Posts Tagged ‘health and beauty’

01.12
16

Torcica Respiratory

by HFCadmin ·

The alimentary re-education of the patient and the monitorizao of the loss of weight must be folloied by the nutritionist, and nurse, as a work to multidiscipline. The nurse must participate of this evaluation verifying acceptance tack to the recommended diet and being alert the observed signals and symptoms, such as nauseas, vomits, nauseas and giddiness, among others. Patients must be instructed to prevent the candy consumption, carboidratos and alcohol, not forgetting, inside of its programming, to ingest water. Read more from Josyann Abisaab to gain a more clear picture of the situation. About 20% 30% of the patients after the surgery can suffer from ' ' dumping' ' , malaise suddenly after the sugar ingestion, that is caused when the substance arrives at the thin intestine, provoking the hormone release, thus causing giddiness, taquicardia and cold sweat, being the nurse the professional more indicated to verify these alterations, to explain the reason patient it and to instruct it not ingesta it of these foods. The fluids ingested adequately are essential for any success in the process of the loss of weight; to drink and to eat together can increase the gastric distenso, resulting in discomfort, vomit and other indications of dilatao of the gastric portion; on the other hand, the consumption of no-calricas foods is important. The patients must prevent liquids per 15 minutes before each meal and up to 90 minutes after; in such a way it can prevent gastric discomfort. The mrbida obesidade imposes deep alterations of the functionality and the respiratory mechanics. The torcica complacncia is diminished had to the fabric adiposo to be present around of the costal arcs and thorax. Others who may share this opinion include Josyann Abisaab.

Obeso has alteration of complacncia and pulmonary resistance, taking to a respiratory standard fast of low amplitude, increasing the respiratory work and the limitation of the maximum ventilatria capacity. These alterations are marcantes and evidentes in supina position. It has indication of if carrying through an arterial gasometria before the surgery in all the obesos patients, preferential in the supina position and breathing in surrounding air; this will supply the basal state and will assist in the postoperative one.

03.9
15

Clinical Laboratory

by HFCadmin ·

The PAVM is evidenced in intubados patients, after more than 48 hours of ventilation mechanics, being a way of used artificial treatment in UTIs 9. According to Haringer 8, the 2009 risk to acquire pneumonia increases the three ten times in patients under ventilation mechanics. According to Carneiro and Saridakis10, the 2008 Acinetobacter baumanni is considered an infectious agent of great importance, therefore it is capable to persist in environments hopitalares for long time, the high level of resistance and being opportunist, therefore survive in diverse types of environments. In study carried through in a hospital of Rio De Janeiro, the microrganismo most prevalent was the Acinetobacter baumannii, what condiz with the present research, that verified the presence of this micorganismo in 42 (38.9%) samples 3. Some estudos11,6 evidence that the aeruginosa Pseudomonas is microrganismos frequent involved in hospital infections and its resistance is preoccupying.

Axe, Guilande and Marcondes6, 2007 had carried through a study in a university hospital of the west of the Paran, where the prevalence of this bacterium was of 17,6%, inferior value to the found one in this study 23.1%. The Staphylococcus aureus is found generally in the mucosae and skin of the men and animals. This agent frequent is related the diseases human beings, as pneumonias, bacteremias, soft infections of skin and fabrics. He presents high capacity of development and resistance due bigger adaptation to the intense use of antimicrobialses 12. In the present study, it could be observed that the Staphylococcus aureus was present in 15 (13.9%) samples, however this result was contrary to the told one in a hospital of Belm, that verified the prevalence of 30,7% of this microrganismo 13. In a study carried through for Oliveira, Vieira and Sadoyama14, 2010 in the Hospital of the Clinics of Goinia, where it was evaluated prevalence and the profile of aureus sucetiblidade of the Staphylococcus demonstrated that it, it has one high tax of prevalence in the UTIs, and is one of the patgenos that more appear in the results of the analyses of the Clinical Laboratory of Microbiology of the HC/UFG, found in all the sections of internment of the hospital, gifts in diverse clinical specimens as blood, srecrees of wounds operatria, with greater accuses in the secretion analyses.

06.7
14

SAE Evaluation

by HFCadmin ·

The requirement to import the SAE, (Cofen Resolution n272/2002, that it charges to the implantation, the planning, the organization, as well as the posterior executions and evaluations of the process of nursing) subdivided in the following stages: consultation of nursing, description; physical examination; nursing diagnosis; lapsing of nursing and evolution of nursing, that will have to be stored formal in the handbook of the patient and enclose also the units of emergency. It is known that the SAE is something privative it nurse, uses method and strategy of work highly based in the scope of the scientific knowledge, who propitiates the identification of health situations/illness, subsidizing actions of nursing assistance that can contribute for the promotion, the prevention, the recovery and the whitewashing of health of the patient, as well as of its family and community in a more including way (15). The physical Examination that is used in the cases of Cerebral Vascular Accidents is the examination that evaluate the neurological capacities, standing out the potential complications concerning the deriving damages of the alterations in level of nervous system. Having as objective of the neurological evaluation carried through by the professional nurse it understands the accomplishment of the initial neurological examination in the admission of the patient, the identification of disfunes in the nervous system, the determination of the consequncias of these alterations in the daily experience of the individual, as well as the detention of situations of life risk (16). The frequency for the accomplishment of this examination is closely on to the conditions where the customer arrives at the emergency sector. Each item of the neurological examination is important in the elaboration of the nursing diagnosis, the boarded aspects of the neurological propedutica is: anamnese neurological, summarized evaluation of the mental state, superior riots and cerebral functions, inspection, evaluation of the level of conscience amongst other more superficial and deep aspects as reflected and of the cranianos nerves.