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PLAN DE INGRIJIRE

Specializarea: ASISTENT MEDICAL GENERALIST Secia: MEDICAL II Perioada: 06- 0! "!"0 0 PLAN DE #NGRIJIRE AL CA$%L%I ST%DIAT I! C%LEGEREA DE DATE ! I&'or(aii )e&erale - N*(e: R - Pre&*(e: F - Se+*l: Feminin - ,-r./a: 67 ani - S/area ci0il1: cstorita, 2 copii - Gre*/a/e: 70 kg - #&1li(e: 1,69 m - Gr*p .a&)0i&: AII , Rh(+ - 2c*paia: pensionar - Reli)ia: orto!o" - Do(icili*l: #i$i%, #at &aram%re'%(%i, )r* 2+ - Da/a i&/er&1rii: ,*02*2010* "! A&a(&eza "! ! A&/ecede&/e 3eredo-cola/erale: &ei(por/a&/e4 p1ri&ii 5 decedai! "!"! A&/ecede&/e per.o&ale: a6 'iziolo)ice Me&ar3a: (a 1- ani, cic(% c% .(%" norma(, 2 sarcini, 1 a/ort* Tra*(a/i.(e: n% a a/%t* Aler)ii (edica(e&/oa.e: n% pre0int a(ergii me!icamentoase %/ilizarea de /ra/a(e&/e e(pirice: n% a %rmat tratamente empirice 76 pa/olo)ice - 7olile copil1riei: $o(i(e in.ecto contagioase a(e copi(riei* - .pi/aliz1ri: a .ost internat !e mai m%(te ori pe !i.erite sec1ii* - i&/er0e&ii c3ir*r)icale: (a /2rsta !e 13 ani a .ost operat !e apen!icit ac%t* "!8! Co&diii de 0ia1 9i de (*&c1 (oc%ie'te c% so1%( 'i c% .ami(ia $iat%(%i, (a cas, 4n con!i1ii $%ne5 con!i1ii(e !e me!i% 4n care trie'te s%nt norma(e* se mai oc%p !e tre$%ri 4n gospo!rie* "!:! Co(por/are 'a1 de (edi* - n% .%mea0 - n% cons%m a(coo(

- cons%m 4n me!ie 2 ca.e(e pe 0i - a(imenta1ie norma(, .r e"cese, 4i p(ac pr6e(i(e, carnea, pr6it%ri(e, portoca(e(e 'i $anane(e - somn: c% !ese 4ntrer%peri (perioa!e !e /eghe , c2n! are cri0e !e astm n% poate !ormi* - n% e.ect%ea0 e"erci1ii .i0ice* "!;! Pro'il p.i3o-.ocial 9i c*l/*ral: - Li(7a 0or7i/1: rom2na - E/&ia: rom2n - Ec3ili7ra/1 p.i3ic - Relaii &or(ale c* 'a(ilia 9i a&/*ra<*l 8! Mo/i0ele i&/er&1rii - !ispnee !e tip e"pirator - t%se c% e"pectora1ie m%cop%r%(ent - ce.a(ee, ame1e(i, pa(pita1ii* :! I./oric*l 7olii 7o(na/a re(atea0 c e c%nosc%t c% astm $ron'ic !e mai m%(1i ani* #e internea0 c% cri0 !e !ispnee !e tip e"pirator, t%se c% e"pectora1ie m%cop%r%(ent, ce.a(ee c% ame1e(i care se agra/ea0 'i se intensi.ic c% pa(pita1ii pentr% care se internea0 4n sec1ia interne pentr% tratament !e specia(itate* ;! Dia)&o./ic (edical la i&/er&are: A./( 7ro&9ic =& criz1 6! Grila de ./a7ilire a )rad*l*i de depe&de&1 la i&/er&are Nr! cr/! 1* 2* -* +* ,* 6* 7* 3* 9* 10* 11* 12* 1-* 1+* Ne0oia '*&da(e&/al1 )e/oia !e a respira 'i !e a a/ea o $%n circ%(a1ie )e/oia !e a m2nca 'i a $ea )e/oia !e a e(imina )e/oia !e a se mi'ca 'i a a/ea o $%n post%r )e/oia !e a !ormi 'i a se o!ihni )e/oia !e a se 4m$rca9!e0$rca )e/oia !e a men1ine temperat%ra corp%(%i 4n (imite norma(e )e/oia !e a .i c%rat, 4ngri6it, !e a prote6a teg%mente(e 'i m%coase(e )e/oia !e a e/ita perico(e(e )e/oia !e a com%nica )e/oia !e a ac1iona con.orm proprii(or con/ingeri 'i /a(ori, !e a-'i practica re(igia )e/oia !e a .i preoc%pat 4n /e!erea rea(i0rii )e/oia !e a se recreea )e/oia !e a 4n/1a c%m s-1i pstre0i sntatea Depe&de&/ 8 I&depe&de&/ 8 8 8 8 8 8 8 8 8 8 8 8 8

>! E0al*area celor : &e0oi '*&da(e&/ale la i&/er&are

! Ne0oia de a re.pira 9i a a0ea o 7*&1 circ*laie: :acienta pre0int apari1ia %nei o$str%c1ii $ron'ice mani.estat prin accese !e !ispnee paro"istic 'i t%se c% e"pectora1ie m%cop%r%(ent* ;i este a.ectat 'i ne/oia !e a a/ea o $%n circ%(a1ie !atorit pa(pita1ii(or 'i ne(ini'tii, mani.estate prin <=A* =eg%mente(e s%nt ca(!e, pre0int o co(ora1ie /io(acee* :acienta pre0int o$osea(a (a mers* "! Ne0oia de a .e ali(e&/a 9i a .e 3idra/a: 7o(na/a ser/e'te mese(e, !e o$icei c% %n orar reg%(at* :re0int m%coase !e c%(oare ro0, .r %(cera1ii, gingii(e s%nt a!erente (a !in1i* &astica1ia este %'oar, !igestia (ent 'i nestingherit* ;i p(ac pr6e(i(e, pr6it%ri(e, .%rsec%ri(e 'i portoca(e(e, cons%m 0i(nic aproape 1,00-1300 m( (ichi!e, prin cons%m !e ca.ea, s%pe, ap minera(, etc* )% pre0int a(ergii a(imentare* #tare !e n%tri1ie norma(* :acienta are o gre%tate !e 70 kg, (a o 4n(1ime !e 1,69 m* 8! Ne0oia de a eli(i&a: :acienta pre0int mic1i%ni spontane, ne!%reroase, c% o .rec/en1 !e 2--90i, a/2n! c%(oarea ga($en c% aspect c(ar-transparent 'i o !i%re0 !e 1200-1-00 m( pe 2+ !e ore* =ran0it%( intestina( este norma(, 1 sca%n (a 1-2 0i(e* )% pre0int constipa1ie, n% pre0int gre1%ri, /rst%ri, n% .o(ose'te (a"ati/e* >ic(% c% .(%" norma(, .r !%reri, +-, 0i(e* =ranspira1ie %'oar 4n %(tima perioa!* :! Ne0oia de a .e (i9ca 9i a a0ea o 7*&1 po./*r1 &ers echi(i$rat, n% pre0int trem%rt%ri, !ar cri0e(e n% 4i permit s a!opte o po0i1ie norma( 'i re(a"ant* ;! Ne0oia de a dor(i 9i a .e odi3&i A(ternan1a somn-/eghe, !atorit imposi$i(it1ii !e a respira norma(, a/2n! o ne(ini'te mani.estat prin insomnie* :entr% a se p%tea o!ihni 'i pentr% aten%area cri0e(or %rmea0 me!ica1ia prescris 'i a!opta po0i1ii semi'e02n!e 4n pat* 6! Ne0oia de a .e =(7r1ca 9i a .e dez7r1ca :acienta a.irm c 4i p(ace s poarte /estimenta1ie norma(, n% se machia0* #e 4m$rac a!ec/at me!i%(%i am$iant 'i a( me!i%(%i socia(* ;n spita( are /estimenta1ie proprie* )% necesit a6%tor, se 4m$rac 'i se !e0$rac sing%r, c% o mai mare gre%tate !e (a apari1ia cri0e(or tot mai .rec/ente !e astm* >! Ne0oia de a 'i c*ra/4 =&)ri<i/4 de a pro/e<a /e)*(e&/ele 9i (*coa.ele! =eg%mente c%rate, norma(e, .r (e0i%ni* ?ste o persoan c%rat, 4ngri6it, .ace !%' 0i(nic, este .oarte preoc%pat !e aspect%( ei .i0ic* @nghii(e s%nt c%rate* :re0int interes pentr% aspect%( teg%mente(or i m%coase(or* ?! Ne0oia de a (e&i&e /e(pera/*ra corp*l*i =& li(i/e &or(ale :acienta pre0int teg%mente c(!%1e c% %'oare transpira1ii* A.irm c ce( mai m%(t 4i p(ace anotimp%( !e prim/ar* )% s%port temperat%ri sc0%te 4n me!i%( am$iant* =emperat%ra ei norma( se 4nca!rea0 4ntre /a(ori(e -6,, - -6,9A >* @! Ne0oia de a e0i/a pericolele =rie'te 4n con!i1ii !e /ia1 norma(e* Btie s e/ite pe cat posi$i( sit%a1ii(e con.(ict%a(e ce pot s%r/eni* #e a!aptea0 %'or %nor sit%a1ii noi* 0! Ne0oia de a co(*&ica Coamna R*F* este o persoana socia$i(, /or$e'te c% p(cere !espre ea, !espre .ami(ia ei, !espre sat%( ei nata( 'i !espre act%a(ii /ecini* >om%nic %'or c% persona(%( me!ica( 'i co(egii !e sa(on* ?ste interesat !e e/o(%1ia .a/ora$i( a $o(ii !e care s%.er* ! Ne0oia de a acio&a co&'or( propriilor co&0i&)eri 9i 0alori4 de a prac/ica reli)ia

)% se (as a'a !e %'or con/ins 4n (%area %nor !eci0ii* ?ste !e re(igie orto!o", este o persoan c% .rica (%i C%mne0e%* #e roag 0i(nic pentr% sntatea ei 'i a .ami(iei sa(e* Core'te m%(t ca $oa(a s stagne0e 'i s ai$ cri0e tot mai rare sa% !e(oc* "! Ne0oia de a 'i preoc*pa/ =& 0ederea realiz1rii Cin ce(e re(atate !e pacient reiese ca este m%(1%mit !e ceea ce a rea(i0at p2n (a moment%( act%a( 4n /ia1a ei, pe p(an persona(, .iin! mai m%(t interesat !e rea(i0area copii(or 'i nepo1i(or !%mneaei 4n moment%( act%a(* 8! Ne0oia de a .e recrea ;i p(ac emisi%ni(e in.ormati/e !e (a =D, !intre te(eno/e(e are p%1ine pre.erin1e* Btie s gteasc $ine* @rmre'te c% ner$!are emisi%nea E)or pentr% mamaF* :! Ne0oia de a =&01a .1-9i p1./reze .1&1/a/ea :acienta se interesea0 permanent !e $oa(a ei, se a!resea0 c% 4ncre!ere pentr% in.orma1ii persona(%(%i me!ica( care se oc%pa !e 4ngri6irea sa* Respect tratament%( prescris 'i este consec/ent 4n respectarea in!ica1ii(or 'i s.at%ri(or primite !e (a echipa me!ica( care o 4ngri6e'te* II ! ANALI$A AI INTERPRETAREA DATEL2R ! Ne0oi priori/are al/era/e - a(terarea .%nc1iei respiratorii - a(terarea .%nc1iei circ%(atorii - imposi$i(itatea !e a se o!ihni - incapacitatea !e a-'i acor!a 4ngri6iri igienice corpora(e "-;! Dia)&o./ic de =&)ri<ire B&*r.i&)64 o7iec/i0e4 i&/er0e&ii 9i e0al*are

"!Dia)&o./ic de =&)ri<ire B&*r.i&)6

8! 27iec/i0e

:! I&/er0e&ii

;! E0al*are

1* A(terarea .%nc1iei respiratorii !atorit apari1iei o$str%c1iei $ron'ice mani.estat prin accese !e !ispnee paro"istic 'i t%se c% e"pectora1ie m%cop%r%(ent

:acienta s pre0inte o respira1ie $%n 'i ci respiratorii permea$i(e

;n/1 pacienta s t%'easc, sa e"pectore0e 'i s co(ecte0e sp%ta 4n recipient, a!ministre0 G2 (a ne/oie* Asig%r aerisirea sa(on%(%i, asig%r po0i1ia semi'e02n! (ortopnee care .a/ori0ea0 o respira1ie mai $%n* Fac e!%ca1ie sanitar pentr% pre/enirea in.ec1iei $ron'ice* A!ministre0 tratament%( prescris !e me!ic c% e"pectorante, $ronho!i(atatoare 'i !escongestionante a(e m%coasei traheo$ron'ice* Hini'tesc pacienta psihic 4n /e!erea 4m$%nt1irii strii genera(e*

:acienta rsp%n!e $ine (a tratament%( antiastmatic 'i se (ini'te'te* #tarea !e an"ietate a $o(na/ei se ame(iorea0* :acienta co(a$orea0 'i rsp%n!e (a 4ntre$ri*

2* A(terarea .%nc1iei circ%(atorii !atorit pa(pita1ii(or 'i ne(ini'tii mani.est prin <=A

:acienta s pre0inte o circ%(a1ie a!ec/at

;n/1 pacienta s e/ite cons%m%( e"cesi/ !e grsimi 'i s cons%me a(imente $ogate 4n /itamine, 0ar0a/at%ri 'i .r%cte* A!ministre0 me!ica1ia prescris !e me!ic: car!iotonice, /aso!i(atatoare, antiaritmice, !i%retice, :acienta pre0int o =A 4n (imite norma(e, hipotensoare* rsp%n!e po0iti/ (a tratament%( @rmresc e.ect%( me!icamente(or* A!ministre0 'i me!icamentos 'i e/it e.ort%( .i0ic* ap(ic tehnici !e .a/ori0are a circ%(a1iei, e.ect%e0 e"erci1ii pasi/e 'i acti/e, masa6 a( e"tremit1i(or* #.t%iesc pacienta s contin%e tratament%( me!icamentos at2t timp c2t e necesar*

-* Imposi$i(itatea !e a se o!ihni !atorit ne(ini'tii mani.estat prin insomnie

:acienta s $ene.icie0e !e %n somn o!ihnitor at2t ca(itati/, c2t 'i cantitati/

>a(me0 t%sea 'i !ispneea prin a!ministrarea !e me!icamente prescrise !e me!ic* ;n/1 pacienta tehnici !e re(a"are, e"erci1ii respiratorii 4nainte !e :acienta pre0int %n somn o!ihnitor, ton%s c%(care* #.t%iesc pacienta s cons%me o $%t%r m%sc%(ar pre0ent, echi(i$rat psihic ca(! 4nainte !e c%(care (ceai sa% (apte * :sihoterapie-ca(me0 'i (ini'tesc $o(na/a* Asig%r %n me!i% am$iant (ini'titor, .r 0gomote*

+* Incapacitatea !e a-'i acor!a 4ngri6iri igienice corpora(e !atorit a(ternrii strii genera(e mani.estat prin ce.a(ee, ame1e(i t%se, !ispnee !e tip e"pirator, Ihee0ing, <=A, pa(pita1ii

:acienta s pre0inte o stare !e $ine 'i s 4'i pstre0e teg%mente(e intacte

>om$at starea !e ne(ini'te a pacientei care a pro/ocat transpira1ii(e* Asig%r o stare !e c%r1enie per.ect a corp%(%i pentr% a pre/eni apari1ia comp(ica1ii(or* Bterg pacient%( !e transpira1ii 'i schim$ (en6eria !e corp !e C%p e.ect%area %nei $i $o(na/a pre0int c2te ori este ne/oie* Asig%r %n aport important !e o stare genera( ame(iorat 'i teg%mente (ichi!e pentr% reechi(i$rare hi!roe(ectro(itic, c%rate* e"p(ic2n!%-i pacientei necesitatea acestora 4n /e!erea pstrrii e(asticit1ii pie(ii*

6! Grila de ./a7ilire a )rad*l*i de depe&de&1 la e+/er&are )r* crt* 1* 2* -* +* ,* 6* 7* 3* 9* 10* 11* 12* 1-* 1+* )e/oia .%n!amenta( )e/oia !e a respira 'i !e a a/ea o $%na circ%(a1ie )e/oia !e a m2nca 'i a $ea )e/oia !e a e(imina )e/oia !e a se mi'ca 'i a a/ea o $%n post%r )e/oia !e a !ormi 'i a se o!ihni )e/oia !e a se 4m$rca9!e0$rca )e/oia !e a men1ine temperat%ra corp%(%i 4n (imite norma(e )e/oia !e a .i c%rat, 4ngri6it, !e a prote6a teg%mente(e 'i m%coase(e )e/oia !e a e/ita perico(e(e )e/oia !e a com%nica )e/oia !e a ac1iona con.orm proprii(or con/ingeri 'i /a(ori, !e a-'i practica re(igia )e/oia !e a .i preoc%pat 4n /e!erea rea(i0rii )e/oia !e a se recreea )e/oia !e a 4n/1a c%m s-1i pstre0i sntatea 8 8 8 8 8 8 8 Cepen!ent In!epen!ent 8 8 8 8 8 8 8

>! E0al*area celor : &e0oi '*&da(e&/ale la e+/er&are

! Ne0oia de a re.pira 9i a a0ea o 7*&1 circ*laie: :acienta n% mai pre0int pro$(eme pri/in! respira1ia 'i circ%(a1ia, c%nosc2n! 'i ap(ic2n! ac%m mi6(oace(e e.icace !e !ega6are 'i e"pectora1ie, re%'in! s men1in %n ritm respirator reg%(at, s pre0inte %n p%(s peri.eric $ine $t%t, s mearg sing%r .r s o$oseasc (a .e( !e repe!e ca 4nainte !e internare* "! Ne0oia de a .e ali(e&/a 9i a .e 3idra/a: 7o(na/a ser/e'te mese(e, !e o$icei c% %n orar reg%(at* :re0int m%coase !e c%(oare ro0, .r %(cera1ii, gingii(e s%nt a!erente (a !in1i* &astica1ia este %'oar, !igestia (ent 'i nestingherit, cons%m 0i(nic aproape 1,00-1300 m( (ichi!e* #tare !e n%tri1ie norma(* :acienta are o gre%tate !e 70 kg, (a o 4n(1ime !e 1,69 m* 8! Ne0oia de a eli(i&a: :acienta pre0int mic1i%ni spontane, ne!%reroase, c% o .rec/en1 !e 2--90i, a/2n! c%(oarea ga($ena c% aspect c(ar-transparent 'i o !i%re0 !e 1200-1-00 m( pe 2+ !e ore* =ran0it%( intestina( este norma(, 1 sca%n (a 1-2 0i(e* )% pre0int constipa1ie, n% pre0int gre1%ri, /rst%ri, n% .o(ose'te (a"ati/e* >ic(% c% .(%" norma(, .r !%reri, +-, 0i(e* =ranspira1ie %'oar 4n %(tima perioa!* :! Ne0oia de a .e (i9ca 9i a a0ea o 7*&1 po./*r1 &ers echi(i$rat, n% pre0int trem%rt%ri, !ar cri0e(e n% 4i permit sa a!opte o po0i1ie norma( 'i re(a"ant* ;! Ne0oia de a dor(i 9i a .e odi3&i :acienta ap(ic c% s%cces mi6(oace(e !e !estin!ere care o a6%t s 4'i e"prime o stare !e $ine 'i pe timp%( nop1ii, re%'e'te s !oarm c2te --+ ore .r 4ntrer%pere 6! Ne0oia de a .e =(7r1ca 9i a .e dez7r1ca :acienta se 4m$rac a!ec/at me!i%(%i am$iant 'i socia(* )% necesit a6%tor, se 4m$rac 'i se !e0$rac sing%r, c% o mai %'%rin1 !e (a rrirea cri0e(or !e astm* >! Ne0oia de a 'i c*ra/4 =&)ri<i/4 de a pro/e<a /e)*(e&/ele 9i (*coa.ele =eg%mente c%rate, norma(e, .r (e0i%ni* ?ste o persoan c%rat, 4ngri6it, .ace !%' 0i(nic, este .oarte preoc%pat !e aspect%( ei .i0ic* :re0int interes pentr% aspect%( teg%mente(or 'i m%coase(or* ?! Ne0oia de a (e&i&e /e(pera/*ra corp*l*i =& li(i/e &or(ale :acienta pre0int teg%mente c(!%1e c% %'oare transpira1ii* =emperat%ra ei norma( se 4nca!rea0 4ntre /a(ori(e -6,, - -6,9A>* @! Ne0oia de a e0i/a pericolele :acienta se a!aptea0 %'or %nor sit%a1ii noi* 0! Ne0oia de a co(*&ica Coamna R*F* este o persoan socia$i(, .r pro$(eme !e com%nicare 'i rea( interesat !e aspecte(e $o(ii !e care s%.er* ! Ne0oia de a acio&a co&'or( propriilor co&0i&)eri 9i 0alori4 de a prac/ica reli)ia :acienta este o persoan care 4'i rea(i0ea0 ne/oi(e spirit%a(e .r pro$(eme* "! Ne0oia de a 'i preoc*pa/ =& 0ederea realiz1rii :acienta are pe !ep(in aceast ne/oie satis.c%t, aten1ia !%mneaei concentr2n!%-se as%pra r%!e(or 4n /e!erea atingerii acestei ne/oi* 8! Ne0oia de a .e recrea Coamna R*F* are %n program s%s1in%t !e rea(i0are a acestei ne/oi* :! Ne0oia de a =&01a .1-9i p1./reze .1&1/a/ea :acienta se interesea0 permanent !e aspecte(e $o(ii, se a!resea0 c% 4ncre!ere persona(%(%i me!ica( pentr% o$1inerea !e in.orma1ii persona(%(%i me!ica( 'i are %n $%n ni/e( !e 4n1e(egere a( in.orma1ii(or primite* Respect tratament%( prescris 'i este !e asemenea consec/ent 4n respectarea in!ica1ii(or 'i s.at%ri(or primite !e (a echipa me!ica( care o 4ngri6e'te*

>! Pla& /erape*/ic C*&ciile 0i/ale 9i 0e)e/a/i0e Da/a 06*12 2010 07*12* 2010 03*12 2010 09*12 2010 10*12 2010 11*12 2010 12*12 2010 TA 2+09100 mm<g 130990 mm<g 130930 mm<g P70970 mm<g 16,97, mm<g 1+0930 mm<g 1+,930 mm<g P T R 20 resp9min 19 resp9min 13 resp9min 19 resp9min 13 resp9min 13 resp9min 19 resp9min Sca*& 1 1 1 1 1 1 1 Di*reza E+a(i&1ri de la7ora/or 9i paracli&ice H - D*)K+000-3000 mmL ,!PD>4>00 ((E Tra/a(e&/ (edica(e&/o.

Re)i( ali(e&/ar

30 -6,, J> $9min 30 -6,, J> $9min 73 -6,-J> $9min 3, -7,2 J> $9min 30 -6,3J> $9min 7, -6,, J> $9min 7, -6,+J> $9min

1200 11,0 1200 1-00 1200 1200 1100

1-*12 2010

1+097, mm<g

7, -6,+J> $9min

13 resp9min

1100

MI2CILIN : .io(e 2"190i, ID .io(e 10 m( - Ac1i%ne $ronho!i(atatoare* FFS: .io(e 100 mg ID 2"190i < N D*)K+,2-,,, m(9mmL Ac1i%ne in.(amatoare 'i !econgesti/a, ,!PD:!;(ilI ((E $ronho!i(atatoare ,ENT2LIN: #praM 2 p%(/eri0ri " -90i <=> N D*)K+0-+1 O Ac1i%ne $ronho!i(atatoare* ,!PD864; J GR2MFEHINE: comprimate a 3 mg, <Q7 ND*)K1--1, g9100 m( -"190i* ,!PD 84 )I 00 (l Ac1i%ne e"pectorant, .(%i!i.ic secre1ii(e @reeND*)K20-+0 mg O traheo$ron'ice /2scoase 'i (e %'%rea0 ,!PD?8 () J e(iminarea* Regim Q(icemie AMPICILINA: +"1 .* I&, ,00 mg* norma( ca(oric, D*)K30-120mg O Ac1i%ne $acteriostatic c% spectr% (arg hiposo!at, ,!PD>"() J PREDNIS2N:1 t$90i per os !o0a !e atac c% e/itarea -0mg90i se sca!e treptat p2n (a 10 mg D#<ND*)K1-10 mm9 1h a(imente(or care po !o0a !e 4ntre1inere* ,!PD 8((I 3 .i Ac1i%ne antiim.(amatoare, antia(ergic* a(ergenice CAPT2PRIL: t$ -"190i Ac1i%ne hipotensoare* NITR2PECT2R: t$ -"190i per os* Ac1i%ne car!iotonic* ?"amen sp%t: ASPACARDIN: t$ -"190i per os* - macroscopic: /2scoas Ac1i%ne car!iotonic* - microscopic: eo0ino.i(ie C%R2SEMID: 1t$ (a 2 0i(e per os* R" p%(monar - n% arat Ac1i%ne !i%retic* mo!i.icri* DIPIRIDAM2L : -"1 t$90i per os* Ac1i%ne /aso!i(atatoare, pentr% .(%i!i.icare* R"Kra!iogra.ie ;ntocmit,

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