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

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 imisumrc. 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.nulMisurirco r_r calndrcd buclla

sords r.nDnehllui sc inboducc intr-un crpison din narerjaL tti(i.lsc 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 zidimlncala si scdh odati cu r.mDerdtlmiio 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

l 4!ni = r0/l L0 pe rninut:- 5-? ani=80/llr0:

3 l0di 30/90 Dcniiulilll6=30lcninll

c) M tsun rc. si supravcgh crca respirulieiScopu l: dq islarer hodi ncinlor apinrc tu afccliuDi rcspirrorii.

sc il.c prin ntspccric/obscrva!ic in tiDpu somrrluiisc 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|lcNu 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

. 5!!:tuIr irncnn' lJ nf chm'n {JU'.drLUo L ldlbcnrdal(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. isc insobie (G durri. borborisnr.. rcncine:

- sdunere Ducoenmjo$c au (orsisrcnli nc.nlgena, scbitidhid.. cu Fnictrtc rotidc irmult nrucN nr fomr d. lilamdntc $i nocornc, c(to.rc galbcnjr,r,,t" ."-o,rr po,rrjunsc 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.rdlnd 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

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 heDulocritutuiiefeduarer Gnelor dc lih.raror pcNru idilcdonu e, ga lactozcmic. hinornoidisnr

hno ri ldnclc dc liboFlori

xc pentu inlepfiun sa. lrm. pcnm scadioaErmrnu\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)jsc 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 nscatise coledeazi singcle cuajutorul pipctclorcapil.rci

' lrsfirt sc mli., un tanpon.tol unpansrment$enl:se erichctcrzi \i sc trimitc probr ia Lrboerorisc lini c$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

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 ufpmsop nrlar sau ntBi'rco rrcsci:vena lcmuLari..pozith brdrjci copil!ttiind iixrtli nneht genurctrit!r { mtDaevirind pEsiunci pc.o.psc:

sc dc/inlectcrz.i locul si sc fade p unclix veD oosar. dqrirccoLrrcpcl.culinFpiturnseapLicaunlanponcuc.resD.clnrlrlc colrrre\erinir tr aboElor

DtrDc!ia poaie fi cLdtrrr, dc c r. ftcdic sru dcrn xsistcnt mcdicalsljc.iaLinstruirpc baatrtrtri pmn,col clabord s scNr0l dc ciLrc medi.

b) Itelevarcr probclor de nrini t, coDitse 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 tncopitDcnh 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 scnlnVJ..'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 intcriciIngriririlcinccp hnuremirarc!tse cofrirNli tr donicitiu. Se cxccuri depc$onatdc spocirliraresau dc carc mami/subnn u1 marq tr ti doDicitiu dupi o preata[]t, intbnnm/insiruirc.

ingrijiri lnriuica.iderii bonrutui onbjticatnomal bontul otrib icdl sc rnumiti.i dupr 6 LIo d. ld nafrcrc si s. dcoscrn:

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)itenku 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 oxigcndrisc 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.nncobscnaEa ndu nascutului, Elli7au insrijrilor si jini{tco Drin atilrgcrc.Pr.Tinli oificii crre Demn rcscrca tubunkn si sondclor cccsdrc dcoftiariiinsijirildrin 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, coloFliarcguncm'lui. scrrc de agnvfc a ntni dc l,ntrdrcino nrscurii sub loiorcmpie.

incubdor dml icconhnr inat, p reincilzit ig.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

MONTORULOFICALAL ROMANIE

- sc infomeaTa limilirsd 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 esc a.opcra cu o lcnifiicnorldisc 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.ricI'rlrctincrd c.ridilnn ! indbxrorulul

- sc lrc cind oopilul csr. scos pentN roalcrijsc indcp.ncazr Lenierialsc 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. amcdn'lui injurdc 2n-30 gradci

- iixinic dc a li scls dr incubarorsc lnce acon.drrc. cu rcmDeratufu exrcri.rrtPinndi \or ti inslruili cum si nigrijcas.i coDitulI a slirsir ro.rarr lise dcconlxmindr/i incubaronrt.

tulbuEri dc rcmoEslarcdiD cauza:pte.dcritordc..Ldu, (indhiderc. n dcschidcm rcpcrari a incubrtonhrj)ircnrpDrortrii ncrdaprarei

- u m1d ir ii ndrdJptore.lnlcclii nozdconrlale din c.uzx:

- lipsci dc rgienia incublroruhri:

vo\|oauloFrcrAL.-covnNF

Do/irir in$nrodi. hnina purrnici. zgon.r:

. inh.lara regrgiurii orir^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 fololernpiuf_.!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.rcaprarc. hcparidl, conjL's.r€r sau *crctia sai

- lro.l. hcnoLnici r nou niscutuhii dcrtrmni sl icb en! p n incdnrDrtibjtihrc H :aucnb.blanoTi fchli cstc un! diD c.tr^lc hipcbilirubineiplrologico.

FototeEpia rcprczlnl:l hramcnrul hipcbil;ubinemici nNn.hte !i ] iclcnrl pin c\DUneGot*nmcflclor copilulli la ftdiaric trmi']oasd inrcns:I. spcclrul ukrsiolcr di. ndiarta luminorsicon!lb!i! ld clidinadbiLirubifei diD piclca c.nilL'lui.

- l.mri dc fololcrapic:ochclari dc lorolor{p1c pcnh protcclia ochllorcopiluhij

- alczri d. unici lolosinrilpungi dc uri'ie penh baiciii

- scutcc pcnrrurcalizfea rmi invelis(c.c.n).

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 frrjlD 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 rrtnccija0ctrtr1 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 rbrcxisll 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,

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 nrairarfrlaanre'iori. Mu:chn slur.rl posroior nndc sc lac dc obicci injeclii intlNusculorc cstcinanc putin dc^olrot h susar !i n'rne apupc de neRnl sciatic. ru sc rccoman, lr Loc

sc dcz intcctcaz, locu l icu 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.opilI 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

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 lrarrmcncrc 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 romodiir 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 njoddcoscbn h copn hici:

. i""..!'0.1.,1' fi' ,,,,p. " uiu.o,

Ln sug,ri se proc.dc.zl *tarlsr 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 tiibdlicuti1. .paiM rlbur;rilor rcspnabi sc miniircrz, oxigcn. .rj sc anunr, mediol Sep.clircsc b!s! dc nrg..ri:

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

D.cii rcuza scnzdlic dc gtoaLi ! vomisc 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 bincldaca 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

MONI-OF-LOFICIALALROVAN E

t-

- 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 dminislr€rzi ongcn pe n6c4 6vnini

sc ,icgnriG o hsa dc u€cntc (la lndcn ni);- s sigurn suport psiiologic copilului penlru a Ed@ anxietoiea;- sc norc.zi tinul si cvoluia rcactici alcreicc.