FidemonitorizareapacientuluicuBPOC

Nume/Prenume Datanaterii
AlergiilaMe
Statusfumtor Actual Da:NrPA Nu
Fost Da:NrPA Datarenunrii
Pneumolog/Telefon
A.PacientulafostdiagnosticatcuBPOCavndlafidovada:Da/Nu Datadg
a.Spirometriecutestbronhodilatatorsdr.obstructivnereversibil(parialreversibil) FEV1
FEV1/FVC
Dataultimeispirometrii:
FEV1/FVC:< 0.70
FEV1:80%pred;50%FEV180%pred;<50%;<30%
Diagnostic(severitate)
Lafiecarevizit Data Data Data Data
Simptomatologie/severitate:De/T/E/W/Ci De/T/E/W/Ci De/T/E/W/Ci De/T/E/W/Ci De/T/E/W/Ci
Spirometrie:FEV1/FVC:<0.70;FEV1:
Dataultimexacerbare:/ultiman/vizit
Spitalizare/Prezentarelacameradegard
CuredeCSO
ConcluzieSeveritate:I/II/III/IV
Exfizic
FEV1prezis
I/G/IMC
TAs/Tad/AV
FR/TC(febril )
Expulmonar Expulmonar
Excordsmcordpulmonar?
Medicaie/tip/doz/ritm
BADSAsalbutamollanevoie
BADLAformoterol/salmeterol
CSIsauCombinaii:CSI/BADLA
AnticolinergicscurtIpratropium
AnticolinergiclungTiotropium
Teofiline
CSO
Antibiotic
Adjuvantrenunarefumat:NiRT,Va,Bu,Consiliere
Vaccinantigripal/AlteMe
Aderenalatratament
Educaiapacient
Tehnicainhalatorie/spacer
NiveluldecontrolalSy:De,tolerefort,fr.exacerb
Planulindividualdetratament+efecteMe
Planrenunarelafumat:NiRT,Va,Bu,Consiliere
Concluzie
Trimitere
Consultpneumolog
Spirometrie
Consultcardiologic
Reabilitarepulmonar
Lab:HLG/Rdgrplm/..........
Material realizat de CNSMF n cadrul proiectului "Implementarea strategiei PAL n Romnia" - CPSS, 2009