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PLAN DE INGRIJIRE AL BOLNAVULUI CU INSUFICIENTA CARDIACA CONGESTIVA –PRIMA ZI DE SPITALIZARE

NEVOIA DIAGNOSTIC DE OBIECTIVE INTERVENTII EVALUARE


INGRIJIRE
Alterarea activitatii Cre!terea
Cre!terea ada(ta/ilitatii ,&"#it"ri.e. !e&#ele de activitate cardiac'(l!-  TA56789:8
 TA56789:8
NEVOIA DE A cardiace c !caderea la activitatea cardiac  TA0-!i
 TA0-!i alt"r *#ctii vitale 'te&(eratra
'te&(eratra !i &&;%
RESPIRA SI A ei dat"rita red!a re!(iratie01 Pl!58</9&i#
AVEA O #e"$i%e#arii ,"/!ervarea "/"!elii-"di)#ei-drerii t"racice1  T5=7>8
BUNA &i"cardli ,a!e. (acie#tl i# (".itie !e&i!e.a#da1
!e&i!e.a#da1 R5<< re!(9&i#
CIRCULATIE 'cardi"(atie ,edc (acie#tl !a ,!i crea!ca tre(tat activitatea Val"ri
i!c)e&ica cr"#ica 2.ica-!a alter#e.e re(a!l c "di)#a-!a # a#ali.e????>
&a#i*e!tata (ri#+ *"l"!ea!ca !area i# e$ce!-!a &a#a#ce (ti# !i Pacie#tl a
,di!(#ee la e*"rtri *recve#t1 i#tele!
&ici-)i("$e&ie-ede& ,ad&i#i!tre. "$3%e# #ece!itatea
e cardiace-cia#".a
cardiace-cia#".a ,ad&i#i!tre. &edicatia (re!cri!a re!(ectarii
e$tre&itatil"r ,rec"lte. !a#%e (e#tr a#ali.e re%i&li de
,e*ecte. E4G ada(tare la #"ile
,i#!"te!c (acie#tl la radi"l"%ie (e#tr e*ectarea c"#ditii i%ie#",
radi"%ra2ei dietetice i&(!e
t"racice1 de /"ala-de!i
rec#"a!te ca ii
e!te *"arte %re>
NEVOIA DE A Alterarea c"#*"rtli Pacie#tl
Pacie#tl !a /e#e2cie.e ,a!i%r c"#ditii de &edi adecvate-i#latra#d
adecvate-i#latra#d Pacie#tl
EVITA 2.ic !i (!i)ic de i&/#atatirea !tarii *act"rii #e%ativi- care ar (tea i#@e#ta !tarea (re.i#ta "
PERICOLELE &a#i*e!tata (ri# de c"#*"rt (acie#tli1 a&eli"rarea a
!tare (ri# i#tele%erea ttr"r ,i#crae. (acie#tl !a c"&#ice c cei di# r !i !tarii de c"#*"rt >
dea%itatie-#eli#i!te- &a#i*e!taril"r 2.ice !i !a ceara at"rl at#ci ca#d are #ev"ie1
*acie! cri!(at- (!i)ice !i a &"dli de ,cree. # &edi "(ti& (e#tr ca (acie#tl !a
(al(itatii-tra#!(iratii ada(tare la ace!tea> ("ata e$(ri&a e&"tiile-te&erile -#ev"ile1
,!(rave%)e. (acie#tl !i il at !a i!i rec#"a!ca
rec#"a!ca
#eli#i!tea1
,di!ct cal& c (acie#tl (e#tr a,I ca!ti%a
i#crederea !i ii ra!(#d la t"ate i#tre/arile
re*erit"are la /"ala -i# li&itele c"&(ete#tei &ele1
,(re%ate!c (!i)ic (acie#tl i#ai#tea "ricarei
te)#ici !a i#ve!ti%atii1
,a!i%r " i%ie#a c"re!(#.at"are (e#tr a,i crea "
!tare de /i#e1
,#"te. .il#ic di!(".itiile !rve#ite i# !tarea
(acie#tli>

E$ce! al v"l&li Me#ti#erea )idratarii ,deter&i# !i &"#it"ri.e. .il#ic %retatea !i TA1  TA5689:&&;
NEVOIA DE A lic)idia# dat"rita "r%a#i!&li i# li&ite ,evale. c"&("rta&e#tli %
ELIMINA alterarii ra("rtli #"r&ale (acie#tli'i#%e!tie-e$cretie de lic)ide01 G5>>
i#%e!ta9e$creta ,edc (acie#tl !i *a&ilia a!(ra re%i&li Re!(56re!(9&i
&a#i*e!tat (ri# ali&e#tar !i de viata1 #
cre!tere i# ,&"#it"ri.e. re!(iratia - a!(ectl te%&e#tel"r Ede&ele !,a
%retate-acce#tarea ede&atiate1 &ai red!>
di!(#eei la e*"rtri ,i#*"r&e. (acie#tl a!(ra c"&(licatiil"r ,te%&e#tele
&ici- deter&i#ate de e$ce!l de lic)ide1 !#t
a#$ietate-ede&e-di!t ,ad&i#i!tre. c"rect &edicatia (re!cri!a1 i#te%re>
e#!ia ve#el"r ,edc (acie#tl !a rec#"a!ca !e&#ele de
 %lare (ierdere de 4 dat"rita a("rtli e$a%erat de
diretice ce deter&i#a de(letia de
4'"/"!eala-cra&(e &!clar-c"#*.ii-(al(itatii01
,re!tricti"#e. a("rtl de lic)ide c"#*"r&
(re!cri(tiei &edicli>
,i#*"r&e. (acie#tl c (rivire la ali&e#tele care
adc # a("rt de ("ta!i>
Alterarea !"&#li Pacie#tl !a /e#e2cie.e ,cree. # cli&at de i #credere- i#crae. !i li#i!te!c Pacie#tl are #
NEVOIA DE A calitativ !i ca#titativ de !"&# li#i!tit !i (acie#tl (e#tr a,!i reca(ata ec)ili/rl (!i)ic1 !"&#
DORMI SI A &a#i*e!tat (ri# !2cie#t ca#titativ !i ,*av"ri.e. "di)#a (acie#tli (ri# !(ri&area i&/#atatit
i#!"&#ie de
SE ODI;NI calitativ> !r!el"r care,I ("t crea di!c"#*"rt !i irita/ilitate1 ca#titativ'8,7
ad"r&ire- tre.iri
,"/!erv !i #"te. calitatea !i "rarl !"&#li-%radl "re0-dar #
*recve#te-*acie! de !ati!*acere al cel"rlalte #ev"i1 re!e!te !a !e
"/"!it c "c)i ,!ti&le. i#crederea (acie#tli i# *"rtele (r"(rii "di)#ea!ca
i#cerca#ati> !i i# (er!"#all de i#%riire1 !2cie#t>
,"/!erv daca (acie#tl d"ar&e i# ti&(l .ilei !i Pacie#tl
#"te. #&arl de "re de !"&#1 acce(ta i#%riirile
,i#vat (acie#tl te)#ici de rela$are !i e$ercitii !i c"&#ica
re!(irat"rii (e care !a le (ractice c 6 &i#te e2cie#t c
i#ai#te de clcare1 (er!"#all de
,"/!erv !i #"te. t"ate !c)i&/arile care !rvi# i# i#%riire>
!tarea (acie#tli -a##ta#d &edical>