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Fia de anestezie

Data

Foaie nr.

Grupa

Rh

Numele ______________________ Prenumele ______________________ Vrsta __________ Sex M/F


Dg.

________________________________________________________________________________

Op. propus __________________________________________________________________________


Premedicaie
Inducie
Meninere
(drog, doza, calea, timpul)
1. _________________________ 1. _________________________ 1. _________________________
2. _________________________ 2. _________________________ 2. _________________________
3. _________________________ 3. _________________________ 3. _________________________
4. _________________________ 4. _________________________ 4. _________________________
5. _________________________ 5. _________________________ 5. _________________________
Tipul de anestezie
General
Regional
canul venoas

masc facial

rahianestezie

canul arterial

masc laringian
peridural

cateter venos central

tub traheal
DN
de plex

sond gastric

grosimea ____________
alte _____________________
sond vezical

Poziionare
Monitorizare
Dorsal

T.A. aut. man. sng.


CO2E

Ventral

ECG

N2O

Lateral drept

PVC

Halotan

Lateral stng

Puls

Temp.

eznd

SaO2

Diureaz

alte _______________
FiO2

Bloc N-M

Bilan hidric
Op. executat ____________________________________________
Operator ________________________________________________
Intrri ________________
Anestezia _______________________________________________
Pierderi _______________
Anestezist _______________________________________________
Bilan ________________
Durata op. __________________ Durata an ____________________
Analize intraanestezice
Program postoperator
- ________________________
- ________________________ Oxigen

- ________________________
- ________________________ Perfuzie

- ________________________
- ________________________ Blocaj

- ________________________
- ________________________ Analgetice

- ________________________
- ________________________ Antibiotice

- ________________________
- ________________________ alte _____________________
OBSERVAII

TA
Puls
Resp
- Spont.
- Asist.
- Contr.
Intubaie
Detubaie
Operaie

Anestezie

Ieiri

Intrri

Respiraie

VC/VM
P+/PEEP
FiO2/CO2E
SaO2
S. salin
S. glucoz
Dextran/snge
Alte
Diureaz
Asp./Tamp.
1.
2.
3.
4.
5.
6.
Tratament

3
8
3
6
3
4
3
2
3
0
2
8
2
6
2
4
2
2
2
0

19
0
18
0
17
0
16
0
15
0
14
0
13
0
12
0
11
0
10
0