Introducao A Enfermagem

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\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f1\charscalex100 {Introdu��o � Enfermagem
}\par\pard\li1026\ri0\sl-226\slmult0 \fs20\cf0\f1\charscalex100 {Prof . Adriana
M.S.C.costa }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-213\slmult0
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ENFERMAGEM }\b0 \par\pard\li3560\ri0\sl-213\slmult0
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{Introdu��o � Enfermagem }\par\pard\li1026\ri0\sl-226\slmult0
\fs20\cf0\f1\charscalex100 {Prof . Adriana M.S.C.Costa }\par\pard\li1026\ri0\sl-
\fs28\cf0\f0\charscalex100\b \i {SUM�RIO }\b0 \i0 \par\pard\li1026\ri0\sl-
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{ Introdu��o.......................................................................
................................ 07 }\par\pard\li1026\ri0\sl-280\slmult0
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Sa�de .............................................................................
................ .................07 }\par\pard\li1026\ri0\sl-266\slmult0
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Doen�a ............................................................................
.................................07 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {4 }\fs24\cf0\f2\charscalex100 {- Necessidades Humanas
B�sicas ....................................................................
07 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {4.1
Necessidades
Fisiol�gicas.......................................................................
........07 }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {4.2
Necessidades de
Seguran�a..........................................................................
..07 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {4.3
Necessidades
Sociais............................................................................
...........07 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {4.4
Necessidades de Status ou
Estima..................................................................07 }\par\pa
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auto }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100
{ realiza��o..................................................................07 }\
par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{5 }\fs24\cf0\f2\charscalex100 {- Evolu��o da Assist�ncia � Sa�de nos Per�odos
Hist�ricos .............................08 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {6 }\fs24\cf0\f2\charscalex100 {- Hist�ria da Enfermagem
...................................................................................
10 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {6.1 Per�odo
Florence
Nightingale .......................................................................
...10 }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {6.2 Hist�ria
da Enfermagem no
Brasil....................................................................11 }\par\
pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {6.2.1 Anna
Nery ..............................................................................
.......................12 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {7}{ }\fs24\cf0\f3\charscalex100
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { S�mbolos da
Enfermagem.........................................................................
.......13 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {7.1
Resolu��o COFEN }\fs24\cf0\f3\charscalex100
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { 218 /
1999.....................................................................13 }\par\p
ard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {8}
{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Exerc�cios
de
fixa��o............................................................................
............14 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {9}{
}\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100
{ Infec��o ........................................................................
...................................15 }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {9.1 Infec��o
hospitalar.........................................................................
.................. 15 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {9.1.1 Fatores de risco para ocorrer a
infec��o......................}\fs24\cf0\f2\charscalex100
{.................................16}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {9.1.2 Fontes ou
reservat�rios de
microorganismos...............................................16 }\par\pard\li1026\
ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {9.2 Tipos de
infec��es..........................................................................
.................16 }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{9.3 Modos de
transmiss�o........................................................................
.............16 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{10}{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Sistema
de Precau��es e
Isolamento............................................................18 }\par\pard
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Padr�o.............................................................................
{10.2
Isolamento.........................................................................
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Hospitalares.......................................................................
......20 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {11.1
�reas Hospitalares quanto
infec��es.............................................................20 }\par\pard
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quanto
infec��es...........................................................20 }\par\pard\l
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espec�ficas........................................................................
......20 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {12
Exerc�cios de
fixa��o............................................................................
.............21 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {13
Lavagem das
m�os...............................................................................
............24 }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{13.1
Finalidade.........................................................................
..............................24 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {13.2
Materiais..........................................................................
...............................24 }\par\pard\li1026\ri0\sl-280\slmult0
M�todo.............................................................................
...........................
....24 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {13.4
Observa��es
gerais...............................................}\fs24\cf0\f2\charscalex100
{.........................................24}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {14}
{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100
{ Luvas............................................................................
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Tipos..............................................................................
.}\fs24\cf0\f2\charscalex100
{................................25}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {14.1.1
Finalidade.........................................................................
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luvas...........................................................................25
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retirada das
luvas.........................................................................26 }\
par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {15 Exerc�cios de
fixa��o............................................................................
{16}{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Preparo
da cama
hospitalar.........................................................................
...27 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {16.1 Tipos
de
preparo............................................................................
.................27 }\par\pard\li9773\ri0\sl-213\slmult0
{2 }\par\pard\sect\sectd\sbkpage\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\ma
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{16.1.1 Cama
fechada............................................................................
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materiais..........................................................................
............................27 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {16.1.3 M�todo de
Dobradura..........................................................................
........27 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {16.1.4
Ordem de uso da roupa de
cama................................................................27 }\par\pard\l
i1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {16.1.5
M�todo.............................................................................
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aberta.............................................................................
......................28 }\par\pard\li1026\ri0\sl-280\slmult0
Materiais..........................................................................
M�todo.............................................................................
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Operado............................................................................
...........28 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{16.3.1
Finalidade.........................................................................
Materiais..........................................................................
M�todo.............................................................................
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Exerc�cios de
fixa��o............................................................................
..........29 }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {18}
{ }\fs22\cf0\f3\charscalex100 {\uc1\u8211X}\fs22\cf0\f2\charscalex100 { Cuidados de
higiene corporal no
leito.............................................................30 }\par\pard\li1
026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {18.1 Banho no
leito..............................................................................
...................30 }\par\pard\li1026\ri0\sl-280\slmult0
Materiais..........................................................................
Procedimento.......................................................................
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Perineais..........................................................................
..............31 }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{18}\fs24\cf0\f2\charscalex100 {.3 Higiene
oral...............................................................................
......................32 }\par\pard\li1026\ri0\sl-280\slmult0
Materiais..........................................................................
Procedimento.......................................................................
........................32 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {18.4 Limpeza de pr�teses
dent�rias.......................................................................33
}\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {18.5 Cuidados com
os
cabelos............................................................................
...33 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {18.5.1
Lavagem dos cabelos no
leito.....................................................................33 }\par\
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aspers�o...........................................................................
{ Exerc�cios de
fixa��o............................................................................
..........34 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{20}\fs24\cf0\f2\charscalex100 {-
Posicionamento.....................................................................
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{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Decubito
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{20.2 }\fs22\cf0\f3\charscalex100 {\uc1\u8211X}\fs22\cf0\f2\charscalex100 { Posi��o
de
fowler.............................................................................
{20.3 }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100
{ Decubito
ventral............................................................................
{20.4 Decubito de
Sims...............................................................................
{20.5 Genupeitoral..........................}\fs24\cf0\f2\charscalex100
{.........................................................................37}\fs24\
cf0\f2\charscalex100 { }\par\pard\li1026\ri0\sl-266\slmult0
Ginecol�gica.......................................................................
Litot�mica.........................................................................
Trendelemburg .....................................................................
..........................38 }\par\pard\li1026\ri0\sl-266\slmult0
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cuidados com a
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{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { �lceras por
press�o............................................................................
{22.1 Riscos para o comprometimento de
pele.......................................................39
}\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {22.2 Causas
imediatas..........................................................................
{22.3 Cuidados
preventivos........................................................................
{ Curativos........................................................................
Tipos..............................................................................
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antissepsia........................................................................
..........40 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {23.3
Solu��es e materiais mais
utilizados..............................................................41 }\par\pa
rd\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {23.4 Materiais necess�rios
para o
m�todo.............................................................43 }\par\pard\li
1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {23.5
M�todo.............................................................................
\fs24\cf0\f2\charscalex100 {23.6 Feridas com
drenos.............................................................................
...........45 }\par\pard\li9773\ri0\sl-213\slmult0
306\slmult0 \fs22\cf0\f1\charscalex100
{ Verifica��o de
SSVV...............................................................................
........45 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {24.1
Materiais..........................................................................
\fs24\cf0\f2\charscalex100 {24.2 Verifica��o de
temperatura........................................................................
.....45 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {24.2.1
valor
normal.............................................................................
....................45 }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {24.2.2 terminologias
especificas........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {24.3 Verifica��o de
Pulso..............................................................................
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normal.............................................................................
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espec�ficas........................................................................
....46 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {24.3.4
m�todo.............................................................................
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respira��o.........................................................................
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valor
normal.............................................................................
especificas........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {24.5 verifica��o da press�o
arterial.....................}\fs24\cf0\f2\charscalex100
{...................................................47}\fs24\cf0\f2\charscalex100 {
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normal.............................................................................
espec�ficas........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {25 Medidas
Antropom�tricas....................................................................
{25.1
finalidade.........................................................................
................................49 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {25.2 m�todo de verifica��o de
peso.......................................................................49 }\par
\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {25.3 m�todo de
verifica��o de
estatura..................................................................49 }\par\
pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {26}
{ }\fs22\cf0\f3\charscalex100 {\uc1\u8211X}\fs22\cf0\f2\charscalex100 { Alimenta��o
do
paciente ..........................................................................
......49 }\par\pard\li1026\ri0\sl-266\slmult0 \fs22\cf0\f2\charscalex100 {26.1
m�todo de alimenta��o 1.............................}\fs22\cf0\f2\charscalex100
{...................................................50}\fs22\cf0\f2\charscalex100 {
}\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {26.2 m�todo de
alimenta��o
2 ...............................................................................50
}\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {26.3 alimenta��o
por
gavagem ...........................................................................
...50 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {26.3.1
indica��es.........................................................................
materiais..........................................................................
m�todo.............................................................................
Gastrostomia.......................................................................
........................52 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {27 Sondagem
Nasog�strica.......................................................................
{27.1
objetivos..........................................................................
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {28 Administra��o de
medicamentos..................}\fs24\cf0\f2\charscalex100
{.....................................................53}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {28.1 Cuidados na
administra��o de
medicamentos...............................................53 }\par\pard\li1026\ri0
\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {28.2 Preparo e administra��o de
medicamentos por
VO.......................................53 }\par\pard\li1026\ri0\sl-266\slmult0
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {28.2.3 Cuidados gerais com drogas administradas por
VO...................................54 }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {28.3 Preparo e administra��o
de medicamentos por via
SL..................................54 }\par\pard\li1026\ri0\sl-266\slmult0
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {28.4 Preparo e administra��o de medicamentos por via
parenteral......................54 }\par\pard\li1026\ri0\sl-280\slmult0
Complica��es.......................................................................
\fs24\cf0\f2\charscalex100 {28.4.2 Preparo do medicamento em
ampola..........................................................55 }\par\pard\li102
6\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {28.4.3 Preparo do medicamento em
frasco
ampola...............................................55 }\par\pard\li9773\ri0\sl-
\fs18\cf0\par\pard\li9773\ri0\sl-306\slmult0 \fs22\cf0\f1\charscalex100
{28.5 Administra��o de medicamentos por via
SC..................................................55 }\par\pard\li1026\ri0\sl-
280\slmult0 \fs22\cf0\f2\charscalex100 {28.5.1 Locas para
aplica��o..........................................................................
.........55 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {28.5.2
materiais..........................................................................
\fs22\cf0\f2\charscalex100 {28.5.3 m�todo}\fs22\cf0\f2\charscalex100
{..................................................................................
.......................56}\fs22\cf0\f2\charscalex100 { }\par\pard\li1026\ri0\sl-
266\slmult0 \fs22\cf0\f2\charscalex100 {28.6 Administra��o de medicamentos por via
IM...................................................56 }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {28.6.1 Locais para
aplica��o..........................................................................
........56 }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {28.6.2
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {28.7 Administra��o de medicamentos por via
EV..................................................57 }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {28.7.1 Locais de
aplica��o..........................................................................
...........57 }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100
{28.7.2
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {28.8 Administra��o de medicamentos por via EV em
pacientes com venoclise....58 }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {29
Enemas.............................................................................
Indica��es.........................................................................
tipos..............................................................................
\fs24\cf0\f2\charscalex100 {29.3 m�todo para
aplica��o..........................................................................
.........58 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {30
Tricotomia.........................................................................
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {31 Aspira��o
endotraqueal.............................................................}\fs24\cf0
\f2\charscalex100 {........................59}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {31.1
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {31.3 seq��ncia para
aspira��o..........................................................................
.....60 }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {32
Verifica��o de glicemia capilar
perif�rica...........................................................61 }\par\pard\
li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {32.1
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {32.3 valor
normal.............................................................................
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Verifica��o de glicos�ria e
ceton�ria..............................................................61 }\par\par
d\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {33.1
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f3\charscalex100 {34 Troca de selo d\uc1\u8217X
gua.....................................................}\fs24\cf0\f2\charscalex100
{....................................62 }\par\pard\li1026\ri0\sl-280\slmult0
objetivos..........................................................................
materiais..........................................................................
m�todo.............................................................................
Documenta��o.......................................................................
\fs24\cf0\f2\charscalex100 {35.1 Prontu�rio
m�dico.............................................................................
{35.1.1 valor do
prontu�rio.........................................................................
{35.2 anota��es de
enfermagem.........................................................................
finalidades........................................................................
\fs24\cf0\f2\charscalex100 {35.2.2 o que
anotar.............................................................................
\fs24\cf0\f2\charscalex100 {36 passagem de
plant�o............................................................................
.............65 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {37
Admiss�o
Hospitalar.........................................................................
{37.1 Regras
gerais.............................................................................
.....................66 }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {38 Alta
hospitalar...................................................................}\fs24
\cf0\f2\charscalex100
{.................................66}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {38.1
tipos..............................................................................
\fs24\cf0\f2\charscalex100 {38.2 papel da
enfermagem.......................................................................}\
fs24\cf0\f2\charscalex100 {..............67}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-266\slmult0
transfer�ncia......................................................................
\fs24\cf0\f2\charscalex100 {40 Ordem e
limpeza............................................................................
...................67 }\par\pard\li9773\ri0\sl-213\slmult0
{40}\fs24\cf0\f2\charscalex100 {.1 Limpeza geral ou
terminal...........................................................................
indica��es.........................................................................
\fs22\cf0\f2\charscalex100 {40.2 Limpeza di�ria ou
concorrente........................................................................
68 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {40.2.1
objetivos..........................................................................
materiais..........................................................................
\fs24\cf0\f2\charscalex100 {41 Cuidados com
res�duos...........................................................................
..........68 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {41.1
materiais infectantes e
perfurocortantes.........................................................68 }\par\p
ard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {41.1.1 tipos de
coletores..........................................................................
{41.1.2 causas mais freq�entes de acidentes
ocupacionais....................................69 }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {41.1.3
recomenda��es......................................................................
.....................69 }\par\pard\li1026\ri0\sl-280\slmult0
\fs22\cf0\f2\charscalex100 {42 Cateterismo
vesical............................................................................
................69 }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{42.1 cateterismo vesical de
al�vio...........................................................................69
}\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {42.1.1
objetivo...........................................................................
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {42.2 Cateterismo vesical de
demora......................................................................70 }\pa
r\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {42.2.1
objetivo...........................................................................
materiais..........................................................................
m�todo.............................................................................
\fs24\cf0\f2\charscalex100 {43 Preparo do corpo p�s
morte..............................................................................
71 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {43.1
objetivo...........................................................................
materiais..........................................................................
procedimento.......................................................................
\fs24\cf0\f2\charscalex100 {44 Terminologias
b�sicas............................................................................
...........73 }\par\pard\li1026\ri0\sl-266\slmult0 \fs22\cf0\f2\charscalex100 {45
Siglas
padronizadas.......................................................................
\fs24\cf0\f2\charscalex100 {46 Exerc�cios de
fixa��o............................................................................
.............. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {47
Materiais
gerais..............................................}\fs24\cf0\f2\charscalex100
{....................................................}\fs24\cf0\f2\charscalex100
{ }\par\pard\li9773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9773\ri0\sl-213\slmult0
{6 }\par\pard\sect\sectd\sbkpage
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li1026\ri0\sl-280\slmult0 \fs22\cf0\f1\charscalex100 {Introdu��o �
Enfermagem }\par\pard\li1026\ri0\sl-226\slmult0 \fs20\cf0\f1\charscalex100 {Prof .
Adriana M.S.C.Costa }\par\pard\li1026\ri0\sl-213\slmult0
360\slmult0 \fs28\cf0\f0\charscalex100\b \i {1}\b0 \i0
{ }\fs28\cf0\f0\charscalex100\b \i {\uc1\u8211X}\b0 \i0
\fs28\cf0\f0\charscalex100\b \i { Introdu��o }\b0 \i0 \par\pard\li1026\ri0\sl-
\fs24\cf0\f0\charscalex100\b {Pode }\b0 \fs24\cf0\f0\charscalex100\b
{\uc1\u8211X}\b0 \fs24\cf0\f0\charscalex100\b { se considerar que a enfermagem
sempre esteve voltada para atender }\b0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f0\charscalex100\b {as necessidades de assist�ncia de sa�de da
sociedade . Ela originou-se do }\b0 \par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f0\charscalex100\b {desejo de manter as pessoas saud�veis, assim como
propiciar conforto,}\b0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f0\charscalex100\b {cuidado e confian�a ao enfermo . }\b0
\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0
\fs24\cf0\f0\charscalex100\b \i {\uc1\u8220X A enfermagem como profiss�o, � a �nica
na medida, em que se dedica }\b0 \i0 \par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f0\charscalex100\b \i {humanista, �s rea��es dos pacientes e de suas
fam�lias, frente aos }\b0 \i0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f0\charscalex100\b \i {problemas reais e potenciais
\uc1\u8216X\uc1\u8217X}\b0 \i0 \fs24\cf0\f0\charscalex100\b \i {. }\b0 \i0
\fs24\cf0\f0\charscalex100\b \i {2 }\b0 \i0 \fs24\cf0\f0\charscalex100\b \i {-
SA�DE : }\b0 \i0 \fs24\cf0\f2\charscalex100 {� um estado de completo bem-estar
f�sico, mental e social, n�o }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {meramente a aus�ncia de doen�a ou
enfermidade . }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-333\slmult0 \fs24\cf0\f0\charscalex100\b
{3 }\b0 \fs24\cf0\f0\charscalex100\b {- DOEN�A : }\b0 \fs24\cf0\f2\charscalex100 {�
um processo anormal no qual o funcionamento do organismo
de }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {uma pessoa est�
diminu�do ou prejudicado em uma ou mais dimens�es . }\par\pard\li1106\ri0\sl-
NECESSIDADES HUMANAS B�SICAS }\b0 \i0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f0\charscalex100\b {4.1Necessidades fisiol�gicas}\b0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Estas s�o as
necessidades mais b�sicas (oxig�nio, hidrata��o, nutri��o,}\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {temperatura, excre��o, repouso, sexo). Uma
vez satisfeitas estas necessidades }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {passamos a nos preocupar com outras
coisas. }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b {4.2 Necessidades de seguran�a}\b0
\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {No mundo conturbado
em que vivemos procuramos fugir dos perigos,}\par\pard\li1400\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {buscamos por abrigo, seguran�a, prote��o, estabilidade
e continuidade. A }\par\pard\li1400\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100
{busca da religi�o, de uma cren�a deve ser colocada neste n�vel da
hierarquia. }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b {4.3 Necessidades sociais}\b0
\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {O ser humano
precisa amar e pertencer. O ser humano tem a necessidade
de }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {ser amado,
querido por outros, de ser aceito por outros. N�s queremos
nos}\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {sentir
necess�rios a outras pessoas ou grupos de pessoas. Esse
agrupamento }\par\pard\li1400\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {de
pessoas pode ser, no seu local de trabalho, na sua igreja, na sua fam�lia,
no }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {seu clube ou na
sua torcida. Todos estes agrupamentos fazem com que }\par\pard\li1400\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {tenhamos a sensa��o de pertencer a um grupo
. }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b {4.4 Necessidades de "status" ou de
estima}\b0 \par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {O ser
humano busca ser competente, alcan�ar objetivos, obter aprova��o
e }\par\pard\li1400\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {ganhar
reconhecimento. }\par\pard\li1026\ri0\sl-213\slmult0
{4.5 }\fs24\cf0\f0\charscalex100\b \ul {Necessidade de auto-realiza��o}\b0 \ul0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {O ser humano busca
a sua realiza��o como pessoa, a demonstra��o pr�tica da }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {realiza��o permitida e alavancada pelo seu
potencial �nico. O ser humano p}\fs24\cf0\f2\charscalex100
{ode}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {buscar
conhecimento, experi�ncias est�ticas e metaf�sicas, ou mesmo a busca
de }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Deus. }\par\pard\li9773\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9773\ri0\sl-
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{Os profissionais de sa�de preocupam-se que estas necessidades b�sicas
sejam }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{proporcionadas aos pacientes que buscam assist�ncia . }\par\pard\li1026\ri0\sl-
\fs28\cf0\f0\charscalex100\b \i {5 }\b0 \i0 \fs28\cf0\f0\charscalex100\b \i {- A
Evolu��o da Assist�ncia � Sa�de nos Per�odos Hist�ricos }\b0 \i0
\fs24\cf0\f0\charscalex100\b {- Per�odo Pr�-Crist�o}\b0 \par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Neste per�odo as doen�as eram tidas como um
castigo de Deus ou resultavam do }\par\pard\li1026\ri0\sl-280\slmult0
\fs22\cf0\f2\charscalex100 {poder do dem�nio. Por isso os sacerdotes ou feiticeiras
acumulavam fun��es de }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {m�dicos e enfermeiros. O tratamento consistia em
aplacar as divindades, }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {afastando os maus esp�ritos por meio de
sacrif�cios. Usavam-se: massagens,}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {banho de �gua fria ou quente. Mais tarde os sacerdotes
adquiriam conhecimentos}\par\pard\li1026\ri0\sl-280\slmult0
\fs22\cf0\f2\charscalex100 {sobre plantas medicinais e passaram a ensinar pessoas,
delegando-lhes fun��es }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {de enfermeiros e farmac�uticos. Alguns papiros,
inscri��es, monumentos, livros de }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {orienta��es pol�tica e religiosas, ru�nas de
aquedutos e outras descobertas nos }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {permitem formar uma id�ia do tratamento dos
doentes. }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b {- Egito}\b0 \par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Os eg�pcios deixaram alguns documentos
sobre a medicina conhecida em sua }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {�poca. As receitas m�dicas deviam ser tomadas
acompanhadas da recita��o de }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {f�rmulas religiosas. Pratica-se o hipnotismo, a
interpreta��o de sonhos; }\par\pard\li1026\ri0\sl-280\slmult0
\fs22\cf0\f2\charscalex100 {acreditava-se na influ�ncia de algumas pessoas sobre
a sa�de de outras. Havia }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {ambulat�rios gratuitos, onde era recomendada a
hospitalidade e o aux�lio aos }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {desamparados. }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-333\slmult0 \fs24\cf0\f0\charscalex100\b {-
�ndia}\b0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Documentos do s�culo VI a.C. nos dizem que os hindus conheciam:
ligamentos,}\par\pard\li1026\ri0\sl-266\slmult0 \fs22\cf0\f2\charscalex100
{m�sculos, nervos, plexos, vasos linf�ticos, ant�dotos para alguns tipos
de }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {envenenamento
e o processo digestivo. Realizavam alguns tipos de }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {procedimentos, tais como: suturas,
amputa��es e corrigiam fraturas. Neste }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {aspecto o budismo contribui para o
desenvolvimento da enfermagem e da }\par\pard\li1026\ri0\sl-280\slmult0
\fs22\cf0\f2\charscalex100 {medicina. Os hindus tornaram-se conhecidos pela
constru��o de hospitais. Foram }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {os �nicos, na �poca, que citaram enfermeiros e exigiam
deles qualidades morais e }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {conhecimentos cient�ficos. Nos hospitais eram usados
m�sicos e narradores de }\par\pard\li1026\ri0\sl-266\slmult0
\fs22\cf0\f2\charscalex100 {hist�rias para distrair os pacientes. O bramanismo
fez decair a medicina e a }\par\pard\li1026\ri0\sl-280\slmult0
\fs22\cf0\f2\charscalex100 {enfermagem, pelo exagerado respeito ao corpo humano -
proibia a dissec��o de }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {cad�veres e o derramamento de sangue. As doen�as eram
consideradas castigo. }\par\pard\li1026\ri0\sl-213\slmult0
Ass�ria e Babil�nia}\b0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Entre os ass�rios e babil�nios existiam penalidades
para m�dicos incompetentes,}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {tais como: amputa��o das m�os, indeniza��o, etc. A
medicina era baseada na }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {magia - acreditava-se que sete dem�nios eram os
causadores das doen�as. Os}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {sacerdotes - m�dicos vendiam talism�s com ora��es
usadas contra ataques dos }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {dem�nios. Nos documentos ass�rios e babil�nicos n�o
h� men��o de hospitais, }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {nem de enfermeiros. Conheciam a lepra e sua
cura dependia de milagres de }\par\pard\li9773\ri0\sl-213\slmult0
{Deus, como no epis�dio b�blico do banho no rio Jord�o. "Vai, lava-te sete vezes no
}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Rio Jord�o e tua
carne ficar� limpa". }\par\pard\li1026\ri0\sl-213\slmult0
China}\b0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Os
doentes chineses eram cuidados por sacerdotes. As doen�as
eram }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {classificadas
da seguinte maneira: benignas, m�dias e graves. Os
sacerdotes }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {eram
divididos em tr�s categorias que correspondiam ao grau da doen�a da
qual}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {se ocupava.
Os templos eram rodeados de plantas medicinais. Os
chineses }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {conheciam
algumas doen�as: var�ola e s�filis. Tratamento: anemias,
indicavam }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {ferro e
f�gado; doen�as da pele, aplicavam o ars�nico. Anestesia:
�pio. }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {Constru�ram
alguns hospitais de isolamento e casas de repouso. A cirurgia
n�o }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {evoluiu devido
a proibi��o da dissec��o de cad�veres. }\par\pard\li1026\ri0\sl-213\slmult0
Jap�o}\b0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Os
japoneses aprovaram e estimularam a eutan�sia. A medicina era fetichista e
a }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {�nica
terap�utica era o uso de �guas termais. }\par\pard\li1026\ri0\sl-213\slmult0
Gr�cia}\b0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {As
primeiras teorias gregas se prendiam � mitologia. Apolo, o deus sol, era o
deus }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {da sa�de e
da medicina. Usavam sedativos, fortificantes e hemost�ticos,
faziam }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {ataduras e
retiravam corpos estranhos, tamb�m tinham casas para tratamento
dos }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {doentes. A
medicina era exercida pelos sacerdotes - m�dicos, que
interpretavam }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {os
sonhos das pessoas. Tratamento: banhos, massagens, sangrias, dietas, sol,
ar }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {puro, �gua pura
mineral. Dava-se valor � beleza f�sica, cultural e a
hospitalidade. }\par\pard\li1026\ri0\sl-266\slmult0 \fs22\cf0\f2\charscalex100 {O
excesso de respeito pelo corpo atrasou os estudos anat�micos. O nascimento
e }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {a morte eram
considerados impuros, causando desprezo pela obstetr�cia
e }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {abandono dos
doentes graves. A medicina tornou-se cient�fica, gra�as
a }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Hip�crates, que
deixou de lado a cren�a de que as doen�as eram causadas
por }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {maus esp�ritos. Hip�crates � considerado o Pai da
Medicina. Observava o doente, }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {fazia diagn�stico, progn�stico e a terap�utica.
Reconheceu doen�as como:}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {tuberculose, mal�ria, histeria, neurose, luxa��es e
fraturas. Seu princ�pio }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {fundamental na terap�utica consistia em "n�o contrariar
a natureza, por�m auxili�-}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {la a reagir". Tratamentos usados: massagens, banhos,
gin�sticas, dietas, sangrias, }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {e calmantes, ervas medicinais e medicamentos
minerais. }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b {- Roma}\b0 \par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {A medicina n�o teve prest�gio em
Roma. Durante muito tempo era exercida por }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {escravos ou estrangeiros. Os romanos eram
um povo, essencialmente guerreiro. }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {O indiv�duo recebia cuidados do Estado como cidad�o
destinado a tornar-se bom }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {guerreiro, audaz e vigoroso. Roma distinguiu-se pela
limpeza das ruas, ventila��o }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {das casas, �gua pura e abundante e redes de esgoto. Os
mortos eram sepultados }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {fora da cidade, na via �pia. O desenvolvimento da
medicina dos romanos sofreu }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {influ�ncia do povo grego. }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {O cristianismo foi a maior revolu��o
social de todos os tempos. Influiu }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {positivamente atrav�s da reforma dos indiv�duos e
da fam�lia. Os crist�os }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {praticavam uma tal caridade, que movia os pag�os: "Vede
como eles se amam". }\par\pard\li9773\ri0\sl-213\slmult0
{Desde o in�cio do cristianismo os pobres e enfermos foram objeto de
cuidados }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {especiais
por parte da Igreja. }\par\pard\li1026\ri0\sl-213\slmult0
Hist�ria da Enfermagem }\b0 \i0 \par\pard\li1026\ri0\sl-386\slmult0
\fs24\cf0\f0\charscalex100\b \ul {6.1 Per�odo Florence Nightingale }\b0 \ul0
\par\pard\li1026\ri0\sl-373\slmult0 \fs22\cf0\f2\charscalex100 {Nascida a 12 de
maio de 1820, em Floren�a, It�lia, era filha de ingleses.
Possu�a }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{intelig�ncia incomum, tenacidade de prop�sitos, determina��o e perseveran�a
- }\fs24\cf0\f2\charscalex100 {o}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {que lhe permitia dialogar com pol�ticos e oficiais
do Ex�rcito, fazendo prevalecer }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {suas id�ias. Dominava com facilidade o ingl�s, o
franc�s, o alem�o, o italiano, }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {al�m do grego e latim. }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {No desejo de realizar-se como
enfermeira, passa o inverno de 1844 em Roma, }\par\pard\li1026\ri0\sl-
280\slmult0 \fs22\cf0\f2\charscalex100 {estudando as atividades das Irmandades
Cat�licas. Em 1849 faz uma viagem ao }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Egito e decide-se a servir a Deus, trabalhando em
Kaiserswert, Alemanha, entre }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {as diaconisas. }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {Decidida a seguir sua voca��o, procura completar seus
conhecimentos que julga }\par\pard\li1026\ri0\sl-280\slmult0
\fs22\cf0\f2\charscalex100 {ainda insuficientes. Visita o Hospital de Dublin
dirigido pela Irm�s de Miseric�rdia, }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Ordem Cat�lica de Enfermeiras, fundada 20 anos
antes. Conhece as Irm�s de }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {Caridade de S�o Vicente de Paulo, na Maison de la
Providence em Paris. }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Aos poucos vai se preparando para a sua grande
miss�o. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Em 1854,
a Inglaterra, a }{ }\fs24\cf0\f3\charscalex100 {Fran�a e a Turquia declaram guerra
R�ssia: \uc1\u8220X }{ }\fs24\cf0\f0\charscalex100\b {Guerra }\b0
\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f0\charscalex100\b {da
Crim�ia.\uc1\u8217X\uc1\u8217X}\b0 { }\fs24\cf0\f2\charscalex100 {Os soldados
acham-se no maior abandono. A mortalidade entre os }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {hospitalizados � de
40%. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Florence
partiu para Scutari com 38 volunt�rias entre religiosas e leigas vindas
de }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {diferentes
hospitais. Algumas enfermeiras foram despedidas por incapacidade
de }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {adapta��o e
principalmente por indisciplina. A mortalidade decresce de 40%
para }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{2%. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Os soldados
fazem dela o seu anjo da guarda e ela foi imortalizada como a
"Dama }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {da L�mpada"
porque, de lanterna na m�o, percorre as enfermarias, atendendo
os }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{doentes. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Durante
a guerra contrai tifo e ao retornar da Crim�ia, em 1856, leva uma vida
{inv�lida. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Dedica-
se por�m, com ardor, a trabalhos intelectuais. Pelos trabalhos na
Crim�ia, }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {recebe um
pr�mio do Governo Ingl�s e, gra�as a este pr�mio, consegue iniciar
o }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {que para ela
� a �nica maneira de mudar os destinos da Enfermagem -
uma }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {Escola de
Enfermagem em 1959. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Ap�s a guerra, Florence fundou uma escola de Enfermagem no Hospital
Saint }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Thomas, que
passou a servir de modelo para as demais escolas que
foram }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {fundadas
posteriormente. A disciplina rigorosa, do tipo militar, era uma
das }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{caracter�sticas da escola nightingaleana, bem como a exig�ncia de qualidades
}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {morais das
candidatas. O curso, de um ano de dura��o, consistia em aulas
di�rias }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{ministradas por m�dicos. }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {Nas primeiras escolas de Enfermagem, o m�dico foi de
fato a �nica pessoa }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {qualificada para ensinar. A ele cabia ent�o
decidir quais das suas fun��es }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {poderiam colocar nas m�os das enfermeiras. Florence
morre em 13 de agosto de }\par\pard\li9680\ri0\sl-213\slmult0
{10 }\par\pard\sect\sectd\sbkpage\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\m
argtsxn666\margbsxn173\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f1\charscalex100
{1910, deixando florescente o ensino de Enfermagem. Assim, a Enfermagem
surge }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {n�o mais
como uma atividade emp�rica, desvinculada do saber especializado,
mas}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {como uma
ocupa��o assalariada que vem atender a necessidade de
m�o-}\fs24\cf0\f2\charscalex100 {de}\fs24\cf0\f2\charscalex100 {-
obra }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{nos}\fs24\cf0\f2\charscalex100 { hospitais, constituindo-se
como uma pr�tica social institucionalizada e }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {espec�fica. }\par\pard\li1026\ri0\sl-
\fs28\cf0\f0\charscalex100\b {6.2 Hist�ria da Enfermagem no Brasil }\b0
\par\pard\li1026\ri0\sl-386\slmult0 \fs24\cf0\f2\charscalex100 {A organiza��o da
Enfermagem na Sociedade Brasileira come�a no
per�odo }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {colonial e
vai at� o final do s�culo XIX. A profiss�o surge como uma
simples }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {presta��o
de cuidados aos doentes, realizada por um grupo formado, na
sua }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {maioria, por
escravos, que nesta �poca trabalhavam nos domic�lios. Desde
o }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {princ�pio da
coloniza��o foi inclu�da a abertura das Casas de Miseric�rdia,
que }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {tiveram origem
em Portugal. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {A
primeira Casa de Miseric�rdia foi fundada na Vila de Santos, em 1543.
Em }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {seguida, ainda
no s�culo XVI, surgiram as do Rio de Janeiro, Vit�ria, Olinda
e }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Ilh�us. Mais
tarde Porto Alegre e Curitiba, esta inaugurada em 1880, com
a }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {presen�a de D.
Pedro II e Dona Tereza Cristina. }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {No que diz respeito � sa�de do povo brasileiro,
merece destaque o trabalho do }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Padre Jos� de Anchieta. Ele n�o se limitou ao ensino de
ci�ncias e catequeses. }\par\pard\li1026\ri0\sl-266\slmult0
\fs22\cf0\f2\charscalex100 {Foi al�m. Atendia aos necessitados, exercendo
atividades de m�dico e }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {enfermeiro. Em seus escritos encontramos estudos de
valor sobre o Brasil, seus }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {primitivos habitantes, clima e as doen�as mais
comuns. }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {A
terap�utica empregada era � base de ervas medicinais
minuciosamente }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100
{descritas. Sup�e-se que os Jesu�tas faziam a supervis�o do servi�o que era
}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {prestado por
pessoas treinadas por eles. N�o h� registro a respeito. }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Outra figura de destaque � Frei
Fabiano Cristo, que durante 40 anos exerceu }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {atividades de enfermeiro no Convento de
Santo Ant�nio do Rio de Janeiro (S�c. }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {XVIII). }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Os escravos tiveram papel relevante, pois auxiliavam os
religiosos no cuidado aos }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {doentes. Em 1738, Rom�o de Matos Duarte consegue fundar
no Rio de Janeiro a }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{Casa dos Expostos. Somente em 1822, o Brasil tomou as primeiras medidas de
}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {prote��o �
maternidade que se conhecem na legisla��o mundial, gra�as
a }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {atua��o de Jos�
Bonif�cio Andrade e Silva. A primeira sala de partos
funcionava }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {na
Casa dos Expostos em 1822. Em 1832 organizou-se o ensino m�dico e
foi}\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {criada a
Faculdade de Medicina do Rio de Janeiro. A escola de parteiras
da }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Faculdade de
Medicina diplomou no ano seguinte a c�lebre Madame Durocher,
a }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {primeira
parteira formada no Brasil. }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {No come�o do s�culo XX, grande n�mero de teses m�dicas
foram apresentadas }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100
{sobre Higiene Infantil e Escolar, demonstrando os resultados obtidos e
abrindo }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {horizontes
e novas realiza��es. Esse progresso da medicina, entretanto, n�o
teve }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {influ�ncia
imediata sobre a Enfermagem. }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Assim sendo, na enfermagem brasileira do tempo do
Imp�rio, raros nomes de }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {destacaram e, entre eles, merece especial men��o o de
Anna Nery. }\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-
\fs24\cf0\f0\charscalex100\b {6.2.1 Anna Nery }\b0 \par\pard\li1026\ri0\sl-
386\slmult0 \fs24\cf0\f2\charscalex100 {Aos 13 de dezembro de 1814, nasceu Ana
Justina Ferreira, na Cidade de }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {Cachoeira, na Prov�ncia da Bahia. Casou-se com
Isidoro Antonio Nery, }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {enviuvando aos 30 anos. }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Seus dois filhos, um m�dico militar e
um oficial do ex�rcito, s�o convocados a }\par\pard\li1026\ri0\sl-
280\slmult0 \fs22\cf0\f2\charscalex100 {servir a P�tria durante a Guerra do
Paraguai (1864-1870), sob a presid�ncia de }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {Solano Lopes. O mais jovem, aluno do 6� ano
de Medicina, oferece seus servi�os }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {m�dicos em prol dos
brasileiros. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Anna
Nery n�o resiste � separa��o da fam�lia e escreve ao Presidente
da }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {Prov�ncia,
colocando-se � disposi��o de sua P�tria. Em 15 de agosto parte
para }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {os campos de
batalha, onde dois de seus irm�os tamb�m lutavam.
Improvisa }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{hospitais e n�o mede esfor�os no atendimento aos
feridos. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Ap�s
cinco anos, retorna ao Brasil, � acolhida com carinho e louvor, recebe
uma }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {coroa de
louros e Victor Meireles pinta sua imagem, que � colocada no edif�cio
do }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Pa�o Municipal.
}\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {O governo imperial
lhe concede uma pens�o, al�m de medalhas humanit�rias
e }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {de
campanha. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Faleceu
no Rio de Janeiro a 20 de maio de 1880. }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {A primeira Escola de Enfermagem fundada no Brasil
recebeu o seu nome. Anna }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {Nery que, como Florence Nightingale, rompeu com os
preconceitos da �poca que }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {faziam da mulher prisioneira do
lar. }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
386\slmult0 \fs28\cf0\f0\charscalex100\b \i {\uc1\u8220XA en}\b0 \i0
\fs28\cf0\f0\charscalex100\b \i {fermagem � uma arte; e para realiza-la como arte,
requer }\b0 \i0 \par\pard\li1026\ri0\sl-320\slmult0 \fs28\cf0\f0\charscalex100\b \i
{uma devo��o t�o exclusiva, um preparo t�o rigoroso, como a }\b0 \i0
\par\pard\li1026\ri0\sl-320\slmult0 \fs28\cf0\f0\charscalex100\b \i {obra de
qualquer pintor ou escultor; pois o que � tratar da tela }\b0 \i0
\par\pard\li1026\ri0\sl-320\slmult0 \fs28\cf0\f0\charscalex100\b \i {morta ou do
frio m�rmore comparado ao tratar do corpo vivo, o }\b0 \i0 \par\pard\li1026\ri0\sl-
320\slmult0 \fs28\cf0\f0\charscalex100\b \i {templo do esp�rito de Deus . � uma das
artes; poder-}\b0 \i0 \fs28\cf0\f0\charscalex100\b \i {se}\b0 \i0
\fs28\cf0\f0\charscalex100\b \i {-ia dizer, a }\b0 \i0 \par\pard\li1026\ri0\sl-
333\slmult0 \fs28\cf0\f0\charscalex100\b \i {mais bela das artes
\uc1\u8216X\uc1\u8217X}\b0 \i0 \par\pard\li1026\ri0\sl-320\slmult0
\fs28\cf0\f0\charscalex100\b \i {
Florence Nightingale }\b0 \i0 \par\pard\li9680\ri0\sl-213\slmult0
373\slmult0 \fs20\cf0\f1\charscalex100 {12 }\par\pard\sect\sectd\sbkpage{\shp
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}}}}\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\margtsxn666\margbsxn173\pard\l
i1026\ri0\sl-280\slmult0 \fs22\cf0\f1\charscalex100 {Introdu��o �
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs28\cf0\f0\charscalex100\b \i {7}\b0
\i0 { }\fs28\cf0\f0\charscalex100\b \i {\uc1\u8211X}\b0 \i0
\fs28\cf0\f0\charscalex100\b \i { S�MBOLOS DA ENFERMAGEM }\b0 \i0
\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f0\charscalex100\b {7.1 Resolu��o
COFEN-218/1999 }\b0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{(Aprova o Regulamento que disciplina sobre Juramento, S�mbolo, Cores e
Pedra }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {utilizados
na Enfermagem) }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Aprova o Regulamento que disciplina sobre Juramento, S�mbolo, Cores e
Pedra }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {utilizados
na Enfermagem. O Conselho Federal de Enfermagem-COFEN, no
uso }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {de suas
atribui��es legais e estatut�rias; CONSIDERANDO os estudos
e }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {subs�dios
contidos o PAD-COFEN N� 50/98, sobre " padroniza��o de
Juramento,}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Pedra,
Cor, e S�mbolos a serem utilizados nas Solenidades de Formaturas
ou }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {representativas
da Profiss�o ", pelo Grupo de Trabalho constitu�do
atrav�s }\fs24\cf0\f2\charscalex100 {da}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Portaria COFEN-49/98; CONSIDERANDO as diversas
consultas sobre o tema,}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {que constantemente s�o efetuadas; CONSIDERANDO
inexistir legisla��o,}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {normatizando a mat�ria; CONSIDERANDO delibera��o do
Plen�rio em sua }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{Reuni�o Ordin�ria de n� 273; realizada em 28.04.99. }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f0\charscalex100\b {Resolve:}\b0 \par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Art. 1�- Aprovar o regulamento anexo que
disp�e sobre o Juramento a ser }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {proferido nas Solenidades de Formatura dos Cursos de
Enfermagem, bem como a }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {pedra, a cor e o Bras�o ou marca que representar� a
Enfermagem, em an�is e }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {outros acess�rios que venham a ser utilizados em nome
da Profiss�o. }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{Art. 2�- Esta Resolu��o entra em vigor na data de sua
publica��o. }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
346\slmult0 \fs24\cf0\f2\charscalex100 {REGULAMENTO APROVADO PELA RESOLU��O
218/99 }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{I }\fs24\cf0\f2\charscalex100 {- SIMBOLOGIA APLICADA �
ENFERMAGEM: }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {Os
significados dados aos s�mbolos utilizados na Enfermagem, s�o os
seguintes: }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {�
L�mpada: caminho, ambiente; }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {� Cobra: magia, alquimia; }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {� Cobra + cruz:
ci�ncia; }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {�
Seringa: t�cnica }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {�
Cor verde: paz, tranq�ilidade, cura, sa�de }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {- Pedra S�mbolo da Enfermagem:
Esmeralda }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {- Cor
que representa a Enfermagem: Verde Esmeralda }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {- S�mbolo: l�mpada, conforme modelo
apresentado }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {-
Bras�o ou Marca de an�is ou
acess�rios: }\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margr
sxn133\cols2\colno1\colw6186\colsr-0\colno2\colw5253\pard\li1466\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {Enfermeiro: l�mpada e cobra +
cruz }\par\column\pard\li0\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {T�cnico
e Auxiliar de Enfermagem:}\par\pard\li880\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {l�mpada e seringa }\par\pard\li3493\ri0\sl-
{13 }\par\pard\sect\sectd\sbknone\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\p
ard\sect\sectd\sbkpage\pgwsxn12240\pghsxn15840\marglsxn666\margrsxn133\margtsxn666\
margbsxn173\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f1\charscalex100 {Introdu��o �
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs28\cf0\f0\charscalex100\b \i {8}\b0
\fs28\cf0\f0\charscalex100\b \i { Exerc�cios de fixa��o }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {a ) Diferencie
sa�de e doen�a }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__}\fs24\cf0\f2\charscalex100
{________________________________________________________________}\par\pard\li1026\
ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
26\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0
\fs24\cf0\f2\charscalex100 {b ) O que significa enfermagem ( resposta
pessoal ) }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{_______________________________________________________________}\fs24\cf0\f2\chars
calex100 {___}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {c ) Realize uma resenha sobre a hist�ria da
enfermagem : }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {c.1 )
Per�odo Florence Nightingale : }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-280\slmult0
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {c.2 ) Per�odo Anna Nery : }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
\fs18\cf0\par\pard\li1026\ri0\sl-360\slmult0 \fs24\cf0\f2\charscalex100 {d ) Cite 3
habilidades necess�rias ao profissional que atua na
enfermagem }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
\fs24\cf0\f2\charscalex100 {e ) cite 3 raz�es pelas quais � necess�rio a utiliza��o
de uma t�cnica para as}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {atividades de enfermagem }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {__}\fs24\cf0\f2\charscalex100
{________________________________________________________________ }\par\pard\li1026
\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-333\slmult0
\fs24\cf0\f2\charscalex100 {f ) Descreva a seq��ncia das necessidades humanas
b�sicas . Cite a fun��o da }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {enfermagem em rela��o �
elas . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {g ) Comente sobre os s�mbolos, cores, import�ncia do
juramento na enfermagem }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li968
386\slmult0 \fs22\cf0\f1\charscalex100 {15 }\par\pard\sect\sectd\sbkpage
2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}
2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}
INFEC��O }\b0 \i0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {�
uma a��o exercida no organismo decorrente da presen�a de
agentes}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{patog�nicos, podendo ser por bact�rias, v�rus, fungos ou
protozo�rios . }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-386\slmult0 \fs28\cf0\f0\charscalex100\b \i {9.1
INFEC��O HOSPITALAR }\b0 \i0 \par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {� uma infec��o adquirida durante a interna��o do
paciente-cliente . Pode se }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {manifestar durante a interna��o ou mesmo ap�s alta
hospitalar . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {A
infec��o hospitalar est� associada com a hospitaliza��o ou com
procedimentos}\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{hospitalares . }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f0\charscalex100\b \i {9.1.1
Fatores de risco para ocorrer a infec��o }\b0 \i0 \par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {a ) idade }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {b ) doen�as de
base }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {c )
desnutri��o }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {d )
uso prolongado de medicamentos }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {e ) tempo de hospitaliza��o }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {f ) procedimentos
invasivos }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {g )
t�cnica de uso e processamento de materiais inadequados }\par\pard\li1026\ri0\sl-
\fs18\cf0\par\pard\li1026\ri0\sl-400\slmult0 \fs24\cf0\f0\charscalex100\b \i {9.1.2
Fontes ou reservat�rios de microorganismos }\b0 \i0 \par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Os microorganismos apresentam muitas fontes
ou reservat�rios para desenvolver-}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {se, entre eles : }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f1\charscalex100 {-}\fs24\cf0\f2\charscalex100 { o pr�prio
organismo }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f1\charscalex100
{-}\fs24\cf0\f2\charscalex100 { insetos }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f1\charscalex100 {-}\fs24\cf0\f2\charscalex100
{ animais }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f1\charscalex100
{-}\fs24\cf0\f2\charscalex100 { objetos inanimados }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f1\charscalex100 {-}\fs24\cf0\f2\charscalex100
{ alimentos }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b \i {9.2 Tipos de infec��es }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b \i {a ) End�gena :
}\b0 \i0 \fs24\cf0\f2\charscalex100 {pode ocorrer quando parte da flora natural do
paciente sofre }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{altera��es, convertendo-se em pat�genos por modifica��o de sua
estrutura . }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{Exemplo : candid�ase vaginal }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f0\charscalex100\b \i {b )
Ex�gena}\b0 \i0 \fs24\cf0\f2\charscalex100 { : resulta de microorganismos externos
ao indiv�duo que n�o fazem }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {parte da flora natural . }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {Exemplo : bact�rias, v�rus, fungos, entre
outros }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
346\slmult0 \fs24\cf0\f0\charscalex100\b \i {9.3 Modos de transmiss�o }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f1\charscalex100\b \i {a ) }\b0
\i0 \fs24\cf0\f0\charscalex100\b \i {Contato}\b0 \i0
\fs24\cf0\f1\charscalex100\b \i { :}\b0 \i0 \fs24\cf0\f2\charscalex100 { Exemplos
de doen�as que necessitam isolamento de contato:}\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {Infec��es por bact�rias
multirresistentes, }\fs24\cf0\f0\charscalex100\i {Clostridium difficile, }\i0
\fs24\cf0\f2\charscalex100 {Difteria cut�nea, }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Enterovirus, Hepatite A, Herpes simples,
herpes zoster, Impetigo, abcessos,}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {celulite ou �lceras de dec�bito, ou outras infec��es
por }\fs24\cf0\f0\charscalex100\i {Staphylococcus }\i0 \par\pard\li9680\ri0\sl-
\fs24\cf0\f0\charscalex100\i {aureus}\i0 { }\fs24\cf0\f2\charscalex100 {cut�neo,
Parainfluenza, VSR, Rotavirus, Escab�ose, Pediculose,
Shigella,}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Febre
hemorr�gica (�bola) }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f0\charscalex100\b \i {A
transmiss�o por contato pode ser : }\b0 \i0 \par\pard\li1026\ri0\sl-280\slmult0
\*\tx1400\fs24\cf0\f1\charscalex100 {-}\tab \fs24\cf0\f0\charscalex100\b \i {direta
: }\b0 \i0 \fs24\cf0\f2\charscalex100 {transfer�ncia f�sica direta de um indiv�duo
infectado e um hospedeiro }\par\pard\li1400\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {suscept�vel }\par\pard\li1400\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Exemplo : manusear um paciente infectado e logo em
seguida manipular outro }\par\pard\li1400\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {sem lavar as m�os ( infec��o
cruzada ) }\par\pard\li1026\ri0\sl-266\slmult0 \*\tx1400\fs24\cf0\f1\charscalex100
{-}\tab \fs24\cf0\f0\charscalex100\b \i {indireta : }\b0 \i0
\fs24\cf0\f2\charscalex100 {contato pessoal do hospedeiro suscept�vel com objetos
inanimados}\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{contaminados . }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Exemplo : agulhas, roupas de camas, f�mites ( comadres, papagaios ),
entre }\par\pard\li1400\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{outros }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
346\slmult0 \fs24\cf0\f0\charscalex100\b \i {b ) Got�culas : }\b0 \i0
\fs24\cf0\f2\charscalex100 {o agente infeccioso entra em contato com mucosas nasal
ou oral }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {do
hospedeiro suscept�vel, atrav�s de tosse ou espirro . }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {Exemplo : Adenov�rus, Difteria
far�ngea, }\fs24\cf0\f0\charscalex100\i {Haemophilus influenza }\i0
\fs24\cf0\f2\charscalex100 {tipo b ( meningite }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {tipo b ), Influenza ( gripe ),
Parotidite, }\fs24\cf0\f0\charscalex100\i {Mycoplasma pneumoniae,}\i0
{ }\fs24\cf0\f2\charscalex100 {Pertussis,}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {rub�ola, Faringite ou pneumonia
estreptoc�cica . }\par\pard\li1026\ri0\sl-213\slmult0
400\slmult0 \fs24\cf0\f0\charscalex100\b \i {c ) Pelo ar : }\b0 \i0
\fs24\cf0\f2\charscalex100 {n�cleos secos de got�culas, ou seja, res�duos de
got�culas}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{evaporadas que permanecem suspensas no ar, quando o indiv�duo
infectado }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {espirra,
fala, tosse, etc . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
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doen�a }\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Use
m�scara N95 se o doente tem tuberculose em fase
contagiosa }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
346\slmult0 \fs24\cf0\f0\charscalex100\b \i {C ) Isolamento por transmiss�o por
contato }\b0 \i0 \par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Quarto privado. Se n�o for poss�vel, agrupe os doentes por
doen�a. }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Use
sempre luvas de procedimentos }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Lave as m�os antes e depois de retirar as
luvas }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Use
avental se vai estar em contato pr�ximo com o doente}\par\column\pard\li0\ri0\sl-
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs20\cf0\f1\charscalex100 {Professora Adriana M. S. C.
Costa }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
\fs28\cf0\f0\charscalex100\b \i { �reas e Artigos hospitalares }\b0 \i0
\par\pard\li1026\ri0\sl-320\slmult0 \fs28\cf0\f0\charscalex100\b \i {11.1 �reas
hospitalares }\b0 \i0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f0\charscalex100\b \i {a ) �rea cr�tica : }\b0 \i0
\fs24\cf0\f2\charscalex100 {s�o aquelas que oferecem risco potencial para aquisi��o
de }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {infec��es em
decorr�ncia � procedimentos invasivos freq�entes, manejo
de }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {subst�ncias
infectantes e por admitirem pacientes suscept�veis �
infec��es . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Exemplo : UTI, CC, Unidade de queimados, entre outros }\par\pard\li1026\ri0\sl-
\fs24\cf0\f0\charscalex100\b \i {b ) �rea semi-cr�tica : }\b0 \i0
\fs24\cf0\f2\charscalex100 {s�o todas aquelas ocupadas por pacientes que n�o exijam
}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {cuidados
intensivos ou de isolamento . }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Exemplo : enfermarias }\par\pard\li1026\ri0\sl-
\fs24\cf0\f0\charscalex100\b \i {C ) �rea n�o cr�tica : }\b0 \i0
\fs24\cf0\f2\charscalex100 {s�o �reas que n�o s�o ocupadas por
pacientes }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Exemplo : almoxarifado, copa, farm�cia }\par\pard\li1026\ri0\sl-213\slmult0
440\slmult0 \fs28\cf0\f0\charscalex100\b \i {11.2 Artigos hospitalares }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b \i {a ) Artigos
cr�ticos : }\b0 \i0 \fs24\cf0\f2\charscalex100 {s�o os artigos que penetram o
sistema vascular, bem como }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {todos os que estejam diretamente conectados com este
sistema . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Exemplo : cateteres vasculares ( scalp, jelcos, intracath ), equipos,
polifix,}\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{torneirinhas }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b \i
{b ) Artigos semi-cr�ticos : }\b0 \i0 \fs24\cf0\f2\charscalex100 {entram em contato
com mucosas �ntegras ou pele n�o }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {intacta . }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {Exemplo : materiais de terapias respirat�rias ( c�nula
endotraqueal, sondas de }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {aspira��o, cateteres de O2 ), endosc�pios e sondas em
geral }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b \i {c ) Artigos n�o cr�ticos}\b0 \i0
\fs24\cf0\f2\charscalex100 { : s�o aqueles que entram em contato apenas com a
pele }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{�ntegra }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Exemplo : term�metros, esfigmoman�metro, estetosc�pios, entre
outros . }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
\fs28\cf0\f0\charscalex100\b \i {11.3 Terminologias b�sicas}\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \*\tx1400\fs24\cf0\f1\charscalex100 {-}\tab
\fs24\cf0\f0\charscalex100\b \i {Limpeza : }\b0 \i0 \fs24\cf0\f2\charscalex100
{remo��o mec�nica da sujidade depositada em superf�cies}\par\pard\li1400\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {inanimadas
}\par\pard\li1026\ri0\sl-280\slmult0 \*\tx1400\fs24\cf0\f1\charscalex100
{-}\tab \fs24\cf0\f0\charscalex100\b \i {Desinfec��o :}\b0 \i0
\fs24\cf0\f2\charscalex100 { processo aplicado � artigos, qual elimina
microorganismos na }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{forma vegetativa }\par\pard\li1026\ri0\sl-280\slmult0
\*\tx1400\fs24\cf0\f1\charscalex100 {-}\tab \fs24\cf0\f0\charscalex100\b \i
{Esteriliza��o :}\b0 \i0 \fs24\cf0\f2\charscalex100 { processo de destrui��o total
de microorganismos, inclusive }\par\pard\li1400\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {esporulados }\par\pard\li1026\ri0\sl-280\slmult0
\*\tx1400\fs24\cf0\f1\charscalex100 {-}\tab \fs24\cf0\f0\charscalex100\b \i
{Assepsia :}\b0 \i0 \fs24\cf0\f2\charscalex100 { conjunto de pr�ticas atrav�s das
quais se evita a propaga��o de }\par\pard\li1400\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {microorganismos em objetos }\par\pard\li1026\ri0\sl-
266\slmult0 \*\tx1400\fs24\cf0\f1\charscalex100 {-}\tab
\fs24\cf0\f0\charscalex100\b \i {Antissepsia :}\b0 \i0 \fs24\cf0\f2\charscalex100 {
medidas propostas para inibir crescimento de
microorganismos}\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {em
pele e mucosas, atrav�s da aplica��o de solu��es
antiss�pticas }\par\pard\li9680\ri0\sl-213\slmult0
{Como foi discutido anteriormente, os profissionais de enfermagem podem
prevenir }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {infec��es
ou evitar sua propaga��o com uso adequados de
procedimentos : }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-386\slmult0 \fs28\cf0\f0\charscalex100\b \i
{12 }\b0 \i0 \fs28\cf0\f0\charscalex100\b \i {- Exerc�cios de fixa��o }\b0 \i0
\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {a ) Diferencie
infec��o e inflama��o }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {b) Defina infec��o hospitalar . Cite e comente sobre os
fatores de risco }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {c ) Como a enfermagem pode prevenir as infec��es
hospitalares ? }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{________________________________________________________________}\par\pard\li1026\
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {d ) Diferencie infec��o ex�gena e end�gena . Cite
exemplos }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {e ) Cite os modos de transmiss�o e medidas profil�ticas
das infec��es }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
{f ) Qual a fun��o da precau��o padr�o ? Quando devem ser
utilizadas ? }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {g ) Cite materiais e fun��es que comp�em os
EPIs }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
\fs24\cf0\f2\charscalex100 {h ) O que voc� entende por isolamento ? Comente sobre
cada um deles . }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {i ) Diferencie as diversas �reas hospitalares . Cite
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {j ) Diferencie os diversos artigos hospitalares . Cite
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
\fs18\cf0\par\pard\li1026\ri0\sl-426\slmult0 \fs24\cf0\f2\charscalex100 {l ) Defina
: }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {a )
Limpeza : }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {b ) Desinfec��o : }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{________________________________________________________________ }\par\pard\li1026
\fs24\cf0\f2\charscalex100 {c ) Esteriliza��o : }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {m ) Diferencie assepsia e
antissepsia }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
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Enfermagem }\par\pard\li1026\ri0\sl-226\slmult0 \fs20\cf0\f1\charscalex100
{Professora Adriana M. S. C. Costa }\par\pard\li1026\ri0\sl-213\slmult0
\fs28\cf0\f0\charscalex100\b \i { LAVAGEM DAS M�OS }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { A principal via de
transmiss�o de infec��o hospitalar s�o as m�os da equipe
de }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {sa�de, sua
adequada lavagem � de grande import�ncia . }\par\pard\li1026\ri0\sl-213\slmult0
Finalidade }\b0 \i0 \par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ eliminar microorganismos, conseq�entemente evitar propaga��o de
infec��es }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ eliminar da pele subst�ncias t�xicas e medicamentosas }\par\pard\li1146\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 { proteger-se contra agress�es do
meio }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
346\slmult0 \fs24\cf0\f0\charscalex100\b \i {13.2 Materiais }\b0 \i0
\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { sabonete
l�quido }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { toalhas
de papel }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
346\slmult0 \*\tx1733\fs24\cf0\f2\charscalex100 {13.3 }\tab
\fs24\cf0\f0\charscalex100\b \i {M�todo }\b0 \i0 \par\pard\li1146\ri0\sl-
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{especialmente nos espa�os interdigitais, unhas, extremidades dos
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em �gua corrente }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 {
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\fs24\cf0\f2\charscalex100 { Fechar a torneira utilizando papel
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333\slmult0 \*\tx1733\fs24\cf0\f2\charscalex100 {13.4 }\tab
\fs24\cf0\f0\charscalex100\b \i {Observa��es }\b0 \i0 \par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Retirar rel�gios,
j�ias }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Ao lavar
as m�os N�O encostar na pia ou torneira ( se isso ocorrer repetir
todo }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {o
procedimento ) }\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{ Existem torneiras manuais, com pedais }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { As m�os s�o as partes mais contaminadas a serem
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\fs24\cf0\f2\charscalex100 {deve fluir da �rea menos contaminada para a mais
contaminada ( dos pulsos}\par\pard\li1400\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {para as periferias ) }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Esfregar e friccionar
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{ Friccionar os dedos e polegares assegura que todas as superf�cies
est�o }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {sendo limpas
}\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Manter unhas
cortadas e lixadas }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Ao secar as m�os deve-se iniciar da �rea mais limpa ( periferia ) para a
menos}\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {limpa
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\fs28\cf0\f0\charscalex100\b \i { PREPARO DA CAMA HOSPITAL}\b0 \i0
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280\slmult0 \fs24\cf0\f2\charscalex100 {caracter�sticas do paciente que vai ocupa-
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movimentos amplos, segurando a ponta superior e o lado mais
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\fs24\cf0\f2\charscalex100 { colcha }\par\pard\li1146\ri0\sl-293\slmult0
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{ }\fs24\cf0\f2\charscalex100 {Re}\fs24\cf0\f2\charscalex100 {alizar dobradura
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\fs24\cf0\f2\charscalex100 { Dobrar o forro de cabeceira em
leque }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { N�o
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\fs24\cf0\f2\charscalex100 {uso para : }\par\pard\li1026\ri0\sl-280\slmult0
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{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {c ) cama para
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Leva-las ao banheiro e lava-las no lavat�rio em �gua
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{ Devolve-las ao paciente delicadamente }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Antes de coloca-las, realizar higiene oral
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\fs24\cf0\f2\charscalex100 {presen�a de ferimentos na cavidade oral . comunicar e
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\i0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {A apar�ncia e
sensa��o de bem estar de uma pessoa, geralmente, dependem
da }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {apar�ncia e da
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cabelos . Os cabelos de um paciente }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {imobilizado rapidamente tornam-se emaranhados .
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\fs24\cf0\f2\charscalex100 { com o jarro derramar �gua cuidadosamente aos
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\fs24\cf0\f2\charscalex100 { enxag�ar, at� que os cabelos fiquem sem
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processo sempre que necess�rio }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { aplicar condicionador nas pontas se
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los ao alcance do chuveiro }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Auxiliar o paciente no banheiro
s/n }\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Abrir o
chuveiro e equilibrar a temperatura da �gua, demonstrando ao
paciente }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {para
saber se est� a gosto }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Instruir o paciente para n�o trancar a porta do
banheiro }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { N�o
sair do quarto . Devemos manter aten��o . Enquanto o paciente
realiza }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {seu banho,
preparar cama aberta conversando com o mesmo a fim de
detectar }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
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\fs18\cf0\par\pard\li1146\ri0\sl-320\slmult0 \fs24\cf0\f2\charscalex100 { Auxiliar
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enxugar }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Auxiliar o paciente a se vestir e cal�ar os chinelos }\par\pard\li1146\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 { Auxiliar o paciente a ir para o leito e
deitar s/n }\par\pard\li1146\ri0\sl-306\slmult0 \fs24\cf0\f2\charscalex100
{ Deixar o quarto do paciente em ordem e realizar a limpeza
concorrente }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\i {Observa��o : se necess�rio utilizar
cadeira de banho }\i0 \par\pard\li1026\ri0\sl-213\slmult0
440\slmult0 \fs28\cf0\f0\charscalex100\b \i {19 Exerc�cios de fixa��o }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {a ) Cite a t�cnica
para : }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {a . 1 )
higiene perineal masculina : }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{________________________________________________________________ }\par\pard\li1026
\fs18\cf0\par\pard\li1026\ri0\sl-400\slmult0 \fs24\cf0\f2\charscalex100 {a . 2 )
higiene perineal feminina : }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
{\*\shpinst
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deitado }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {sobre o
abdome, com a cabe�a lateralizada . � indicada para exames da
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posi��o lateral esquerda ou direita . O membro inferior
que }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {est� sob o
corpo deve permanecer esticado e o membro inferior acima
deve }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {permanecer
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293\slmult0 \fs24\cf0\f0\charscalex100\b \i {20.5 Genupeitoral }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {O paciente se
mantem ajoelhado sobre o colch�o com o t�rax na cama . Os}\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {membros superiores ficam flexionados nos
cotovelos, repousam sobre a cama,}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {auxiliando a amparar o
paciente }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {Esta
posi��o � utilizada para exames vaginais e retais }\par\pard\li1026\ri0\sl-
Ginecol�gica }\b0 \i0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {A pessoa fica deitada de costas, com as pernas
flexionadas em suportes}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {(perneiras ) . Cobre-se a paciente com len�ol em
diagonal . Esta posi��o � }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {utilizada para cirurgias por vias baixas, exames
ginecol�gicos }\par\pard\li1026\ri0\sl-213\slmult0
440\slmult0 \fs24\cf0\f0\charscalex100\b \i {20.7 Litot�mica }\b0 \i0
\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {� considerada uma
modifica��o da ginecol�gica . }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {A paciente � colocada em decubito dorsal, com ombros e
cabe�a ligeiramente }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{elevados . As coxas, bem afastadas uma da outra s�o flexionadas sobre
o }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {abdome . Essa
posi��o � utilizada para partos normais, cirurgias ou exame
do }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {per�neo, vagina
e bexiga . }\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-
{\*\shpinst
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horas na mesma posi��o ) }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Fric��o ( rugas e migalhas na roupa de cama, defeitos
do colch�o ) }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Umidade ( paciente molhado por suor, urina e fezes ) }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Falta de asseio
corporal }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Aplica��o impr�pria de aparelhos de gesso ou restri��o }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Excesso de calor e
frio }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b \i {22.3 Cuidados preventivos }\b0 \i0
\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Usar
posicionadores e protetores ( coxins, colch�o caixa de
ovo ) }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Sentar o
paciente fora do leito, com freq��ncia, sempre que seu
estado }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{permitir }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Incentivar deambula��o precoce }\par\pard\li1146\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 { Reduzir qualquer press�o sobre pontos do corpo,
zelando principalmente pelas }\par\pard\li1400\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {proemin�ncias �sseas }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Mudar constantemente de
posi��o }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Manter
cama limpa, seca, com len��is bem esticados }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Zelar pela higiene
pessoal }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Realizar
massagem com dersani ou creme hidratante }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Executar movimentos
passivos }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Incentivar dietas hiperprote�cas se n�o houver
restri��o }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
\fs28\cf0\f0\charscalex100\b \i {23}\b0 \i0 { }\fs28\cf0\f0\charscalex100\b \i
{\uc1\u8211X}\b0 \i0 \fs28\cf0\f0\charscalex100\b \i { CURATIVO }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {� o tratamento de
qualquer tipo de les�o da pele ou mucosa . sua principal }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {finalidade � a limpeza da les�o, com o
menor trauma poss�vel, contribuindo para o }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {processo da cicatriza��o . }\par\pard\li1026\ri0\sl-
\fs24\cf0\f0\charscalex100\b \i {23.1 Tipos de curativos }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {O curativo pode ser
: }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b \i {a )
Aberto}\b0 \i0 \fs24\cf0\f2\charscalex100 { : curativos em feridas sem infec��o,
que ap�s a limpeza podem }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {permanecer abertos, sem prote��o de
gazes . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {Exemplo :
incis�o cir�rgica ( ces�rea ) }\par\pard\li1026\ri0\sl-213\slmult0
Oclusivo : }\b0 \i0 \fs24\cf0\f2\charscalex100 {curativo que ap�s a limpeza da
ferida e aplica��o de medicamentos}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {( cpm ) � oclu�do ou fechado com gazes, micropore ou
ataduras de crepe . }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f0\charscalex100\b \i {c )
Compressivo}\b0 \i0 \fs24\cf0\f2\charscalex100 { : � o que faz compress�o para
estancar hemorragias ou vedar }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {bem uma incis�o . }\par\pard\li1026\ri0\sl-
\fs24\cf0\f0\charscalex100\b \i {d ) Com Irriga��o}\b0 \i0
\fs24\cf0\f2\charscalex100 { : utilizado em ferimentos com infec��o dentro de
cavidades, }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {com
indica��o de irriga��o com solu��es salinas . }\par\pard\li9680\ri0\sl-213\slmult0
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\fs18\cf0\par\pard\li1026\ri0\sl-293\slmult0 \fs24\cf0\f0\charscalex100\b \i {e )
Com drenagem : }\b0 \i0 \fs24\cf0\f2\charscalex100 {s�o utilizados drenos em
ferimentos com grande quantidade }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {de exsudato ( Penrose, Kehr ), tubular ou bolsas de
Karaya }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
\fs24\cf0\f0\charscalex100\b \i {23.2 Medidas de antissepsia }\b0 \i0
\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Realizar
degerma��o das m�os antes de manipular o material
esterilizado }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Diminuir o tempo de exposi��o da ferida ou dos materiais
esterilizados }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ N�o falar ao manipular o material esterilizado ou fazer o tratamento da
ferida }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {estando com
infec��es das vias a�reas ( usar m�scara comum ) }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Usar m�scaras e aventais em caso de
exsudato abundante }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Realizar o curativo sempre da regi�o limpa para a
contaminada }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b \i {23.3 Solu��es mais utilizadas }\b0
\i0 \par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
293\slmult0 \fs24\cf0\f0\charscalex100\b {a ) Creme de Sulfadiazina de prata +
nitrato de cerium: }\b0 \par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {- Anti-s�ptico }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {- }\fs24\cf0\f0\charscalex100\b {Composi�}\b0
\fs24\cf0\f0\charscalex100\b {�o}\b0 \fs24\cf0\f2\charscalex100 {: sulfadiazina de
prata micronizada e nitrato cerium hexahidratado; }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f0\charscalex100\b {- A��es}\b0 \fs24\cf0\f2\charscalex100 {:
eficaz contra uma grande variedade de microorganismos, tais
como:}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {bact�rias,
fungos, protozo�rios e alguns v�rus; promove melhor leito
de }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {enxertia e a��o
imunomoduladora; }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {-
}\fs24\cf0\f0\charscalex100\b {Indi}\b0 \fs24\cf0\f0\charscalex100\b {ca��o}\b0
\fs24\cf0\f2\charscalex100 {: tratamento de queimaduras, e feridas que n�o evoluem
com }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {coberturas
oclusivas e feridas extensas ; }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {- }\fs24\cf0\f0\charscalex100\b {Contra-
indica��o:}\b0 \fs24\cf0\f2\charscalex100 { presen�a de hipersensibilidade aos
componentes; }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b {-
Rea��es adversas}\b0 \fs24\cf0\f2\charscalex100 {: disfun��o renal ou hep�tica,
leucopenia transit�ria }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {- }\fs24\cf0\f0\charscalex100\b {Troca}\b0
{co}\fs24\cf0\f2\charscalex100 {m per�odo m�ximo de 24
horas.}\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b {b ) Placa de Hidrocol�ide: }\b0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b {-
Composi��o}\b0 \fs24\cf0\f2\charscalex100 {: possuem duas camadas: uma externa,
composta por filme ou }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {espuma de poliuretano, flex�vel e imperme�vel � �gua,
bact�rias e outros agentes}\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {externos; e uma interna, composta de part�culas
hidroativas, � base de }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {carboximetilcelulose, gelatina e pectina, ou
ambas}\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { que
interagem com o }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{exsudato da ferida, formando um gel amarelado, viscoso e }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {de odor
acentuado; }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{- }\fs24\cf0\f0\charscalex100\b {A��es}\b0 \fs24\cf0\f2\charscalex100 {: absorvem
o excesso de exsudato, mant�m a umidade, proporcionam }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {al�vio da dor, mant�m a temperatura em
torno de 37�C ideal para o crescimento }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {celular, promovem o desbridamento
autol�tico; }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {- Deve
ser aplicada diretamente sobre a ferida, deixando uma margem de 2 a
4cm }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {ao redor da
mesma, para melhor ader�ncia; }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {- Pode ser recortada, n�o precisa de tesoura est�ril
pois, as bordas da placa n�o }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {entraram em contato com o leito da
ferida; }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {-
Imperme�vel a fluidos e microrganismos (reduz o risco de
infec��o); }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b {-
Indica��o:}\b0 \fs24\cf0\f2\charscalex100 { feridas com m�dio exsudato, com ou sem
tecido necr�tico,}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{queimaduras superficiais. }\par\pard\li1026\ri0\sl-266\slmult0
indica��o:}\b0 \fs24\cf0\f2\charscalex100 { feridas infectadas e altamente
exsudativas; }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f1\charscalex100\b
{-}\b0 \fs24\cf0\f0\charscalex100\b { Troca:}\b0 \fs24\cf0\f2\charscalex100 { no
7� dia. }\par\pard\li9680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li9680\ri0\sl-
\fs24\cf0\f0\charscalex100\b {c ) Gr�nulos de Hidrocol�ide }\b0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {- S�o compostos por
part�culas de carboximetilcelulose, que, na presen�a de }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {exsudato, formam um gel na cavidade da
ferida; }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {- Devem
ser sempre usados associados � placa de hidrocol�ide, pois auxiliam
a }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {a��o da
mesma. }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {- Devem ser
trocados juntamente com as placas; }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f0\charscalex100\b {- Indica��o}\b0 \fs24\cf0\f2\charscalex100 {: feridas
profundas, cavit�rias; }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f0\charscalex100\b {d )
Alginato de c�lcio: }\b0 \par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f0\charscalex100\b {- Composi��o:}\b0 \fs24\cf0\f2\charscalex100 { fibras
de �cido alg�nico (�cido gulur�nico e �cido manur�nico) }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {extra�do das algas marinhas marrons
(}\fs24\cf0\f0\charscalex100\i {Laminaria}\i0 \fs24\cf0\f2\charscalex100 {). Cont�m
tamb�m �ons de c�lcio }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {e s�dio; }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {- Apresenta-se em forma de placa e deve estar
associado � gaze aberta ou }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {gaze dupla (cobertura
secund�ria);}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b
{A��es}\b0 \fs24\cf0\f2\charscalex100 {: atrav�s da troca i�nica promove a
hemostasia; absorve exsudato, forma }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {um gel que mant�m a umidade, promove a granula��o,
auxilia o desbridamento }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {autol�tico; }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {- Manusear com luvas ou pin�as
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{Indica��o:}\b0 \fs24\cf0\f2\charscalex100 { em todo tecido necr�tico,
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\fs24\cf0\f0\charscalex100\b {Mecanismo de a��o}\b0 \fs24\cf0\f2\charscalex100 {:
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preparar a solu��o ( cpm ) em frasco de vidro, irrigar a les�o
e }\par\pard\li1026\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {deixar gaze
embebida na solu��o, ou ainda h� os que j� vem preparados
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{pomadas }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
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para curativos }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ SF 0,9 % morno}\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 {
Seringa de 20 ml, agulhas, algod�o umedecido com �lcool �
70%}\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Pacotes com
gazes}\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Micropore e
esparadrapo}\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
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333\slmult0 \fs24\cf0\f2\charscalex100 {Quando indicado pela prescri��o m�dica ou
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\fs24\cf0\f2\charscalex100 { Cremes}\par\pard\li1146\ri0\sl-293\slmult0
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{Observa��o : }\i0 \fs24\cf0\f2\charscalex100 {A solu��o fisiol�gica dever� ser
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\fs24\cf0\f2\charscalex100 {do curativo e desprezada logo ap�s o t�rmino . N�o
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360\slmult0 \fs24\cf0\f0\charscalex100\b \i {23.6 Feridas com drenos }\b0 \i0
\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Limpar e secar o
dreno e a pele com SF0,9% }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Colocar uma gaze sob o dreno, isolando-o da
pele }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Colocar
outra gaze sobre o dreno, protegendo-o ou bolsa de karaya
conforme }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {indica��o
}\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Atentar para que
o dreno n�o apresente dobras para garantir boa drenagem }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Anotar volume, aspecto, odores do
material drenado }\par\pard\li1026\ri0\sl-213\slmult0
\fs28\cf0\f0\charscalex100\b \i { VERIFICA��O DE SINAIS VITAIS ( SSVV ) }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {As altera��es da
fun��o corporal geralmente se refletem nos sinais vitais
podendo }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {indicar
enfermidade . Por essa raz�o devemos verificar e anotar com
precis�o . }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f2\charscalex100 {Os Sinais Vitais ( SSVV ) referem-se
a : }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Temperatura
( T ) }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Pulso ou
Batimentos Card�acos ( P ) }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Respira��o ( R ) }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Press�o Arterial ( PA ) }\par\pard\li1026\ri0\sl-
\fs24\cf0\f0\charscalex100\b \i {24.1 Materiais }\b0 \i0 \par\pard\li1146\ri0\sl-
{ Esfigmoman�metro }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Estetosc�pio}\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Term�metro}\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Recipiente com algod�o}\par\pard\li1146\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 { Almotolia com �lcool � 70%}\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Rel�gio com ponteiros de
segundos}\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
346\slmult0 \fs24\cf0\f0\charscalex100\b \i {24.2 Verifica��o da
temperatura }\b0 \i0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{A temperatura corporal pode ser verificada na regi�o axilar, inguinal, bucal
ou }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {retal. No
entanto no ambiente hospitalar sua verifica��o � realizada em
regi�o }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{axilar . }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
333\slmult0 \fs24\cf0\f0\charscalex100\b {24.2.1 Valor normal }\b0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {37,2�
C }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0
\fs24\cf0\f0\charscalex100\b \i {24.2.2 Terminologias espec�ficas }\b0 \i0
\par\pard\li1400\ri0\sl-293\slmult0 \fs24\cf0\f0\charscalex100\b \i
{Normotermia : }\b0 \i0 \fs24\cf0\f2\charscalex100 {temperatura corporal
normal }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b \i
{Afebril :}\b0 \i0 \fs24\cf0\f2\charscalex100 { aus�ncia da eleva��o da temperatura
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{Febr�cula :}\b0 \i0 \fs24\cf0\f2\charscalex100 { quando a temperatura corporal
encontra-se entre 37,3� C a 37,7� C }\par\pard\li1400\ri0\sl-293\slmult0
\fs24\cf0\f0\charscalex100\b \i {Hipertermia :}\b0 \i0 \fs24\cf0\f2\charscalex100 {
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280\slmult0 \fs24\cf0\f2\charscalex100 {normal . Entre 37,8� a 40, 9�
C }\par\pard\li1400\ri0\sl-293\slmult0 \fs24\cf0\f0\charscalex100\b \i
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C }\par\pard\li1400\ri0\sl-293\slmult0 \fs24\cf0\f0\charscalex100\b \i
{Hipotermia :}\b0 \i0 \fs24\cf0\f2\charscalex100 { temperatura corporal abaixo do
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\fs24\cf0\f2\charscalex100 { Exemplo :120x100 mmHg }\par\pard\li1400\ri0\sl-
293\slmult0 \fs24\cf0\f0\charscalex100\b \i {Divergente : }\b0 \i0
\fs24\cf0\f2\charscalex100 {quando a sist�lica e a diast�lica se
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{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { se compress�o }\par\pard\li1146\ri0\sl-
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{ Anotar os valores }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Comunicar e anotar
{ Realizar assepsia das olivas e diafragma do
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{compress�o }\par\pard\li1146\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100
{ }\fs22\cf0\f2\charscalex100 {em}\fs22\cf0\f2\charscalex100 { casos de d�vidas
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280\slmult0 \fs24\cf0\f2\charscalex100 {antes de fazer nova
verifica��o }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Qualquer verifica��o dos SSVV deve ser realizada com o paciente
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293\slmult0 \fs24\cf0\f2\charscalex100 { Infec��es : podem ser local ( urtic�ria )
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{espuma }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Aspirar
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{ Terminada a administra��o retirar agulha rapidamente fazendo leve press�o
no }\par\pard\li1400\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{lo}\fs24\cf0\f2\charscalex100 {cal }\par\pard\li1146\ri0\sl-293\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f0\charscalex100\b {28.7
Administra��o de medicamentos por via EV }\b0 \par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f0\charscalex100\b \i {28.7.1 Locais de aplica��o }\b0
\i0 \par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { veias
superficiais de grande calibre }\par\pard\li1026\ri0\sl-213\slmult0
{28.7.2 M�todo}\b0 \i0 \par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Preparar a inje��o }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Expor a �rea de aplica��o, verificando
condi��es da veia }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 {
Colocar forro para prote��o do leito }\par\pard\li1146\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 { Cal�ar luvas }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Garrotear sem compress�o exagerada aproximadamente 4
cm do local }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{escolhido }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Pedir
para o paciente abrir e fechar a m�o v�rias vezes a ap�s fecha-la
e }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {conserva-la
fechada }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Realizar
a antissepsia do local com movimentos longos e firmes de baixo
para }\par\pard\li1400\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{ci}\fs24\cf0\f2\charscalex100 {ma}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Fixar a veia
com o polegar da m�o n�o dominante s/n }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { O b�sel da agulha deve estar voltado para
cima }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Evidenciada
a presen�a de sangue pedir para o paciente abrir a m�o . Soltar
{garrote }\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Injetar
o medicamento lentamente, observando rea��es do paciente }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Terminada a administra��o, apoiar o local
com algod�o }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Retirar a agulha, comprimir o local e orientar o paciente a permanecer com
o }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {bra�o estendido
( n�o dobrar ) }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
{ Checar }\par\pard\li1026\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-
\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { N�o administrar
drogas que contenham precipitados ou fl�culos }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { N�o misturar medicamentos na mesma
seringa }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Revezar
locais de aplica��o }\par\pard\li1400\ri0\sl-293\slmult0
\fs24\cf0\f0\charscalex100\b \i {NUNCA}\b0 \i0 { }\fs24\cf0\f3\charscalex100
{dar \uc1\u8220Xtapinhas\uc1\u8217X\uc1\u8217X para aparecimento das veias ( pode
lesar o vaso e }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{causar embolias por presen�a de co�gulos ) }\par\pard\li1026\ri0\sl-213\slmult0
Administra��o de medicamentos por via EV em pacientes com }\b0 \i0
\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f0\charscalex100\b \i {venoclise }\b0
\i0 \par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Preferencialmente a administra��o deve ser realizada por infusor lateral ( polifix
ou }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{torneirinha ) }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f2\charscalex100 {Caso seja
equipo simples em scalp : }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Fechar equipo e desconect�-lo do scalp e protege-lo
evitando }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100
{se }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {contamina��o
do mesmo }\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Adaptar
a seringa ou bureta no scalp }\par\pard\li9680\ri0\sl-213\slmult0
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\fs24\cf0\f2\charscalex100 { luva de procedimento ( nasal e
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\fs24\cf0\f2\charscalex100 { Lavar as m�os }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Reunir o material }\par\pard\li1146\ri0\sl-
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{ Colocar a m�scara e o avental de mangas longas e o �culos
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{tracionando-a para fora }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Repetir quantas vezes forem
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{ Realizar aspira��o nasal }\par\pard\li1146\ri0\sl-293\slmult0
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leitura do resultado }\par\pard\li1146\ri0\sl-293\slmult0
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cetona presentes na urina . }\par\pard\li1026\ri0\sl-213\slmult0
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293\slmult0 \fs24\cf0\f2\charscalex100 { Panos de
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de }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {infec��o, mas
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\fs24\cf0\f2\charscalex100 {Baseado na ABNT ( Associa��o Brasileira de Normas
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com }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {s�mbolo de
infectante . }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
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drenos,}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {curativos,
etc . . . }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f0\charscalex100\b \i
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pl�stico comum preto }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {Exemplo : papel toalha, restos de alimentos, copos
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Materiais infectados e perfurocortantes }\b0 \i0 \par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {A preocupa��o dos profissionais de sa�de
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\fs24\cf0\f2\charscalex100 {estes representam riscos potenciais aos trabalhadores
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{decubito dorsal e colocar nele as gazes, seringa, agulha, sonda, com
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contaminar }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
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{ Colocar uma propor��o na c�pula }\par\pard\li1146\ri0\sl-293\slmult0
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{ Realizar antissepsia da regi�o perineal ( conforme t�cnica de
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as}\par\pard\li1400\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {gazes embebidas
na solu��o com aux�lio da pin�a }\par\pard\li1146\ri0\sl-293\slmult0
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\fs24\cf0\f2\charscalex100 {e retirar o ar . Retirar a agulha, introduzir a
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\fs24\cf0\f2\charscalex100 {dominante est�ril }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Observar o retorno da
urina }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Retirar e
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\fs24\cf0\f2\charscalex100 { Recolher material, deixando local limpo e
{ Registrar : o procedimento, calibre do cateter utilizado, aspecto, volume
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intercorr�ncias }\par\pard\li1026\ri0\sl-213\slmult0
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{ xyloca�na }\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{ pacote de cateterismo vesical }\par\pard\li1146\ri0\sl-306\slmult0
\fs24\cf0\f2\charscalex100 { gazes est�reis }\par\pard\li1146\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 { almotolia com
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urina sistema fechado }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { micropore / esparadrapo }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { tesoura }\par\pard\li1026\ri0\sl-
\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Lavar as
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\fs24\cf0\f2\charscalex100 { Manter paciente em posi��o dorsal ( sexo feminino com
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{afastados; sexo masculino MMII estendidos e afastados ) }\par\pard\li1146\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 { Abrir campo entre os MMII e nele colocar
todos os materiais est�reis a serem }\par\pard\li1400\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {utilizados }\par\pard\li1146\ri0\sl-293\slmult0
\fs24\cf0\f2\charscalex100 { Desprezar PVPI em lixo e ap�s colocar uma propor��o
na c�pula }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Cal�ar
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\fs24\cf0\f2\charscalex100 { Realizar a antissepsia da regi�o com gazes embebidas
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\fs24\cf0\f2\charscalex100 {da pin�a utilizando as t�cnicas
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sexo masculino injetar 20 ml de xyloca�na conforme t�cnica
anterior }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Em sexo
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a }\par\pard\li1400\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{sonda }\par\pard\li1146\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 { Aspirar
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\fs24\cf0\f2\charscalex100 { Tracionar o cateter at� perceber a resist�ncia do
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sonda sem traciona-}\fs24\cf0\f2\charscalex100 {lo}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100 { Manter local
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{ Registrar o procedimento aspecto e volume da urina e
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\fs28\cf0\f0\charscalex100\b \i { PREPARO DO CORPO P�S MORTE }\b0 \i0
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manter o corpo livre de odores, evitando extravazamento de
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o corpo }\par\pard\li1146\ri0\sl-293\slmult0 \fs24\cf0\f2\charscalex100
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413\slmult0 \fs28\cf0\f0\charscalex100\b \i {45 }\b0 \i0
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{PA}\b0 \i0 { }\fs24\cf0\f0\charscalex100\b \i {\uc1\u8211X}\b0 \i0
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293\slmult0 \fs24\cf0\f0\charscalex100\b \i {P}\b0 \i0
{ }\fs24\cf0\f0\charscalex100\b \i {\uc1\u8211X}\b0 \i0 \fs24\cf0\f2\charscalex100
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293\slmult0 \fs24\cf0\f0\charscalex100\b \i {MMII }\b0 \i0
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{MSE }\b0 \i0 \fs24\cf0\f0\charscalex100\b \i {\uc1\u8211X}\b0 \i0
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{SNG}\b0 \i0 { }\fs24\cf0\f0\charscalex100\b \i {\uc1\u8211X}\b0 \i0
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293\slmult0 \fs24\cf0\f0\charscalex100\b \i {SNE }\b0 \i0
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\fs24\cf0\f0\charscalex100\b \i {BI }\b0 \i0 \fs24\cf0\f0\charscalex100\b \i
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{\uc1\u8211X}\b0 \i0 \fs28\cf0\f0\charscalex100\b \i { Exerc�cios de
fixa��o }\b0 \i0 \par\pard\li1400\ri0\sl-213\slmult0
{1.}\fs24\cf0\f2\charscalex100 { Cite 5 fatores que colaboram para les�es da pele
de pacientes internados }\par\pard\li1400\ri0\sl-280\slmult0
{_______________________________________________________________}\par\pard\li1400\r
i0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{_______________________________________________________________ }\par\pard\li1400\
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________ }\par\pard\li1400\
ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1400\ri0\sl-333\slmult0
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite e comente sobre 5 riscos para o
comprometimento da pele }\par\pard\li1400\ri0\sl-280\slmult0
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{______________________________________________________________ }\par\pard\li1400\r
i0\sl-213\slmult0 \fs18\cf0\par\pard\li1400\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1400\ri0\sl-413\slmult0 \fs24\cf0\f2\charscalex100 {3}
{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Sobre a
�lcera de press�o, responda : }\par\pard\li1400\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {a ) Quais os fatores que favorecem o seu
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{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________}\par\pard\li1400\r
{_______________________________________________________________ }\par\pard\li9680\
\fs18\cf0\par\pard\li1026\ri0\sl-426\slmult0 \fs24\cf0\f2\charscalex100 {b ) Cite e
comente sobre a sua classifica��o }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {c ) Cite 5 cuidados que devemos ter para preveni-
la }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f1\charscalex100 {4 - }\fs24\cf0\f2\charscalex100 {O que significa
infec��o cruzada. Descreva alguns cuidados importantes
para }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {evitarmos a
infec��o cruzada}\fs24\cf0\f1\charscalex100 {. }\par\pard\li1026\ri0\sl-280\slmult0
{_________________________________________________________________________}\par\par
{_________________________________________________________________________}\par\par
{_________________________________________________________________________}\par\par
{_________________________________________________________________________}\par\par
{____________________________________________________________________}\par\pard\li1
{5}{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Na
execu��o da t�cnica de lavagem das m�os, cite 3 atividades que
voc� }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {julga
fundamentais }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite 5 cuidados de enfermagem importantes
durante higiene corporal em }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {pacientes debilitados }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {_______}\fs24\cf0\f2\charscalex100
{___________________________________________________________}\par\pard\li1026\ri0\s
l-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Defina curativo . Cite 5
responsabilidades da equipe de enfermagem durante }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {sua realiza��o }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
293\slmult0 \fs24\cf0\f2\charscalex100 {8- Cite e diferencie os diversos tipos de
curativos }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {9- Quais os cuidados com as feridas com
drenos }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Descreva a seq��ncia da realiza��o dos
seguintes curativos : }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {a ) �lcera de press�o limpa e seca na regi�o do
calc�neo ( ) }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{b ) �lcera limpa e seca em regi�o sacral
( ) }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {c )
curativo de intracath
( ) }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {d ) �lcera
com exsudato purulento em couro cabeludo ( ) }\par\pard\li1026\ri0\sl-
{ Relacione os respectivos sinais vitais com as respectivas
fun��es : }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {a )
temperatura }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {b )
pulso }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {c )
respira��o }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {d )
press�o arterial }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {(
) consiste na contra��o e dilata��o de uma art�ria e correspondem
aos}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {batimentos
card�acos }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {( )
movimento realizado no sentido de promover a troca de gases entre
o }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {organismo e o
ambiente }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {( ) A
for�a exercida pelo sangue sobre as paredes das art�rias }\par\pard\li1026\ri0\sl-
{12}{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Quais
art�rias para a verifica��o da pulsa��o ? }\par\pard\li1026\ri0\sl-266\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite os valores normais e o m�todo
utilizado para a verifica��o de : }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 { a ) PA : }\par\pard\li1026\ri0\sl-266\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{________________________________________ }\par\pard\li9680\ri0\sl-213\slmult0
293\slmult0 \fs24\cf0\f2\charscalex100 {b ) P : }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{________________________________________________________________ }\par\pard\li1026
\fs24\cf0\f2\charscalex100 {c ) T : }\par\pard\li1026\ri0\sl-266\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {d ) R : }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Um paciente que apresenta temperatura de
39,3 C, apresenta-se : }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {a ) hipert�rmico }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {b ) hipot�rmico }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {c ) com
hiperpirexia }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {d )
com febr�cula }\par\pard\li1026\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0 \fs24\cf0\f2\charscalex100 {15}
{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Um paciente
que apresenta respira��o de 35 mpm, apresenta-se : }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {a ) bradipneico }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {b ) taquipneico }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {c ) taquic�rdico }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {d ) dispnei}\fs24\cf0\f2\charscalex100
{co}\fs24\cf0\f2\charscalex100 { }\par\pard\li1026\ri0\sl-213\slmult0
413\slmult0 \fs24\cf0\f2\charscalex100 {16}{ }\fs24\cf0\f3\charscalex100
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Um paciente que apresenta pulsa��o de 50
bpm, apresenta-se : }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{a ) normoc�rdico }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{b ) taquic�rdico }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{c ) bradic�rdico }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{d ) arritmico }\par\pard\li9680\ri0\sl-213\slmult0
{17}{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite os
materiais necess�rios para verifica��o de SSVV }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite as finalidades do controle de peso e
altura }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 {Diferencie sonda nasog�strica e
gastrostomia }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite 3 cuidados de enfermagem antes,
durante e ap�s a alimenta��o por }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {gavagem }\par\pard\li1026\ri0\sl-266\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Em rela��o a SNG,
responda : }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {a )
Quais os materiais necess�rios para sua passagem ? }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
\fs24\cf0\f2\charscalex100 {b ) Cite o m�todo : }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
{ Diferencie as vias de administra��o de medicamentos enterais e
parenterais }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Quais as vias de administra��o de
medicamentos mais utilizadas ? Qual a de }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {melhor absor��o ? E qual apresenta a��o mais
r�pida ? }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite 5 cuidados de enfermagem durante o
preparo de medicamentos }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Quais os cuidados de enfermagem ao
paciente antes da administra��o de }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {medicamentos ? }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {26}\fs24\cf0\f3\charscalex100
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Quais os cuidados devemos ter durante uma
pun��o venosa ? Relacione os}\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {materiais necess�rios para esse
procedimento . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
{27}\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite e
comente sobre as complica��es que podem surgir em decorr�ncia
a }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {administra��o de
medicamentos por via EV }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Descreva enemas . Cite os tipos e
diferencie-}\fs24\cf0\f2\charscalex100 {os}\fs24\cf0\f2\charscalex100
{ }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
\fs24\cf0\f2\charscalex100 {______}\fs24\cf0\f2\charscalex100
{____________________________________________________________ }\par\pard\li1026\ri
0\sl-213\slmult0 \fs18\cf0\par\pard\li1026\ri0\sl-346\slmult0
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Defina tricotomia . Cite o m�todo para
sua realiza��o }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{________________________________________________________________}\par\pard\li1026\
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite passo a passo, como voc� dever�
proceder durante uma aspira��o }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {eficaz em um paciente hipersecretivo, sialorr�ico e
traqueostomizado }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite a finalidade da glicemia capilar
perif�rica . Quais os materiais a serem }\par\pard\li1026\ri0\sl-266\slmult0
\fs24\cf0\f2\charscalex100 {utilizados ? Cite a t�cnica . Qual o local para
pun��o ? }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {_____}\fs24\cf0\f2\charscalex100
{_____________________________________________________________}\par\pard\li1026\ri0
\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{_________________________________________________________________ }\par\pard\li968
{32}\fs24\cf0\f2\charscalex100 {-Cite o m�todo para a verifica��o de glicos�ria e
ceton�ria . }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{________________________________________________________________}\fs24\cf0\f2\char
scalex100 {__}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {33}\fs24\cf0\f3\charscalex100 {\uc1\u8211X}
{ }\fs24\cf0\f3\charscalex100 {Como devemos proceder na troca de selo
d\uc1\u8217X�gua ?}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Comente sobre o prontu�rio
m�dico }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite 5 regras para anota��o de enfermagem
{____}\fs24\cf0\f2\charscalex100
{______________________________________________________________}\par\pard\li1026\ri
0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
466\slmult0 \fs24\cf0\f2\charscalex100 {36}{ }\fs24\cf0\f3\charscalex100
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite a finalidade da passagem de plant�o
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {3}\fs24\cf0\f2\charscalex100 {7}
{ }\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Qual o
papel da enfermagem na admiss�o hospitalar ? }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{________________________________________________________________ }\par\pard\li9680
{38}\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite e
comente os diversos tipos de alta hospitalar }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{________________________________________________________________}\par\pard\li1026\
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\*\tx1493\fs24\cf0\f2\charscalex100 {39}\fs24\cf0\f2\charscalex100 { }\tab
\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Qual o papel
da enfermagem durante a alta hospitalar ? }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Diferencie
limpeza terminal e concorrente }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {______}\fs24\cf0\f2\charscalex100
{____________________________________________________________}\par\pard\li1026\ri0\
sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Quais as
principais causas de acidentes com perfurocortantes ? }\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f3\charscalex100 {\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite 5
recomenda��es para se evitar acidentes com
perfurocortantes }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
6\ri0\sl-266\slmult0 \*\tx1493\fs24\cf0\f2\charscalex100
{43}\fs24\cf0\f2\charscalex100 { }\tab \fs24\cf0\f3\charscalex100
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Cite os locais de destina��o final para
os seguintes res�duos : }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {a ) agulhas :
________________________________________________ }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {b ) scalp :
__________________________________________________ }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {c ) jelcos :
__________________________________________________ }\par\pard\li1026\ri0\sl-
280\slmult0 \fs24\cf0\f2\charscalex100 {d ) restos de alimentos :
_______________________________________ }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {e ) copos descart�veis :
_______________________________________ }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {f ) curativos :
________________________________________________ }\par\pard\li1026\ri0\sl-
266\slmult0 \fs24\cf0\f2\charscalex100 {g ) equipos usados :
__________________________________________ }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {h ) polifix usado :
_____________________________________________ }\par\pard\li9680\ri0\sl-
293\slmult0 \fs24\cf0\f2\charscalex100 {44}\fs24\cf0\f3\charscalex100
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Diferencie cateterismo vesical de alivio
e de demora }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{-}\fs24\cf0\f2\charscalex100 { }\fs24\cf0\f2\charscalex100 {De acordo o
cateterismo vesical de demora : }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {a ) cite os materiais
necess�rios }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_________________________________________________________________ }\par\pard\li102
\fs24\cf0\f2\charscalex100 {b ) Cite a t�cnica em pacientes do sexo
feminino }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
\fs24\cf0\f2\charscalex100 {c ) Cite a t�cnica em pacientes do sexo
masculino }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{46 }\fs24\cf0\f2\charscalex100 {- Como voc� acha que � o preparo do corpo p�s-
morte para o pessoal de }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {enfermagem? }\par\pard\li1026\ri0\sl-280\slmult0
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li96
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2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;24577;32768}}
{47}\fs24\cf0\f2\charscalex100 {-. Que sentimento voc� imagina que seja o mais
presente para as pessoas que }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {est�o preparando um corpo p�s-
morte? }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{_______________________________________________________________ }\par\pard\li1026\
\fs24\cf0\f2\charscalex100 {48 . E para voc�, o que � preparar o corpo p�s-
morte? }\par\pard\li1026\ri0\sl-266\slmult0 \fs22\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
6\ri0\sl-280\slmult0 \fs22\cf0\f2\charscalex100 {______}\fs22\cf0\f2\charscalex100
{____________________________________________________________}\par\pard\li1026\ri0\
sl-280\slmult0 \fs22\cf0\f2\charscalex100
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________ }\par\pard\li10
{\uc1\u8211X}\fs24\cf0\f2\charscalex100 { Realize a seguinte anota��o de enfermagem
colocando-a na seq��ncia }\par\pard\li1026\ri0\sl-280\slmult0
\fs24\cf0\f2\charscalex100 {adequada, utilizando as terminologias
espec�ficas : }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{Paciente mantem soro em bra�o esquerdo o qual infunde-se bem, sem sinais
de }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {infec��o .
Apresenta pele hidratada, avermelhada e amarelada . Oxig�nio
por }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {cateter nasal
tipo �culos em 5 l / min em decorr�ncia a dificuldade em
respirar,}\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {anda
sozinho . Tomou banho no chuveiro, queixa-se de dor de cabe�a,
sendo }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {administrado
analg�sicos . Mic��o presente, sendo que a urina apresenta
sangue,}\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {refere que
a defeca��o est� ausente por 7 dias . Apresenta les�o em bra�o D
com }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100 {secre��o
amarelada e mau cheiro . Apresenta boa aceita��o do caf� e
almo�o }\par\pard\li1026\ri0\sl-266\slmult0 \fs24\cf0\f2\charscalex100 {oferecido .
Apresentou v�mito em grande quantidade esverdeado .
Apresenta }\par\pard\li1026\ri0\sl-280\slmult0 \fs24\cf0\f2\charscalex100
{emagrecimento intenso e generalizado . }\par\pard\li1026\ri0\sl-226\slmult0
{__________________________________________________________________________________
______}\par\pard\li1026\ri0\sl-240\slmult0 \fs18\cf0\f1\charscalex100
{__________________________________________________________________________________
______}\par\pard\li1026\ri0\sl-266\slmult0 \fs18\cf0\f1\charscalex100
{______________________}\fs24\cf0\f2\charscalex100
{_________________________________________________}\par\pard\li1026\ri0\sl-
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li102
{__________________________________________________________________}\par\pard\li968
{84 }\par}

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