Scoala Postliceala Sanitara Licenta

7/23/2019 Scoala Postliceala Sanitara Licenta

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COALA POSTLICEAL SANITAR CAROL DAVILA,ALEXANDRIA

NGRIJIRI ACORDATE PACIENILOR CU PIELONEFRIT

COORDONATOR :

ASIST.MEDICAL PRINCIPAL : MITROI MIRELA

CANDIDAT :

MIRCEA I. ALINA-DANIELA

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MOTTO:

"S#$#%&%'& '(%' ) *)+) ' *&' /$ 1% (# )'/&(*#, '1 &)&' %)/ (' $&(* * '&.3

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"S#$#%&%'& $ '(%' %)%5, & %)%5 6## (#$#%&%' '(%'$+*.3

S*7)'$7&'

MEMORIU JUSTIFICATIV

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1.. !rezentarea teoretic a bolii

1..1 Definie

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1..# $natomie patologic

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1..( Diagnostic paraclinic

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16/72

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I$%'$&'& *)$(%%' $ '8'$+'$% +)%&$% ;$ 8&/& )5$&85 '$% *# &*'(%&

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.. $sigurarea condiiilor de spitalizare

16


17/72

S*)5 (%&5# )5$&85 ' 8$'*&'&. S' *'' *)$/ '$% *'1%''&6)/' ' &'& 1 '>'$'&' & )>&$(+5. F$*/5' )>&$(+5 ($%*)$%)5&%' 1 B&%' ' (*)&/& *''&5#. P&*'$%5 '(%' (*)( $ +'5 (# 1 *)*&& $%'$# )% '& '6'*%' $'>&%8' &(& ((%'+5 $'8)( 5'>&%' '

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'$% '()$&55 &+$(%&%8 1 8%&%). P&$(&'& #$5) 1 &*)''& 5*'&/5) ' )5>&%)'? S' 8) 6)5)( '($6'*%&$%' 6## +)( >', ;$/'&%)? $'#%&'& +'&%# & 5)1%5), )5, &$(&+'$%'5) $ (&5)$? A'('& (&5)$5? U%5&'& &$'(%'' 5)*&5'&((%'$%& &B%# ;$ *& ' $*/' 5'&5#,

&&*'$%'#? O7$& &*'$/5): )>&+ ' )7$#, %5&'& $ 6)%)5 '$% *& >&8'? S#5 ' 5'*%#, 5)%'*#.

.#. $sigurare condiiilor igienice pacienilor internai

!regtirea patului i accesoriilor lui

D$ *&& *# &*'$%5 ;1 '%'*' +&B)%&%'& %+5 ' )&5# 1 *)8&5'(*'$/& ;$&%, &*'&(%& %'' (# &' &$+%' *&5%#/.

C&5%#/5' &%5:

(# 6' *)+)? (# '$%' +'$($ )%8%' *&' (# (&%(6&*# &%+' 2+ , 5#/+' 0-0 *+

*+' 2 +, 5#/+' 0-0 *+,

;$#5/+' ' 5& 1+'&


18/72

(# )&%#, 5& $'8)', (# *))&' $ &%? (# )&%# (%& ;$ )/' 1'B', $8'(%>&/5' 1

%&%&+'$%5 *'%&%'& &*'$%5.A**'()5' &%5 ($% +#%)&'5': S&5%'&& 8& 6 *)$6'*/)$&%# $ '%', +&%'&5 5&(%*, *&' ('

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A5'& *' &*)'# +1&+&& '(%' *)$6'*/)$&%# $


19/72

1 '(%5 5'$B'', (' 8& ;$*7'& * 1$ ' &%'& 5&%'&5# (& 6## 1$,* '(*7#%& (&(#.

%5&B &@5&:o (B$%) ' '$'?o

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$ *&5 &*'$%5 * '5)$'6%# &*%#, &*'(%& $ &' $'8)' '&B%). $ *&5 &*'$%5 * '5)$'6%' *)$*', &*'(%& &' $'8)'&%


20/72

5$1%'& )5$&85, *'&'& $' (%# 5#*%' ' *)$6)%.

!rincipii (' &'* (%&'& >'$'&5# & )5$&85 '$% & '8%& ) %)&5'%# '&

5$>#, '& ))(%)&'? ('8'6*# %'+'&%& &+&$%#, '$% & '8%& #*'& )5$&85? (' '8%# *'$/ ' &' $ ;$*7''& >'&+5) 1 & 15)? (' )5' )5$&85 $%-$ &&8&$ &*# '(%' )(5 ' &$%&B5

(#? (' '>#%'(* ;$ &)'' +&%'&5'5' $'*'(&' %)&5'%', (*7+#

5'$B'' &%5 1 & )5$&85 1 '$% '8'$'& '(*&'5)? )5$&85 8& 6 '#*&% *)+5'% 1 (' 8& &*)' * *'&1&6 1 *

#%#? (' (%)&*' *)'*% '%'5' (& +' ;$

&% (& ' )5$&8? (' (#$'1%' 1 (' *5#%'1%' * ) +


21/72

;$ '*% )(&5, (' (&5# >&+'5' 1 *)&'5', )>&$'5' >'$%&5''@%'$' ;$>B'& #5 , %)&5'%& *&8%#/ *&5'.E6'*%&'& %)&5'%' ' '>$ $&$%' ' & ;$*'' && ' '>$, &((%'$%& 8& *)5'*%& &%' * 8'

5& (%&'& &*'$%5 5(, %'$($', '(&/' *' +)5&' (''+%' ;$ & '('*%8#, &*# (' )&%' (#5& ($>, ' *&' &%' &*)5. T)&5'%& ' '>$ & &*'$%5 +)5&% 5& &% '+%' '@&+$&'&%'>+'$%'5) 1 )('8&'& $) +)6*# ' '@'+5 )1'&/#, %&/' 5&'& $) +#( %'&'%*'. P'$% &*%8&'& **5&/' (&$>8$', # (#5&'& ;$%'>5 *), ('6*/)$' * &5*))5 +'$%)5&% ;$')(' '>$5' '((' 5& '(*&'. P&*'$/ *&' (' )% '5&(& 8) 6&*' &' 5& 1 (& 5& *, (

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22/72

o ' '8%&% $%)*''& $ %&+)$5 '(%' 5+%& '

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o (' %&' $>75' * &%'$/' , 5& $8'55 '>'%5, '$% &

'>&B& #/5' 5&%'&5' (' & $ (' &$& +#', &) ('5'(*?

o ++'$%'5' %#&%'?o # %5&', $(%+'$%'5' (' '$6'*%'?o (' 8& '8%& 5'&'& /'(%5) &&*'$%'.

;$>B'& #5 &' *& (*) (%&'& ' $' & &*'$%5 '*+

1 >'$& &*'(%&.o (#5&'& 5& -2 (#%#+


23/72

6)5)>& 5) 5 &5' '5, )6* $&%&5' &5' *)5,>5&$', )>&$' '@*'%)&'. D&*# &*'$%5 '(%' $''$'$% , (' '>#%'(* +&%'&5'5''$% & (' ;$>B ($>.

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(' '8$' #%$''& (#$5 ;$ '%#?o *)$%&+$&'& '>$ >'$%&5' * +*))>&$(+' $

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%)&5'%& (&%'5

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24/72

o (' ;$%)&*' )5$&85 1 (' ((/$' ;$ '*% 5&%'&5?o (' &1' ( )5$&8 +1&+&& &*)'%# * &5'#?o (' (#$'(* (&%'5' 1 '>$'& 5)+)-(&*&5#?o (' 5+''(* $' 1 (' 1%'> $ %&+)$&'?o (' ' * %&5*?o (' ;$'#%' +1&+&& ;+'$# &5'&?o (' &1' )5$&85 ;$ '*% )(&5?o (' &*)'# %)&*'5' )5$&85.

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+1&+&?o (' $%)*' *)5 ;$ 5>7'&$?o (' (#$'1%' >&+& $((%%&5'?o (' 5+''1%' 1 (' 1%'>' +'&% * *'5 '-&5 )5'& )()

*&%?o (' )*'' 5& 6'5 1 * *'5#5&5% *)?

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o (' 6*)$' +'+'5' $6')&' * &5*))5 1 ('

' 5*5' * %&5*. 4bser+area poziiei pacientului

$ *&5 &*'$/5) * '5)$'6%# )/& 5) ;$ &% '(%' ) )/' &*%8#,

)5$&85 +1*.

$ *&5 &*'$/5) * '5)$'6%# *)$*# (*7+&'& )/' '(%' &(8#,

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C&%&'& +&%'' 6'*&5'? C&%&'& $':

S' (' &%5 ' '(%5 (&5)$5 * &&8&$, (' ;$'#%'#%& 1 *'&1&65 *&' &*)'# &*$%5. P&%5 (' )%'B' *+1&+& 1 &5'#. P&*'$%5 (' '&*# 1 (' $%)*' $&5*&5 ( )$& (&*&5# &) (' &*)'# * ;$8'5%)&'&. S''6'*%' %)&5'%& '>$ >'$%&5' '@%'$' 1 (' ;$'#%'$&5 * &%'$/'. D& %5&' (' ;$'#%' $ (&5)$, ('

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26/72

>)5'(* +'&%, (' (&5# 5& B'% ' *&5# 1 (' '$6'*%'.P&*'$%5 (' ;+&*#, (' '6&*' &%5. S' &'('1%' (&5)$5 1 ('(&5# +$)&%# *5)&'&, *&$%%&%'&, +)(5 $'? )&%'

$*& $'5' &>$)(%*'. C&%&'& (%'? C&%&'& 8#(#%5):

P&*'$%5 (' &1' ;$ 6$*/' ' (%&'& >'$'&5# ;$ )/'1'&$/#. L'$B'& ' &% (' )%'B' *+1&+& 1 &5'#, & &*'$%5 * $ )() ;$ B5 >&. I (' )6'# * ' >7'&/#, 5*7' '* ;$*&$%%#/ +*. V#(#%& (' #(%' '$% 8%& +'*&5#. C&&*%'58#(#% 1 6'*8'$/& (' $)%' ;$ 6)&& ' %'+'&%#. S'(&5# 1 (' '$6'*%' '*'$%'5', (' '>#%'(* '$%(%'5&' $ 6''' (& &%)*5&8&'.

.%. 2upra+egherea funciilor +itale i +egetati+e

S&8'>7''& 6$*/5) 8%&5' (' 6&*' ' 2 ) ' , +$'&/& 1 ('&& (& ' +&+5%' ) ' 5& $*&/& +'*5 &*# '@(%# 1 &5%' &6'*/$ &()*&%' . $ *&5&*'$/5) * '5)$'6%# *)$*#, )(%)'&%) &((%'$%& ; 8& (&8'>7'& 6$*/5'8%&5' $ 2 ;$ 2 )' 1 8& $)%& &*# '(&/& '(%' +)6*&%#, * (&5% (& &*# (' 6&*'* 6*5%&%'. K$& '8)5/& (' +#'1%' # >&6*5 %'+'&%, &5 5(5 1 $;$'>(%&'& %'$($ &%'&5'.

R'(&/& (' +#() ;$ (*)5 '8&5# 6$*/' '(&%) & &*'$%5, 6$

$ $* &5 '8)5/' )5, &5 &&/' $) *)+5*&/ 1 &5 )>$)(%*5.

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L& $)-$#(*%: 0-0 '(&/+$%?L& 2 &$: 2- '(&/+$%?L& 2 &$: -2 '(&/+$%?A5%: H- '(&/+$%?V$'& &*&5# 8$ )5%'' ;$ (&%'5' >'$*75?o &%'& %&5#?o &%'& ')&(#.

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V&5) $)+&5':P')&& TA+$. TA+&@.- &$ 0-H0 ++4> -0 ++4>!- &$ H0-H ++4> 0-0 ++4>2- &$ H0- ++4> 00-20 ++4>A5% -0 ++4> -!0 ++4>V 0 ++4>

M)6*#5' %'$($ &%'&5':o 4TA 7'%'$($' &%'&5#Y*'1%''& TA '(%' 8&5)5' $)+&5'?o 7TA 7)%'$($' &%'&5#Y (*#''& TA ( 8&5)5' $)+&5'?o +)6*# &5' TA 6''$/&5'Y 8&&/5' TA+&@ 1 TA+$ $ (' 6&* ;$

&&5'5?o TA 6'# 5& ('>+'$%' (+'%*' &/ (%, '%.

T'+'&%&M#(&'& %'+'&% ;$ 5+%' $)+&5' '(%' $'*'(%&%'& )>&$(+5 ' &*)$('8& ) %'+'&%# 5& $ >& &)@+&%8 *)$(%&$%, '$% &-1 +'$/$' (%&'&' $'. T'+'&%& *)5 (' +'$/$' *)$(%&$%# &%)%# '*755 $%'%'+)>'$'# 1 %'+)5# *'$% %'+)'>5&%) (%&/ ;$ 7)%&5&+(. L)*5 ' +#(&':

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D'& ''$%# *&$%%&%'& ' $# '5+$&%# $ )>&$(+ %+ ' 2! ' )'.A' *& (*):

o )/$''& &%'5) 8$ (%&'& +)6)6$*/)$&5# & &&&%5 '$&5

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o &*'$%5 $' +$'&/& 5& ) )# 6@#? &*'&(%# *&$%%&%' ' $#, ' 5&

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8$'*&' 1 &+$(%&'& &5+'$%'5) ' *&5' $&%&5#, *)$(%%' (&*$'5'+'$%&' &5' ;$>B )*# )5$&8 (%&5&%. P&*'$%5 * '5)$'6%# &*%# 8& &8'& ) &5+'$%&' &*%8# (' )&%' 6&*' ;$(&5& ' +'(', ;$ (&5)$? 5& +&(# (& 5& &%. R'>+5 )5$&85 8& 6 *)+5'%, &

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Cap. III. /ngri0iri specifice$azul I

).Informaii generale:N+': TP'$+': I.D&%& $&1%': .2.!2S'@: F'+$$O*&/': P'$()$

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P)5'+' '(&%): ++ 8'*5& ''$%.:embre F## ('+$' &%*5&'? N)+&5 *)5)&%'? M'( $)+&5.

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)1$%#? $+#5 ' +'(': 2 +'('? &'%% ''$%?

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4L Y2,>?

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G5*'+'Y 00 +> L?"xamen sumar urin?

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$azul II).Informaii generale:

N+': C.P'$+': L.

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:embre

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F## ('+$' &%*5&'? N)+&5 *)5)&%'? M'( $)+&5.

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$+#5 ' +'(': +'('? &'%% ''$%?

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+. Informaii medicale

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P'5)$'6%# &*%#.

$azul III

57


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).Informaii generale:

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2istem osteo;articular:

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I$%'>? M1*# &%*5&' '('?

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