CONTROLE PARA PACIENTES EM UTI
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CONTROLE PARA PACIENTES EM UTI
- 1. Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD:
- 2. Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD:
- 3. Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD:
- 4. Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: Nome: CASO: HPP: CONTROLES: PAS:_______/PAD:________ FC: _____________ FR: _____________ Tº: _____________ DIURS: __________ BH:_____________ EVAC:___________ HGT: _______________ EXAMES: Na______ K______ Ca______ Mg______ Ur______ Cr________ Hb______ Ht________ PLQ_______ Leuco______ Bast_____ Seg_______ INR_______ TTPA_______ PCR_______ LACT_______ GASO: PH_____ PCO2_____ PO2_____ SAT_____ HCO3_____ BE______ EX.FÍSICO: SV: PA_________ FC_______ FR______ Tº_______ SAT______ N: C/V: R: G/I: R/M: H/I: DISP:CHECK LIST PROT.OCU: ATB: TOT/IOT: SED: TRE/DESMAME: BNM: LAMG: ANALG: PROF. TVP: DVA: PELE: LAMG: NUTRI: CD: