EEL, ae (MINISTERUL SANATATIL AL REPUBLICH MOLDOVA. (COLEGIUL NATIONAL DE MEDICINA $1 FARMACIE, B. Golovin E. Bedicov E. Creu CHIRURGIE GENFRALA Ghid pentru lectit practice Deeps ebimie- BIBLTORCA Chisinau 2004cau 617.989 075) Recomandet spre eliorede cre Cova de Exper ‘al Minera Sadi el Republi Moldova. Recerenlt Ve Hatioean, docx hia profes nivesitar Gh, Rojwaveann doer conesnhar mivestar Rodactoc nie: Andrel Botnara, dr. Usivesien de Medica 9 Face, Timi Dae Ci Cance peri « Ci ge reali pre, Glin eer Cate cccgTt Tieata see sedan Satine: Si en isuersaneas x. 75 inChiginta (© Coleg Nana de Medici Face dn Ci (© Golovin, E Besa, Eres ISBN 9975-9835-08 ‘CUPRINS Cav nate cece eee Capitol. romani nei rue Capitol Desmurgia ‘Capital. tmabiaren de transport. Tehica sot ‘pansumentelor ghipste ‘Copitoil1V. Mtoe de combatere a An sever. Anesera Wea crn Capitol V.Memoragia i Nemetar o, Copia VL ransfcl prfur pits VIL. Rrioadapreaperaore Conia VI. Peronda Interven eran on Copioll X. Pertoada pastapersori oe Coit X.Trawadne. ea hi som Taxa opo XPige,.. msi Capitol XI, Prat on ee (pio XI. Leda ermise.. a rs ‘Capitol XIV, feta chirurgiealé arabs acti gh erunied 135 ‘Capitol XY. Inecin elrurgiealanaerobi a pit XVI. Infect chiruricll speci rene. 131 Cepiot XVI. availa circulator aca i consecingele e161 (pit SVE Tas A eccale7et h Cavaint inainte et Acs hid ete deta! leilor de a clei de mating El mat poate ft i eadrlor medical medicare desig atte a nse ou profil ebresiea i genraltwor caer moicale ‘mali care tsbuiefcunone ec deprindailr practic specialist hide exe labora in taza programs amie seslegide edie cin in 2001 ‘Asta nvr medi se esrutnez contin, de aeva am, considera ete moi ficient ah refetim atrial cotor ee {sud ci confor explora incoputl fled capite sunt ind ‘ae objativel, setalitatsa eel, mata ini. Am hua pet xs pos a exe o connate material asi | ‘Cstgarea presi poten: profesional s objine doar sini nsgine peace prin coger calor ai eent esco- etal yin edn, Am it ont deaeat cru la sea acest nual sam doi ease ghia ede floc tur aceon a ‘toe inele cul ele activi profeioale ‘or exprina econo petra obese yi propuneie ce vor parven a adit sexi manual soe sta wtortt Copitotul 1 Profilaxia infecfiei chirurgicale Ont att Rr ote poe ees Selena memento Obtnenerfemle Elewul va fi capabit: He Use Pale pe fe see. acetate iaeanrcaces ain > A a aces peng ene al eh ot ee sini ld chen pemeicek benln no, Serge caesar neem | 6-Sé prepitedsch materia de pansament 2 LO gt islet eens ia po as ilies eetanalmeyioct Tag camel ps ope dp eine Odeemcecell Coma jemoetes 9 sxe el de clon 3/7 eet dgel (eee epmesud ct ed ater (sreucl Caos eters, Te sop mn Sete il pra Ih siacae ctaets ince epee Material atu caslets ea lenjere pena operat, mata Se pansament, instrument chirupicale mul mas de opera de baz ‘Ddsul potatv,lighean, maui erbio: pape, table istrative nig ‘Actualtateatemel Tima: “Profilin inti chiral” coast baza designe dsciplinl chirapial medial fn genera. Pomind de apse iN. Prgoy "Toto vie Tm cone plage tebultd eseniseewea Ilana pl fundamarale chiro,"Necunencnd elle niapsa aes mu se poate actva oe 8 inte eat de orice profil rf es Insiind ifejin nxaes Il cio de plirundere a intel! fs organism se va coats a ‘bin sepia 9 tisepsa. Ca cSt mi bine vor aplenty eu stn sficace vor devel metodele de tatarent ou alma senmiative wor Tirerlstaledarie, ‘Continutul ieetil practice az Prindlpalle vbstanfeantseptce TTT a Ji Sol-sproact de io 1%, 25685 pera dorm [Loup halogen |” fete marginale chnpaal opertor je. | Jor uses ftoaona on compl id sul Seana pt A [> odotois 3 dope 3) A) eek Baader odelan| silo nfeiat, derinfcetares iio iar ‘slr chien amour 7a igo — 98 fo) ae center ae cee e c Pekan alo Bi, ‘Siri metalelor ele JF Dison demarcar (abla) ee oars tore, de acoea we psa Inve speciale ishise er tees coloresctinculoare rior alba, piindwse o etcbeth “oxic Se flosest in exclusiva pentru devintetarea fbictetorde ngs, mimic, scriizrca mite fein solu de ove 0.2% 2 Nita de arnt stun antec pases pen- tau eigmes pligler vere iowa comentei> e 12% Pentru ceterzaen granailorexce~ ‘Sve floes solute concentra le 5-10%. '3-Oxicianara de moreur 4 oloseste in forms de Soluje spas de 0.5% pent irgaea wei, ‘ezinfetares cisioscompelr, ltr aparate opi. |x Disist-0 8p desneirfilacae ‘pull opeaion gi ded 1% ~ penta steriiares Insrumentcor, mama, obiectlor de ngijve 's- Colrgot (arnt eoloisl)~ 0,25 petra tatn- ‘meal pgior, 12% pens watares ureter, inter f Aeootl ie pir atic) cs waist po ore chen] esa ee | npeacad. [Reece mene 4 ‘fa time” EUR eo er |2: Permanganat de Kalin $1-0.5% — pontns tratarca S oe iss revo as fst tan marr Saiccamee cae acs jy ope we Lei nsatbo™ Bio pana tjor "eases (yen geen iets Oe Bree peste ° ee Cl ATT | | aca ain ac cae Span ior pg, cng pera Yi Few dciatoaen abccilor de false oaree 3% — pentru uatarea eerily ceo, for de mao, G9, Lact de eariio (Rivana)aconear supa infetieeoic. Se foocete pont deinen | sitter pigior 00%, Incrunentelor, minus. Ent pile mers sel in ozs oar pat dues antic pave ‘Guitooul- prods cinta omestccsn, nti compe balzanulu Vighevaima Completare onc farmaceatice efberare In Bes el perpen peter ie saubtatelor nteptce ‘SesGrmsi [Fugit el 418 ~ tse bes, iwianiea~ “1 host tia 4 sa vices | apeam | aun a eameeone: « — aregnute | meee | sm y Berens 2 Sinister | Pca] 3000 pS ini otcoxinee eR | i rane iagvowee | Fico sas Sor rocicmesectig | Aint a es onipy bp capt ad mg teh 2) seme anion [Seu pilin. Se et mt ua pe Sosaieeig err Stee, | Doe a Sona pela aCe oie 6 |, Samet hire yseriaares or ar arcane — [a a oreo — b.asitet "mere Iropstesse | Pogues cot ae arb a Me Temes Gass, | Uiinercaumie spetate amore [Becca leisnuire lente eck tcocn ane GGimprne” |peceernpeod ts ge corer eteeee renin el Goer mp ecomiartmie caersone tame Neier Semler dace re acc deta ty de epee ira nens Ad aera eae esi, fon oct, Paes cusp Pros oat comptes ais p95 mH == 00 wd moe ze iat: Sp 8 mi 10-39-20 er ii 2 pees . arc SpE 10-39 120m de * ewe { Inte pe mt de: ov I enn opine i Sores creme ie “Muyo sist + hepestiypall ecare deta, ne sowie, wees ib ap surptoars sirmenice sepa pe proto ause, 1. Dest prensa Conta ~ eueactl de onziding se amestet cant reas pemim | egal de brain 1% 91,0, 3%, Stans eu azopitamy ~ eu amidoprind (ee ametes cant egale de Soliicaleoolit de migopirin de,5%6cusot Ae acd acetic 30% 1,0, Se 39), Spit 3 peau ex wl dn race ename- ‘ae Ica presen singsti pa alas vrai si In ssemenea ez iste or sla in au. Reatvu se fleet inp de 24 oe 2. Depisareaprezenet detent = cu feolfaliea Se pic pe instrument 12 pitt de slut de tenottakeink 1%, Preznja detergent se dono in apace ze nace ea nsrnentle Se Yo ti din ou, Metode de steriizare = Tose 3.2% oe |= Inseewsept - fore 495 6 oe = Inoxid de ele pnt 1608. ~ Inlinoformin 3000 894-6 oe \ lnvapor de formol 24-48 oe = Conta tii ~ examen baterologie. Tnstrumentele we pean Rebitor, star ap sistas, a imcodce in rejea su se apriode asia Striizwea pra Serbere sis feb oor. Conc steritilxaraca betray, Tnsrumeiele e aed intoan vas metalic, se Seis prin tors despa aloo etl 96" so apsinde. Cd ‘antares 'ss sins facr, insrumeniele po fi flosite. Se floss insti extremal, penta prin aan loetoddinstumentele se uzeeohrepede, sou se singe strzaresdepin- ‘oni fect o iotrvei hirugicall in afr sramenicloc hirugieale, hig aj ae nevoie de lenjrs ste, on cepa stei, material de pansument seri, Acese miele s steligard bus sob presaoe tw act. ‘opie isrumenel= au ees pode de pe Sttizarca |_| seit, ele cnt epee ete 10 bac de eae fsumemstor | aerate pe retain meine tac faeacr meats pupine) shite So comoctnzi cha in elea elcid ais © 180-200 se fico tpl Se striiennh 60 in. (1 on Petr conta stil se ao. sc: asi etcorbi, indicator specially examen acterlopc, Prinacert mated coaenirca mal oul sti Sterilizares ex mono chiricale asc eate nu pot fi supuse bso chic tian erperair alt. Se cuted toes) = Inalsoot elie 9° pe? ore fia le etapa, = insole C4 10415 min, = In apd oxigenat 6% Bore, = in clorhessin 1: 1000-2 oe = Insider 2% = 10ore “teal pnts cline = ayaa a eal: Stetizrce ce |, Univers, hur su prestne| 7 op fell mata (moelavars)| 5. spline, (Casta chsh en rifle lateral Gesehise ee aca in autocly |, [speedo tam, 120 se sterilized oo is presune 18 atm 127 se soiizen 45 mi a presinnes 2 aun, singe U4" se steiner 30min Asecarea meeriattat a casolets teria esac iro ordi sit i consecatv 2. Numata mote bine st, Serle olapa ote 10 bac Compress medi ~ edt 10 bac[Compre ie (timmghinlar)~ te 30-10 fated 3, Masi se az liber ca tan apo bur 4 ecre maori gsr naa fl, ie sk ccupe etl pain oe {4s fle wor de son, firth tig de celle mates #320 esgoae wor 5 Agere in eae ce fe vertical, pe scone pe trata 6 Mai ne se yea in ascet n sett o cle in exteriog, pe care se ayenzi atrial, La sft ol se stng ca "pia 1 Se asa indiestoitemni in 3 cart a fan ales ~ 1 ileal cao: supra east 8 Deeaoleth se lags o eich po care e sere sci, coma ata striit sesuttura sistent mec Agena cena pena sla de pert cetera aati ees, wujane, ele Corsi: pune 2 de gu, series go ts now de atl ecru, se agers we salon deasupa seuselr use in 49 rumen pen masa mid a asia! medal de opee, ‘Agezoreaceoryaarlor pen inare Campub aperatr ‘Se goftezs do nga in 3 came aga net mar sini ie ndeptate nosing cee. Apoi name eapete se sting sul de ete dou pe soane pinks ndings La mile, © mal ids 0 | necesarul tla; cack Se'oosese mei mite variate Tartana alata s indoic te miedo tingle dos, poi arise dose, eng ce a pose in 3 ial sau pe strat, Yorianta It alata yestrnge pe fa, Parc di fase ndaie In dou, ioue cle se ajar mince, pele de Ia spite se indone consecutiv denna de desu atl preface intr plas cu 4 San. Sef sl, incepdnd cu pales, pata de a gts indole Fn ~ 10, Se ojeazs fa cases. Miwsile spite ree, scutes prea ex ale Se nvlese eu fon sau sete a perch ca nf fit una deals Seen In caso separa, sm impeeo cu material Je paarent. Regin de seirare cle de 45 minute 1715 atin, _Arajreaspci- fet it eaole i, Sewicele re indoaie a doo de tel los, 2 Se sting ott ie pin in 3 pt. 5. Capt densupa tebe endo in meh Te ese se aga ot al de mata eer bearopeaa crn rine sre sea. np sats ge proxoapee pentru aseaea smi, alt 2 Insta di ~ cara rosoapele mat. [5 Tnstera al teilea~compresce ma, modi, ame pode | Tncasolet se pune divers matrl accoar pint ln el de pene: evsoctomi | _Neecsaral:casolea ev lenjaie pont mS, Agere materia material de pmsment Tahun xslt pet sla de ransamente Tr casolets ae aylerne wn scace cv calf in forma de pie, in afr, Se pre tsa conte Se jez ma in mater de pensament. |. seucelo so srg gota in dows de atl ot. Se fc in re. Copa seutealul shui ste eas Snot in wu 3Determinaes steric exolet 5 Se ap gama or aa 4: Tico alscutculase tng ford de pie 5. Sopuninl ) Meteds bazalt pe anger punta de opine: {funda mocap despa continual caso- ees trode sci x ned enzo (120%) acid sscortmic (110% reorcins (17) atpin(110) Dect in steiizatr cent ms sue de 110% suns paul actor substan eva ops ‘by Metodabacterilogss In cpeuett se introduce material de panatnent in comin cazoit, se trimite i nbortorl baccnologc penta ini pe medi rte Dae lips crete colonior~ mail ese soil Aceats mete fae dt le 1 ile, ©) Sema foosee teste stan fii speciale dang galbens. in cz temperatra ee inl de ee 120, dung talbod scoot ta weg Pregitirea echipel operator pentrw intervenfa ehirurgialh |i se rai dea degereTa us pe wept, con: scat sisemate Are important mae gies, io de dite rane, len ate Insts de fost pra te ferbe 15 mint ps sie. Peta einen mina deca ge sipueye, ap spun e pane ine psi palin (sipralm e Pe de care dit pe lvoe. La facepu espa imac lar ec de, ‘sytleitersegtal jie while ke min sting 4a fel se deznfecteand degetele min dete. Se ezifeteaas palma gi supra dala rin sing, pot ale ele dope. Dap aceasta wena esivlemetcapine In frsise apald enteral Gegiunesinfrcad medi supeier aa sa ‘Tehnion wei anor ex ‘proce se OBC “Telia dezio= fect mio upanetods Spasceoecehi a apt Ts con deapi. Casini se spall net dss lojile engin Spur espa continua sob ym [cede ap nagafel incitapa siacseimpdendepetc re ct Se pune de -4 00 |" Insp sat mins etingere de lava srobine.Seugera ape i emperatra ch Sevegleut naa de plane. Dupt splat pra ‘Spurn se ran yor pe msi vind anges, laps care mines cise dn nom ap cupnare JI Prosopis ain esoleth em pe ase sel. 2. Se apes prosopil def in capa se destoeco smi soi ean nn pte >. Seesaw epitppine mii tine id orp inch tion {ip rtd crc a seaports nh tee mycin atte Seco = 5 Crmine wtp rca essa cpt ei eoeas ae wtinal os a are Sint ibe Mods Spasoeusl ci-Coerin Deseret oa = dete eon — i: = ftreepl in find spesicnl den Cooenhin High.fein dra feet sion solute C4 13. Se tery timp de 2-3 min, cu 2-3 compres __|/ uate in soi de lobes de ara Prexitea sole de ameniae de 0.59 — fawn hits de ap disaster se oral $m. moni. 1 Spilarea mainilorcu ap ald spun 2, Deznfectarea milo dou ihiaecu solic de amonize de 03% ex autor wel compres sterile ete 3 minuto ezareighean. prim Tigheanse deinfecteza pn aot, oldies ol eimes superiors tera: 3. Useaea mlx ou roe rh 4. Desnfectara mini e alcool de 96° min |: Badjonares lle unghie x fod 3%. Preptirea solid de clorhexiing, Aces lierear dels facie, are concen- ead 20% 500ml Pein dernferara ml se flosie soled 05%, pont obinereac pe praia se diols in alebol de 70" in prop V0, T Mile se spall eu api st spun 2 Se terg cu pronpul tt. 3% Desinfestara igheagu Presa sole! de C4, Se pon peroxide i owen 33% ~ 171 ml. dei formic “A661 Se amesedft-n vas de stil, ars ne petra 1-15 o1ein gid Apo se diez op fact, a 18%20° pnd la 10 bi. Se toa a lshoan Este valabi 24 oe, Tmbrteares shipamentl fer de care stent metic Cate dfrre, [I Seabee TRTINN ToT. pe i aa 2.Seeuryen empress nce oma ste Seduce liheml cosa tiny > (ie 4 Scooter emacs mine Assent ei Tl 1 desis yl Ye ean de a gat min dca le Cuno spall de parc sat a felt gl ets. |. mn rn Min insosescopeccn pacing ala ‘Mid nl war |s. Seach ne stg 6 Its gk apt et ‘eo elaine 7. Bra eto am ee dn bz, od ditela mos at hal cptleterese ima pin pe oe eas cence Sidnme case fe a lege eae 2Servitea chipareowl Stel ern Iisa minute 8) nbricarea ‘ior de wl singer © inbrdcaree mimior oe sao aston. tata metal T Tsu dae 2 Alm tin ala, ear acopess mnie de pie alot regina goer sa nen 3. Ching inde nia, bre esate Taina fl int mse alg dem Alm ae pst meri pie poner le lash 4. Invest moment intima spedletle dina file eas. Chiral ing bacrele de inst 5. Brit scome din buanar serve ifs Ime dei ais Ming se apc dea girs pe pata pal oar, ntreind margnea peste degsteleI-V 3c mba prio migee eerie pe ma. Daca saute degetl eave, nia. se bass ous cw, mums aot eu minal inbeate ce fhe corel: Moule te deinfectcad eu also, Intros der Se spese mania ge tale degeal mare a spe chiang corespuncito di rp tng 8 Indo mange mui sub forms de mane poste degetcle 25 ale ambelor mii, minans 6 avinds, se reste gu mini gs bead pe sa chirp eu 0 mice enigicd Mase s€ deriaectenat cu leo! Mint mbreate oul aise fin ec Pipa acd opeaia se eine, pu pia mnie | 4einfet erank. musi se scope cum sate seri bibs cu al de Pacino aloo! 9. Acopesiea mei ere de baad copes mary tee dete Preshire masu ese penta sla 4: pamcimeats ‘ic i impalopeaie ie caps Tmt ca imediat est schist cu ae tri resp low stricter asepsit, In epee de hngs rata eeare 0.50 min. dose se erinfce- see cu wn antici 4) Masa de acd de supra elon 2 straw ier nut dja, sasem 2 carat indole pe oma \de- lngul, trnse input agczate asl in casole plasters, ume acestr 9 ear= fii foment uamitorele 4 sat Ine asst {uma se aranjeacd instrmentle chirurgie, Inari ce pansarsnt i sutra ner, sraptt dup esta into snail, La sii mata seal acopers ine ot? carat care se Fixeaa a clr eu 4 i, B Misate de er in sata de operatic buy scopeies miki de eso prince 2 sats pe lease semen cea indi pe jure de tl, sci pare dn fase sage forms de banat sce fixeai x 2 roe de pile lterale su poste Innate ale mse tn eae se agenrs material de [psimentarpewsulainteumentse strc neces serpent opera, bortoagle esl antiscpic Masul eneoperd cu? sevtess Indo pe juntas, | Neceseradcasoletaculenete tert, nsrimen ele chirueae,borcfoaye, substan anceps, aerial és panssmen ‘Masui tris pent sola de pasarente ve aco erin fear dine, Dupa derinkectres ul ew cua 30 min, ve dczinfetes2s mane om seve taf: 3) sale de Cloraint de 3%; b)soljie de Aps oxigen de 62, c) sole de Sepabi de 0.9%. ‘An rach ras, pal mine ap cad 9 spn: | infer ceschide asleta cu material tt sre| sim contains indicat ily Isc usuce maine ea prospel ste ~ Si dzznteteaca mnie alcool: ~ Smbract hol terior i eg in wo = fyesed sete ster in eva srw ~ ajeazaldoea str densa il strnge goat, © Sent eno er ep gerd yan ~ din eta descis de ive ifemiers scout sh a ae ‘nema conoctonde are comprese macull 1) ratrumentle chiral, then ea reine se :B\, ©) ancl a mi nt pena de er 4 re ae stp. wa eee dep Diss estat soecle ene Dn pares Soho Srsxrsnl wa oep = Ge aepoapassneney nt a breange shi snp ec dat, soo, ling pd xigent de % soir a aan mgh even on Tora as ba es inrdueeinguntr, ive maze sul” as : ‘Servejelele repeezintd bedi mari patrate sou ce fettsbee (Go\reasics fos eae Tr Tnajunal opecafcibolnaval fac o Be, schim= Orem | Berges? Vone | SE ees : Sen Mage mace nna 152 Sopa pratr| ire opal bones ee ee = eon Spc ie “Tampoatele sau meyee sunt busi defn eu male incite parte 2 nin Lane ines tampoaneor poate vasa Se floss petra etamental plagior ope Remoragilor Tampoanti ‘Bue ibn Ge npn 3 sata ce 1. Mai nt se deineccar pelea peo spe ‘ol nai mare det va opera (Lapa ie deznfoteaza tat supra sbiomensta, ‘ncepn-s eu ool cate va operat Se deznfetezt tout supa c solic de od ss dlacentul spre peifei, apo mara lea ope etc lod de 3.[> Alin ofS aja hinge Seat pee simpul operstor en rift speci setae 9 ¢ ci, s Tseazl eu rack din cole, teen fcueele 2 ete 2 pad. 3: Dapaizlaren cmp operator cu leaeric se braioneaz a2 oar aa! lcal operat ‘+ Ati or bdjnara eu odd Sse fe re ‘ede aplicarea solr pe pgs 5-4 puta bajonar se eftetietes dup apictea suture pla. So pics parson Prim uonare, mito cous din 4 bejonsi ca tincture od Ue entra deznfetia eSmpuli operators ai tose: 0; ~ bigluconat de eles; tad Se AEF regres soluilorderinfctante 1. Clona de var de 39-107 ride op se aus 3 lit lurk evar de 10%, 2 Coren evar de 10961 10s de ap ada 1g de rat _slotutdo var Se amestet bine, Sola v fi tund pent olor 24.18 stead zie 3 lorena de 34a td ap dg 30 coat suena 4-1 es eat ong 1 Mt Pathol de 38 Peto le! oft Apter ps 5. An nigh de 6 soli de deter 0556—1a | ry & ai xis de 6% wags pr ddan ‘Misutle de profiase x contamingritor co HIV infetie SIDA Incr cares alte ili aivg, conaua sri rim ja) ame po mean 3) echo crates spall tan jet cu sl de 05% pre smangna de Kav eo sic 28d sels bone Aol eR ete ee ceo ei enn ate 3 ap a see |e at eee eee i ttl ane eee eee er oe ee eeemetiers Reet re ac alee meena cies tn i Sen ceeaa age instramentele sunt puse itrsun vas diate tien amare Vino ieeemrcmemaesen ceri caper reared Resse cant Sees eaeanaatCopitot it Desmurgia Obicctive de refering: Insite elie ehnici de oplcare& bandstor po diet regi ale coral. ‘Obiective operatonale Elesul va fcapabils 1 Si cmoase parle hnica de aleae a bande 2. Sacfeoezs hanaj in regione cul tl, 3. Stefeteze nde pe trae 4, St efermezs bande pe memine 5: Si efeetcze banda eu basi. (6, Staplic pachetl individual de pansment Material intuit lol, empl, fede fon de dfritedimon- sium, besa, chet individ de pasament, plays, mieratabele. Actualitateatemet ‘Activin n svi de chr (raunarloie, pe masini de ba lana in ambulatori sau tn pusetele medica In eeipa eu medic de fume, flere asistental media vor tebe splice baa aje Pe ft regan! ale compl pent acordaenasistenfe medial de gn sau pent un anit tment Insuyites atest capitol xe fost important penta pica activa Im iene dose ale mele contrporne, Continutal erst practice Desmurgia es tual de aplcaes bonds: Pansamentl coat din 2 pr: }, Pansat propriu 2s. care se aplie peplap, Acasa cste compress sri defo, bar ude substan iets sa nc 2. Material e iva a penarenta pe uprafas coral I ietede material ili, pancae'tele sc mat 1, Pancamentemet~ in emplats,ele inion, eb, cls, 2. Panscmente tart din ships, in detrogen, da soba. ~ [ater a passant wal we pied pa ag sc icant ca citeva tide erp (leveplast) de pri sndtoase ae pli. Dezavanaele ~ Se siecreazs piles sw file de empl, | Cleoh| essasohjiede vig de pinyin Rana Bandajle cu lel se coped eu parameter Pacen din joa pans ment seungeeuclelgsslasi sh seuss putin | Apo! panssmenol yi eps pei us eu col Jcoped cu obuett de ifosintsgi sapes bine. [Sup de on nlipt etic foun, ‘Desavanajele’ 1 Murdvet pices loo 2 Fxcaransulcen panel spl e apd pansemeat ei Bandsjle co emplasr Banda ev Pancamenal acoper et wn eye, ale eral colds margin se ung eu clad east west [Dep tins colo’ surpsu de fons ne. ‘Banal adereazd bine 78 al, Dezmaniajele: 1 it pile, 2 Elicit eds, ‘Se Flossie o beat de material de pansaent Bands cu oumbec, fon de fom righ bsmaua aries mai lungs enue aso bs (Wineghinter) | | Unghasiuatnfgnet esate 2 unghie se names ela ae eee es ‘dos basiale ietsBamana pe regione cal T, Cena Ta mar webu Sil nivel et 2, Vito cata -direjonat’ pete fie 3. Colne Iatrate ant ie (25 12S rections pre fom, Fe crit 9 ise, = 4. Vet eo se oon do 4 sub eof sterale ge fixers. Bonaron expat ‘cotaume cult eoxo- Feuwals Se ease daa aaa = lobes risuci se engin condo fa jualin ui. Vist celts basal Ise ficarh de basmaus eo. \don, cu Baza cise scopes srl jr coast se ea cua unos etl Basmava peice sspendares adi, ‘Se api pent ssjine Beal atl ab um unghi de 90" pens assent de rgeph sa cu Scop curty fn lesan membral auperin 9 le claviul Bandar mama ‘peor cu bea Bera bamall xe ages so acral leat mahi dept Vel se ncazi eu a de sigan in parc atenceraa bss, Cole basal se rl ai eae Suman peu ‘Bsa tesale e posed ib plnda manor, rf deap spunea peated spate, um coll spre cell mde dim Oar dln 5p fos avila in pts leat Coe 2 col ful asm se leag opt Apliarce baat bio” ‘Viefl bss se ies prin regione pina, [seneiacopert abdomenul ar course ndcapsk lpespate is eas acolo eu vf. fers bosons se api dd pal silo”, ind vst i ambele cof le baal ce lesgh ba bd ‘fom de chop “fore cu Sama, ‘Basan sar serccul se pein Whungh tabs 2, Bazatronghiut se snes pe partes postesieart cleat, 3. Vasu cental ese pe pat ea(cetal planar te Aircotonat peste falange ‘ ‘re artoulaa toca |. Cofuie later ge tnens cigeazl pe patea poste- ‘ica 92 lag |-Sevaavea rifisimse or ya ‘enseute ecverincomods pitrunl co seoma cecalBandaje cu fei de tfon Regulile de aplicare a bandajeor: |. Bonen tebe i opi coed In funeyiede egal actor ‘psi bolnavul mebuie se peat su ula In poze xzonalt 2. fn impel bonds im edule sae nf blnaa ca i acre sire general 23. Pris ce urmeasd 1 bandajatS tebe sf cla nvell pipe ‘petsanel care exec bands rea. 44 Pansamenl reba a acopee tat sprtia lezath 5 aside ion ni usbul elias pe srins, penuws usta clan ‘angi ina 6, Fag de fon nu tral alia ni prea lag x rm alan sk cad de pe supa ler 7, De eg tandaar ve ofctucar de a peer spre centr (4s ‘Wns de ating spre dear (reo iver). 18. Foy de Tce (de vou), 0a ffm ia cap, cx In smpul ‘bunds sh se pot regi tse, flosind deg! mae. Capital borg fs in ea ga 9, Oricon incepe ex trl de fare (lopli, fewarearurior treble ef acopere 13s pe el precedent (eceti icin tee tip de bande) 1. Tanda ei at un pet ete ate aii eater). 1. Se fixes banda ‘) prin cust: by seprinde cu um se de sisal, 6) eta capt ein pr cares eng 12, Nae osoman Sarena pe protest pli ‘Tipullebandajelor: 1 Past. 2. Informatie, 3. Circa. 44 Spiral 5. Sepuitoe. 6 noreigat aut forma cif 8 9m form de eple ~ vaccte x pstsamcnt cif 8. Byam sau oreasca festa 5. Reeiten. Bona set 12, Ban ia ch 9 a ami i 13, Bona nua ‘Tehmica aplieiit bandas a atl nc BTS acexive st conan ou posi de pet ise), 1. Se fs de ion ew mgimca opin pent po etl respec Bin ane pri sre cars desi dou, lisindo in entra despiest pe oingime de 7. em. 4. Se acopel zona respectivi cu compres stiis Genet. 4. Se teak central ei pe ezmcl bicie aan pe ‘fl ras. 5: Pane de jos ale foi 50 we obic insu wise leapide cap, 6. Pe deus oblic th os tneruisind peste primeles eags a spat cet). G @ Banjaoa rate” Sarco nent Aplisarea andi “esse” eu seop erates ansamentuai (| Seal o bei dei, ce rece pin ceric Apicrea ons sua" [apa ambele capet se eabsa jos inant e- slr sis in inti (Ge olnay sau de asst [Cid tcl utr ajangs bets, fsa sega in jorl ei bande comin is scene, Imerznd pujn oblic,scopetind esa. Pe cakeAsliexea ‘endl strdse" Te Tag aoa aja ol etl se tes putin she pe parte Bom ca Puli Agase conti pis 85 bandjcara complet car pul Cpt fei se ears dete. Capetele ete se eng sub barbie, Capasteal se aplick sr aap ri 1 mobilize wane Porta and Ln ep se fie wo tr et ear de spin. Tart a ollen se eve oli i regina cee pe pres, Iatra ¢ gatlugi de seal se eee pis erica sob naib, “Tresind fas dinines ureotio.s6 fe edteva (23) tr jar eapt st aol de eb barbie aga x tect pe paren apd Bonin cfptseu sas oie po eat sve tesex chet pe cap Taundarea cei lui drop fag se i fringe de lasting pre arcapta. Printer teal a0 cart fae jo capa apoise coboarinjospeeeai, se tree sb ure pe para binsv obi Ss, acoperind och bolnay Taal obese fier prawn reir = Apliarea andes pe arbi cet Bansal napoli ‘Bandajl ts eve aca ‘poise fice din ow wi wr OB ceva wa ok |secel precedent. Aterindstecdv tn cena sabi se scopes tat regnnea etl. Laban: duce chia sting ge procedeszt inv ‘Seaplie primal ear lean de irae, ru wma se esta pe cresca capa pe fru fo eka Ide de sus jos un Iroc cae acopert [chil sting, apa ga se ali injured sss facedin runt sicde sinew, cre ncoprt ochl dep. In conccing ote trl umitoare ale fei se incrasigard tn nivel Sci nasli,seopernd pat emi oc. Bandara se termi peta tricular eis Preventiv pe chi se epics ae compres sei Thespe cu un tur lan jl cap, apa pe se cobosr pe regiunes urechi ix apofiet mak odie momenii ke 44 i i | ‘| Aplicarea Twndajuli Dezo (Dessay Tin a ar se pone Ta pra on val Se valk sion 2 antl se ose wag de 50" In aicatia cu ge fe ade pit 3. Emenecearca de tfon Te Tndreptats spre ‘mem bolane i 4. Primal cia Ss “ero fixed rag do eu ora, ‘A dileatr se conduce din fosa anil opus sproumiral olny fp te aries peste um pe Spat 2 exboart nos. 6, Fase! eupinde acai ctu s sstinind bra splice sn a fsa ala a pat 7. Setece ef poster ctl trae, eum rulbolnceedboad nos, nconjour aster 8. Setndreapt pe supafa postesoa aio ‘ein foes sian ions 9 Tara se pets pl Lao ftne ban a mem el de Sori FO beat deta Aplicarea tendalispizl| mes tres pester apron de pines umarall astfel nett cate ber atin terior siposte- ior pe eatia traces sodajarea incope a azatracea coped Baynes pal accasthbucatd de igh, seul tore Turtle splat side hopin ocl iae i tse crs, Capt epi atime se fears pests und opts, Bandsjrca umut ao Bandajares ambled T. Ciseop de supendare 2 slndel mamare. 2.Cuscop de scoparia erp, fj de fon eine rot de a stings spe arept, ira bandajoea (sulting dota despa ‘sre sta. Mai at eft \deinareinjuraleati toric ajo dest, Tra oi seria pe paren inferior itera sult lp umiul eps 5, eoborind inapos pe pte, so reper fos alr in prea sinuli lett Apo faseupsinds patos infeons sini Pn lu tur erular se fiteash tur prceedent. Tarte Juantcae se ree eu oweare warn si, pn Je va acoper tot sul, La femelle ce alaptach, mamclonal elas er pet aliptar i turer ‘Aces pansament sy yy eferca ca col de aw. Turi ior Bendre wu sin Boreeree arbi ns |” Asoperiparca inferior abdomen eines superar a coapei feta. In jurul tlie fae [iteva wun de spin, apo figa se dace poet. Imei pe fj Inia, spo. pe fsa anton nteraaeoapse, ese dn parte ei extra si wece obi prin regiuncainghinl pe teu poste= [oat a tunchis, Ture fei septaSie bilateral Aplin uspensorl ‘Apicarc banda jlo sps tare ent aparece ei spaioane ole coup feslon. Se ince ctrl de spin fn url eal Apo fuga se conde pe ea america pi inhale pase po fata externa eps, pind se heufrinae portion ied pe files, apo oe tree prin eines gia pe siceum- {ern poser ate Dea etl ei et afl an spa unateral, Faas aplichss- festv pe ambele menbe pl Ia acopeies oom api esate, Se ies in jor res, ple dup opera laser orignal 1.Cuo fay de fons aplicpansament ican jal ted 2. De pata lara este segs epatul all fee woes sub srt i fora del 3. So ixeaa de pres arly acre. irant In jor tunchili se lengheordnal Seno figh dem fngin, se tale dela cape logit, sno potion de 10 en. © mar- sine acest pore zoduee sub baza sero- {ular eaptele ise leg de cordon. In bands te fice ws oni pent mem axual~penis Se aplied url de fixate, pe regimes ‘fal “Acopeed bral in forma de spe, $1 fark rece pe tb ‘bran jrul use, copeiodu pe eo pre- det po judi |. Util se fice Bando inspc soni Se ican sate plisnen band juli ram) “Broasca fesoas™ Aplcarea ‘dali pe aplcaces ‘dj tao eget (poi ‘est pasarent se api a anlaa OTE [sia gnonchil El ete de dou pr: 1. Convergent, 2 ives Pansamental evatal alvergent 1. Se plc primal tr def sare pe parte central “ela |2.Tururle urmatoare tee aliematiy ba mass ba toa jos de wu nial. 3. Fags se incrucigenzl pe {ose poplece sa cubital Si. desteindseinarbele in dea pro 60 etd peat reine a ull fo evar, vantal convergent 1a oplicirea banda convergent pil tr se aes dito paces atclaic, 2. Al doiea~ dim parca opuss. 3. A celle, spropinds se de zona artical, se ‘nrg eu pial ri fa ate, [4 Al parlea cua doa ot, pn ce ve ueopert ‘complet repumca artical earea fei se face eam, ‘cet banda se apicd de obicel pe mone de leamembru Se fae eieva ur eels jin. Apo figa faa cu degtle se asnee sub un ungh de 9° erasing dia dicetilong lina vntro-doall peste moat. Fleas biel yento-dorsal se iar prin-un tar iter. ASC- |menca bands pot plc pe cp. | Seaplick ab orma de apie: 1. Dout tau se efectucra ew soon de fina bs nivel ariclaeradgearpiene dea eat pre ‘ings ls mins dept inves sting). Bonsjce “wroasedforosed® ual dele tur se efeaweazt 9 mira obiAplicarca ‘andl ecreta t Aplisaree banda de itobiiae la atl tiioe torsiang lez) aap ‘pink anivell gh Settee able pe partes oral a flanges, aan- tnd la un ur eae ts Jul acu 4. Untoarl rnevr sant Tafel dae de eae th acopesind 28 of 172 in Tur precedent, cu mie spre bana fangs Taga easing cpu poi a wee pe Parte dels mii pe eget ie tous i pol pe ja palmar. Se fi ee inno a de pric iin jr eal se repet rani ei, Du copie ala mi St deuetslor at pe fata orl ct pe cm ple ‘marl nny degtle se eopen pig tw ans ‘versal. Fasasefixewsin regiuse expiant ‘irl degetclor pions ni se agcaeh pe un suport penta ase forms ws ung 90°, Se ple pe atic Taji bio-rsiant de cle ete penta int geile: 1.80 aplics 23 wus do ‘ind Tage obi pS pats aleneart a ca 3 Seale 1-2 rota inj tbe ioe [Se woes din ou obic peste paren aneioa « sacl in jul gambei 5. Se epost procsdon de 5.6 on Limitea niger de deed artical vor- bee despre eaten bands, “Tuul de fare se fice pe Bandajres urai_|pinearadimcapia. Apo fi eget sa seduce oie pe syraixa dorsal sre loa ghia f= ltndural recurs apo soface puns oma de piel lite tava degetu, ers Jeeae pe sopra docal i se txenzs cu tur crcalarinee= zhines eco-carpans Paste eos omlogi tone See ete Mina epee bunds ncn ct dese [ar sge cn gel VPs dap ase ans a for pe | Packt cont Pact pe in va indinl defo top oad rennin [fom Una we ipso mal se ‘asec pe i ‘Maternal asta een gc pnt in pace ere nkare so viet ane cinct eget sac deiguragh. ‘ixae ct na aproapede a xterior = mete ene brant semionei Pachokd neat 2, Lan piso efter sab un ung dept te = ‘separsarertRegie dears Inter de hme teria opi een ser Ft nj pig deste cu aie Siadestren ce ateataene . Mena piso sa pelo de tetyse seca cn + Se attice mena ie ye 6 na sk Te aingh de maton prions Sot ee Bas gut pags, ems pagan sapcande ena 6. Died doll salu scape peop ea prem lvoe ae 1. Fire ccna decget Dae ie, feos pein ecco cal Copitotul it Imobilizarea de transport. Tehnica aplicérii pansamentelor ghipsate Obicetive de refering: Asinilreacunopitlo 9% insuica Imicepeilrsdepsnderlor practice aplisareimeblizai Se wanspot ‘ia pansomentlor ghipte Obicetive operationate leva va ficapabi 1. St ecunonetrogulle de apieme a imoblii de trancport 2. Sdaplceatle Kramer pedfestergi ale compu bay ate bra, gamba, fm 1°85 aprecieze eatate ipa 484 preter atl ghipnats, 5S pepitenses faa shipat eel 6. So prpitese ncesarul per nltreen apaselrghipste Matera inl: fig e on, atrial de ponsment aro ate Sa, lla Kramer, atl imprvizts, bas, ghi, nscale cite ticle sbstie aseptic, sabstane aalgese, etn, ae, tbele lstative, meoabole, mass, licen cx pd Actualitatestemei Creserea pgs eh ie numa de srs de transport te ox ume © parte neptind ~eryterea nam de aecdentes Insite de lerani grave ale apa losometon. Asie medical, are in sara exruor sunt primi eave vinta comet eu ase ‘ecieutal sunt obliga spose tence acer sens de we ‘alta. De apiates coreeta mobi de transport de lie ot sepinge mu murs rats stan, da ia ecient. Ap sate profesional pasementlcghipsite aso ipotnta sermifica- ‘di procesul de atament gl reaiitcesacidentaior Continutu inerarit practice [inca factor lesinilorimporante ale eto one be weaneporare ete neces ase ici parearauatzata a compl peau sc cmtntainninenss neendeencncinier- ans1. Al exea condi reps 2. Pen a educe din det 3. Pepin a proven lezatea ulteroa a jesus (prin fagmestele oom) 4. Pent profi oeul teamatic Se eunos wmatcercle pur de mobilizes do aspor: Inobilizrea eu ale de wantport fabricate (tela Kramer, Dien tele paeomatce, din msi plastica toate ria mone inprovizat (bet sed unto, nl, carton pes. Imobilizare primitive olses ple sistoae ale comp, de xompla,embml inferior se Sxeizs ds membeu saias, ere Superior ce ieazt de unc ‘Regulle de aplicare a atelet Kramer Imobilizaca de anspor efelaca I eal aide sa prods c= ent eines catego ransprtaen blank mobilize). linear de hemoagi, sali garoulEsmarch tamponarea pig sau paneanenal compen, Se devnfctenaprevntiv marine pg ‘Sk aneapi, ape pla apie panament sap Taine de iobilizae, se spin sind alg. Taine de mobiiar, tela se necper cu cup in Yatton, poi eo misma, ‘5, Atela be moar ise modleaz pe mombral santos 6, Seiobiizezh dows cau tei aii vecne stones 7 Soaplich iret pe became oil ins ‘Membr Yeza se reer porte fziologich posit, 9. Se evi migedie brs, grosolne c= proved dre 1 Aleta se cava circle en fap de it, [> sare, modebreawe ee perebrol siaios iit superioart— rime mee bf 5. Atela often de embry eu fag de es, 6: Membrl se fieaz cu o basa do git. Imobtzarea ese ew tla Keser ‘Semasoura se model: 2 pe membres, find in abu, Ne 2a in arcu och in ungh de 90" 2. Ia axl in pom se split un ul de on. 13. Seaplicn de amargines Jager somoplti ios pd Ia wif e- aeele Useind 2-3.€m, (Capetce ate se Fixe PAL o fal, apol se ‘eas cum ion in frm des 1. Seaplieé (Gupsmisarare fi modclare pe merbeul obec tec gunk ca Satele ‘sinios) aes posta’ dele vrtl degetlr, ‘mobnzare gamba aan sona™ 2 oo Savas Soom | ceoseenmeret Scicowr” (3 Meni so tee ea i bon sae AVAAOE CUTAN 7 ii age iecurate Cu singord a Inobizares| emis eu 2 stele ut ates Aplicaea iebisit de teansport ou [Ale > wee Ge ape parlel pe pe Tee (ners gi eter, Se finer oto, Transport Tice gale ca linge se aes ater (em $item) de aera coupe pind Ie ele. 2 Se fcr eu fyn de ifo, ‘Aiela se plc psitioc dela jute copes ‘0 dela pice ors pind vf degen fn angi de 90> fa de grb, al eu a de to, |) Tn fos aia ee inodueo ves pdr cw le (emir prota tegument 2 Ateln extra este lng jung din xl pt eats 3. Atel nter mn seu se nine dea ce ‘ea unghila pln ace, 16 Pete ambele tele se epic opt dine wrol frac, Dazinll, coat, geourch nh Sambo: 5. Se fice hinds circular cs fap a membrab inti, pecum frre pcoaclr Se fae in factrie collet fora, 6 0 wl Ing din axl peep nual ‘era inrodus ate pdeacl le infra) ‘Aca se fined pes legit eee la torace, bazin, coups, genni gamba. $e lagi ame pisoare ul deal eu teva legit de fash Cind femur ete fixture fo amopieca gennchihi,eimabilicaricuo nl posterior de a plieaglutians pan I taps (xin 9 alps) se fsa cu fag de fone ‘mba ome ‘nara psc stir wanda ds wanspot 5 folosete imeilizarea ou mijloce improvise 'sednduri nue, eteng, ete, mmbree, carton, Ibsma, cena, banale vite. Repl epic ona. ‘ailonee Soproszate [obra ranapor TIRE ape entice on cele faves «alta eipte Prien splieaea sae hate I. Pulbere de phipase rage in pu, dnc {ata ste bund ghipsulse ripe, cz conan se ies dare fe ot 2. Sc ames pat eg de hips 9 ap la temper ‘ur camer, Pst 6-7 mia mace obi tee sf se rhsascs fe ftreeet plac de pips techie sera psn, dar sf clone Se soar dimensnes cif lngte stn Kime ‘in fete de sepmentl petra eare wmen2t 38 Fe lori 2 Sedetiand is pe gies neces peo Hil tnoa 3. Se pest sat de pips care tind uniform eho gtsie 12 em 1. Seaseaapo 2 ah (estgurid ap nephip> sau peste statu de ips. Is. Se pone wn alt at de Pips de access rosie este cate se dsfgou it fap nesiper. 6. Maneveasecepets naga mod, upeapsndnd sel 6-12 ade fg 7. Accuth aise impure in dou, dela psife nn eptnd maeraps chdcbfine th poche cine ‘Atel ghpsthprcam si fg ghipeat mu vor £1 lmpachatare prea stn, doer se recess aes 1 conde idl de imbibe au va pane aj rite sari 19, Preventv membral se pana uo pagel in vk — ifn, Aplicarea atte ghipate |, Membrau se ees o pie izilones. >. Fa hipaa sa tla pipet se inode in lunvas upd de tempera camere itn caniate lien sSoacoper bine (inode cleat) Fntsbvea co ap ei guipsate ese teinath st cind din vos te a spats ble eos. 1, Sestoaes wer pachetu ships, omen. 0 das apa seus 8 ou se piatd gt ghipsul dite Strate de ifon, nin! fag de cape 5. Dp ce e sone aca ghia tind se selezstesupeataf cna ea sh mu rim ‘ocolnge de ghis pe pats cae ine fn conte tegumental |. Aton se spied poste regimen antomicl, care cet inobilzre Atl se fixcazi ef simple mghipate san cu {ep shipsste, aul elnd ce confesioneacd un para hips ie. Prepiies fet shipeate 1 4 JF Dopp se cote ast mat corp mate vale magna (iano eden amet tee de). ‘Se floss fyi de iba alba et albenma pe rude gpl de derie mii “Material necesar: Fash de hngmen de Sw. ~ Ghips dna ripen (i cel, Pinas cope cu msaa se pis fig dfn sis destiori peo pane deaprosimai 30cm, 2. Se presard ca mina un starts phis B Pooana are exscuts mane ining wen ‘atl hips petaa hognes fest a tgosimea sutauish ede 12 mm. Se fnfioard nu prea strus fag php de la ‘ait be insta prunes de fag ind nehip- Sat, pint eld fage ange aka un dtr 4e £10 cm, 5 se tanstormd in fa ships Pen splicae se cfd ine unvaseu anal Dap = 3 imbibe, se siource upor de cape Bandejarea cfs de la piferi pre cen n= form, fk ee. Tune wie le acoped pe jueine sou ceva ma mult pe eae preesente Esteneeesarca sac eaples uniform gps ae:Regul de apliewe + spartelor ehipate ‘Cire sar ape peel a a dou treble ie ej iat pega, Pe em. tm superiors apliek 5-6 sat, pe membra infor 78 saw, [1 Pe membru se api preven o puta din suit, 2. Membeuuii se eceazs 0 porte fiilogcs Pe ling zona facture incblirear 2 ai ‘uli eee sidtoase Necetrl penta Inturren apartelor sipste [paral ais wa Wem SpE RT fl, dr ni st Ge pea fiber, 5 Doplplicaca apart se contolazt dae m sm comprmate vasele magia inci ee, amoral, rer, ee) ‘Sun nscesare untoarcle sian 1. ere, 2 Cape. 3. Ces eu cice 5: Foafece Cuper. 5 Dilato. 6: Levator Sl 17. FouTece pet na ‘urate apa hi pate Sete fee de titon sd pipe cu ine Srumentele susanCopitolul iv Metode de combatere a dureri Anestezia general. Anestezia locala viet a efriatts Gen c omifine lorries sper eprops pec utr ses prank penile pnb tnucrel ot ecrae sabe cea emp Oden opealnte Blevul a ficapabil: (2 090/28, 00 200 1 Shuts pepe fn met 2 Sieger mine men anctes 3: Spelierl asa oe 2 acteca pi tei Sansa rh 4S csp centr Soins compere fe de ash ‘Actualatea tel Contato to i de emp wek ma apeciinde4 mot -ancnenslog ase omen cert coe mee Slomrsin spiel nelowscastong ina eda earl, Sie ntl in wet oon ese or medial en ol nt niet oo pea ca teri pt 5 pregtencdnecoraral pein 9 smesteri, at supeavegheze boll {dp nncoz, previa compa posible su sh conde aie ‘se gc in ez de complet ‘Material ntu abele astaive; adieai meted; algoramal “Pro a novcesi8, apa pea acca; mlsua anestczisul Inringescop tub ptr inti, mass, deschiator (depart) de Ain, pons pent earn mi substin aestce’ penta earco7e ‘gnarl aster locals morlaxani;istma pot perfil seringh ‘monouzile de eapectidvere. Prepare ate Contin Peni naeoeatialatare= — Lichide: Foam, elon. Gzzoase;Protxidul de at ~ in batli de eu loare su, ‘Ciclopopamal—in bute de suloare oe. Se tlizeaa im amestes de oxigen ~ in but de cular alba, Pentru nares neinhastoare: exes Topestat de Na~ tp Oxiutiat de Na Ketan. Calipso Sombrovig Ketale ‘Pestra newolepnalgece ropes, Fat Preprate motelaxante ‘De eur dura Dina (a Liskeoo} Miotelaxina. De lang drat: Ards, Tebectacina, Diplocion Bocuse spat de ate ‘atelin cu substan orcad, previa cu rodveto. Vaperzator, ‘Adaoens. Dosinetele ozs ok = tuba de inept, nbc de exprae5 Caron Tassat cu conor pent wi surat Taree lesion ater, nit ‘del de esprig pull pe ing [Peo masd eri asenal eda preg Po miso porate marl prop Corton, = Tevet = Compres tne Pecunes S-serngl inoue de dese caps = Chop se setece, 4 faite | Sime pen prs Scrim monouzil de capac dives csertlsi | Pane ~ Fics eno Novocans 0.386 Corpses sti ~ Pam ter | Sorciage pen pep neti ~ Borsa sere pnira ol de Nove. einicenesa monies ~ Remo sth wassconsian, uupaa aun ace canftonic,bomonle Cane 6 tae ‘Tine mint: Ansel 8 so SeNovo. tal ee aay esint se efceazd du incre scsi i ~ Conroe peat nia bur eps sis bolas a anete dupe fino mene. ea probe la vec, | Pade iat: Inrve chiral ps Deptt! edn reptica 2) orale basi Pom pent at iba ewe Hanbaeaeee | reing cu fc in ee se psrast pen ansteca. | Necsara sone xtreme Ishiiand | Cora pe pote neti a msl essen medical Aca Bs mance emplsee | Set Linciod ese y “Toner | Sot seats. 4 Reventon | So. epiocia s | Reinedilemedicameniose nsec: net Sol. Novena 3 2, mca ull dr ep, poe | So Sovcins 1 fink gender voto ae Seng cues ‘isso, bomosk i vemize Cs. B) ‘biideo mn ‘Alaura s sf opratle ‘oo pera masurres prin vou pn Lee eae vetordinopul clear, > Epes. ctorodacrmocoague |- Morel depen ‘Asal ede sla de ope (ie aoc ll ee Beret ianes retes |e panoment pete: ~ Hips teusra ona esas |" Satsanestteyee fttim agora 8) aera enrmstecia |~ Soll eco de od 34 sn Finca eri foci gin | Solute oda He- nei rhino clare meet, ate nese = Soli Algol tls 70% lel rent steel eiSaar Te . Sataceeran ora mae rere | Mele aeta name sol pad 9, |0l, Lidocina | loool ele de or. es%—300mt [rice | s | 5 f oo al ey bi E j i Setecte | ee isp ee Pre seme roi i ae cae aoe eae orcas ce amROBALANOWOCAINA® | 'Soveuind se cuboa cu 15 eastomm usu). 4g, _Seop: Delerminare seas organismal la novoeink. i ae aaa Se es Ae ee ie cianech . Garo ssp atmice wi, nse coer parse cua a cuban| TO nica apicavea gavolape weimen ae rion a eoapsci saa bra 1, Memb pe at a apis earoal einai | ‘ean eo sale de tnspor, t | 12; Aceidentau In mod bligaoria ise admin | ‘trea analgtice hue pu \ Tc pla, . | Apticarea \batists ori basma, capetele se leags tn laj fn care se fer Sake ndaeee cues | SS. Soe 2 } Tali se faca cu on pe |) Comprinaes (tone, sangre Sigal vasa |peniry prim gens pt se procursmatoraile petnlect” Jacemar peat eles aor mods honor Tn ince do cali woah! pone I feat et seat, apaare Iva cect . ‘s)eu degetl mare; Dpewedlelaledepete ae mini, ‘ 9) puma : weer cms ee(rapt Ts 1 mee 1, Cd eroragia se Mp fre com- pestsen sce pe eters tonporaene ternd im regions temporal i mal ss de pv Tiomal tech 2A Facialé ~ sob ‘ugha sandals ‘emarginca nfroaSpterioard a raion [eit hemoragi in inl obvar, bre na 3. A, Carola conan —se compris cm dept ‘supa milo marin ite am ‘hill siero-leldomasokesn ee pros nena carotid poz wansverle verb ‘Vicericale in hencngi cin reise sta, ‘ei, eapul 4. Ae belaviidara — ers | coats rica ‘eeu uae, S.A humeral ~ er ol humeral Is agin ui biceps. In ie sSnge- nde ale bul, amebrta 6.4 radial eat os aan a Lead pe Clete pao hemor ale be min, se comping pe pica ingbinl sl pian ‘odie Gesupa cavieuli Ina inegianes moeacaproveate pon ‘reread. ‘er! omer iia‘rl lecrantt Comprirarca igh avast Implogs Apliarea pansnen ompresiv al abdominal - t toa ; Dees ferrems) commaaa ate Pest eae, Comes mat | amr oe Fem Sets 8. dora abdominal ceva ai jos de omit, , H+ EID | Sod a pl ar ln va, De CLEAN AT ccs tomar a ean orpresrea eter ferate pq ——— Tine tna sel sau se decinfoiess ACER pani ilscu lool, se acoperd dept 0 eight sei, apo se intr det arto in fags, se percep el de singe ssecomprind vasa.» a) deavanjal-cbosse rina pont fc Poni rida 3 ‘wat va inp indus. ‘eenbri b descor a compe 4 cuneate nervoase, cir cet un vas tei gst, lg cle Ma init se Tice ones pigi. Pe pag se ap ch Jetova stmt de tfon sei, Dessup compress erie se api un sul de fom ser Uniform se apo cup $-10 min afl x comprima vac ‘singin. Apo! se intrest sri o fade ton, Dun dezinfectrea agile planta rodue ampoane din tiem pn umpletea oo. snd sonda butorat,caelta pens chal Se fxea x pansament in epstns tamponade face into nth saan ambele,inteducdnd tnd oi. Se wilneard atanci clad nla este localiza regi Ina aula, ghia,» cote ui geauebini. Mai int se deze plas. Tnegiune pit reat, MK sales wn sl de tong s2 festicarhsiperfena that — sui, fod membal n po iis dat. Pca eomprimoren Pemstaza Jsterlorsubelaviclare mer exec masana clctcnieNextemaxinalla "a monbroe sna. Pe pice spine un seus, paca sap pm ea gheaph, pein 15-20 inate a iterpcre de 20 mimi. fn uncle hemorgi atzle, in ech Han hea se suspenden). Se floret in conic eu panera com less aplcarea petri n hemoaglvenoase scape Det poss estepemenbral infra [enol se cules, iar sub mem -ae pen upon sis rises sub un mph se 4-50" Daed plagn este pe membrul superior, el eats stint de membrana sn zat de wei obiet esimnoe me bof, pe pet eraea owecae laine,Ferre proviaoiea vaselor au repre Teal Geen J Pensarca'vasulsi_|face cu pense Pean sau Kocher Capetelevaselrsin- | Sol Ap anigeradl T. Sol Viesot 1%. foots [stareekniamemesnss Fear TT aE, lice, |e ieee | Bengt Peeatianesipreine cata] Sexemee | ronan cere, ies | in | Spe i mgidan | i {onl emerge. Se pegiess um sistem pent peri, se ‘ene pe efi so. lncrh 9%, Sol Fnlogit sol Ringer Reamseade, Ren. lihcng so armen ee | 3. Beet bemoan se ran aon a In cotp bea reed a lowe bee ‘estas mace pore, troche on vo de en 100 ml de Sage | 4 Sefhocmontreaca nist Pus TA resp aches posi eva ada ion la sevond aa Tne de neeste se ndinistcard substan somes, Via ol del ck alt, Adrenal holon, ze} Ne] Derimien [Unie de] er soapllace smedicamenaui | masies | ear condi TF f8at View 19] fle 10 Tamacenice [2 [S0l. Calla clrid) Hole | 10 enim cibraea | [105100 Sattantelor cu ‘cjiune fin exemplar; Medic adjunct curatiy \ ferric Sef sectie ‘im superior Toate prepoatl hemesiatce seiner in prepaate eu deine:Copitolul VI Transfuzii si perfuzii Obioctive de refering: Consoidare priepenio 3 dpendele practice de prepitie «bemoans, rsusiea aceon sor ce, {urea ninpal une hamctransii au poi, pena pata aco Asitent de uen i penta plnifia interven peice. Obicetive operajionale tera ne ficapabits 1. Si dtermine rupee songvac ex serurile standard. 2 5 determineeompabiistes individ 538i determine remus compatbiiate, 4. Sk efectvee proba bolic 5. Sk compltee opal petra fregisvoentemedior tans Confinutul eral practice ‘AdminiseareesAnglal oes eomponcnilor Ii in oraninn = mama anf, ‘Alninstare subettenior sagen xgaisnsorumege peice Sirsa principal singel sunt donate, care apartin a4 gripe sangin, dup sistemal AB O" determina see ge -0 () entitle ma conn agltinogen, ir sral contin ght see I ge~A (U0) -rivoeteeconjin pltnogsnl Asser contine agi nine. IL zB dt) ~ eiuositle comin aplatnogansl B gi sm cmtne again WVge-AB(V)-esivocielecoojnagltinogenat AB isruavcomine spline Formula complces sgrpel ete ante: oma (singe negro plasm eta plasma scat, plasma congest Da ‘masa citocter, mas eesctar, mas rmboctah ee). Actualtates tm-0€p AB ier Be “Transfzia de singe a int, eke iva smn un compartiment dc 1¥ gt ABO me tesponsittin evista sent mia do eos cis "Eas nimagicail tame socal hemoragi, eu taumall lotr acute exogenc,combuntor,procsea suprative ‘Sri wast desiage Single asfuatareo ota complet asp Lannie agltinoganutl A cu aglaisincl £ 9 agitnogeni B cu tiie Btn epubes ae oe aluiarea (ante) erivoctlor, iar oganismel vu alo becoliza etiotlar sell asta To tansfuri de sage se pos aputina moa entrotele dono ‘utuororgaelor vie le onpmiamol Ese deosebit de importacc sa recipient simu overs, deatece sel doatorlest foarte ‘replies corel «wei emtansfai, dsowreseavind acces graPiit pei tea aghutina enitoctle replat, [St aoelg remus factor, singele posts incompsibl. Porirua reve Ia prezetsetrnsfuzeaza mural singe deaceoss ros pap “pant complisilor rove, af webuie st cuncncsapertci twhnis emotansive, repairs cl cors,acordaraasistenel de urge spariacomplicailor gia spit acestor boa. ‘Materea ntti: Faconsl ou singe, pee eas, baghett sols, a standard lames, aloo, material de pasarent ter, et et as abi sel pene perf, reg ane, ple sn abel native, microtbele sayin se ise ‘O(), A, Ba), ABV). @ Ge ® ce) “SeeDeserinasa spel sangving usr stants regione Studien sernlorstandnd tices pe sae ty baie seis grup, seta tena Se vals iat, Sera wee sre, i emne d escompunee Determines clo serail — OG) fie alare ‘Adi clear ast BUD —calore rose ‘AB (IV) clones gallons. Se preity plea emia pe care sun sei ‘role songvns pen pile 3 grape 6 > ear, Maljos un godeu penta ABV) Se reies 7 pete, Toes emi, a slesoh att ster Procedeul determine grape sangvine plea ems seni mele indivi Sedesehid earns epeure pipeta cite? pick {us dsr conform grup see ‘Se devinfecteaza degetal IV cu aleooh, fs punta (ese a dim acon sings). Prima pitta se re eu vata ste, Screcohez ster pod jpop: clei), ‘Cu baghet de sell se api cite o itr ‘ingen apr 10: itr de fect eis Sorts ve ames, ‘Seaptplea, peste 3-5 mine tetera Penta preven aliare sparen pice Imtoate gdeanle cto pieiturs dsr fiiloge Dain ct ne svat oe, ~ singel ete de. ~ Died oghtnaes aut loc en seals fr Tey sings ene dep Daca aputinnes et sere de pt yi ae lecgilipasecucerde ge Il -singsleeseste ede geil ‘Daca aglitines sot oc ev srt de Jl se renga eh single ee de gr Win godeoTal Few fameseckexopcfirkdexnges ipsa agate enol oh single este de ge IV. >. Scart eral mesien, Reta sine em fortulr pil. Mic noteza formula, 10. Eprbeca eu singe ew In laborer pe | ceceminteagupesaagvce condi delborte oe sora oes ees oblate is Dunc area shee {bit pepsin, Dig de os Shout arse ‘Tehmea determines Plea emia se deprescard, Se sre nme dvi, 1 Se flosse ima? goer dep paca emai 2. Inprimul godeu se pleura 23 plat de flicione ant A 2 t dole yew se pics 23 pictur de oiteane ant. 4 Retina shag din dogs este eis. 5. Cu boget, pent cea fliclon spate, se no pstuc de singe a ‘apt (ings, Soicln sis amestec x foiceancedin ges (6: Plice opi, poste I ein eater ia. Reza td medica, aol se sexe p fora | (icenrezltatut: 1. Desa aguinarea nav ete god flioans tes sdagele de erupa india 0. 2.Dackauhuiare aut oe in god cujaliloane an Aan! sings de gripe adoun AD, 3, Dsesaphtinareaa avalon godeate olicloane am B, tue sage fede gpa tle 1 (ID, 4. act ahtnarea a avt loc in amc goderi en floane, ati ogee de ips pte ~ AB (IV) ‘5 Neifentea prs a TV cu jolloune mus fre,Faetorub-Mezus este o substan sotigel specified care se con line in sagele a 85% din popsaia gluta pes. Aceste pet sings nu ve conine acess eubsonfh antigo 3 exe mum tees factor mega (RU), i Aca ici i! dpitt petra prima atin ernie ai Macacts reuse nic ovine denies set ato. Dred se transfurcat Rh po boleailorcu singe Rh negaty in ‘sSngle lor pare Rh -anicorp, ach ate loc enibiliarea sees orga. nin, Trnsfzie epeat de singe Rh poi bloaloreusinge Re nega poc vac grave postansfutase ce oat conduc dees enw x evit acest grave compli ete snot neces de ter Inia in singel donatorlgisingele eceeerull for rz. Fac- orl rez Se dtermi in condi de bors, ‘sistent medial colctcad din vena pesoanlceraeate $m de }se eereetenss acon Ibuiesd ef sitet ‘cane se oumese reas factor pov (Rk) 15% din populen 2 ~ deasupea este psn Ta fund evil a ‘ules brung lame leseseiee sa culoare eenusie (de sor tips), Vanepunete eculareglbens tusparenté; 4) se np tent, se arage ata rez falgio,inpat- rin sage 44 Se determi grape sangind din acon. 5 Se facucara proce compas ') compariltstes incvidal, Dj prota Rea compat; Steeles pee ederim apes Rh | pot ln Prepitireas feetuarea interveniechirurgcale— Fabs T gecalariihiyoy | compat | Algoriomut determina —|Rezataal] Oss Pentre o tassfizie busi de singe tienen com | Desai | Necro o plac ernie, pla let on algoritn de preg 8 fmca jn bolnaal tacoma en singe, dou ses ntreath sompati- pinet serine, acs. 1 Determieacs prope sang ts | "That fc se_| Nuene vine 9 Rh factor bola Inde | Se pica pe placa de ceramic lagna ama. val ] pci de pla (reve singe 2. Comanda singelilasatia afostcrtituareuciatdeNapentr| Nase | Ese tana lobin pls) oped de ngage cyan 3, Analiza macroscopic © fia Mason rspor 1 Se api ten ‘avenue ngs ce fav obser np de 35 min Pew rien fre cits apa pe sree ogee la 40°C: tr ee iol. mented eee ee ‘zupasengvin ct fon Pet Seu holm, aco fal vezun ata colee- Mork ser ports corpat- il cu stage, stings, ace, bain de Uri, NP dara gt ‘emetrioce cago | hag flor, comet de op ‘reloe | Nu ete semnstura petvoauel Telnca fem aval Seininae inde abutiae asic he om by se Nenfic ach acon ese inchs etc, Pe eis Petr se pero pictur peebiologic Finrpor Se agit sent, se acopert ide Sr at Botnaviie ee objne pra] Nae Ta scams sav cepa fra cia agin eX) opiate deste cin Maceo] ea Necesard: anol este, Ae) lu cu se Grol, sve pty [rns suport vats sei seco formes, sce nies elem: acu Se comploteai setsmul pene. Dares peace sole Miologot. ine. Setace veneponetia ye meyloacu2 Cees ‘use be pert, sregleaa > er. a I. ise- 5 Setransfer astm pent pero Ais axonal eu se ologte ‘conul cw sng (preven ineszt la carci dp ce wa eri {Ectatdopa Macon), Seplcur 5 ml denne, cpa ca te ncide stein po mi, Se 0b res oe serv statea bolaatul Se aragel fats tema a sewe, [tore ‘Ded auzee lips, nema perdu 13m do singe Seeprestesstemf. Fi pena 3 mia 5 observa rea ol fom ‘avulu Se rage teal ce. Trae Dae aeazele isos, tm pir IS desing Seopreye pe mie Se observa stares bala gsc tle wile lipase. ie ‘ib acs | Isingeie biotogc oma ii luasts- hope Deca proba biologics. desfgurat normal, s fe tansfizin ‘ella conai de singe ou supraveghcten vm ‘ea frit in com ls 5-10 mde stg, care se psec fa Agden de24 or in cade apa «compliatian 4a present single integral se tanfivesd fou rar Maids ete lisa plasma, mas rtrd asa womb, mas Iececitar et, Reais complicate postransfuzionale ‘Traslzia singel in caz de prep coect a tutor tapetor, ‘imine fn act ioofeasv penta organismal bine Dees se conit ween pretreat ofoswarea ns, aun spar gi de complica 1. Compliaile eaten fectarea probelr serologic (detecninrca cor snsvne probe comaii. Apropos 2. Complicate provocate do grein tec ransfzielsanvine 6) respectares epulor aseptic, 2) ela pers D)wombemtati: inten cardiac sets ree septe. In eazalcompiailorprovocste e examines insulin a dons ‘eal, pote apes 5 bole cu SIDA, + Infect tolnvui cu hepatitis, maarie, 4 Complcaile lee de nepijrea contain dicailor ptr tanstiaie ci agravacaetolul Ball career contaniat atin sit acats; yhepaias 6) decompensarca fine: crdio-vaseures ‘asi polmonate cu sz promis i ciel mle: 6) afc’ lergce~ exe, atmul rong ee 5, Completi deerme de sesibizaes receptor ~ youl anf la ese aseamins cu focal poxtasfional, 6 Socal ina apr in transi rapide le nel cnt ride singe ‘exmerat cu olde erat de Na (mai mk de 1000) Pars po lai ui a isa $00 mde singe trasfuat se sinistesed 10 ‘nl desl delord calc 10% vere nesta sa \ s a (cinta7. La un si de bolnei spar rae progene postaneerionale care, spre deosebire de complicate hemotoneronal, a rein Psicol pens va bola Cauca aparie Lor et noduesea eu slgele a wor sbstonie Pitouen, ce previn'sprodote ale activi vial a boeerlor ‘Dupa pradol de gravitate, se disting 3 grode de react pirogsne jos, ete, ea ‘Apar ind dup ramsfrie se mani prin: sane rida tempera eorpuls, inispontis, cafes, papa candies ipmce, rept pe pik “Tialamcnl ese siptomatie, Blea fetta ex temtone, ‘pur ise dn de bt bt bing. Se administer elora scale de 10%, atpzetice, ne face pers ou el. de Glia 3% Profavia— respecte rguroa.aregulilor de elt si tama lace a singel ence cansfii! dees aprata Cele gave complica di cae sue muni ant 1 Socal henetransfzionl(hemolie, psteatsfiziona, 2 Ebola gazoast 3. Tombemboia ‘acu hemotransfrional spare dis cau hemalie rtoislor singel wansfwat Manifest pot pean pine ip dt ans 10-20 a de singe, la fri tice! sow ie dap ranafri ea la gia 324 70) Bolnsval se its, uz cette, cane, veri, seri de cone strlen pep due neptune lama, I egiusea infers 3 abo- menu, age, eh som, ‘Opec hpi scare se chi mal apo co palit ‘imozi, hid In carn gave desccte emer lo perder cunoain, parti sinclar unc chiar savin deve Dacdbotnaval ete sexs dn acu ste stan incendie 2-8 ‘$071,sedezvolceral, in rnd par protec, hanoglobrioipua, ami, In cazurgrove, near aronia cu dees raviatea bolnvul ‘opine de canta singe trast. Decesulsurvine din ears schinbilo rae din ii iia ‘czulatal nox eu prods ale hemolin eritociln gf disrgenit Proteinclor din plas ‘Teatamentul I neraperes rapid a transfuiei desinge gi chemares medial ‘Competaresriguroa incor media care vor cost a 2. Bctareaimediot a Boeaul biter! poset doy meta hi Viger Adniisaeaprparatelo cardace—stofatin orglcon i in hipteasiane~ adrenalin intr de 0.1% Adminsrare antihistaminiceloc~ Clara de ali, ecto, sup: sin, dprain, Adin srate conicosteroiilor~ 50-150 mg. de prenizolon oi 250 tng hidgocoizon ~ penou reducer reac amtigen ~ aniorp gi penir stimlares avi carne, 6.Cu scopnl de a lara dia enna produslehemolis, se acini sea carbon de Na 7. Oxigenteapa Proper dietice— as, anita Paria sour - Hemoder, Ghicorh 5%, sl, Filo 10, Trasfal de stage compa, 1. Dae tratamenlindieat uu ee eft indicdhemodialira cu ‘ora apart rinichil atl Embollagasoasd apare In uns ptr aera fn ssa ‘seal cs wana mpl sista! peat petri eb de cx, sen neal dereylni emeticti sister pomp, Manyesrite: apse drei pteriee in pp, dspace promis, ust vielen, cianoza pict superioare corp pls filiform ‘ecelemt TA sede, bonavi sun agit, au fe mort oe apucd de lent, deseo survine decesl subi. Cond 1 Tnrenperearvedia «wansiziel amass medi » Resusctarce calo-pumonar ev oxigenterapl, ©. Adminitarc preparation eudice 4. Bolnava ebuie 5 aba capal last msi jos doit tne p= 2a Trendelebung). ‘Trombemelin Chingurile de singe din sistem ge pita round eu singel aii creapt tn vase plore ‘Trumbenbolia se dsAgorse 9h mbotin renal. Nara in cal in caretomba fot ne obtarat as alone ic apartPulinonat Apc durin pep, em int sel, apo cu mop, fete corpull disp, | Conduit 1 Tierupete inet a waste amunree medic 2 Admini castiaceoe 3. Oxigenoteapio. 4, Adminisuare heparine, tina, 5. Administare anlgstiesoe Proflasia: ste containdicat ,sélarea” aclor de trasfuric tupte eu tomb rin sistem de porecie ‘Super gheeabolnavali dp temotranefzie se face pe prcura 124 or, Priele4 ore Blnsval are repim ttl pt. In care or se mtcoura Va. eospul se ings in fa de vai pet a seta teil pontanstrionale, Semone pele ln car d apie a tama, bolnavol se fcze, seaman ‘medial La inefia medial, se adminisrarhpreparte crdoee Di face rari dings ado ise fie mln singel gta wine fF \ trepiochinazt oe aa Siu mol. tcenarea core! | compass fy de bona, pretreacontinsioas bony pnts Copitolul vit PERIOADA PREOPERATORIE Obicctive de referin: Gencaiare i sstemmtizaen cunt. {slr conolidaren. deprindeir practic, insuyite ls teeleaneiore ‘revi gi Ia B.A.M. cu scopl ines porteniitiilce de pele Prsiperatorie a bolnaviorchraeals peat interven urgent plo ie fconsienizarea roll stolen aceasta perce, Obietve operationale ley va fcapabit 1 Siexanine: blaine emu increniuget plist 2. Sippel alizncs intervene medi wae pec, 3, Sacaletere materiale pent examenel paasiie singe, wr) 4:8 pretenses al isojasl bolnavi n exbinesle Je Radio se, ECO- gree 5:Si eteeueze else evacuator, 65 peptenslclmpul operat 7. Shetetuer remedies, 8,50 warp ln in sala de opera. ‘Actualitateatemel ‘Svecea! ne inten hua i inpal opera gin p= | roads postoperearic lepine i sare srk de pepien covet ‘olvul pent opera Un ol pimorda a pregiticapltologch 4 flit botoaviloc in acesia periods le reviaeaelr mise cu leativ& ndieailor medic intervenichirrcll edu In minim complicafilece poopie tinpul interven chiicalepccum tn pio pstopraarie. Matera init fie de obsrvi fide indefi ormlre pn tmeamen: palinice, bic delngije balsa, reed meta toss, indica meted. ‘Continuta ucrari practice Dapistabiie cite medica indesilor pans opera, bolaeal te preite pent nterveatiachirueal. » Pr eee peeProgatirespreaperatrie ache: |. Examinaea bol pe organ i sistem cu sep de prize a digposticulg depstrn afer concomenie, 2. Pregitirespreoemtorie a bolravl Preqitires preoperatriesbolnavalui pentru interventi plaifeate Bolnavl est xaminat n conti abun de re medical de fue Centro Meir de ariel Jedi san cli ‘Aceast nee: 1, Sanat foaror eroise de nec (a medial stomatal § ont) 2. Micro-uorograi (MFG). 4 Elero-andiograia (ECG), ( Esamenel practince ~ analiza gencralé a sagetis alia general a ore ‘motel eal aoe de heat Micro-eacti de sodimentare ings (MES). Gre dese factors! Ress. BCO-grt Fibo-pastoduodenoscoia (PODS) cz de necesita, Indrspare deere medical chide a Cenrl Medion de i ania lout de domi. Pentru cop este btigator 1. Gectificat de ame de fils cou aut contest bola infection ntimele 21 ze 2. Calendar vaesinclr | Bolnavi sunt ice osetia de ehirrge cit ais operat: | Asisenal medical din al de eatomente fener proba pent pein i paba penis novoeana. In aun oper, assent \ medial de gard petted oll ma cin, ‘Sear bonsvl fe al sou uy sci ej de pat oy Asistental media efetueuris ~ elisa evacuatore (1,523, fn dependent de potolgiein car ‘nese preted sera, cua fn nha operat, asistenul medica efetucas ~ cis evacitoue (nese) ~ preity cimpul operator, ade pul dezintctez pels ~ premodiala matinl (a indie medics anesteiolog cu 3-40 min init de operat), ~ tarsporbolnaal in sala de operate bolnval se tensors echracativelit ono plop cron. Ampceani cu olnavul se transport: fig de observa ~ eee oenahenologic (aca exist > tprube eu sre (petra cectuatea probsorcomaiiti, Pregitirea preoperatorie a bolnayulut entra interveniaehirwrgealé urgent: De urgent Cia se cofoieasi ~ Analiza general singel, ~ Alin general wn — Bleerocrdigrai. Seefeca = Radlogratia (in cr de nessa). = BCO-prafa in ca de noes), ncaa wrgente: Se ftctea7 inhalai cy oxigen unecit Se puncoaso ven posfer se perfuzead ser fiologi am rpurat ale sangels, Second ropa de singe ‘Secoecteai singe etn Ibortor pent determina eatsfacorh ‘Se luca impo! stogerii si cungulogroma ~ Se face onisolvezial (ee poibil,Dlnavil einer de fine ston ‘Se ndplnst dsinfectnen sitar paral = Se prceteste cipal operator ‘Seefectaca lima evacuator indicts medical chira, Efecuare premeiiai a indica medial! ansteriolog ~ Se tansportabolnavtl i la de pertParticularitille de prepare preaperatorie a copilor Assets mola efeeeard maainie anropometice Soar tlie, sprees prentate comp Cop mii snr cist, UI ce | | | treba Se fed au 4-5 or nant de operate, Inaiote de operatic, ene necetar consimfinatl i seme igor nf de observatie. Dad icin ipsese in oprai se crear un comsilin din 23 medi, ere au 0 desnie. Mec (ste anima de deci th site de opera se adminis eoaga taza, Vase (course ete scSrath congue) Pregtirea preoperatorie a bolnavall de vats senilé—_ cet bolnaypreznthwcorigeutl de i", ours ptologin ‘ur eae oevent soca c ate atest coocomitents (ibe at teroseerozd hipertoaic, Beals ieee cond). Aces afetun necesita tatament de crete, pegitirea pe fore aestora ate los imp ma ndangat. ‘ania medcullassenta modal, n fete de pat minsea ~eaiotonie: ; ~ savcougulnie ~ hipetersves ~ sitaminotepis: fnsilino-teapic Gin dabet zaara te ‘ Lnaine de opera, pe mebreleinferioare ale bolnaile ‘ane baz ae pi fs kt (rofiasia wombat Pregatires preoperatoriea bolnavitor sabi Pes stiles florian biologie, bln se peri ~ Sol. de amino ~ Annan ~ Aminoplazol Hep, “Aminoteri-KE. Hidrolzata de prosine Inftal, multipass, = Sol Giueazn s¥, Se iministenae = Poa = Prtighizan, = Vitrsinotespic. Trani de singe In cari dedeshidrstar a organise ~ Ser fiziologe ~ Sol Ringer ~ ~ Solu Saline: Diss TeisoF ee, © Sol Hartman, ~ Sol. Gisars 5%, De asemeni se perfzcar solu macromoecsace: = Refoan, = Hes Geltuzn ~ Reopolghcint = PoliniCopitolul Vi Perioada interventiei chirurgicale ‘Obiestive de refering: inssica aprotundnt a iastumentara uric pen cle mai ual aren chiral, fainize sie irate interven errialediart dus ra de mgs Obietive operations Eley va fleapabis 1, St imerprtee principal pur de neren chirurgie 2 Sh explie replied comporare In ala d opera, sepsis fa oct opertr 3. Si reemoasc pole boloavull pe musa de opera 4.58 precizere principale pre de inscente chisupcae gi tetnic ranaiter lorchirel Material intuit: Maca de baa pers opeati, stiri de inst ment chirucale, meri epansarent, ejere de peri, sahaane ntsc, bel utative, microbe Actualitatea temei Petewononizarca uve a seta de ching, loc open olin ext tit neces a cuneate Fanci oblige esx ‘calc assent anda a tip unel interven chiral, com Para trsede instrament pent diverse opera chiugee its mitre lor meses. Pena a destjra 0 activate ie rst Spialieasa, este absolut ress 2 caoascapegiiee esrmene| ‘aoe pee seria, conto posers st erizae ine: clos. Accste depeindei se vor sua in acest capita im apr Slaia if hirpicale’ cre nate rent va slg siied wor tli pactie ul pen’ as actva vitor itis sda ‘Continutul active practice Tnferventa chirurgie eons mean Principal tpi leer asp etc qi onansorbooavall eiaterenpit [eu scop de tatamont sn cu cop de dignosti. ehigicals —|1 Toate operaile se impart a}sgernd- se nsckingritatetpnentlor, ] By nesingorinds ~ nw se Tnesled egomeniclor 2. Dap apa operaye, 8) opera euative; opera de diagnostic >, Dut carateralinerveor 2) adcale~fnitararea fecal potologic oi a ‘organ eat spincctomia, ‘ypalaive~ de prolungirea vii vindecarea ‘u este posi J Dapa pra de enon: "planitiate~suat programa ia timp 9 pot estate oneind| by cpente— operat cre ru pot amt pip Indelgat, incon voici ncelerk a bol + Oren eget medi) ~ mina pe caieva rsa minute pune in ero via ola JI Opera chirurgie poate efor mam de Regulile de ‘behips operataie din care fa pate ‘omporae sala) ~ medial ~ iru. oper ‘sitet lu: = vm de peri: infmir. Dac seuilizeaa nreoza general soa include sfccipu de nested. Agar oinervecte cra sical complicate efcetuezi de un personal ee al mumrs repaid dcerminat debra ine lege dine membri echipes [Alm de opera revin ose arciie de reitre ‘sli de opera petra ir, s-Inalun eae afr (4p formula spon ‘nile plate pea don pipelines 4. Penta operatic extrem deurgens (shoot, lapartomia eto ete regain pnts ore. 5 In peo plats toate insane chin ile se tenis in miaopentilor es 5-2 ore 6. Am supeveghcard runes person mic]| opted chr Hor sss in parts eer prea sepea {etude metic te). -Obligita principal 8a de opera este dsr vite chiral eu instruments chirurgie ‘matric pees fa Jesus opera 8. Ain, impreun’ eu infiriera, fae eurjeniepre- ‘esti drifter mine bac ehpe= ‘ents ropes masa de brates, sme potatv. pol imbracd in cchipament stn ech operate, servete medic pens dinner input penn ener srl ce scope cn pl operator, aod servet narumentle [> nstramentle eae Gp el lor gd t= le opie, 10, Aim eebuie 8 eonroleze sare instrmentsor, cele zat falta atin. 1 Insinmentee se fer chitusull i? mods direct n mda chirp ~ Jeplneactledeminahruuli tense, 12 Instrumente oft stent, ex paca de lien: (comin, postu amu ri rida iran Tamanna carlo chiro sui pul opeai In instrument are eof, de sec mest obliga sh emoasc poet apcle Faro opera 1. Dac pe paul perineal sa atins de ew cic meso el bul dpa, ar ‘madi ebuie infra despre seas, 1H. Atm ee obliga st vegheze dexfgurre pe ‘ajeea suai tte onl compese ome pone nstmente Poa ez tmpoensl me {4 sii se sevese muna fate ey eomanga. Sorelle mar se mime (ete 10) lanes operate ice! str pli | Consin pegtven coca ricipanfor pei pai. 2 olre laimp a plagi, dese ae eae [5 Makes de pamament,faumenee Tote fe nt inten ihian. |. Sekar Inti mnt de eauciu defeat 5. Dack ft chirurgie Fi ere picture cu un gervetal ste 6. Daes chiang sella paicipang au atns 4: obicete nestle ect foe sv aia wo uta try ous ve echimba tot chip 7. To pric In ntcrvente tebe ss fle Iaeistante de le, dea asa trl |X. Laan tp le pea se vor deinfetai ile sol de fein au eu opt oxigeat 5. lo. in saa de operas ns se vxbeste tar il, ch uma sictluecesar. ho Migerea personal prin sala de perp este Tin Insurer lai wap sub wn jet de ap se aes dup fll lor, se preptese entry. ro entrar, 2, Lanjra de operate se controle si nn in Irene peas lege dap ll (etece Tasca, tag la coef, aa sete ‘espn sci de ara 30 wim sp la, Lenjria de oporaje se spl deoebi deal ‘maciale ale spill. 5 Mail de paasament floss eh se ade 4. Material de pansamentenjeia de opraieno- loath seagnmsdinnow easel pom c- ia 5 Insrumence chiral nefits ge pe reflede metal sion etna ssa 6 A adunb material de suturhnefoloit boranagele stele deseo de car ifm, lafimicainhideerevie acest orci. 7. La fil ill de hers se efeinez cutenia seoerall aside opera ised amc,Posie olan pe mesa de operat TF al (es ea te | cea suru) Morac Hegar cn fered ace; | =a ‘Pe un ule tril ae pregtete se de isinr mente pnt peleraren primal (act) a pia 1 Connjang~2: 2. Rack 3 Bist 2; 4, Foorice—3; 5. Pense hemos: Miu, Kechsr, Mosehit, Bilt 1-14; 6. Sonic bitonatscanlte 25 5, Portne~2 a. Ace chiral de difertedimeneani~ 6; >. Aca Desa ~ 1s io. Secingi~2, 1, Ave 2; 12 Depaatior de plas Farabet -25 ~_|13, Departed pap eu dil ~25 Pregtires cess pet Seschidera oe ep, Sei en vee 14 Pene hirupiale— 5 15, Penge anatomic «2 5 ane 17. Merial de punsament: £12). 8. Matsa de tae (eros aye, mas). Tepes ho ¥ ia Ric: 4 [3 pens cirariete®s [sponge anaomise’ts © Be fre A Pons heroes 6 i Depo pawn? ) 5. Dept de pla din: o. Sends ent sa tn [its ons cue patenl sHE 2 to Dremjes i) ates ole ORAL Dinan onbteple ~ — ‘Aydt 30% Se lanes [ Actin Prewtices Preptirea sect peat sei plea sess pets teraeotonie (14 reseed come) JIS Substanieanisepie: loool 70, fodonat, 9p owigenat 9%, uel 4, Material de panament teri: 13. Levomieoi, Levosia, slate hipetonis; 16. Substaneanetice: Novecin de 0.5%, Lido ao, Timecsing 1 Comjang-t rasi-4 2 ering ace pent ancsecialocall-2; BAe ea langimen de 818 el; i. Traeaet: sub de caine ew robin canal capes: Clava Bik; fr cave 2s is. Eprubetsts .Substaneanisepies fo, Lencoplates, 1. Material de pensament; 12. Stsione meses — Nowoeain 6 0.5% Lio aid, Trimeenins. Pensa pulonar— 4 ls: Depitioe de pags Fino Js. Pens petra bron — [.Aspirator cu canae penta aspirate: Substanfe antiseptic: aloo, dona, is. Masia de punsament. In tipel operise erescconrm ap oper I tnsrumuncle gecrale ca a wae oparile, [2 Opin’ abdominal, heptice 4; b. Pens Micalics— 12 i Departed Gove 1, [Lit 's. Deparitorl de pags Fi Je. [fe Rema Fiodorow~ 15 I. Pone intestine moi ic 1s Roafece-2 (ic are abdominal), 15 Spamla Reveren ~ dale?2 [Rina drops cower 19. Parade eaueive— I; — 2 10, Sebati atneptic:aaol 70% dona, apt te ‘onigeath 6 3%, rae 1, Material de ponent 12, Post de cena ail Teton Ag IN| 10, Subst anisepice: alco, odomat fics, 1. Mate de pansament sri se servese chiral dp regal, conform capi ens pu on Preptives |. Cormang — eecsarl pent, Brod meals (eit) extenzia 14 Potcona 1; seen ——_|s. Chen penra leven broel etal [6 Pons erica owe 1. 7 Atle Baer siemens wares 5000 9: Gren ~ 5-10 kg (lo. Suplimear: aeoot ellie 70", iodonat 1%, 2 | eldest sede Na e u ——— 03% 1. Seringi 2 ace: astute generar Pregitiea [2 Troponen tee noessarul pers. Ferestia desma Dg ~ il twepararea [4 Lingunie nose Flieman-2; " nila Is: ptr de ase: Lines, Liston, Daren -2424% ‘Sree 5 Spat crea ‘rece 7. Tanelator dus;Propires wphenea cpetadon de tostument penn feaheocomic >. Biss sccesarll pomeu8, Troacar 1: 4. Pens chirurieas 1; 6 Sonic Pee -2: 7 Series one ‘elt Coote de urn 113, Dilated tae tr ok +|4, Canta trabeostomicn cuubul beste 2: 5. Portas cu a atrial de va, 6. Substane antiseptice: seool 70%, dona: [7- Maeil de parse. Prepires 1. Seringd ce - 2 2. Pens chiral - becesarf peu] 3. Conan 1; prnctia brett Is. Troacar= 5. Seringa tne ~ 1 6. Aeal Bir: 2: Mae de pana 8, Substame anesteice Novocaina de 0.5%, Lidoesina, “Trimi- sunt o.Substme anisepice Todonat, aloo, fu cilia, 2p8 oxigen we reo So ica wi]. Cig ene 5 Bens gperte Hogan w=} 8 Substane antiseptic: acoo, dana, fureilins 9, Material stride pansament Sering, ae solic de Novocsinl 3%; Thy d db “omc | \ ( Isarere partes ‘owen maeCopitolul Ix Perioada postoperatorie Obietive de refering: Aplicarapicepeilorldprindcilr pe tie de sprvegere ing abolnvl dap opera pcp c= levor fd ols evr in setvitatea profesional ueioars Obicctive operationae ‘leva fi enpail 1 $8 prepasast salon posonestor spate bolnava 2S traspomeboinval din la de opcratic in salon 3.58 supraveghez boanvul dup operatic. 4. Siefecnezsmisur do proflaiea pacusoni de sz, tombem- boli, deebitsirloe ‘5,84 patcpe I pana plgior posoperstoi Actualtatea femet Cacicior medicale medi ce atv ta seta de chirp revine ‘responsabiliate major le realisareachnctr dngrijiea bolnailor fn proud pestoneatrc. Atte gril ot de Blan, rian ‘esta indicator medica crear condi opine pent viodewen ‘api a bolnayuli: Metoda atv de amen, gimnastiafrpratrc. ‘Simulrc felorimuno-iologicealimeta complet buses ‘alata nevi previn encmenle esa’ pula, edo lam "mum perio! spare eamplicailorpostosrtei ‘Material intuit: fge de observa, dein fide empe- tur obs de nije a bolnavio, ncn eto T. Tenperatira opt salon 32 25°C, Proptrea 2. staid oxigen contrat faloouluisia |. Dimineatase face cena wed (suprafeele phi boloavut| "se derinfcters on sal. ap exienat 6, sl (Coramin 3% snus ESAN, Cro de vor 1.5%, sol. Sepiabie de 03%), 4. Se include rps deca pent 30 sn Patulbolnavulei~ fonction |- Se asopers cu mnarn cea era. 2. Astemital se esis cw trmotene pc bomen aT os. 9 paps nds doa, cepa ins popate (penrua preven sain meric vie iso de medic! aneeroee Pan ada este coli i via cefie rin prstpertor [2 tasferd de pe beamcer pe pat d ite ti pescane (0 pesound susie capil i umer a dona avin eia membre afeoae) 3 Este cleat fc pent cicapul peo pre ' Pe pags postoperatrie asset msi! aplics eae Aco teapeacuelor bons Cigale |2° Unntrve sient = expreia fe ‘aol! in = aspect egumensors salon = rein posiperwor | pul ~ teniunes aril (ZA), ~ temperatura corporis > dinreest ‘carncierl cantata ciminshlor din tue dren ~ Imegsteza toed fois de sup veoh bolas - Supaveshea plan postopeatorcpansameetal luebuic fiw). 4, Faces indicate medica, 1. Pneumonia pstoperaoriedestaz3)~5pa i fecvent a boli dup trscotomi,lparotomi. Dacd nv exist cootaindcati la Indicate medial, aitents moti: = Schib pozta balay in pot. ~ Ried extent este pat~ Adina analerc, sprnetiee, upton Bice’ exe de gomeilespiatone: 1) spi expr protine: ‘Su alone jor pila op) theca jms ~ Aplict siapae = lms xian mei. ~ Pecca nb on eb expestorane 2. trombembotile~ pola esis const Riera precoce bol di pet ~ halter dnt po embeineroare (ema op) Hidaure bolsvast= pol paral ‘Aiinstase ened amcaguare (pare, ini. 23. Retna a wine 4. Comtpatile 5 Deeubitosare Temares Pncce 3 $a ft owt dsplioa BAM. (de esinia. «. Sepurarea lig pstoperatort- menial ie: otal 2) intensiemes doen pag eu enter pls ‘penis 6 sd waiter lis 4} mica secretin plagh Geil ou, op) prune) ~“Goveate 3 Species Siam Shoah oie vor ‘imps ul 1 tabarie Pencotors, Vt aclet in aaa greta sage Petit conti ae «eos respecte riguouel «asset a tinh pons. Pana plait ‘Saface ssepes ence pe maura bis punsanesi, hua et oath 24d oe. Capitotul X Traumatisme. Leziuni inchise ale tesuturilor moi. Luxatit “obiective dereferint: Formate depeindeiorgprieepie pac teen realizar inervenilor urgent peice insta cones de ‘taumatsme lnchise le pmo, hse Obicetive operations, g/yiscjyinl Leofe) Alenige oman ee ILS DS La 1. Shiacimoftinf de obigaunit asset medial de ats de a punctlwaumatotogie 2. S inrogisren waumatizai in rgisea 3. Shapliee pansamente moi de ino izar (2 ena S/S iimiks .ter & ar . Se" 7 3 3 Sar, 4: Sorin sea aanoraemsel mes yh inak me eet (AN BT sma de sri a ~ entorse; hus 6, Stefeteze mobilize de transport in rama meer, 7. Sa completeze cus pnt pots ail Actuattates tem! Cone care se produc acientle sit fan difeitearoge ‘raat ptf extrem de vast ne ipl loves puna sac w ‘cop re, ont pd a expo de poate. ‘Epoca in eae iim cractrizath prin creyerca progres imlus- tobe, moderate sitmer de mecanzae 9 consi, Wl aon ines a miatoler d= ceca, practiare larg + sporti ‘te fae ca nomial vaunaismnooe fect crexire, De acess ‘ee imporant ca codrele medial ef cunoase netodele de nevis, ‘Siena de urge thie de ng ale emaratiaiale ae de fo, vat, atele Kramer, pat e chins, musans,lghean, Wve renal, mani, sting! monet, sol Novecsin, Liban ‘Continueuttectie practice xaminaeea bolmiilor taumatiath {a exameral biel bolvull se pun i vider ~ Stoen generals ~ Cunostings ~ Freoveta ial respi; = Permeabltte elo epistorit; Palau ~ Tenuate =, rezema hemor xaminarea segmentulailezat pune fn evident lcalizarea si ‘arate estunloe Se tre ate. ~ Tint ‘Mess bolas ~ Forma porns eat, < Prezefaechimoreor, heaton, Seat leza in cazl membrelor se examines in comparatic cel inion evident: ema eal, ~ Detormare regan Pocita membralt lca poste f ria = Aantal acu = Paid Ga enone nr Scare ee oo so GAL Sse mt ot panglea centimetre (ina oi) ‘in cet ec panel deport proemineele ous: ~"Treanteal mace al fe = Natt = Mette wea, ~ Proce scromal al snl 1a papares regan eae se prec Burra, = pee oa ~ Pula pe ares periie: Hemstom intatislar ~ Seniilitata tet; ~ Seefetucard misurea compertvaa segment leat in apart cues sins ~ Seapresae:) volumolmigilor sctive sipasve nara ‘formal (cu dnamemetu sau pein ic ascent 1. Gontazia fesutrilor mol se manifest prin Asisten de |” — Bem (sei), gents in ehimone ‘waumatiame | — Dare a palpare i ep. 2. Contualaarielars prin ~ Tree ~ Mirvca nvm ystenare life ain Iai eat 3 Entorsele pun in evident in afars de simpto- -mele deseris mal sus uematearee: "Durer vie ps teicetl ligaentloe wieie asi pave rode ian ~ Posie antalies Tra membrane Sear tp de lai). = Dison gue ates Tuneacie local cw dem, Seirars sa aimgies membre Hipenermie local Ehime, |s.Asistenta de argent S11. Suprimares dori cu So, Aan 092i Sot Dine 1 Tm sa Novoesininare — filtres amt ‘go. Novecaing 1% 10-20 al ease tah deere medio, 52. Pansamont compress pe segment le Jn ait pansment ecu be rnin safle Kram. 53. Panga cu phoad lol ] Si Transprtarecramotzaor ao une nitar pila fa ntl rma Nos: Se efecaeae exmaaulrdjloge al sg rmnta eat m2 plana (20 Poe ‘Sindromal de compresie indelangata We steiviee) | sti eovemapareinexz de catsrofe coeur de pdt, lect de eeo, Me ietori de pie Maniesir lee! Shepiome geosrae eo mice, Se inter pid olen Ogun Ane Tingle ocean ~ ‘Tegunente ple, iano moda Fdemol membreoe embrace paste 3040 in, secont-—-6ore pi maxi 1224 08, Asistenta de urgent ‘Guu Esme pe membre Deajeresvictmed de ub compresiune Suprmare desi ~adninistaseanlgeiion, | spf (romeo, mopon, local pax rani eu gl, Novocaia ~ fects d modi 4, Panearent eo fa elastics pe near 5 Pung cu heat Toca 6 Inara pee map segment rat cu atte goflabl at Kemer in ie aceon, ike zl. Poliglvced, pls, albumin, bear bona de ati (acide Soop ae eee SOS |ascgadeo errime meme oa Tier tox) |" inden wemaionce mmr peter Times | “unc mao a play ongire | thesia cava Tip fame a6 Fr ‘Seo 4 Banda .Deao” | Extw ands deimobizae a mem saperioe totes aeons Hiiade cet onl ial a cp Sneha Sanh = Bet) re ee= aaa Conran 3 = Proc fam egmentae a zona ete Not Limiaca mieir de deni i aca- maz eens pci Srarnatere verve spect acto Vocel panei: cr | nee, RenaNoRT Apticarea pangii Debernostaza; ~ reducctea edemul | cenen saa Gur S Indies Entorse, confuzii, compeesii, = wnctia — Hemoragii. auiaeaae Lurxati, ees ate pugs bc do she, pou eu lee “Tec ect spn bil heise mp 2 an ‘lanl aan ° ~ Sect al ante comeic ecg ‘ Disk pgs a unentse grge bin a 4 pete gone pep ut ping uns ~ Scaplicd un soutee sou un prosop timpaturt in? mee emes® 4 yeremes ie ee, aes —— ~ Ducts ins pe tn nding pte a i : sce 2030 min. alte 10-13 mn | Pea dine pittance oda ~ Fede hea peta ear IV > tnarmnet 9 meri sere ae 5 __| sine tu ne Sa ‘Ate muerte BARE tye wth vite cae ~ Ponere inciderha rezet eid ‘lar (Gros, parent, sanginclen, ~ Recoltara lcd arial in vedere ea niin sa, ~ Evacuielchi Indleatie. 2 pon "Tomson ce a hms, | 7 Retin sits fren rs Area aver ml * seralepaln conic gradat tla phat. > Medicamente mestezceloales Novocans, » Licenna Xi 1% ediamene satin matoriy"dtibiotice substan de const ralilogi in eaz de noes.| ee ‘ert exstrs pn cm ate cat evan! ata eae Femi nds pli 3. crea nc Sere de ie mo, ua de 12s sid tet csin nl (—Niies!_[_asitenta [Aston Tai spaldi mainile, le dezinfectears ea siete Donatos fle cl ims fis ona dem i ct anc foveal pike |S aR eevee MT tia loca (ele sei pene sear ss anenee feat cdmpaloerveste chal [suiccu pi protector ldeaintoctenz local puncte Jexeouts pontiaserveste evinga eats pacie fsa iid» Jaculdeponcid ull suprave- shew esis Ha {tn was pr] it, tcc fs erate reiage sal [derintectenra punetics focal panei i leomprima cu [ampon ster [ere my cal pone i fina cu fgh io apis tela chips care ob lizearsaticulaia pone oma, Tegra uterioard a pie ~"Scasigrepausulepan. Se spravegheazastaea general seme ‘ile ~ Scsupeepheu aspect pansantu ~ Seinen parsameatal compeesi :nbi- zara in inp de 24-48 oe 5. Pregtne produ pent examine Sepregits epee eich pete ii tere la aboratog eetichecaa mewn se cramer eau (close, bacterlogie)- ~ Examen] maeroscopi se fesimedit isu "due ent, iepreindaseapeet 6) snguinclentCopitolul x1 Plagile Oblectve de refering Asian de re clev a unr cuosinte noiespre pli crest vasutaconsidentl a seivhatenroohoee J Obicetive operationae leva va feapabis 1 St acopere mau ster pein al de paatmente 2. Stop presivesnesesarll pent prelurare risa china scala pg 3: Siefeetezepansare pli atetin 4. Sa cfectezepumsarea pig spo, 5 Sdaplice sour nodal pe pla 6 Skint state de pe pings Actuatitatentemei Comportinenal Pil” este punta de rpc stairs tuturor fei chirrgicale De nivel insti acest teme depindssetivittea profesional a ‘siti matical atin acordaea ait de wien cies n ee eau pif al aestorbolaay Este sbsoltnecesaraseeunoape metodele modems deratamenta ‘Heir lie, dears seen ce Sel come ‘Wiatea morbidititit accidemtailor << Matera intuit nsramente chiral, substi antiseptic, leis de ocr, mater de pasa, table ita, {iam materia dsr, mons de cau. caso canes boca etc ale dren Conyinuta activitih practice pepkina | ,NemitrabChalan erleayeiepcaTab dapat Proton [ieee mica de parsoment arene: beste sect pec |sterie, mou de cau, substan antacpuon ‘singe stance chek srg ace meri Pensmente —_|pmemen:cnplra cel anieaee se (ene, Trofrl Mee OT sy wo Propitiea mise [Tease serie eae Tomi dpe ‘colle in exteror 2. Se pone tes de contol cali sri, Se.oja73 aerial de pamsament ine sit Ie 4. Seagese8 25 souece [5 Seaeatmaara crac ca scutl (6. Tei colar extere ale sealers se geet unt steal al ple, 7. Deas se pum alata compese mall, prosopul 18. Se pun indistra ste, ve acopert eu at Pata col al sue 9. Seine cals deichid nfiil ssa pe ‘ichethdts,r, l marsh ginger Se time la teria in auoesy ‘Nezesaruls Mis, esol en Tene ei gi ou moter depansament, instruments chirwpale, ‘Mee pe sala nubetaneantineptise, borctnaye desl, dre depannre "Maso crit penta ela de pause se scopes in ices dimes Dui derinfsctarea arte amp de cae ip de 30 minute, sc derinfecteuzs saa cu vn yore mist 3} 30h lors de 396 bso pa oxigen ge 3-64, sol lrur Je vr de 0.9: sol epabicde 0.3% Asitental medical (an) if tmbracd mas, fy ‘sali mine cua ald i spun ‘All deste eoleta spe sie, cu eomngul eri desface primal eal al calc si sevate fest de ental, ‘Alm scote dncasokeaprosopul ev cars usek ‘mie. 4, Amin din cao comrenel ou ari dezin- fecteask mn iimer tard aol ells 710, lori).ase acpamentl el a, aT 16. Acoperd mists cu mesma 7. Aseeza sete! seri conn regu IB. Aden dia sue care se eftez8 dence >. Pe mu stra so epeaza marvin de pane nent din eisole 10, Din ea deschiside cue ifr, a ate vole v insruentele circle il e228 emia seni 11 Scageaacuvaevboresnsle penta sli septic. 12 Inco sting al Bsus ast pens decry 4 fares 131 Masa se aopert cuscuteul Jesup. Din spat 1 fcear ow rei ambele cece ang Din parte de hen softest See toc Se dsp. 14 Noi ebatecebpamenl tes 15, Pe ntsta aur acer: fesile de fon, er: par, elo, boreinaye eu unguens, foarte, berenay cu Bg de dre, terol de aor, ering, ace te. 16. Cu inceprcapatsamentelor tera in bor- ‘estaje soli atsetice nossa ca spicase feo 3% cau fodonat,alcol 70° cl frclind, ol ap oxigentl 3%, so. hipetnit esa ‘Nevesaral: Coming, pens chiral materia meet de pansment sti, material peur Tatea pus nent, pense bemostatie,aleoo, edora, ar ec, bic, cand eu aps, ler, ern ‘Se pret hemaragi atrial cu gars id= rt halna, se spl njurl niu ap i spun sin degresci eu eet, benzo. Maia le pli badijonen cw alcool, fda. Se aplcs Pansat ster Pepi 3 pansarca plagi sseptce a) Prost omarcs pls purulent epic) Aplcarsa ‘stutilor pe lag Nectar Cong, pean cgi Poe, substan aisepties, ont, verde de int, mate is pumas, meet tr Gres pas Tec: 1, Seostrea pansamentlu ech de pe pag 2 Badionares cipal din ju pli eu odorant sau verde de bil, dela pla spre perfec miei de rota, te arin tempen 8 Sebadijonesz pag ev iodonat, verde de brian cual anon, Se lick pamsmeat tefl Sefixari pansancutulenenplasty, se tion ‘Necesaral: Cornjang, peosaaratomies, pense hinges, sonla bron easlt, pons heme stag ge de drena, susie aseptic, lcon, odoat, opt oxigenat, facing, sole hiperto: nic unguien de Levomicl, Levesin, ait a foci de pa, fermen protest, material teri, material pera fare pean. ~ Se saat pansaentl vec |~ Sebudijoneaz pcan orl pig de ts exterior spre pla cu aloo) toon '~ Sesral pla eu ap cxigent apoici: fara | Se ures pasa | Se inode iia de demas turd iat In solute hiperionis, Levosi, Levomioolt sat se presaaplga ou antic ay fen | Seale several seri deaboxbire Se nea pateament [Necesaral: Pons cw ical, pend aston, lotiac cua, fares, atrial de pasamen, sb ante anise alco, dona, “pga” ‘Mal inti se imbrach acl pe port, Porc se Asshide, nul se fxead in 13 de lurch oe tne cua, se incide porta 2 Ponca en in palma singh de tan 3. Se pune paral material de strainrares stunlor de pe plas Propane rset 4s insraente pst pelea Dima china ial pig ow Tizares om) [SSE ese pe sab pone VET porter 56 ‘ee il in weehing. 5 Firl vavea un capt ma ing de 25cm nut rai scart de 36 om. ‘Sut nodal se epic ev dstoja de 0,8 ns ea marzinen pig 0.81.5 cm inte dice ~ Matin pig sea e on oat ~ Se fxeat et pena chirvcléo matin, se face pons, fst es pons chs cata dou marae face impinsitrs i lagisprepee S foe od Ino marine apg, 6. Se suareazs a oat pana 7. Seinu ote ile materi desu inna ‘tng yc foarfecel ew fee isd fang Ineade lem. 8. Se badjoneszt pga ow iodo, 8, Seales poasament st. eeesarl: Pens aatorieh, coming ourioce vil akc, substan acetic: lel nat material er ml pla | Se tndjoneaspiclea in wl pei eu iodonat el plagt sre pie = Se badyonears pl sutt cw odonst. |- Cu pons atomic se apuct dene, serge a im pln se deren fia | Se taiceu fearteoeit aly sepmetacwvacs > Anse procedew cu fea fr pint fy Se hodoncar ev non ‘Se aplics pans apt "Pen sents at de pe mis de ponent June cuva eu insrarente pei tatnea eta. eal activa pig. Cu pene nnd le oat po Corntang 2. Rael Bisa 4, Reatece 3, ‘ones hemostatice Cache, Moshi Taos Soode buon, cancate- 1 Porc = 1, ate chiugiale 2, ‘cul Dan 2 Sebsian aseptic: aloo! 70% odoma, mcial <& pansnent ter In imine veel preptire mputal operator fctare price "| primare chirurgie splitopitolul Xit FRACTURI Obicetive de refering: Sistematizarc gi gneralizares contin- tslor, fomarea dprindailo i presponr practice de acre ass tenjel de urge i aplcae a itevenilor sposifice raumtizar eu Fret, fit ce i aja po elev aati proferonl ulead Obiective operaionae tera vf cxpabi: 1 Si examiner bons cn rath 2 Si pmo uncle mdse de metrdae a see de gee frectu 3. Sa suprimesinroml alge: 4. Sa respecte reulile de apiare st efeteze imobilzarea de troponin ez acre oslo dvertecumilasce pale sieve sina 5. Staplice pangs cu het pe epimca lez 6 Splice hands cu fa de ton pe ene Frat 7.58 pretenses sh apie fj ata ght £8 Insigenek evaluates sempclor de erin (absolut) a fret achive 9. pregitesed etoile de intramente pnts 2) race catia cu bog tramosous (eatensasceltl ‘yintrarcaapaateor ghia. 10.88 pacipe Ia parse, tetamestal i aplcare intervepior specie ols ea acta Actuaitatea temel rvamarca progreul ebaio-tiniie are ea mae creer umf writ de wanspor inchs a clo invidle- Ab de "ovo eondedttir auto precum sa pstonr, erspecirea re Ir de culate tence seria nevis au fvorzt cep teres consleratildataumatisnelor ya facto, wat de comin rave ype traumatic (cu! hipoolemic) Carclemedicale eu studi ‘mai descr st prin at vin in cmtact raat, de compe tena or devon depinde chiar Vian aeidena. De asc ebule 45 dea dovada de competent profeioal si esponsabliasjridick ‘BH de vst acide oe ra ‘Material inti: ge dcbserli fi de insti clu ven enolic material de pansazen anal, fxd tion fe oh pats, Stele Kramer par, istrments chirped ‘Continutuletii practice Noun de fast netude inrorapere complet sa ncomplt contin onone Recuoayees sn cl putin presupunera fractures abligatone ‘ents cree caro santa n car de suspicion, se wa proce ein ‘ede fat, pas I clarifies diagnostcul de care mai: Fracture elas a) Inchse 4: Simptomatoigia etre nehine se inst = sexe de probit s ~ sere de eetiuine. Semnele de probabititate sent urna = Durer spirits ods cu tematic ete Liat de bia nium pet fx 9s asec in mig = Tunchaee. = Fehimace sau homatom. = Impoteta fnetona. Portia artlje (ot) sop et ‘Toate are simprome, 30.0 mare valoare, con imil cuset lun retura. Ele pot ape eum list de actu, Semele de crtitudine sunt emitourel: = AMscarea anormal (gaolgie) 2 segment facia, Croptanaosoars— se apreiara la plpre ps pet fact ‘secant anor pm ane ge~ Deforarc seen fracturat—s poate determina inapcc- ties appre and etl muscular ene mai scud, atom ler mst prea mar ~ Sertaea sox angen membrat (ui ator conde ca ‘sco de probit, Find presen in ana). Fracture deschise se manifest pin ~ Anvcraperen connate caant sau musoaslo ta nivel respect ~ Hemoragih Fracuie mnt oie dese de oc rauaic ‘Seca traumas daca Joa foe 1m ret exc), eater pi ~ sare dats = site deat ~ se decane pao mtr: illite me a ‘Acca fir pete ur che laws ao 2. stor (ihe) ne ure spi scone cele ine i aco “Tramatat ese wren nrc dare naire, ‘Tegumentcle ls ncepu su! pd api au mang ciate sunt ree la palpare Respleaia: superficial, feevent Puls: eaten ifr, “Tenshunen arterial cers, Este fccvent lia i zo clasifcare sail soca ‘Siaale | Publnin | TA) —Conginfa | Piro am somica Too} ibn. it _——[aerar Too. 120 | 90-00 | asta Sb ih 70-40" | —oombinte —] pate 30% | Sasa gaia ee] ‘Teale de ut soma nvotdesuna de valle TA eters ist isi sti de oso sede cu 20 mm igmpune untrtment de deca. Penny un bola js a pita In stavedo oe sain neta pou ‘rapa, asistenia medical andi se aia ~ Adminsteacd motiamene aalgezice sol. Aralgins 0% 2. Sol Dineiol 15 2 ~ Insialeaaparatl pent pefucie eso. Reopliucnt, Retr ten, Hace, Geos Determin ropa sanguin i olesteant ste pet contac Rift ~ Asigur chide de pesfrat,nclusiy singel. ~ Preptete apart penta espirain ssa, Onigenorrepe ~ Aldmiisueaz4 mediamentele neceare pent rechlioraes| fume wal (emsoconstictowe, carntnice, horiosale te) sel. Adtealad (su Norden) oh Crdiaming, Dexame- {azon 4 Predoanion Iroduce Sona permanests in veriea rina si spravephenz pera bolnav sistema de ‘wen in face’ | — tobilizreaprovizniea opmental ret 1. Hemostaza prosizare ia eal Tatil de hiss prin compeesimcacitelac cv gaol Es art cel impreviat. 2, Calmaren dure ~ Seadmiisweas stpefiateprmedol.omno- on) indicate modi, sav ~ Taflies focal de facta cu sl, Nove: cing a Lidocang~ exert de edie, In ips medical, sistenta medial (Flees) acminsrar: ~ sol Anal 0% —2 ml gi = sok Dimedo! 1262, Yn 3. Evitare infect in fractile dschise prin pi ‘aca pansnmenth ser pe pag 4. lmottiarea proviore (ie wanspr) a acai |S Transportarea de argent vite! ito n= ‘ote sniardspciliasola sistema In tnpal aie sparacelor hist “Aparaels ghipsae w eonteeioncea fa ove moa, mundus pres pe supraaa sepmentsor [pecare webu le apis, Pregitres Volnavalat ‘Momentleesenjale ale preg bolaavlut Supeiarca duct ~ Reet faci amble st exculate de sedi ~ Progitieapsbiet a bolo abuie s fe teminil, pent cael st ab dvinia de ase pli ct mat cand aparatlghipst i fe Convio prin aceasta ae ee salen gi se asigura vndecaca, "Tanepriarea Dolnavi in comera de ghips ~ pe braeade. ~ Asigurarea povitieladecvae a segmental afecit se fae fa unctiede local de apie {ell ayaa pip. ‘Gi aplicaeaaparateor pips snc nessa el putin do sistem: ~ al ~ sig porta adecvt a Segment mobi ~ cell — innate fel eipst,pregitste telele gi servegte mediel ew acestea gi cu insrumenele ners, a canal fractal deschine ecu asigorts Igrjic pli Accesul pgs ace pi eas ea ats eis rin apie de apa hp Pregitinea pers feansosass ‘Sefce ea cali Wea prin oe, sb anes aie local eu so. Nowoeins (Liocsint) In ela de tratamente su in sala de ope: ~"Bolsavul este ajerat pe pl tare, aoperit eu salen antidost| ~ Popat se anpuscara atl Bll = $8 fxea ramele Braun de maria oti Pansarea bolnvilor oo exten contin ‘eansooaeh ‘iateres = Pemdetich, = Potcsav. ~ Chea (petra nin boss netic) aur Gre ~ Tavis, = Conjans. = Bros netic sei Fito penta sompeese (do). = Penst. ~ Foartce, ~ Merial de pansarent ser. ~ Solu ane: lool TN ana 1% ~ Sok. Novocin 94a Lica ering ass ‘Schiolare pomamentclor se efectuca slic penta 9 preven complicate purlenc ~ oxteo: aia bro Material = Toi sit. = Corning = Rome (du). Foarese = Clip teri eateco, ~ Compre tsi. = Alco! 7% ‘ = Ta peste mei oot “Tenia teeta Indpareass faatarle din abel pat ~ Slat compresele dia jurul bogs dina be psi cu pensInsane er aplicurea portals phipeat [Se serine pie des pms ban {act eu bog, eomprese uct lok, = Se tale cu fearfeclecomresle serie sid oxi de patton ~ Gempresele se ume in aloo! se api In ra ye meta din able pr. Se fxsar compresle ci fixator, ‘Not Matera foostesecolete ato tava il por pera bain. Ferd cieulac Cite = Chit en coe ~ Fortec, ~ Dilataor ie, ~ Foufece Sill, pent inlturaceaaparatelor ships Feil de fon yi cee whips tie ev isto Imentle respective ‘ll =a Ingriivea botnavitor en fractusi ng generate: tal bone tebe fi adap a natura sigaviate ft ~ olnuval eu etn, tt prin exes, ete aezt pe pat due (se acoptl exo send, aoe salen atace) ~ Suprfey pau ebwie se intotdesuna pret etd Imbiiare Grable pot sxc numeoase pore ot, ~"pacumoni hips = sar de debi = cing civopieliag onan Pera a proven ceste complica, asistent medical, insista ca bolnaval ~ sf vorbsas, = sheet, = Si cxovite eer de respira g = mised ative preoce din tote aul dere; ~ siriiceexreritete cea a pata pene acres poi semi ‘e2indi blaavlul ses ex posi) Asisenta mea ~ Vantin tata sic bolaavsl a pat ~ Vader brine instal pat. ~ Va uma nec mur consuma bolnsvalalimentle serie sau = Va sigur mena paiva celor ce mp cs. Sopravegherea bolusvtor traumatiralt Pans a rormalizarc valor sient eal vain sub supe veahere pemaneti: = Poa = Respir ~ Tensinoes aerials nist ce odin fosin de tempera. In eal sari complica, va ata iedit mec ‘Atenja personal medical trie 58 se extind tit osupra botnavla, eft gf apa apart ghia. Bolnsval poate pene der. Cauzle drei pot ~ reduceres Increeti a fractuel control ei acct prin cxamen railogi, ~ para ghipsntincorectsplicat~ ar post fi 5) suri cae maga mohiiraren peter mpi; ‘sting care singhotete ica sat ©) as unele puncte, ude = feu indo pe fh a sa Tost materSeva controle Cane degtlor: 4) ciate ~ in ez de st, Dypalde tn cz desehemies ~ Terperatradegsteloe 2 frets cate Patel Ia mera respect ~ Tatura fa migete degteor ‘Complicatiinexzl plier! incorete a aparateorghipsate: = roca de debit, = pari: — Vind in psi icions a oat in goestecazur pra sltbeste sau se schim exaal pou, Reabiltare fanctionalsbolnailorcw rata Tebi nesp cima pecs pen ee saa nn sete Sot “ijt actve-previn stoi, buns ecu sngvins ~ imostica medical; enpoerapia hintoterapa), = Fite, ~ alae Acatemtode conti resi ttl sa pia fneilor Copitotul Xitt LEZIUNI TERMICE ‘Oviective de referinghe Generics yi sistematizarea cu elon, formrenpriceperilor i deinerlr practice de acndeass- {enfel ds urgent in ezan eons fete intervenor specific $i tahini defi a blravor eu Levin teri. Obicctive operationale anestin ge loa a feapab: 1 si eainca bola cu econ! temic 2 Skip ops oi. 5; Sa pecs pales tamentlolnaval rin mods deci 4 Sipaticip pos ttn x emis. 5. Stesencte 9m comoldeas ena dealer» bvdsjlor pe conse penibe Actualitatea temei Leiniletermice nto categorie pif de zumtime a evoe aia depine fit de profurzimen yrecum $i de ses lec. (Gc cit a severe sunt lel, cw attra grave smt conseinels (geomet, Combate profiad deg IIB-IV~ Ins dup sin sect ‘hve (ato viioate,tebilor), ce neest opera pasties ee Strutiv, Acts extgorie de olnavi ncesi thn de ii spei- Fes especie iguana rel de amtiseyse gi sepie sop rrtiment ‘aro lnlstrcinieduse,freprinder ncn. fae en aeidenisle prin electoeulte si esl de reovent, Asst cident se tebe adessor cu dees] ecient 0 0 dt, ct Asceul clr cae fnew sf salve un lectocus, fia net sin ‘eng cuenta cles, De sesea este foarte neezsar ca toute cade median enarea mash a popes emoasd bine cael, onse- ‘Cole tes em tebe eve eleeroctirie cum pot fi Wats, Material Inuit: ie de observa, fd india ecems de aluate»sopralfe! combs (retoda Dalim, ide ilo, nt there chips, eed medarnentoace ants. : : My ' ee ee‘Continual edt practice xaminaesblnmilr cu combust {Scrat aestl blot se tage te ane: ~ strié genorale @ boinavului (sc, toxernie); a srs | = fpf ea temic. Din prt de ves profi, se se cif pu toe we dnt sot vd na aceite ee eels ale psi, ulterior strate sbiacent Combs de secs spt 9 ean pi: ~ hips: dem, Comba de gx enc pti een su ape or png pte tenn ated ope eo plasmil de culoare galbend, clara, sero-itrinl, a Conf de gr TA ets oo soe ue a fae exh evs oi es mere sn tl Were Conidae pin rez str ‘wo fs Ge cleuti en ps pr gio zrecult grado gradu th) gradul V aan ee an | ores, | Serene aaa mathe | ee oners sea eee aoe meet Asitnta de gn nash shinee Fare Gatasatat 4. Rdcitea supa lezate sub jet de ap rece, Bip ‘5. Saprimarea sinromi lg urero)—admi strate sol Atlgin S0%~ 2m cal. Dimool 1%4- 2alsausupefianeor pronedol,onmopa be indiatia medica 6. nine Rarer ~ ae pe cust eu far- feed, 7. Teale prima spat ezate opines um pment ssepie:Dact sunt lect rembrle seimobiizcarsstele andar sas cu mjnace inpeovzate 8. Tramportres de un ola a0 ui> tate star specials = Conta de Combai su sexi de chine, tamatooge "Notis ics supra combust ste vast (10% ssa mu ~ ce mooteaza sistema de perf cu sor Tiilogic 51. Glucoz 3%, seadministeazs oxigen lumen Tn combust de gr. I-Y exe obligatorie prof oxi tetaoval~e adminstenes Aston te ick Smlqrevental Ser atetanic 3000, dose rece plgile pin arsun sat foarte susceptible de a face o infect eta, ‘Const in indepen petaliarce wba esimice, Ex inci: 1. Split abundeute cu ap str, sor Gols 2. Newralizares aio sl alalne dite: moni I% bicarbonate sei sae azsloesu Suh aide labe: ete, acete 3. Parco de fosfor ee itch ox pens sas oo pl apa sc aplick parent cu ol de Sulfide ap tn pres epimea afeciat cal sei 14. Napalonl se snge cu paint une, lt ip. [Not Arsuileproduse de acid uli vara ‘resins a se spall cu ap (ln combines lor ev ape ‘elimi ella se proce spies ms termi.values spe {eje combusice 8) Metode Glue ‘now (regula pales Jproceate (4) 1) Meta ‘AT Wallace (regula cites" “waculiy (regula cite Wcopir) ©) Meta Postnixow Calcul spate ave ve oie wean praca dap anumitemeto- dey scheme table “apna alin um sl epre- zat 1% din teat supa cor pi (caret ea en 100%). Tenia fetus Imaginseaplicdm palma ps supota Lzat in sis mod apresind asl sopra combust In ‘Confor aes rep = Copal git erent 95. = Fata amcor tna — 18%. ~ Faja posterior ranch ~ 1% ~ locate membes suprio Flour mera inferior 18%, Regiunca perineal ~ 1% ‘Osu cate dept 10% di sian compe uk pate 8 etemineo ste de $20 Pe supra lest plies elie roengheno logic ai (ea poitilen) ge Inseam oot combusted (imle) ou verde de rian, eae se lcamserk pe bie mimetic ise caeleezh in cco plea (cn! Exempla died penta Prephvea pra ‘olnaal ew lesa terme on eta fin meta ‘eta . Meteda Dotinin [sana ie = TOO ea eT tv ete eal: 16,00 em? ~ 100%, iar 240 em? x4, x= 2400 om 100% 595, 6000 en ‘Apes suai 6 profi ko ai, i Hise on min wv Tile opr eu eat Gana atl fica nd de exanaten oteeliore pcr fmcabis de aio, deste), epatsanpluca un earas d met ee po penta ete previ ce np elie ome inp uae atari cracls scope ever attr si. Tepertr slo ou encase mie sat 25 Sata oti [tsetse acoperdcao ent proectoare mi e psgtseccaensPansnea pli Ingriica bina combi ‘Se sig Ta eon de asopas pare, ‘Seeforucua sub testerie general evenoas sae prenedicaie, “Tepuiestele se pak ca 2p, sl, Permangacat 42 Kali, sole de bromocst el. Fling sa ol. Rival, sr vane bona se sme ‘inca eu sl Permangaat de Kai, ‘Se ndeprac cirri! sure necotiat, alzatsoin sei de chiragie sau sumer tog 10, Prova infect ttnice ~ ae edminsraea| “Anstoxins anes 05 Ser antitetanic 3000 ‘is dgertar de grad I-IV se adniisieah $i Ser aniganateos 1 Combeteresinferpes adminis aniioice ‘pects de acne Cela epiol Tmeraperea simi curenle cece, iguan= Asien de sent in cevrostare {eon inreraptoruh, tere cablu uncle "lat se indepen fu un obit a eon factor de electri (bt de Lem seat, mi rs de cate ee) poly 2. Degsjre victims din chmpal electe 5. staircase vit ~ eosin — resin = pula cour cardia; * renin ppl a mins Tincar do nessa, se face resscitres csio- sspttai cerebral: ur apt" sa ur a fas lian sacull Ambo Ruben pmsl niet ol cord, Sa J Vista ete cleat po supra igi (ow) Indesit doa, seh omopal saps |- Sedseheie hainle ce stingherne, | Sc eontrolea pemesiistea cor respi ‘siperioeese init protrele dente da exit | Satara seageiingemnch indepen |- Carmina sting past pe resanes rma avi file respite nde ope,at e daget rite a aii rete pensar rar |+ Cavitteabueasa veimeise acer cio buco ein, basa Co fr le. J+ Salestorl fecusist 0 inepe prod, iar xprajn~ncaitatea buat vite - mance se rept de? on |- Mins sting sc amplasard perpendicular pets mes inferoara sterol, ar mina dean pr pendicler pe ea stings, J+ Seefeetcars 810 asi ime, J+ Moncrcle de resusctr eefestes pi apare ‘espa sponina 9 resale comtoxtilor eat ive (eu drat de 2 oe pn asia srl {eis wenporreavotine in instinctind avis de gc ie wera de ak salator ‘nul efeetucazt respira ails a agus gy mse 2. Al ila ~ masa ext condi Raper respajlr ya manera de mass ~ fate solicits brignda de ranma, > Bors seinuberlisetseenepinj dij, [+ Se transport de urge in instinct Capitolul xIv Infectia chirurgicalé aerob& ‘acuta si cronicd Obici de ferns ssn piceprior yi dproderior pra ‘noapic eerste poate fect ale, netic ce pein ces a isp palogi ni de SS ate epoca Oise operatonate 8/4 Feh oe hee leat eapebil oA capes, 1 Sleumieatalbadevinea shinee ce enc 2. Sidenonaters prepare eet J somone desc deve ae purse, 3, Sifters parses olnavilr cv nk cite 4 Staplice band ceo, spl 5, Stefecize itr de rts proce sips nile rrecoce (fia de nflua) refuse ed apcarea pea ca 6 St pate la fetes int renilr de ignore, rats stent, nite roa fess charges Material inti: Bon, astute cing, mse substan amisepie,lenjrie de oper, dren, sing ac, sitome pont pecizae blest de ing, ‘Actuattateatemei Infectia chines presi atime infamatori inal eve traent se utlizezaioterveni chiara. lfejia chirurgie ee ‘a dine cele mal iepndit patolog nite de cir sistem ‘medical de pot ebiragiesl Din factories ce ac loner asp organism fc pte sverorynismskpulogene, car provoainfctia chr, O pate considerable fej ehugeae rel din ineratinca ogi. ‘unl wan sia mieroorgnismelor Cuesta de cro ging in ‘rg este na mar, cu atm inten ete virulent 9 et ek oree protetace ale gamut sant rs labe, eu att na mane ‘te probit inbolnvii giinver, Tata nfs cirsia eps un oe important at acon de amblator,nechip cw ‘medi prin eat in eos de stationu.f ttionre mai exist ‘sea speciale pnt bolas xv infete chic Roll poral mesial medit in totamentalacestor boa este foarte mar. Munca each const in eletuaron strict india edict, entnete ‘uci insaloane gi espctare regio seis, inrjien core "bolnvior gf apiearea masulor de profile» nica CContinuta lcrarit practice Peninsexaminarea boar uinfete chirurgie ste important si se eunessed manifestsile aesorpatolgi de la orle de eas pre- Infect hia pat fi decanga de dif leo, acl me ese dstorea states, steplocoor,pacunocociy, Gonos, ‘acti picins hacia cai aden combinand-s ate eat ogi la pres ints ete ie i deple e 8) reaistnja onanism by aproviziourea estilo eu singe. irandeea i fsutr «mieoonpmismelorpiogen provossi 0 ‘reacfiloall dn parca esa are se mason pin 1 iperimic robo, 2Jedem tuners 3) dae — door 4 tempraten local elo S)lezres ure ~ facto lass, Procest supa pose fcaracteriat prin eole dei El pte uprinde nual fsounte supeticale pew secior denial, ‘atbunctl,hidrosademt) 5a se poate extinds asupe fesutuilor ‘ubiscene eso inde considerabl (ahes,Neemon), ‘roceslevolus poate dean dr | vole violent cu extinde/e raids ape feutror incon juror, vases sane, prin paca tomas ‘demelor,impicarea in proses valor ganglion solute moder focal proessleematont uprind un me nai mic de yest Edemol ete deseo miners inf ‘mene doar na procesuli (arbancul, aos et), ie este Inconjrtaaeapoepe csi neater sonea ing, Timidenits inc ombord. Un aimenen proces een wor Ie ratament sat x eatin Hoa a infeta supura apa de requ g © reaele generals sonar ‘ac manic pi diac temperati compl soa, obma- bir exile, ndspon penerali,aevelerte pal, chee ott emfneare constipai ederapese nei ca nih ‘ind par abumine geld. in singe ~leoeoiozs, devierea spre ‘stings a Fcmalet Iecociae, egraes proce de hemoglobins ‘umm deenioct, se mire VSH. Reacfa general a oxpanisrall procs supuratv se deosehete reac In septeamie pin fale simptomele pone sinters ‘4 doar toa in decides foearau purulent 3 etaores puri Ain el ating ce a Sepcenie ran atoupeneschibe Principle de tratament a infect chieurgieale Aistemul medical webule 8 emosss principle de ttamen le lnfeit circa, “rate poate Deonseratrs 2) chug stl de clstcarcest ma mult convepinal, deoaiceepcic ste alent wataental complex. “Tratamental conservator ‘Tratmentlcomserator ee: Doel: 2) general, 3 )eomplex‘Loca eed un gr de mass generale a: ‘repaos a repo feta Vt ara debit se pic ~ prise e aloo, Sulfa de magrerio,angoent Vigne, ‘uoguem Ge levomicot, = Badin eu od recon ey od = els wc, ~ proce fcrapoutices ~ Rentghenoterenis ~ azote. isu crate se indie india Gesu bolna i ance de ‘aac localizes, Fiza de evolijiea proces precun ide vista boloaval, presn cmplepr ee “Tatamental general Lhibarea acti wae a miroilor pagent 1 Antibioneoterapia ~ so indied ntibtice cu spect arg de ime dp insite reg evar ene ‘Se indict urndioaree aioe cs 2) Grapa pein ~ amped, apiox: ~ ovdelin soe, amoxiciina: ~ beuripeicin, anoxetys = meted Grupa eracitine. acing ©) Grp eniioclr macrolide: enteomicinss lcndomicint, doles heated slit, ~ canamiinss ‘monomin. ©) Cefaespornce: = eefuoto, = cefatoxi; feet. ~ siprinok = sii = sinacef, = ciprftoxain; = eheftes © sett: ~ sete, = Fone 2. Preparate antiparavitare: ~ eto © tmercnidazol, = tnidazol 43. Salfenllamidele: = bisa ~ sultatinetoriogs = fain. 1. Combeterea intial organismal |, Administrarca fn ean mae chidelor ~ sol ilo = sol Rengher ~ sal. Gort 5% ~ fol Harmon © Reopotighcing: Gatti 3. Oxienotarepia, 4 Sac transfui de sige sau a componente singel IML. Aetvarea forftorprotetoare ale ogni mu tanatoxinl,seruior, glabuline amistoosiee 3, Adminstare preparatelor~ penton) propel 4 Alimenajievaratd,bogad fa cali vitae. 5S. Vitaminaerpi. 1. Nomatzareafencifororganelor vile 1. Alesstenulul eardovscoulae 2. Ale siterufi nervoe,3. Ae oninsorparenchinatease 4. Ale mesbolismala ee. V. Imbundsitives condor de regenorare a fsuturilor | Dit rocedo Raiterapeutice ex | = elctniners ampipas: | ~ sure adnan ~ pimastcd medical ee. ‘ratamentl complex inside toate metdele in funte de faa de vlc» proses pati ‘Tratomentul chirurgie ‘Dac tratmentul proces lamar nus span cel eomser- unc staple rate ehirugel. India iceveujiorchituicale su determinate de pericoat pe cavel presi procescle spurte pent vst olnavt Tn prcescle suprative acute peptires bolas pent opie ‘te de eur drat Pregatea penta optics bono superior ‘ul wat cpaseratn ost in nee air ma indlongts alge core alc i bin feta spall ehirrguh sist complcile wave. Ps operate de sou dat ie) ‘Sc practic arcorsintmeenou anager al us de roca 400257 s0u015% Pentuoperailedclanghduatiecindicatnaneors fener, ‘© iar important in deschidereacoleeish de pro, indiferent de tocar oar algereasilor de aces operators iste! nea ‘Alo poate nocesacl pest deschidres cle prlenta,= [i Commanet Protea use [2 Race Ae astramente [3 Pome cirareale | entra desehi- [4 Pense anatomice-s ere coleetet {5 Seringi eu ace pnt ansstecie2 } ppurulente { (6. Bistura,foarfece- 242. s i: ij | [Dew ——— Sa 13 Sabstanjeantisepie: aloo! 70°, odona, 298 ‘oxigent 39%, fering 14 Material de pasarent ste. 13. Levomivol, Levosin, sluchipenonics, 16, Sobstanfesvestatice: Novocin de 05% Lio ins, Timeeand Se ee tat pn cere coir eae pr prisapewen ea juan a ip tiga comin spot lig xs Ste ape TF Stations peepee flo eri S cl, dena a telat en [2 Se dott pegs Se ap niet ite Sa poe actin hia cpt [8 Plage ewok o compre ec din fon fermen! | eee Stings |& Seimrodce dca a tao per ck maeietl Peete Epes Coleds Se pat iz spleens ford Ge pafext ‘sis cvmclr pte (pw fain met) exe dz jst sr, Ehud ins 6. Bact pope ads een) os prindionse face ewes geste Spe stared incites st pa ‘Geena eres ep fn dec Moc cen eat real spat Deel apeae calpain toa aac no serele mae Solel so Mgenonit gol de anibies Saeed eg estepec ioral eesal ‘mtr sities se a. Se split un pneament do protected 2-5 come aS pasate oni i fetta 10, Dae pose spun pe mer, __ |Focaetncbaeen sash pep PosesProfitaia infect ehirurgiale Asien medical web tft un yirde msde profi lattices, 1 Acocdaes aistentel de urgent corcte in deri lexi ‘rapsporarea aces fn insta eas, 2. Lape trunatism indo, de ranepor doi. “Trotamentl cnet precoce a difaitele proce parative, 4 Tatamenral bet zara gx alr asin cada cue devlanjeazd procesele spurative 5 Limitaea vitor ta sel de cirri spit. 6 Desiafetores lene de pti de corp a blair cuafsetunt serie. 7. Mentnerea regina snitorigene satisfac nsejite de ‘hire sepnea. ‘8, Areva atria de ponent, ‘circa sepice. 9, Parse boloailoc in ehiparent pei ew mbrcara mina ‘ior ehiewaieae 1. Efectiarea Sct tele sepsis insole de cir, 1. Uiiare substaneor deiner no cx: tdopcon, degra, ‘eptbic, apa oxigen 6%, beta side, cesfomin, ec Sept-fore oxi decile penta dents asttnentlorcbioe- telor de img si fat de bolnvi eae Copitolul xv Infectia chirurgicala anaerobs ‘Obicctive de refevint Si. se conptiemizeze nevesitatea micuior de profane imporana respect pmol snipidni al bolasvlor Suinfeeicanasehs noe | Obieiveperstmne 6 gy CeO Blaaine femal 2, bc) 4s esa Bb 1S pepetl merle ac pntpl p sls 2: Spe anne lore isc 1 Staple tanec fn ln pe mente 4 Shape dele de maine pemonbve ef yee dere 3: Sipregioncs maa pears ream, AL 6. Steet et mcm, email 1. Sipe nel scree ri ond s spare sce pre (OT Stcomnen pti taronh nen gees gre Actuatiarea met 600" etn de pis png ua ny, rin aces lt tt ol! bia ns in rc ‘xr pecs ones ren ro ese ft mtr peta, dt eet De acs adie Ideal cu Sa etc st camel sale prone se ‘Faring scone pope pip eee Septic oan an coal nmsttncke pave te Sed se ate, ur upc peso me rb dete cu ue aoe Materia nut i de obsess; mbt de op seg dae ail omens cies ea cone ra pay nur le ame de set Sst ont ngs edi ntesnewee: so ene ‘Continual letiel practice values minutiae pligilo asfite de distrgsti mar de {est careu puns restr de imbrdcsnte sa pnt au colimpora in depistatea simprometor presoce ale gangrene gs20sse, preva sal tapout. (Course gangrene garone: ~ Pigs conte enfacturat) ~ Plgi prin arm defo. Frac desehise ~ Prue pina chicas neat sn tras pig ‘Simptomaolosie ‘Sennelepecoee ale gangrene garoase sit: "Insominie ("simpomal nop nedorite) ~ Ceflce marsh = Frisome, ~ Duro ou carste de dstnse fn pl, ce nue supine pa aminstrares de upefiane. Bolmaval declare stings pasamcnl yi eae isistnt Si fie rgd faga stu ok se achitne pensnnea {a Intiturarea pansamentull se rely ‘Sipeoml gare observ umele mario eps pile. ~ Edema! acentat al seinetul eat ee pogresca apd Pics intinl ncn, pli cn aspect “hart on pte bre ‘ei. ~ Plagh cu aspcet moniat“de carne Hara Ganorana gazoaes#arietrou roma edomatcss) ~ Simptoal septa", ce se depistenz Ia preluare segment vera Bola se compo, nan gma prom te Salt dewgetacb i ona asas inact eax poor medial tebe ms pene de Serine Aue id oe pital ss oo cpm tees, sent pedi prety inl Ge ansamen “diate = Come = emest ene = Depa de pag. = Rese hex (itt neoraa, “Moki = Camp sen! tec cee). = Matis epuimest ~ Te grr mga pn esr a = Mw Sela ap get all ie 7 nd 1% = Doatvarcnapionseraa Mcpcotmeceseqettse nm | -colectares gi dezinfeecarea materiakclor gi instrurmentelor folosite) | ~ Secon rie See fringe a NaCl 098) 40 | = kein = Mia = lake co pk he | a Feels dyrale pial 6p raft gangrene promenade ii sacigwor mame deasqa fete sw sain patil 0 erm ewe denen pmpena arnt Ms Se poace Seinen ann nos ens Prone nape inde | Resets eae poss provid ae timp de inne ul occ Call sd hen pel faa 2. Tole chiuls pi ars procs: pipwoal inca icia ~ se vercvautoat ope stin min ye ‘nn veatocnre ce ~ se vor cxtage mies nevi oro = thse “honor dst ~ tga in bude lig a popes, 3. Resecta ellorde oboe: ovate ctv.| * Profil pei re rept seop amir ne doe poise ‘dsr plivaetamargreoe nex contie 3000, (te 100000 C. pertigens,C-edematiens, Cl. septcu}, Ins este pun efit. Un ro important in pofilanianespecic8 Hare gi administra crit anasto. Sodznivain olf de oven 050.2595) Solu obj = utlizcaza parry snexzi ocala mp tae kind In festa dn jr pig ental curaly uch oft et me pid erie 1 presipne 1. Traarent eur -| 2 Teatament general a pot ~ spe gi = nespecite /_,_ Tralamenta specie coos tn seotrpleanigangrenas Se initrd seal plivalent nt gangrens prin pefuce inven ach = 150 00 (cite 5000 1. pevigens,antncdematiens i aatiepicum) izovat in 400 msl fold, de empeatura compl) Sel ‘uiminstresz let, pictur ow piers de cate medic sa asivesia Imola, Ins Ta presenta medical Tite de administra seri, seta meal este obliga st efetiee probs oss, 7. Nota: Ave cod proba a sesibliae ete postva boar ‘x imoduce ser enigangrens cit pent poh presenta meal 19035 mk: 27m 25m ‘Se inser in fia de obnervati a balm ~ insta curativs cre preg sera = soda de adiniars, ‘Teatamental general nespecie usb fe snl cons ~ cellists hidocectlet, temodivamied yi metab prin Derfai de solu glucose $10%, Ringher-Lokk, lbutins tan, sing, ee ~ sntbioterapi eu pint 20060000 u. pe, intramuscular hinted toni; Se aseizaoxigenterpia hiperias Jn canal nsficiene ene, sev fet epraesextratenli, ~ im xm give, cd edema propresenzi rapid, este indiata _anputarca mere Antrasul (cubumele—pustla ral “Antanas o boa infos fever anil om nina, ‘rds de bil iano, poi, eset pnd expert de 20° Sursl de infctare sunt dst miner meats de ame, dor Pout prea scam pofsonal (lahore ns ‘Cede ntetare srt ~ calea tegument ~ elrbusle catant sau pasa malignt ‘pret aproximaty 94% di nko: ~ cals digest ceburte intestinal, ~ eal resprtrie— nol e spect de pcumonie, Indien decalea de infect, ee pot ca complica ex septicemia ebunaet i meningoenectliapurlend gi hemors ged Boal ite reer de fenoreoe local i generale Local posula malig ce apare i oel ds inoeulre ma cron pe man ut, fat, pt ce. este 1-2 il apare opt. royie = ruins car 246 2oredervolto vere eulihid oo snguinclent spent. Veh «las sparse, po’ pare oerezie de eloue pbc sa sick sare devine epede nap (de ne derunitea ppl de “pbc, ‘nconjurat de un nel de veo um cdc corsdeail ports, Fonomene generale ~botavtl prin ~ fiscanet = scl: = dare meme = slibicine; = fet ces ia la 4041 ils pid, ~ deideren tsa ater ~ lint Sabu las = otgwi Bolnsval nett ne tafe de septcemis = cols, = comsProftaia const in ~ saceiarsa prevenivS 3 asimlelor; hares mishilor de peotcte a munci ia industria ci, de prelurae a bln, rn te “Teatamental et ol gener. "Local ~ se vr aplics pasamete sterile, sar anestbanos 60- 10 m2 os in pst lign. General ~ anio‘erapia cu peniiina G (ete waarmee de lest. In fancied grains, se or admins: pening Gin doze de 20 000 000, pe ‘Tetanosul Diagnostica! presoe al teaosull este problems hei a prom stculfavorbi a boll ‘Edopatogenia ese favorizai de ajiunea newotxies «toxins climinae de Cosi tani, Manifest cinice precocs nt 1 leita dceilor#apeia ‘bnaidor maculae pg. 2 Disa, degli de dei. 3. Tnsprpit abundete, “4. Fer pag a 40" 41°C 5 ipstnnssivigiitate musculach, Se 6. Capmlialemmenlstni mies Conair sal sardonic” $i muebiior mastcator~"wism”(blmiva ny AM 31s seo peste decide gurm, 7. Maitiaiuapare contract pens t“opstoonss” (poe de atc sau de pune, bola, spriinindwse de pat mma eu ‘afaik. inca in ar spect rtnosul, muse de urge sms |, Repaos fe si psiie absolut. 2. Exoudera exetaniior extern ming, nes, e002) 3 Adinistare redo aniconvusve 0.25% MgSO, so tunnazind 2,59, droperidol sau Diazeparn, 4, Hse cheat de urgent rignda de reanimare pnt: ~ sdiiistrezea mioreaxanior (in) inane de mansportare seas eed acon: fol, Diszepam sav sol. Suifet de magneziu parenteral, ‘eda, elraidet i came; lntareaboleavu 9 tecere Ia espa jd in car de ecesitesefectueztraostnsin. Tran por tacos fie webu fc seal gata petra liar. (Capuolu: Peronda interven chirurgie) onal tetas este teat Sctia de terapieintensi (a pital de bo infeeias): Este iolt nslonsepacatcaifare mini, Feit exciton ~ Ese ogenat pe pat om ats antdccublt au gon, ateout comod. “Tehniile de ingiice ve efecto mama dup administra smolicamectelr anticonlve. = Insalon a acces dx personal medial ce ingrjoxt olnay pectin repimulanip.emicalblrailoreuinfesicane, = Pereonaalibrasseehipament special helt, bones, mse, ‘naa cima orp de mb8) fort de mama, cae ‘ha poi ete dezinfecat ca ap ox ona ~ api pasar olny, meatal de punsarnent wiz ete Coectatn contains pile ents derifectarc inp oxigen 1 69 isle de detent 0,5% iar al aol ee as Masa penn pansements et dezinfecota cu aces solute tases wats soullae pet dou rn oie tae speci ae deinfetnt In aon ie ean c0 ‘ip ume de 2-0 pe 2, capa care eats lama = a ~ ‘erla ete art inp de 2orefslueJe2%4 dso aint Leni ete lar nso clint de 2% inp de dos ore = Dupl extenze Blaaval,aterutl stil in lon ete ‘sips depart carers specialTratamentul specifi. Se ai 150 000 Ud mods “ered J ¢ Proitasa tctamosula: Trane activ cu ansoxina tetaie ~Iimuizarea atv panies, Cope avs de tino vaccina PER ~3vacsna efter de 30-4 rile nie le Prima revacinre se fe peste 1-2 ani a dou — pete 6 an wela~ peste 11 any pat ~ pest 16 ani cu ancoiod pus donb (ATTRA), é aS ey “J _ Confess edule 737 at Minit RSSMA*Ca privire Ia misuile de imbunkttiee ¢ profilo ‘eanoaul, propane dese ce neces imate it Boao: 1 Orie fe ds pag meeanic oom ctr deschise. 2 Lesion eae: combust degrada 1,1 1V 9. 5, Depot gr Th I IN 4. Metre anna (ii vl, sre) 5, Proesesupurtive local (ferancal,erbuel ), 6 Intervent ehirugiale pe et nestinlpoa 7 Avorur emit, 5 Naser ladomiclin, Seadhinitreaz3 0. tla cops ml aad de auton tans fon i slowed? "innit piv conta adrminerasn a 300 Ue Se Sor anticianc se adminisreszl dp meted Bezredko, source poate ‘eslnsa rae alpce pave chiar you! anal ray, Aces vacsiar aes efter ma cel ce mr au fos Va ‘ina ater In toate cae ve aimiistears anton anita. “Tehniea adminis. Seopl ~ete profilana youl anfibeic sa wanoel. So lied in 2 ole: unt x er dt 1100, ala ea eral concent. I, Se adminisrearS ml de se dat ftradarmal se cite rental peste 30 de min. Dack ieee modifi leas — hiperene fem neue 2 $0 aiminsrcars 0, de ser noite. Se supravegheact Stara bola tim doo or, 3. Dai lise sence dese slog introduce ot dana — 3000 nara Ekimnr2 oe Infectia chirurgicala specificd cronicé ‘Obiective de refering: nasa manifests clinic precoce, 2 netodelorconterporane de dagoesticare,ratament profane preci ‘imerveni specific fn tobetelozacsevouricuars Jeenayonty Ovicetive operational, O/ 322 se Boninenepam ioa/-00y fel, trSte ars rc on caine ned ema tk Spree ns marca See toner 2 foto ape ppt Stapler pinedepotinon memes fe Se ia las phar gt cctiine | ‘ctuninten ents ©'g Bile og Ce fy ‘Tubereuloza osterourticularScste una dictre cele mai serionse alec“ twa peter cue wns opment lca we (Gea Reenactment dole fxd nose sa mon ol mies tp ‘Eeetagipnra tic aa a cs ea) ‘siete ie oui ne “cron pte poem soil ce ech Peper en peer pag ge ears pre sod att appa Dass pres om ‘Srcalepuonad tan ehtalsouti ori ‘Sa ont treed oncina sl chr ence ‘sear paves va Material inti: ie de observa, fd indica, elegeun ao trate, ale Krame,isrument circle, fe de tion, remedi noiarentase, icrotabel, fie cu probe de iat. i Capitola x¥1 | ‘Continuta leeie practice “Tbereulozaeneratcalrh exe 0 infectie specifics secant (Goeoral primar ind localiza pm), provoeat de bol Keck Se aspincest din foam prim pe ele hemsogsns.(Cea mi fecventh locate «tubers arcuate 1. Spondiltatubereulast (osteoarrita tuberelonst a closnsi ‘entebrle, morbl Pot) 0%, VM ‘Bxamigron bolnailor =e ake Aoarineza oleae Inspect ae eee ae see ere awe: ‘eteaninares ampli, miei aca, mies active psive in aia, misurirea compari a infriar; ramen aiograti; ‘ramen de abort, ‘Aeuzle Ie comune avi bolnaval sow wi Ie Jecmunic pri, rele ‘Se evidential seme precoce ale bli ‘use de lng drat serenajt Ee | irapccms i meteor perdrea ponders ‘ranspraile nocturne abundete: ttl fete Ya 8 examina devbict weapectind 5. Pouijia vicioat a cosplui sau membrelor iafetewe 4, Aopectltegunentelo bolas 5, Dezvolses stl muscu. 6 Reif aren, 7, Caracterlrespsai | Seva electan examines comparatvs at 1 Gai oracie 2 Bezinl1 | : cna 3 Menbelar wwe va electua masurarea comparatei a lungi= i 9 diame member inferioate: {a inspeetiese poate evident [Paid tegument 2 Scurazea neva 3 Ate ancl 4. Contact, enhiors aiculart xu 5: Posie vicicast a memtula aft in coita Sau gona uberculoas, 6, Deformate in form’ de shed (coeoas8) fa spoilt tbereows, “Trebuieofetal eu tee cu nll cade Papa igk bie Tapp const y | stein Perea ue asin verecoc nude spond YF conten ahr gles pies 2 mucosal — “Tamla electri. ish ctr pote ‘Stnpomultgato - Rec sexe rn eviews 9 colonel | etomate arteaaioe Aecebalec fl deplore ebordl na | Piven. tase eclongil~ ae decane o dee vie pape ganglion infil de ones Incl etre aca tase pect: | Seapss pum pe capo spe veri tla | Cerva ‘lee tipi) so desert oe Lanier ‘viele data nivel verter bone. ei | tint cede specs ete: boll cp Simple Alexandrov pane a-gschints bw pois de pe cep Pe np arta lr se dager "edger —iascs ed s pciat de proves serena lpi pcm efoto. Felons rivtlvrteo oleae. neki aia | Seesmloctmiceataie daniel p “eect. Peas Cea | Seema atin ani losips dep pares amet acne e Dyeeinael | ae stds eed an ambos prconeamtent Seer Lee Peps abc somata nash ae ape elo toute mal ot dine ln | tc prea ions Ace fap web espe Si ener [pomet Alsendrov port eee =5a java aaa Tongan esto Pentru mina proprivrs antcbrat: esa pana) & po 1 Examenalradiog: Semccadiblogi cars ‘eritice apc pete 34 a9 sot prenertae de evo de disci osbate~oteopor25 schele esse, ing eel afett aspeciul te uct de aha wp 2. Propel ubersulnie sunt pozitve. 3, Ponca artiulard ~s ote o mash caroass Id Examenele de nboratr art putine modifica ‘carermnintspeiice mime rubeeslore Se pote = =o eacocitra wor ere: ‘rexerea amir de lice; ~ itn de sedimentae ese ahematis; = war sare de ane “Fratamental exe complex: Bp = Weal “Tratamentul goneral.Co erisebolay deter euloes, ¢rsomand: reas, ~ Himentairajonll ete contin comiate Sulienth de protein i 4 sales = rai cu rae uluavislee, cars de rep mar ce eon) = cara dese la deal impart. “Tratamentl cu anibieice specce: “Tratumeat ov remediltberalostaions a NPAS, = Fivaid Stead leonard = Bamba “Tratamental local cts: = Ortopedie = Chirag “Tratamentalortopedte cons a Tmobilizass In apart ghipstpelviopedios ~ {w oseoaritatuberculoastconofermurall 5 2 emutchiului (uata process reparator fotezs> 2a) Imobiizarsa int-un pat ghipsat sau tn corset lxtcaticlr tuberolonte avansat= Tincrvetia chiruricala const in fares co- lor dus cas Gan veebeafecate, cum grefon 05 bil sa cost), Bolnual mu male anchiozat al penta tout vig), vind a um, ‘espe lea ratamenta eal prin injetare Intraarticulara de Streaming Ritampicind tn ‘soll de Novecalak ce Tn gabcesle ree” tubereuloase teatamental cal Soast n Punetia does (cu tale indeed, Aspitavea aver cazoase loa de stulizare yabeeslr rei™ ~ Setsates soi anttabeeusse dizoeate Drintrun eater de politlens inocu Ia ‘ona ath = Inject eal in evita bees seme "Sepia = = Rap svtianca nent = ae nh lps toe rn Scie ore ors a ct asn Prosiasa berate Sires = devant ricepee a ache intervene orient se prevenitee [complicates nme = Paeumonie! pasate = Fscarelor de debit = Gist ctopilie “romberehitelr. ~ Contracts in aici sitions Profilin complicatilor vezi Capitola! VI Profilaxstbeteulozel Ineade actin eats soe salubrizarea modu deve Profitasia modern’ este. nian = spect = ehiniproiaxa, Profilin sanitar est indrepta pre preve= re contain aberelce apesoarlr sn toms, opanizare aciunlorantitbercilose, Cu cri filickboval ss practica mane se \uminare sania Boloava webu $8 cnoase tell de igicnh perma: foloetsl sup {oarele individuals 8a vse sepa pe care [cova sila go va pst apart. Boaval ou los d prosaic va psn lene (Ge com si dept) spat ova pune ln pala dp \desiatscrarprelminak ac olnwal tebe sb dow seuipatoare. Une se fost dn deus se dexinfctazispuacu tl de Cloramind Ss ‘esc olnavul tebuie fe fart in ap sa {nso Biarbona de Narn 2% dup de 20min. de |aineeputl feet smu s3tine tp de or inca. (Chora 2% Lenjetia se amos in detergents se fe 20 nin. acl erbere esting, densa nso. Clotamina 3% tmp de or. Dac bolas pleas a watamen in sao sau In ea de dees in lesa a foe 0 dezinfetic "dial Dopi devitecie we Thee 0 Tope US goat, vopsrs vires sprtamentah Proflala spel ae fac tral ein BOG. Vasil BCG repcinao apes de micro- teri tuberculous (iD en vibiiatea seats, nepalogsne, imnoper, litt sol. Gltamat (eSodis 13%. ‘accial BCG se incealearh pe supra exert lalimita dinweweinea uperiart made bali sing dopo dezinectareeu sleool tlic 70°, et, Intadernise inoculead@,1 mde sol vain BCG, [Dac tenia font ssp anv inocu ‘accrue formeasso pepo decloare albu. Vaccinarea la noi-ndseufl se face tna 7-10-n ai fia montrea act tuberin. Pe led inocu Yaeinlul CG se der 9 seactie spifie peste 46 an grade o istic: leu daetn 2-10 mi. Revaccnare 1. pose Tem pest 1-12 ant Revnciadile liar se fe la ntrvalle 5-7 npn via de 30 dea, CChimioprofieria se administresah preparile anibereloss es eopul de a preven teberelocs lapetcunle expe coi mai mare ad ects sl inbolndvire Se ace un sing preps vid mp de 5 lant incaz de pessoa poco pidemilope, ease va epets de 2 ox pean Dispensaral antitabercalseste un cena eie ea speciaiat, cares ocupa cx eranizateamciodo- Hogiet atunilorde proflsc, eps, wsaent js dispemarizare a bolnailor pe tetra eau scripts respective (onal bare, jefe), Deoseim rel forme principale de depistare precoce a tuberculin ance popula 1. Examine rato frografce de mash (of ving seama assent mean z=‘api ov medical de me 2 Adele bola a nti meieosni- tare genre i spociaiate 3. Examininilepesoaclr sanitoase afte sab sapravghorendopencarllancbreules. Examine radio fotograice medial prof tooo fr anual arta de 18a pat la sddoe bans Prin frarul de TBC sesublee gral de pe Jsoane aflae in ergo! de infec st mbolnivice, incepand eu honaval eliminator de MIST pecan Ja mem uid fai, cole do servi Toat> scet persoane s numes: contact. . Parl Se ssinsteafaarulprevedeurmiioarle ctu | ‘polarbear pital, inventive confafilor (examina clinic, ‘estes tuberin, contol milage, be terilogie)s | ~ saceinare su revacsnarea BCG a eonteior F ‘ura oberelinic nati, = splicarea chimioprolilssic ls comet = dezinfetn foam. Vindscaen se proce pote 2° ani a capi — peste 1a, Copitotel Xvit Insuficienta circulatori si consecintele ‘Obicetive de refering: Stair ntimiler gener ae inst ani circulatorio parcalriie tame ngs bla vil nei cami rina ey mee spss Obicetveoperatonale os levi ve fi capabi oped) [Si examineze bolnvi cw insuficien[h eieulatorc local couecigele 2 Si determin pull pe ance periferie ale member infra. 3 Si aplice fg elastin iste varices a veelr, 6, Sbaplce pasament pe ont, pasament cum det, pansamcnil Matera init: Materia de passe ig clastic jasromente huge, ub antiseptic, cet dcingijite, abel, mira, Actualitatea tered Dercplrile locale ale cirelaiel samavine, € provt nesroaa {esoiflorsa la baza clo at rave fem mon, ce dasa duc a deccelpromatu sere le prsoaelo tines “Asemenca oes ea endaoritacblitern,apendicita gare rom, pancteoneeiza, hele incarerte, colitis ganerenoss, ‘gongrenn anerbS, occa testinal au dep ease degli rc Inter oes ‘Actte sunt mama parte mie din atlogiie care apa a wa erelei loa circulate sangyine. Pena a putea mieyra ort tates popula de acest afta, exe ees #4 9 canoasel ep gener, manifest, ratamental sl aauile de profile poco ale ‘sien! ecu leaki { Continuta err practice eros este moar ello, esti 0 ganar ata seco ami a ogo via. (Ceczaneeczl exe: 1. Disrugeea stu de ete agen aun. 2 Derelaea ciel sangving. 13 Dereglncs ai Deters eral sanvine locale onc un limpet nape ‘iia eadarerie obliterans, earevel anaerobe, apenicsgangrencss, ‘enlisted, panera acute ‘Tiparie de nero serra unl pra corpulioran sector de organ ete mueste esngren, Deoeebim pangren weal ued. Gangrena eat eoluezi fn drei me progreive ale ire Ini sangvine n membre a boll extenuai deshdrat Teale se msc ae sarcee, devin dre capt o culesecaenitnchis | ‘eagle. Lata dine este sino col ‘oriict se omears ine de deme din eat de riba ‘Gangzen Ince de la sctcaree peice ale tbl. Pores de fcr ncerotsat se poste dexprinde sngurk de soe i este wn proces fnselunga Tncspl manifstirir clini se cartetrzezsprin apo d= tile ismice imnsive mal jos de oblicraiavasul Memb devine tli pice capi culoarea marmori, devine rece palpare, pus a Sedetrmiok Apaesenzajia atl Tngacgren stat nv reo descompunerea festa neraizae, de acecs as cna ionic goncral oes ‘Aces momeat permite cfectate operas neeectmia ump ‘aia pa ana 2 domarears. Gangrona aimed sa putrid evsluec in drei rapide ale reli songvine (emboli, Worbors, ems vatelor =). “esutnilsnecotiate mu esse se wstce sunt pus dsine- rari pide, een ee duce le ahtobjinprodescor de deseompunere Jn aclngares woe nena prave a orn Local se manish prin edemalpronunat ! membrulu,paloarsa {ui Pelea capil aspct de marmor, devine ee, polls deters. Lipssesemele de imate 3 process La incpatse obser o palit a piel menbrai Poca apne > refea de vee abstr, pte Fp nese, ictene ex conta sng olen Tesuuledescompise so wassforma int-o masa fd de 0 lowe verze murder, ‘Gen olvidar vote mem zat, plel is ‘eat T/A, inba usa, pea corral see de extent Proce de nscrotzare se rspindste progres een ce rec ‘um pec pecr viata boas, cae mor adesa de sxpiceri. ecsebit de ga evel ganprea une fa blravit cu diabet aban Tn gangrona umedd este indicate amputatia membralui pentru salvarea viet boinall “Tratamentl bona Generale | Decintoxicarea ou che (icon, se fiiolopc, repartee Sngel, wnsTul desing) 2, Antbiotcoteropa— Lapa en inte 3. Nonnalizates tunel cardiovascular: rmedicardotosie (co- find, erfed, -Tratamental loa! consti insurarea tequtunior ners 9 plieeapasamenieor. Inge acer blnav est fore import, ‘cor cn deci Sub olny este o muse penta mi nena de pt side corp site aeoper cu un sete. Pansarea cst bolna se fice pes mudi pmsament, respect epileptic Pen spore feelordeaptrare acre ‘i, bolnasl va primo fimetat'bopats in car, wane, Salon Seva ats regula Ese idle oigenateapi. “Anterior fins apicares pansarect pe bon de amputai, van awa det, ede capitol ,Desmuraia™ fects ince roi ocale gi ponerale Pamaonent pe |2:Sebadijonea piles in jr pi cuiod de 5% pga in caz de | “vont, aleool angreni 5, Sobadoncen placa cusps oxigont de 4, apo : fring.Endarteria oiteran se obliterate anterl ce proven ea sen mentor Ca na events ze vee memeor infers ‘Manijestrle Meme devas ila pli ap res in ‘setoetcien ana Snpl mera te da opie din ers ‘hone itmten” apo dre devin permanente, sovoae. Ps parcurs membrele devin clantes ede, pices ~ usa, lusios ge dsevamene, apne fabilitaten wghilon, dpa pal la pesifeia member ‘In eva ole ober pone de sara eatin ni Compile endaerieoterneet gangrene ee mod. ‘Tratamentu: Nv existh motode de trattent care ar pica opti propresare malodic. Multiple ani apiete sun adept spre Tolar spesrulul vascular aeelreeadervltir clare. Dac metoeleconservatours uy a eee, ete indict telat shige Dilatare varcoast a venelor ~ varic. Dilatres ploy» encore tnt el mai des la membre inferionre a 7-25% sin popula Femcle afr de Yori des dot barat aes: 1. actr predspozan ») modifi congenial ale vnc 1) litte lone pelt ven ©) albu ewo-pihiceendorie. Factor determina saci ‘by munca indelupar in poste orosaid. Manifest La debutbooa i ci dose reso velo dilate eerie fe —saceiuame, exputeare, clinic. La palpate aesca ‘ut de comssienl elated. [n poze orton tensiuneain vexe ade ‘Cind bool avansars, olmavel seek cbokals pit, ene de ‘reune gtensane in plore, pareatei,edemal gamba i a lab Piston are par mina Mair 8 compli x ler une, tomb eis, err in modi vrei, po pee spare o pigzeataie "Teatamental: (a incepta bol eomecraion Pataca eicrapilor 9 bandaelor clasts 2 Prtare nein comode. 5. visa orotate indelanga 9 efotailor ies 4. Dack profess et sodntard-atunt pico afer tule peat in posi orizonal. 5. Dap fcar [1,5 or s yor fice eco 10 rier pe viel depen pe eeic Dac tstamsntl conservator oa ajath ese indiat tatamontl chiral 7 F | Sphinn na dee ata pac fotewea (2 [dre Fp cai ope dela piu ansmentu [pnd ls artical genunchla (cen spin iste gy levi in ua necozii lor eau 0 evolu ene. ‘Gaze: 1 Talbucinile irclaic sangein imate in romboae, boi, nara arcana vendor, Womboflbite 2. Mote prior vas in teroeleror, ends,qa} > Lenmar emi chine cei ene. 4 Inetile- cea, ie 5, Dargie meal = abe sb nmi, otal 6. Daca wae" empl eye ‘Tontaneiayngrien tro ec Se Si tdeangt inne aztec conta pa ele 2 fepm nace mem ea no 3: egies mises» pi ine ert 4 Aare pumarertelr even rs een prt Met ite Ripe up mpl eric om sans pneu ne eo smi Yea oni eit coun gins pat 7 Rates eos ‘Actes geal spr csi linea loc 9 bogati in vitamiue, transfuzii de singe. "somthin sre cr de palo ‘rea plasticd # defectului eu autotranspant. Ronee Decubituuri(escare): Ese um proces wsers-netotia, cee <2zvo la boli sabi flat fngcingt i debi ‘par aids Ta epenca fsa, mpl elo, wade te css prene nt apa sere mod ‘a tcept aero paler eumenelo sino eden. Apo pr bale ihids deer pile lite lends serge proces do wotoaresfetroe ‘ratamenl Stace else pune Vr ma), Profi esearlr — st: 1 Proveniea presi inchnet a sur 0 2 Igri miniosta pam acest, Pika eeu sh fe tra ua 5, Schimbarsa len de at comp —inindere a, x fw 4. Alicarea coca de conve 5. Intoarcera bot ‘ ul dé pe pate pe ata. 6. Frei ae pili cu akoo ew un prosap gota 7. Gimaasticd etic 7) Capitotel xvi / TumoRI Obictive de refering: Forza lei utp de taxi metode conemporane de ig gnsterataren,irsisies twice pariculritor dng reaolsviororcrogs, eau spectra ‘egullr eve i deontologiimedicale In eomportaentl eu bolas onealoget a) Cem eptiner Obie epee ty Bemtnetewpntr 6/ 60/adj oo GF 1 at ceaet tat i 2 Mimesrougletonanps 3 pecan ot owt orp 4 Stentploe arene mca encsloge 5 Hebe ey pce ete se: ‘tele Spike ls ane i waited er air ates Actualitateatemel ‘Toate Ingle medial aowate bolas onsale tele st sib ea poet de posite prosnrea pail blnsrul, promovaree biel Hipecate—“piritele medic sera“ bol skarmirim doa fapic: fi de fos on #4 mi vathmim. Nu trcbue a4 prover cll mal mult ra, dest a suede Aster dic Se familie (st flera esto sunt pri cae ia oat! 6 Bone ‘ocbuie sf manifxeo vgn cole petra depstaen proces « {omorilr a olnai de pe sector, 8 promoveze eves pony sete nein poplin reduce incerta taroroe fra mse. ‘De acemenes, impreua eu radcle bolavoli, va reslizatehwicile de Inglis bolravilc oneologil In aos scope webu a respecte ou praden rege ete si deomologolmedicsle fn comport bole oncologic: yi cx rade astra, Cadrele mediate ou stn ‘edi, impreom eo modi de fac, webu einer ati ‘ealarea Program Nation! de Comber a Cancel coe eva permite redesten morbiatprin cancer ea cea 510%Material intuitive de observa, fide dpensarirars foi de indica, eligeui roeighenologce, Eoo-grame, setigrame, ened, ‘medicametase, biel de ing a blaalln ‘Continutal eetie practice “umoarea este oformaiue patos ces zw ci ml tea exesiva eur, fe pricil vzble, i olopia tumor un ol dorsbit levine con polictologice, {in care prvalez tora viroit— virus oncogene: edenvineu virus Heaps ip A,B i, factor nov, rei et, “Tuoi se lsificd in? pape Denigne maligne Hemiomul evoros eee) Ni | Mawifstiie | Wenigne [Magne] 1, [Denar | Caiman | Cea ets 2 | Gaston Tsai opened aS RT| 3 | Cai Apropos | Sim ike & | eee ee Weta Proe bioiear 5 [Sas peeaaita | De egltna mite daa cresiem Renee cng i pink seed © | Rewte Tyas ‘Apopka 7 | Eximenal oh | Ceulenanwe | Cokes | {hslore) : EP Weataneial——[aarveoe ‘Conia ip chirurgie | depen de eet | si cao Stale evlative se tamoriloraaigne: 8.1 Tumonre de dimensiat mii eu grmie bine init, mobi lists metastazele ‘tl ~ Tunoare de apoxinatv cm diametn¢ metastize ween singliai lim eon SL IIL Tunoure eu dame aprokimativ de Sen, ft pai bine imitate ce infeed festa ubisecnte vein, mob, es imetastize multiplet ganglion imi formang un ong: ‘meat (pace). ‘SUIV~ Tumoare de mimi diverse, vasa, ca cooesyereaprofunds| {in jesuturi si metastaze multiple ia organele vecine gi cele Inept, inci do eagevia cancerous a bola Casifiates tumorilor maligne dupa simboturle TNM (nternafionala) ‘Tumor aatsizen dimes wer primara st di, 1N “nodule” ~coractenncarhafectres gana infact N= lps metastzsor in ganglion ini vena, 1N~ metataze in ganglion lm regionals, 1N,—etatze in ganglion lati de orl 2; j= melatae in ganglion ata pene india) M—"wmetastsis~indid prezenfs metestaclor in onan M,-lips: metasnatlor, M, = precenja metstzcor Diagosical terior maligne: id Asncrs meee tip vm eho big ecco opal oplaia depos Fecal desonene Si ondemis oct vig ocalopice ~ Si ecinase at dpi soe reac fs indc consul ted de asta encolgue ~ Si pansarzse blows Sep sect ~ Si spect cele deowolgit medals in competent x they onobi ~ Sk efecues ei de nije soli enelgi Sa prmovere fai pon sinitate popll Lb fae bn det\/ Plant schematic de examinare a bolnavulul ‘Amamers Se clectacan consents oat Este necear sconce ac a bona a8 apt uatoartesinptome: sibiiune general ~ sume} Tek eauze vie, = napetent ~ senza neplieute sau un dscomfor in abdomen, rgiuna lombart Fndral tn repnen ganglonilr lift ceria, supa eab- savior sn, tpi, ~ pli su ceri, care se iatizcard wn inp inane: ‘iinet patologice din mame Ce mim iperalivais— Cro fagian; moeie, sige din rot ~Crrea; spas sbendents~ Ciro: ~ seize efor la deveslrea facil ora: 3) afin —in Ce ring 1) istagie—in Cr esofagon: «) zane, hematrie in Cr veri. [Examen obietiv impure: arena pei s age ata a preen eaten ~ wes, = nodule Bezaliomul se preva ub forma de nol culore ror ge aspect Ge cork de conten dur, noducrsi, ear mal rinse teoeforma fio ulcer dr “Hoargional est nodule clase vse Tehish care uncer la apace diapre sau se miezceas a dimenst Tapoanete sat tos benigne deo easter ale bul a tesutli eval. adipo=.

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