* ($inee* #ian(* tu"e #u e!e#t(ra5ie.;ie#ti3e: a#ientu$ " reinte ( re"ira5ie a+e#3at.IN:* a"i9urarea rea("u$ui $a at ?n eri(a+a +e a#utiare

* #amera " =ie $umin(a", ine aeri"it $a ( temeratur +e 20(C* a+m +e ;2 $a ne3(ie* umi+i=i#area aeru$ui

* m"(r =un#5ii$e 3ita$e FTA, P, R, TG e #are $e #(n"emne ?n .;.* a+m tratamentu$ me+i#ament(" re"#ri"* e+u# a#ientu$ ?n 3e+erea "emne$(r +e re#un(a%tere a e3entua$e$(r#(m$i#a5ii.E3a$uare: Re"ira5ia a#ientu$ui a =("t ar5ia$ ame$i(rat. Pa#ientu$ a ?n5e$e"in=(rma5ii$e +e"re a=e#5iunea "a %i a#um e"te mai $ini%tit.

D! 2. Cun(%tin5e ine=i#iente +at(rit $i"ei "ur"e$(r +e in=(rma5ie.+:* aartenen5a $a ( #u$tur +i=erit

* ina##e"ii$itate $a in=(rma5ieM+:* a#ientu$ une ?ntreri +e"re a=e#5iunea "a* nu ?n5e$e9e +e #e ia une$e me+i#amente#(: in=(rme a#ientu$ +e"re a=e#5iunea "a;ie#ti3e: a#ientu$ "*%i ?n"u%ea"# in=(rma5ii$e +e"re (a$a "a.IN:* in=(rme a#ientu$ +e"re e3($u5ia ($ii, ne#e"itatea in3e"ti9a5ii($r* in=(rme a#ientu$ +e"re m(+u$ +e a+mini"trare a me+i#amente$(r %i e=e#te$ea#e"t(ra

* e!$i# a#ientu$ui #t e"te +e im(rtant re9imu$ +e4 3ia5, =r tutun, a$#(($* e!$i# ne#e"itatea #(ntr($u$ui me+i#a$ eri(+i#.

'


9/10


E3a$uare: Pa#ientu$ %i*a ?n"u%it #un(%tin5e$e +e"re a=e#5iunea "a %i a ?n5e$e"t(ate re#(man+ri$e (=erite.

D! /. A(rt a$imentar ine=i#ient +at(rit an(re!iei.+:* an(re!ie* +urere* +i"#(n=(rtM+:* "#+ere ?n 9reutate* re=u +e a "e a$imenta;ie#ti3e: Pa#ientu$ " #(n"ume a$imente ?n =un#5ie +e ne#e"aru$ #a$(ri#.IN:* e+u# a#ientu$ ?n ri3in5a ne#e"it5ii a$imenta5iei e#i$irate* a+mini"tre 3itamina C entru a*i =a#e (=t +e mn#are* "er3e"# a#ientu$ #u mu$te $i#i+e entru a*i +etermina "ena5ia +e =(ame* a+mini"tre "timu$ente a$e (=tei +e mn#are* (=er a#ientu$ui ( ran e#i$irat %i $a in+i#a5ia re"#ri" +e me+i#.E3a$uare: Pa#ientu$ reint ( u%(ar ame$i(rare a (=tei +e mn#are.

A i.


+:* aartenen5a $a ( #u$tur +i=erit* ina##e"ii$itate $a in=(rma5ieM+:* a#ientu$ une ?ntreri +e"re a=e#5iunea "a* nu ?n5e$e9e +e #e ia une$e me+i#amente#(: in=(rme a#ientu$ +e"re a=e#5iunea "a;ie#ti3e: a#ientu$ "*%i ?n"u%ea"# in=(rma5ii$e +e"re (a$a "a.IN:* in=(rme a#ientu$ +e"re e3($u5ia ($ii, ne#e"itatea in3e"ti9a5ii($r

* in=(rme a#ientu$ +e"re m(+u$ +e a+mini"trare a me+i#amente$(r %i e=e#te$ea#e"t(ra* e!$i# a#ientu$ui #t e"te +e im(rtant re9imu$ +e4 3ia5, =r tutun, a$#(($* e!$i# ne#e"itatea #(ntr($u$ui me+i#a$ eri(+i#.E3a$uare: Pa#ientu$ %i*a ?n"u%it #un(%tin5e$e +e"re a=e#5iunea "a %i a ?n5e$e"t(ate re#(man+ri$e (=erite.

&


10/10


10

ingrijirea pacientilor cu pleurezie

Documents