CONTROLE PARA PACIENTES EM UTI
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The document contains medical records and patient information for multiple patients, including sections for patient name, case, health problems, exams, physical exam, treatment plan, and follow up. The format and presented data is identical for each patient record.
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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: