Post on 01-Mar-2018
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
7/25/2019 23 Ingrijiri in pediatrie.pdf
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
7/25/2019 23 Ingrijiri in pediatrie.pdf
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
$i
culorrta
scaunului
difer:i
in
funclie
dc
ldDta
copilului,
dbndrarid
ti
sraF
dc
aprcidrca
modulli
dc tunctionan
a
apanru
uidigestiv:
- depistuca unor boli
insonr
dc diarcc
sN
dc..nsripatii.
-
in
pinclc
2-3
zllcdc
h trdslcro, sodtrtr0l cic lcrdebdn
inchis
(ncconiu)i
7/25/2019 23 Ingrijiri in pediatrie.pdf
4/13
.
5 :tuIr irncnn'
lJ
nf chm'n
{JU'.drLUo
L
ldlbcn
rdal(ipJ'.],,
ten cr
Ll
r
lruz
.\ rlr
tr
t
Lbrnc,
nuDirulscaurclor
l.
inccpur
e$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
7/25/2019 23 Ingrijiri in pediatrie.pdf
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
7/25/2019 23 Ingrijiri in pediatrie.pdf
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:
7/25/2019 23 Ingrijiri in pediatrie.pdf
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
7/25/2019 23 Ingrijiri in pediatrie.pdf
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
$biti
irr cc. a
mcdn'lui injurdc
2n-30
gradci
-
iixinic
dc
a
li
scls
dr
incubarorsc
lnce
acon.drrc.
cu rcmDeratufu
exrcri.rrt
Pinndi
\or
ti inslruili cum
si
nigrijcas.i
coDitul
I
a
slirsir
ro.rarr
lise
dcconlxmindr/i
incubaronrt.
tulbuEri
dc rcmoEslarcdiD
cauza:
pte.dcritordc..Ldu,
(indhiderc.
n
dcschidcm
rcpcrari
a incubrtonhrj)i
rcnrpDrortrii ncrdaprarei
-
u
m1d
ir ii ndrdJptore.
lnlcclii
nozdconrlale
din
c.uzx:
-
lipsci
dc rgienia
incublroruhri:
7/25/2019 23 Ingrijiri in pediatrie.pdf
9/13
vo\|oauloFrcrAL.-covnNF
Do/irir
in$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).
7/25/2019 23 Ingrijiri in pediatrie.pdf
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,
7/25/2019 23 Ingrijiri in pediatrie.pdf
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 $dca conih'luij
7/25/2019 23 Ingrijiri in pediatrie.pdf
12/13
MOMTORULOF
CALAL
ROMAN E
sc
vlYilici daci
suni indcplinnc cdnditi lc
Dctrlr0
hint$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
7/25/2019 23 Ingrijiri in pediatrie.pdf
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.