Documente Academic
Documente Profesional
Documente Cultură
_____________________________________________________________________________
| |Iulie|August |Septembrie|Octombrie|Noiembrie|Decembrie|
|_______________________|_____|_______|__________|_________|_________|_________|
| Data | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Apetit | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Greutate (kg) | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Presiune arterială | | | | | | |
| (cmHg) | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| - clinostatism | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| - ortostatism | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Semne de | | | | | | |
| hiperhidratare | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Diureză medie (l/zi) | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Ultrafiltrare medie | | | | | | |
| netă (ml/zi) | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Test echilibrare | | | | | | |
| peritoneală*2) | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| DPCA/DPCC | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Sistem | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Nr. schimburi | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Orar schimburi | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Tip soluţie | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Volum | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Starea orificiului de | | | | | | |
| ieşire*1) | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Recomandări | | | | | | |
| - Dietă | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| - Tratament | | | | | | |
| medicamentos | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
| Probleme | | | | | | |
|_______________________|_____|_______|__________|_________|_________|_________|
*1) După clasificarea Tdwardowky
Observaţii
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