c{plrolur

ADtItN tSTRAREA

EDtC^tlltrj\fEt,oR

\r' J'c".nc rle r'1. \uh{d LL.dd dsr ra J. jrbr. . ur.h4( .u.. of - h J|(i.. DrJh .' rhoFtar n r. rca ho i.u' n . npi,mcto, p'.vtu'n perur anr!e 44.E rTr.c rlnlt pib oCr. ' Mcdicanenllc tor fi de oiglnc:

mcdirrmsr,iblnutct nmduJrlcncli.e vrd." nc . c :.1rlc.unr d r rc i' .. nr etr.acc. L' un$. r_ r,. ui tu, \m lc" p dh ci elc rdbuic ia nc ptuscris. fin;lh document Dcdicat. ii itudnniilc hcdicolc. d; sunr o(p-r.cLrrnark\p rlu riJirrbu. Je.:.'cailrnrjrc reJi.r.c \r-.rcdLn m \ 'rnnc Cc ncJ'., n- e I noo .l F. li' iir n.u i n ric dc., k n\\,m s efid..11. '

chiDicc dc sinhzr, rb!tuutc lic pnn cons:tituica tnj.bddrora snbstatrlclor$live Datuatc. iic pr in conbima uror e chimioc cdc rind spre o strbsroli odivi orighari

ddo

4RoM,|\lc''PAR-F+lNlDo9D"]l^oll

Clasilicrr& hedicanc0t tordupi ut

Medicamentc de uz intcrn curiid kurr icrmNnrele carc rclioDcazi dtrpr c. djLug in ctr.u nlla srneui'ri Dc diltrilc oiii ordlt (prdt srupxrc$crxll (pe alri calcdrcir c.a dige$ii) M.dicimcrrclc dc u2 i'ncn sc nrc7ink rub nnnaroartle f.rmc: pudrc. sir.pln. ticaturi. poFmi. susllcnsil. con'pnmarc uhlere- dnjcur. oap Lc. lrmule. supoziromr.

Mcdic,mente dc uz

folositcthhtr trdrm umr hzilri uhf

c\t*n

uneLe

$N
alu

atlicarc pc $Fmlah pielii siniloare. aLt.lc

nr

Nlcdicrmcoiclc de rz lo.xl {hr dcrinrre iahnlatulri rfecriutritor tocrtd spr. eyeDpln colirurilc lrcrtru alcctilnilcod'lrr sad ietusolii in dllcrnc rleLliuriD!tnonatu

' dcgradc.zr duti un uunrir iirnf. t)c {cocn. ambaLjnt ' '. prin ipiild rciiv. sc nedicrnrcntcLor F! ielm2i da& cxpnanr dx1, rlc ll cnre nredicamcnru nr mxi hbtrie !a lic nritizr
cxcLLNivitrtca

\4rli. . ,. 'u

E,4 .( tc t.r.o.Lc .,efin e I, I'ir'

d,x

,p,,r.

ln.lnr
6,2

Medic{nrntcl. generire sfi copii nle DrediclnrcnrcLl} duni u irnl.rdc ani tlc comcrcirLi/an

dc turunnF carc
,..

si-ru pic.dnr
dc

'dninln. geDcricc atrLn.i

"0. 'nedi.aDcrlctor A.rualmmrc. din mriuni economicc. se rndc strc pmlnovrra ncdlc.menrelor
dc

'd',*rclo'(n,..
cind c\isrt

.rir.J" I
pe

hi

f!til

rl

Adninistrrr Ndj.!nentelor

trlc orsl!

lliiiiilij,il.l,l"::-,i.lillll;,!:j$,'i',11i;,1","'"*n','" .
adnrifisrnr$ ncdic.mcnhlor pe calc oruli
sc

s'u sub'Iiolud

'|

Mci ca''ii,5ti

dc

rt{c

pr

nJrj'rc.

sbh'!ur

si

. ddn r!..,r..J-ne1 ir.,:rj.t., .'.1'-Ji n nonlb.rcc'i ' '..nh '-.'.

\l orchring!lui ulclc 0rNrmcnlca.encc (Dic0ibo!.lrn): tdnslingul (pe limbi) s. idnrlnisrrr.Ta spra! uri medicanci{oasc pe d n.cictr1ii d rn.sini Lronir4 p..icnr ir accn .nz mbue sa dupiadninith.e ilainr dc ! nrA[iti: rcc.sir:i o buni clnoa$uc. dc ciic rsi\rcnh DlcUc.ta. r rnrrncnrcto.p,rscriso dr hcJic, . cldc(clorrcmp.trticc ri a.d.liiLdldvcsci

a.-jt

e- ,r.

' -

rrrescri$ia nuli.alai cSrucior cL mediclncDic, ll&on cu sdlulic hidruslcoolic,l

d percchc dc

pal,aL.

dcriici f.losnltreci0icDrc \n..

ro{rfucr

dlr Dcnrd mcdicucnro

A OOVi^1I

OAP LA

carr..i$nlcn..icildlui dc a siadmiDish tnirDrcrlrlri do r I suprtvcghcar cxrlici plcicrtuLui irnpol1aDi! luirii mcdica$c Lc orronrbnpr.lcripliei Dcdicitcl sc trddptcrzat dctucdul rdrrxlir lx nNdlul dd in(n'iE rl plcieotulul ndnhu I a\i!ur: sccurit!rcrsicalitaic! miri$drii brilmenn'lnii sc in$al.nzrl lncimrul conLn.bili \c !.orda ajutorpacic0ohi af ai irr d lcuL$t..i
sc idcnritici
sc

Eaccturci proccduriironditii preliMinNrc prcgitnca mhncntului rcbrlc sa fic cxt.mpoftncc dc

Dr.dicrN.D(clu por ll p'cgarirc

dte

ashtcni0

..rc

dislrjbtris

ditrri'r. uliliza

do

lisfi

cc va conline.

ir

mod oblig.ronn.

nl.dicrDcilclc idcilili.rrc p' ir: numele 5 pEnunrele prcientuluii - do/toratul dc rdnrlnishrcl

dah prcscriqiir prcg hd rrldmcnrLlld n.ccsirr.onroLulrierror al

asi\rcnlrn ionli(cuLi,aqxfcrr.iniee.lrarc)r
sc aplicacxactnosologia

cxriiiii uccllrul medicarcrt

ecn.fllc
dc

dc

nrc(risr d.

medic si se respe.ri rcsulilc

adminijraE

,\dninhtnre. DroDriu-rhi ! nredic.menlului - s. iddnindi pndmdi se leifici inci o dah prcscriplf ncdi.xli laDarulprcicrtuhi.lf

- $ uli4rzi
sc ntsr.aTa

homcnru admintriril: o friciiunc hldrorhoolici a miiiilor nN sd hdc un lN.j snptu imi'r. d!

f.dicdrnlclc in blistrcle
blndul N tuxrfc.i drci
c pcn1tu

lau fomelc dc.ondiri.narc proprn. Dtni cind

DrdlclDEntuL nu

se decup..za

oft

condjlionar tnr-o rtveoli

. '

se

0!n nrcdlcainctr[

.k prscrisrinr

unnihnrclcuintrehninhrc!ii.i. i'jdinrcdc

rc.rplicipaci0nruLui nDdlldlile d. lu.rcanrdlsam.nrcLoil p.nhrin.rte (,1ieun). in tiNruLrn$cisrtr dupr hari: or !r laxtrcu rpn. pcrtu .dpsulc. lrblere. conprinarcl dizolvar inrpi pcnh' comprimatelc caF$dizoLr, sau pcitru ptrlhsi: liridihtic.ncnhsnopun.suspensiisrutrnr$codpnnrarelecarcscadmi,rhncaTa

aDLim

dcmds! uJtrc.riv

dc

r(o.ohiarr I

txcieotutui

ii

de

crcicrc { coqrlinct

ta

SupBreghere ti Supravcshcrca

- o adnriristmtc.rc.li:do^rordr.nod d. ldhinistlc confonn icc.nrandarii rn.: mcd ic.tcl - di$nrc. fuDclilld vlule inrinrc.in tnntul \nsru dqri adminiinr i'i tunctic dc
evaluarca

erllu!rc tuinislrini

edicamenreLor 0.r os rrcbuic

$ gdrnlc/x

nrdiormetrt pcnrru

! idcnllica c|ctclc

bcnefice

\i celc irdczrtuhilci

MONIrcRULOFCALAL ROiI,ANIEI, PARTA I NI.669 bis/31 X2O13

6,3

aDEcicrco

conscnn.fta semnclordc necomplinri ld rahndrr nivrluld dc con5 dFalpacicnrul pe dlmro lrarddrutuii inotud@d acdror.lcnmre in ceie do n dimcnsiunc ale.ldninntiirii ror.mentulni ornt calilaiea ii snrir.t.

Adhinistrarca medicrmcntelor prin injeqii Dncnro.le

lnrruduoocd in dsnisn a unor ncdicanenrc. subsknlc activc cu aiurotut nor seriiqt,i acc

..." c di,

ind

tuoi d't.r'..

ic nr b$trrilc organisn,ului: irtralnusctrlar $bcllanat! in@dcmic: li. diDcr in circntxli. eneuini: injectja i.rmvcDdsl.
n

' anljcarmr amc rctor nirJicdncn ro$e irjet.bir. i rdliai3 unui monorest sau iftadmrEacliii . rn de 5cnribiliatu sru curc dcdcscrsibiliarc:
odirtiv..
i0..urca
de

produsc

s.sru rcrlizini hor *ancnc

de

in$ri8

rc (pbduse r.dbopdce.

izoropi)

scrlngi sbild,{laphr.volumului de iriccllt: acc sreritci pcnlru aspimrca medicsmdruLri rG inj@hr. Denrfl mcdi camentclc prcscn sc i

rslizdr.d i0jocticii

- un guou (ln .r dc injcctic i.r ): - olNt medicrld.r,rri'

'unonlaindpc.rdace:

. .ecrllic4 didpiddu.elJr.'i.dactjr:uril Bt
sc

sc

otc.i infoualij

dcsprc

proddrri

dsprc nrodul dc .dnininra,j

rur. risc a ploicnrr,tui pcnlru cr

@ltdza hstalaftr conforhbitd si tirr

incele mii bun. condirii.

injcdeu si s lnci

anfi.; pr{' - ,

ucdr.

i.

dJb or."nuc,

D.od

rut,.. .,e;r.!i.o

in ba,.ieu

prepantu. hedtcamcnruhi dc iniccul cft in ftqic de co.ditiMca slbshnrei acrivc: frobc dciuict- fl{cdncu do^ nulriplc.iacon cututbcro dcdi/olqt

POMANIE

FMIJ

i.

c!7ul ,iolei / nnconurui o do7., unici: !e punc o coinnr.si nnblbxti in so uri. aDrh+ri.i i0jttrtrlgirLltri fiolci !isc drinfederi rimt dc l0 de \ecun{te (ii$p dc conon Nomardd dc pncauriile univc6xG):

' -

sc nonrcr?i acd de aspiLatic lDrai grot la rmhotrl se iryii: idr (n li inht indexul 5i dcgetul mrrc rl ncdofin.nrc.nE F/riorari cu d.sdridcra in.iN penrn' . stna

Dirii

5c se se

asfira

fuNai$irlkrd frcsuisa

dc

trrdic:
buleLe dc acr:

ripor..z, nrorscringr si sc c nninli

indeCincazi acul dr 0spintic sl sc otrmi nr comxinsr \c xdrpruzi l. \ningi ddtrl pmltu injecr c si se rctme se.ingr nr rmbdlui: proLccrir dcllLri vd li lisati pc ldcfini in monrentul inlcctlcr.

in rrTulunui flrcon

sc!.rifici drta .icschidcii l !cor h .sinulr'ldrconsc^atu: ca rcluli gonemti. !tr Ux.oi deschhd.mii n0lr d. $ o,c. tr( mri.sc ulilizl in caTul in trci.lorrc ti 0rtrzdrii lnrp dc:10 d.,l.dc l. dcsclld.r.a )contrluii
dorul de cruliuc !l iaconulLri cr o compr.\i nnl bnili ii nr trLie rnnsghi rirr caltr1 prDci nnlriri rDb!iciMiinltis:r se iDdc0irlcTc crpiiclnrl mrbtic dr dm{rj'r): s.,n.ntcr/i a\ ingi acrL dc rsDidicr seas0iracarlildrcap'lsdisxdidlxconnLdntrrraiunuri :. nrdrpiiilu/ii hrlcle de trer din serinlii s. in,.ieparc.za.Nt d. rspndic ii \c aruncr iri .. anN. \r rd.tr.r/i :fnrli ].trl
sc
Pef

cu dozxmukiplc

i.gr

. .

ru oc.lrc pnr.Il l.rtlso ut)

incralnrconuluicurlulberede dizo!vrl
icrin.li solrdntul llichiJul) pcnh' dizolvrr.: s. d.zinlcdexTa dopnl dc c.rcn'ci se irjc.t./t in nronrl cu pul6.rc n'lvontul: se asilnri lrr.o.ul peuii la dizolv conrptclt. ndbqii.
sc rsnira id

'

tr

iiri si \c EMsi.cul

cu

aspninrdlclnre0nrl drltr.r in s$rngi tisc cLinini btrtrlc dc rer !e indctincr:, rcnLcu carc s x asDnd. s. mn.i ir corlaincr si sc.dapr.az;i njc.ric lrsirdu Lni rcacxDrusdoa(
sc

xcltpcnh

6.4

Ad'nnri6tr.eN mdicdmentelor pritr injcc!ii inrrrmus.uhre {LM.)

nr

lftuducc,t! utrcisolulir n.Ji.arrflorsc

rcs

htrld'ldrctr lirrtor uneiscrttrlL

si

hli

rN

dicrr inr esre eildu.ra.

onLiesrc.o mindifri

in lcncftt. ciDd s. d.rcrr. o rbn'blic npidli sau

cirt !dcr

' -

su xplici ccLe..5 Lcguli-dc xdilinisr!rc:,kicn{ut pririr. nedicaii.,)olivni doTr ..reda, calca adccvalr. rimC!l (onn'l) polrivn: iiainr de ldminishrca m.dicahcitrLtui. lsistonrl hedicrtsc vi intbtur dcspr ncliunea medlcai,.DtuLIi. r]o1ivdli. ddnnnis0iriidro$tui. doz' mmatr sj cater dc admjnisirdc_ conlrindicxln ri .crcrli rJver\el camiuter de solutlc .dminnriLli Dc .alc i.Dr. vdri.zi in tunclc de mcd criron(i i. nod non.l.nrseddDrini5trcaTj Nlrnull c5 nn ji r.chtiloc:

ahernlrca o.orilff injcdirn .$c inrDoltafii pcnrn corlintrl lrlctennrlui. ndf1ru f [\ctri]!tr r.ud.lor aslpD le\Llului ii ta.iLnrd rhsolbricii btunle de elcclic iidtrd .drhuL suDcro,crlcn l$i$j reinc. frettic a l.rci cxrc.rc I coaFel. nruschnrl dclro i sc xr evlt! zirclc .oDrftdal! s r cdcDrczinri nodulir pozilii prulcntului !r fi dc \igu'ania. rctxxd, si cojn])aljbiti cu oondirid fizici a naciomrhi incir sii oilre o.xpuncrc ad.cvaii I locul,i pcntrd injstic ldeclbi. lcrlral. doclbir lrEDl. pozitic iczindi..nostrtGDr): rnarimc. ..trlul \i a lcrinlii {l+inl dc vol"mul nnuliei dc injecrat, visrozfurcr solulici. con$irtrir prcicft,lui. nn\chiul sclcc{dr pmh itrieclic: inairlc dc kl'niniifttor oncirui mcdi.mncnr nou sc cvahcali,isorl d rtcFi. rt | !11. ..' p d1. nn, r sc rc elza prcic nrl si nu fie rlcei.. itr spc.iat inii'ta .dfrjnisrlii prnnci doTe dc
anribloticlclritui.rcmnic:

p.nru

p.cvcric.lo{rcl lp
xculriJ

lx scoarcr.a

nrp[r1i.irltieLe{ mctod..Z
i.nng,

f.r){u l orc. sutsfirtati lc${utui !e carc nedicamcnl_ n nr$.bi. a.ul r3 fi s.hijnbxl dtrpa.c $ 0rij tr to$.sfari in sqinca: ..,1.u, .uhr,.,,t0.{o....,r ii., 1,,,i 0e .."n.. ',.
sc

tohcdc nrnhi pcnrru

e

^r0

mutohiuhjddho gtuteat.

n.nI

dc

rryacikl] rotosprnl'h

... o..,

,3rlri.-.
vrLa:

loh'notut

.,d..

n..r

{lc

ini{ral:

.ompres.dcritonibDrporncdc

mannsi dc unici lbloslniti (oorionxt):

.dnhinG
sc

spccialc

p.nL col..ta.m

dfirl.l.r
utr

se

intefricvca^ p&jcdr!l])cnrua idcnrjlicr dbritu c.ns i,nirliintu I in tonnit:

|]osibtt.isc dc aLcrEicr

rc,rigut. inrlfrirarerpici.rr!lui: sc $rbilciic lo!ulpcilr0 i.jDcric d pi iNp.drfta zorctffdc ctccriei sc pozilioncr/i p,oie !l in ftn.rie loculilcs ridcsx r sa gcncDti.

sc :nonlcazi dctrl b serirrgd lolosirt rohnica aicnrici: sc indcp.ncizi .apacul acului 0rlr rtucltunc.

MONfi ORUL OFICIAL AL ROMANIE

\. dc7i,ntd.i7, l.cnl ilcs:

- !r droduoc ftpid xfrl i . . .

si ccLclaLt.

sc

jrrindc

clc. t'oL.sifd

rira

redomi'[rri:
'nilra domiMDri

lrsul nr mghr dc 90' riDilnd scni.ca in

intr

trlidd N 6x..^rhbou {nngli ifirc poli.clc si nrdcxtrl Diiinii nedoninant.: sc asn r. nrccr lrigind IhtoDul iDrpolcu nrinn domirarti pqtnr.l.riie pdzirir rtrlL,: s. schin,biD.rilir rclLL'iJr., sc aspni sinqc: s.lnjcdcazi ldr soluti. io tc${ul trtuso'lrr. cft. l0 sccundcruitu lieurc an sohti.: 5c cxtrsc rrpid rcrladrprrl lx \.ringi fi\in.lanh.trl:

d.gcl.t

rnbdi drl Dc.xp,sonrr ii rcilrii,$i s. rlscoza locul i', ccie ctr m hnrl)of ctr xLroole\sciufd o usoaritr.siurel s. riuti prcicnru si rc irnbm.c. sa.dottc o to/ihcco$odi: s.clrlum/a ocrl i|lc!i ci dufi I .l orc dc lardnri" s,2N. dr.ii.ir poibill sr rco,lani4nzii locuLdc nntrtlii
sc

se

noi.lzi pocnlrr in fisa dc poceduri lnunB Jnrr si

ora

3dniinL{nrr. lipul

soLLrL.r

rD,o'1cli. nmicituri sN alrenG!

lirclcj mNcrtiic i,i /onr injcrrici n.L., ri'rd. Jl pi .'.. .Rr. o lordc!c!,ri 'd. r " ['. rr" 'r li.
' '. rjccurcxiri[{ lxs.lcsinlclinuictrtnJx\.: .'nhoLi.prtr roJuil prin itrre.rarcx un.r $ trlii carc pllcipila s.tr r

unui ne{.c .

:otLLtrL

titnrrr,

pLgnrenrrEd

prli

prn inj.cilrca uor

soLL'rii

$lo'11.

lili \i

se

llplicc

crodr

,,,,J rLiJJ.
6.5

,.i..

cpL
duDi nedodr,.z.'

.\dministrureo

nr ed

icancntelor prin injc.tia

intrrnurulari

. . ' . -

mi'iktmr.a lxhrl.lo' irilr . sir

cclor

dft

colorcr^

resuttrl.

cur rr ii p'oduscc

f.

xdminisrxrM trnor lnuliiDrdirrnrenlonsc la

pr.c lii lnshncisulDudi.

v.rii.i p'cscriDrio mcdlf li: rcspdlirniiniLc\i$inrhracirniinrjideuricatblosiIiai sc Drc:,rc{ slnnln ti.orl rotivtcr.nrnL nricctix i'lnDn'scr]fri te rspnd soh,ris n.dionrdnroxsi h scinla dupn dodx asqrric, !i o rnir.i crntirri. d.
\c
sc

srhin,bllNulcu crre

!,

apirlr

sc

ata$azi.cl pcfuu injecrd soLr'\il

MON ORULOFIC]I^L

ROMAN E

. sc xs.!7ii prcicnrrl in p.Tilir carc pcnnne c\tuncrr zonci gturealc (dcctrhir d.n. d.c!hil la10nlRhxa0: . :. dezinli.tca/i cdd ntrllrpc,o carcri xl tcsoi: sc lxst ri sc!r,.c p cl..i - s. r{!c picl* in lalcrrLi'r fo'rn! dc..2,. inde$ir.ind od. tocul at.J fcoh injectic: . scinroduccNl in r$utLl nru\cub.i| !rlhidc90":
scrctir,
pentnr

scrdcnLificiFcl.nn,l:

su

r vcritlci lr./ilir &oluir dri xnrrc siinlc in r.ringi $ rcrlge usor xcr .\i se Doditrcr poziririupa crrc s. rstid Jii rour drli .\i J. Jda ac.as0 sc .\niri din 0. : d3.i ridc Jda xccsh sc rfif sn]i:c rtrrlJ .onfler rtrl si sc rcia rchni.r if rLr Lo.: \e rnllrtcx/i n,rlh lcDr. daca nu *. rspirir sirg. ti.po1...rul i:s nj s0iNi oda$ cu

'
'

lnjc.rrN &'rLL'idtr i l.nnintrcr soluticiaju|i tr pre\rniu scurscri

.i J.,bd,.r

rfl

d..c

dc

subnm[dir,.

sc a$caDd

5eclib.rc./iitiecacar.aln{[.srnr.Z pcfrur&orn oclLd.i,rdNtm. sc.!ila aMru locLlui p.nlru a nu tircri/r lr,hid.rc. n,bsxnlei intunb i,r rcnrtrl
susolicn, prrleitolu si sc nl\rc peDnx x l'.!o.izr rbn$1ia mcdrcunnh tri: Jaci p.cimruLeic iroblliz.l I nd.drpi i'redarern f ru$r ra lhc, cxercitijna\jve si rdivc ii prl. ltnhi 3li.li1lrbso'b1[nred]c.nc tutur: se aru rci rc!1tr{aDisordl ir !olc.r.:2, xl..l:lel. tolorirc in cotrrr r.rusFoialc:

nrci l0sccundedup:i injccra.!r rpoi

sc

rcbiee rcuti

i. \u ri.r duti I I ok Lo.nli[..rn

i]

. d D.'.i/l
6.6

proc.dur

iD

t:(rqr pro.c&.trDr.ic rtri

\dntni$turcrmediL!nrnt.lorp.ininjccii.sub.ulxn{tt(S.q
unor Dr.dl.Mrrr. cn: nrsuLim. mric.xqnrik,r

ljtrfri,&a urci ci, dc ldn fi(tur.

mcdicdncnreLe

dcF!

unclc rac.inun

b..lc

. . t

de elccricncifu injc.iia r.. iri.lLtri: rcgi"nea t)crloinlili.rla lx2 I c'n ii$antli fxri dc.Drtjiic si thh dorsdlxldd:i r bDluhr la R ttcnrd.N'Dnrcor,tuii

ljr!dc injr d. c.ntur.ii

la[rntcro-l cr.ii x $]nscl lai-6 cnJca\upalctrhrhtutnt: I pr.v.ni

rcerncn n'Er si subrpiroosc dlc om.plr loi: i|lccrc rrbuic nhcmrre ni ordrner misciriir!clorrLc ccxsrhic p.rru rMlizrrta rt\urtrlui si a tirlonza rb\orbrir:
riLc dc

nnintcdeadDnnistiresenleniiri.rrfcvomLatnrjfit!lclcooqicxtDrrjcnrltL,i:

.'Jn r,.,

fomr.ca h.indomtrhii

t.,.r('.,D.n

..,tu.oc n t..,,

MON[ORUL OFICIAL AL ROMANIE

'

nr $ingi i'r cazul flj..riiit soh'ritLlr iv,dc nr mdus pcrpordiculft lre cur to'niLii. pc.rnL I frfltr trlrnu crnriurc dcmcJiran.nr \a DaNnda in lcnrl tru se dczhltcrcali ctr rlcd. ir cu'l iDlccii.i .u inn'tidii sau s. hsa si s. rlro.rc

o nriri crriirat. dc 0.2

s$i'r!il prcuophlii

ff

acll vx ll

cni vr

lisdli

^m

nn s.6)nii ro,!i .l'rl s. lic ini.cu'.u irN'linr }i cu hcnrrlni (i] sr.n llLin.a/ .spirdrcr porlc pFJd.r hrmrtnn): dasd apir cchiNoz. h lo{l i'rjcclicr .tr heprriDi, sc r.com rdii rplicrcx unei puli oi ghc.lrlin pnmele5 inut.duF rjcdr c lnn.lr lc c!trrp\-sic .crt.:

' .

scringi scnle de crpac

ace ner lc

[t

ooresDuDzato.rc

v.lui]u

trr

deioLuiicsiosr'lrsrDrctr.Dltrk:

dc2.4.r hhliDci

nntr!h.tc iDjccht .ordiriordii in il.ln: $ ulrid.rn ccrd cl - ronrPr$r ri6n / unrporne derlEr m,rusi dr onioi fdo\inlii Ophof rl): .'tc'l,icnic 0cnlnr colc.h'ca(I.\cui or.

\cinlonner/r. see\plicapsccdrm: sc oblinc cof \inliirniniul in6.nat: $ rsis!a! rriniralci ndcic0lulri: su poriri.ncui cicf(tr in luncliedc loculrles: decubir dor:rt. poririe Fz,rdll rtr spi inirri ir $ld decub trctrlit pcnhL /oneLc suftr ri suI spimr\t !]. otu)tLIiktr

'

sc
sc

cg;lre5c roatc nrlcri. cr.: scvcrillci prcs.rip0a mcJi.rli:

lEcatc$ ft.dicrnenr'l lolosird

rchf icr ascpr.li:

s. idcntifici

sc scl!c1cx7a zotu ccr ftri nobiviri pcfru inicrrie diLiziifd sc dcinlecreaza locnl alcs, s. hsi si sc unrcci sc irdcpineazi.apN a.rL0i tu osind bhf icx ascptica:

Fri.ftul:

rcpctoh!0aroN.c:

\e scoai.
sc

r$ lcr or.ptia siiurrici incarsotu{iicne

ln ectir: rc-qunrenrul

dddiniir.rTi

ivr.hnj sdingr pAfrrrturii

'

. scr0oct&!l

sc pli.zi irt.c potlcct. si indcxtrL miinii nfltonrirDNc. ftinJL I $L ndic,lndf Idcnc pL uriLc ptulirnJc: rc pliru lc cu mpidirxre in 1esutut suhcubDrr i| urghi dc 4j" sau 90. if n,ncii. dc ftpR4ntau resurllui adipos ti de lun!iinca acuLr'i: sc lcriiici p./irirrcului prin ispirarti se injcdcazi ld $ qid dcdicrDutoasi: sc crtag. xrulcu o Dri$c e silurll sirtrDidi: sc dczinii.t..ri ri se rnrrrzi lo.u [jcclicil

ne!rDiiondincon[ircr

voN-oF-r oFrch. a Rov{N

se

iDsrljcitr picisnrol la nevoic (rorlionarc,

sesralimiinilci
so]!rici.4ozc).

'mbficaft)i
ora

s. norozi Focedura tu Fi$. dc ptucedun (nnsc, dou.

admiri$arii, rijrut

dur.rc violenl. prin dringcEr lnci tmindfi neFodse s.rt$i disreosic bruscil r, olcri,.. nei re,( caE.rc. nc trorr u luonq!.

rlf

l'

i1

tdutnhil

6,7.\drlnnisfttoa ncdicrnqblor prin injccFa ioiddernicn 0.D)

irjccrdrc, dc alqcni in

pi.[ .r

neroda dc diagnosric

p.rna alrcciorc4 nacridi

ta

t6l1rca latuboruli',i sau PPD:

nJcdicomcnrc

.r

porcnrial dc rm.ibilizarc a oreanismului (rnribioricc.

inrjnte dc .dninishn se .uleg inbmaiii dc ro rghcr mcdioatrentului, scopul inlcclci, daairl/dildianormlla si lo(l rlo {d6inista( ntrse vo! inlosi, irdiloEtrl dc $op, sollrii rriscpiicc carc cotorcaza pictd si mrsc|eaze

ctiharcr injeclidl se vor rsnc.ll locunte dc cto.ticr regiuca lcnhrti a rnt bhblui. lall exlcma . bnlrhi sl a coaDscii s. cvit' zoncte ptnenuc, pdloosc sitr
]rcnrru
in(cf s kdn
r

$i enleleaza peicnllLtcntu { idcmifica Drofitut atltoLogic !t aocsuia prcum Si .\Ir.nenh lcgara dc rc$!rcr - r cliduMzi drluria he$ra I sc eabile$te doza corucl:i codfod pioeduii slardanl
acolo undd .nc Fzul (qenplu: dih{ie 1/10000 U.t, psnrn rcsrrc! PID t.mru I DR la ftbcialino.

itr

izdc {inEoialc

).

i n

tectrtc:

t.

pdicitina_ 2 U.t.

kringisrcilcdc I fJJsdngi t.n1ru nrbcmtiir: lcc st$ilc.lc 1 1.5 cm lunei'nej cdnpEse stcrilcl.npohc de vati:
solu-tia

mcdilan ntorsi coftcl dozrta.

sc

irfofrerTt pacicniul, so cx? ioi pro.rdtrrat

sc obtine codsinrinrntul inlonnat Si colabotureapacicnlut[ii sc algc locul penu! inicctic.

MONIIORUL OFIdAT AL ROMANIE

' '

iDbncininusidd unlci fo ori',rii idcoliici F.ictrhr : vorilici nr.\c pri nedioal : se elictu*za diluri. !i s. srabil.\re dozj
se

se sc
se se

*!.rd.ofiiN

prdccdunisbDdrrd:

rspnii soluti2 nr scrirlii rcsncclitrd p.o..durxl

indepincaza cat)mnl dc la ac pnn hcrnmc; sc intlnde pielca din zom alcasa polic.l. reinii ncdonrinantci sc nozirlon.d2:i sor:ngr rpn pc lrngcnr cu p elc.pacicnn'lulticu bjzo!lin sus:

lnlosi

s.lnroduceaculapruxima,4mnastlcl in.ft virlol sili.rizibilpinpiclN:

acrLfrra si \cn,ase/e loqii rrunli oorl scnngr in .ontaincE sDecirlc: s. inJepifrcrTi DdNrlh.scstELi miifilcGonclgcr nlc.ol)l
sc sc sc sc

.c:ri..L,..Jlnr ,,lur"i' | ,.Jllt'.i. dr .rh p'n sc obscn ii h'nwc.ll lorul nburhrii a hciptrDul. rlbce diai1.1rul dc 5 6
rofilc

'nm

' ' '

supmrcelu/i

drcnl pxcjumtrl si

r.cti.l.cala:

cncn.rcxclia Locrra dupi20-l0Nn s.tr 72 ore (in c4LtDR la hbcrcutini): sc rcorgmi/.rzii L.culd. nuD.i: se rolcaTi proecd!'a if Pie !tr proc.d6 r D&lenr|i (snb anla d$injjiilii. inoculirii. .r. ornii ru&lici locdc Frccun si rsLacrerisncil.)i
LiDoriolc. raianrrc

ddr orl

c.non'li

dxcii

|[ci.nn'l uciesuphvcgheartinuriin:ln.i,rr.nrr!tx

'

r.rctic

arltil(rici

lr un paci.nl

sxu sor anxlild.iic.dre rocninF Dr.fi I rLcrydloqi. ncidenrillcar.

virl

drca tru

rsrcspc.[ditu!.

doz.

Ol Adnriristr.rcd Bedianertel0r prin injccli. inn lycno.sil dircc$ Irmirrea

nnci

liiii

Irenrn rdDrirGtmE inrturcnosi a medi..dcDretor in scop cxplorab sru

rclmica iiriecria

n.J,o nci.: vctrcl. djn crtrcmir!'ea disrxt. (dcjot I nrcnbnr uisupcrior sru inrbri.r nurcr d{it la ftconlndar.. mcdictrlui intucar rircTn dc 0ird'talie I slin!eiui ta r.sr

slu

rspcci.ri .tunci cird sccruo i rcca{d pro.cdur:r: I crictuala i. vcn.ld dc h br.tul ctr fistuti x cdo vcnoad sr xne'tu !.nos. cu na$ccobic cu panlizic sru r]rc lllburan circul.roni si

rs{'rict v!

lrtav.i.asi

nu va

'

J. ..r .ni1.:iit'-'
sc

brdrulL[ dotuin.nr penm niccrin ntrcvctrd.srj dn c$c po\ihil. pa.icnt'l xjda siji pii{87 indcpDidnra. ncni!. ptrncdilc v!noaserorit ini! cdcjosiD s!s. proer.s v c.nrilErtdcciin seDnrL circtrtdrici vemlsc) i.rucir. daci nu se rcspccti ocn priociprL. sirgelc.lrgind dirr vcna lczalii srtr irilari D.de cauzr o noua comrlicalic:

vr erira urlLilarx

| .r,., b".,.

ri!.tcq.

trriljzrlr

VON"OFJI O' IIIAL A!

ROMAN1

lurud pmimtilor
tipul

,.'nrl J.. dnrc.cu'r.er,"ILrdr'n'. "

iimirinq

cu hmpic irxravcnoa\i ti s !. lircc bit Fl hidno (indri,ictd; dculri folosi( v, fi dtunninfii de nrdrihqa? c.tibrul vcnetor Daci.nrrlri

ruhi ( dccnrind zona vcnelc dc pc pdrea do aL a feiniir

r enelc

dc

l. Dlic!

co

ncili,li) .

dctll ici, tazi li.n1

venelcdcpc''

er

posl ioali!elmbeij
la nou

lrncls epictuicnc

ntucu1!i sugri.

llva bcdicnli sa! cSnciorrulanti seringi stcrilc cu anbdl situ pdriferic dc crprcirilj adccvarc canriFin dc hedic!$cnl
aoc

c!.bizoul ascuilt dfi

scdi
dc vatr:
sdu

conprosc

sifile/u'npoaN

su iacon .u elu(id i2oiont minusidcunigifolosidli: trrcnaLe pehtu pun.ria venoali

fioln

hipcrroni:

$ intomclzi,

se ciplicri pacicDrului pmccduri: oblinc consinrimAntul irfomsr: sc nsieue intimtuten racintului: se rcnriri locurilc de oloctic cvirdnd zdclc ctr echinozc. pilo?iErc acceuru.tr

su

cu

ts iahilcah locrl Fnruinjectici sq pozilionwa !{icidrul in tunctic dc ldcul ales iit dc alar6

sa

!cndaL!: dccubn do$al.

se

wi fi.r

ss

icali: 'ned o6in inromatii $Dlinentae duc. mcdicancnfu] stc nou:

prcscnpli a

- ss foloscsc mdnNi dc.trnn, folcinE: - sc aspti soluiia di! lacon.onlonr proccdurn jdndanl - sc clnriri.buleje de aerdin scrjngA bcnnlraldscrinlainpoziri. - 3csahjobn!c!ld alitrl larisonati - sc lmer gmul. se palrca, hi.crul ycncil - sc dc/nfedcazr lnrg 4& alosn ncrh injdtiii sc lndarnfreazi careul dc h ac pn. tBctiunci - s clcclucr2i punqlir vem.s. contu proedtr j: - s. vcnficn pozilia acului prin aTimruj
sc dcsl&e garoul daci

vcnicrtti

.cul csft id vdni

MONITORUI OFICIA AL ROMNNIE

sc qcctcaza lcnr solulia mcdiorncnloasi

obscNd

nJcuL

punctiofd

ri

ic..1ril.

sc.rl !.,ap
sc

acuLrdntrdl l.\cri!,gii:

conrlri'ni

Locul iniccricl cL 1r'npon

!u rlcool,

! mintr[ pentr! hcrnonxa cornnlel,

unor

llcbalgic pirr t..lxr$ pr$ rxpidi r s.h,rieis.u ]lii'r irxr.dtrr.r.a p.im inln rds!lLri(cx. soluli l. hipcroiOl

sLb nt nnrnr

.
6.9

lcmarom prir pcrfoLarc! \en.l srtr xrneleLi. lipotimie. coLln\i

pri etlger!..uld

lira clibcirton grid'lul:

rcnctirkllli!li.cla\ttr!Lil.i'rtc.i!Nn,srop!xplorator(nn0liiiodalc) ,\dmini$ rrer n,.dicrmcnrclff pc muc.r$ conjnciivNln

r.LrpcLl:o

Ir{lLftca nredi.anentclr (coli n. r0gL'cnr) nc sunralxu ocbn,Ltri. cu clicl (rr$czic. midrirric sN dc srrioge.c pupiLad. rnrirlgic. aniilnllrndor)

irainr & rdmi'rl$:ro ricirli ncdldxmrnr. asi$entr'r nrdi!.I rcburd \r \c docun. fu/r dcsnL. icitunca sccsnra. scopul pc fl .arc sc xdnini*rcazi. Ll!/Irl Dd. rL ilconDaribi liriil. cont. idd ic.tii si rc.cln .drcsc: roxte mrnclrlc dc apLi.rE r Drdlcrn.nr.Lo 0c slph[LLn.rhrutri s! \oL ifur ( rlitrddc.nr sienmr!i, inru.ar odl,n,l \i if snr.idlNfocx ci! o /.nr iirfr. \.niibrti lchdird rscpricii !a li Llilizrii oi dc cir..risc tralcrri!clirlsi.i se r0lici r.prN l! rtr

N sc apli.a il.ioddi Dicituri s rtrnlNnludi'rcrD.cor,!!. iniinler .le rdmini*reFa oricirui nrd,cfun.i( iotr, sc vr id.nrifica pin iil.rviu utr .vcrtu!l isroi. rlc.ld g c mdli.dDrcibasiil h r.zul adhinisrnrii tlc \llllii .u rh! 1ie si$eDici (.rooim) sr \n prsr blitrd !u dogctulne!Dgh ullncn alo0|iului. nop d.l I i1intrc dupi irNritdru in 1i'np $ prci.Drut tiire ochirl inchis: vi inrfledica ncdi.a'ncnr'l sli ajungr in cdr.lLrt
i',

$ztrlir c..c picieiru rr. p'!s..isc siFiciltr.isi

rnguenrc. llicfuriLc sc

r.rldDiIirrl

sclornrcgiu cifucnru

$cdicanr.nlclr

pb.is.
l:

de

l(ru
sol0lii.,inlucnb.disctrri oq .rci

nr:inNi tl. trnicn l0 osintil

conprc* n9ilci
scr

liTi.loglc

!d

pms nmrc orulnn/bxndrjc: se vcrilica rcnnctrul dc r.lxbillr.tc .l trrdi.aDrrt.kn: .uloarc! .snccr'l \.lurii sinu fietrecinltrE.tulb .i:

or

ocrlffc.

MONITORUL OFICBT AL ROMANlE

drct orilioiul fubllui cu unguen. oiiatnrc r Jicut c('sli rc indcpine.zi cr d comt.csa

se

un

Dorcui ddr p.nn.i hlosirl

i lhcondui r $tuli. ocuhri ldupi dcs.rnbrc. xcc{r folNirDuinuhdcr,:rsi|liimiinipcnrruIevnrconhfrinnr ).

r!

. -

\crillci prcsfirrld nrdicrli: \e nbtrtiUcd p.cic uLsi ocllnrl crr rchuie rad mcdi.ut p.arc prcr.rjc rcdicamenre doz. dihitc Fc.td cfi Joi.chi)i i.rnlicliproceduL. p..icntolui ii s. insrric*c snrirnifa ncnri\cr in rimpul pr.cedurii:

!i

- s. ifdeDarcrza D.rs.trrtrnrl/brtrdriul daci exisrar . $ indeFrelzi sccdiilcocrLrtrccuoDrprcs.{*iicihbibar.in$rUzrotdgic:

sc

!p..i

l-i-,L'

r,

.lJ.Lnnrl.:J

ori(i

dileritc p.orru n'pcriorru.

se.Fliilc |]ri|

funclf !e aplica ..mprese nmcn! rdit. deasrpr { lasi l-l mii,ure dupa cxrc { indeDincrzi u$rcrurclc i'nnriatcl sc rpeti oFritir n, ci.d crusrclc $n ifdcpandrc cu ururinta.
lrcnn! nrdcpiddcr
olirlmologicsa!crlcalcuupul

lic.N

r.s!ir

ilnsprc unghrlL c\rcm

ll)l!.ct

i'rero nritiziid conrprdlc

ochii

pL.orlxi

,\dninisimru mcdicanrcnret0r prin iniihtii oc!tare .s.rs.alaprcidrulilpo;drscnri$zirdi.trcJprLdeucd{.spijinnpcspftfutrcaunnhi

- sr ccre prrlcntului si nriv.rscii in \os slnr cpiinxrc si \i e\ itc clipii t: - \. i'idcpii../tcrprrul ua..Dnh fi*iiz rtrrirurr(r'.i.modrscprj.i
i. \|riini niM
.u
b

irclin tururrcrc!ochiut
pe

aLc1rr:

pl.fipr inliriorrr penh . iliri ful. palpcb.ati: )Linnrl.azillpicrirunpc$utur\rcorjrnctivdli.rprcunghnrlinrraLoc|juhril s. llLbcr.azr pl.orna inlirioad. s. cnc pacicnru]ui sr ctipcas.i prdrru di$ribnn
iltrdrr.
se

ur tll.onul picudror

thnrci p.ctentuhi. irrc0 c.rtalta scrrgenjjos.

indcpincaz e\cc$ dc solrll!

ctr o

.o'nDsi

$citi.
ceL Dntin

Adminhtrare. ongurnlurtri oft alnic d&ii paclcdur trc pftns st uneucrt otld.ric. sc rtrcapri

5 nintrre dupi

xnlici uiguorlr dirccr dn1 tub, sau o brshelr, in n. s,bfte dc{ tungul ptcoa]rci inls ioa.c, sau sub plcorpa supcrtua',r sc soli.irii prcicnrului si lnclildi .cliul ii sa{i mlic gLobut ocntir penrn, i 0ndbmri/a

idofrra/i pacicrnrLci scf^Lix dc coD srrain v. dnF.ca drni lopnca J disdhtri,ta unifona i !rgrcrlrkri pc $'pnfalr ocliuhrir sc sprlimiinilc si se rcpdi proccdui Jipcnrr! c. itntr ochi JroS c$. tndicai: dace sunr prcsdise nrai nrultc uneucnlc onahrice. se !a face {r l]auza d! .c putrD t0 Drirurc ifueaPliciri
se

.'\plicdrer disrurilor ocul!rc

l)iscurilc o.trlirc srhr liJl odr trh Sud loflnxlc din

rJ.co

nronar.aun.rm.dicrmenrccrr...rn)nerilxrn.nl mi eiirui: dour errcrioar. si 0.tr1 h nril.c crc.dDri'rc

lnrodusnLbtL..ile.discu.(.trnrecrrtdcli.Iidclcoclrnr]tri.rtLbcrindnrdtcaDre0tutpc cxr. lL rrntift chirr s o s,ipttntnil dc h eli! . (iisa !trn srn di\curlle cu pitociona lol.ritc in t.hnrDf nLl ehromulL'i) Lrilizdcr discuiLor ortrlrrc. cRc conhii l{r; t'r: conjrnrrile. kcrrir.. dr?iDir! lc r.rinii. rftrriL'ni in caft con$ric1i! pupilara irbnic cvn.ili

. r spxli nriini!.si sci[bmriNanusi n.riLc: s. s.o.lc 0i dis! dilpddrl: . sc introdtrc. dlscul ori^rhl $'h pleoapa srns$rri n ipoi sc p'c\c./x or bttrdcro

Jesupla ploipei $rpcrio.rc pcrh cx Jnd \i ss fixc7. cfu rEibnc r.porr. rDllcx rii sub pl.o.pa nrtri.iiil \e avclilzcaz. 1)x.i.rr,l si ntr s! ttccc h o.lripcfttr a rr \irraducc lcziunr: sc ir$ri prricnt'l s:i sipunli irguliscurile ocu rre. rcsn.crind rehnim .{cplicii: sc .xplirr poicnrulLi sii.li lplirc lacxsll) dnctrrie scla. irri'n. dc .Lt.rc penn! I ni',iDalr. clc.rclc si dncoii(trrul derennind d. inccnx.tor ycdoni rr dpaL dc obi[i dunr
se

ccLd.u

lcdizcaTi pi.i.dL dcsnic crcdclc xtlvctu rr urilziriidf.trnlor oort.r. jr \arrrrt Iih!ryiin: s.tr7x1lc dc corp lriirr. mrealr ochnrlui. nrurit..dcrn.lr.i:nrr. Lttr..rt

dxci r.c{e rimprom.

dispar dtrn:l .l

si0riD ra. Dricnrrl

\r

r'i iNmLn

iii xful.

'

srlli nrli',iLc ti sc iDhmri inai!silc icrilcl scdcprii$plcoapainlcn.xriru (i phru I evidc0i I disctrt: 'nioi cu ccxl]]li niar, sc rlagc disot. pnD rlun.crr. tiratrr eculLri ro'rjunsri!.t. se pud. cu l dcg.re !i sc iMcFn.aiil da.i discu e{c suh p coana n'fuioxrli. sc apli.a nitcari crcdr. btilrJo pc plcdrpl incrisi. dijiird dna'l sptu trishn'l inrcm J sDc nlcoxpr irtirio i dc unde se va
sc

6.10

,\dminist.rrcr nedicamcntctorp. clle ntrati prir

irr{ildi.

fumizaRr utrci li'iii dc adrri

isl

'c

x ncJicrrnen.elor picscnk

pcrr

hrarcr pmbte,nelor

soh ilc

rcnLpeulice

\ingeDrcr. si ' tr U''' '1

in*ilftc E7r. fo1 sii rcdu.ii cd.nruL. si nrcrn]i sau sii codrotc2c liu.a.Dc{c7i'i oc :isau \i bte4 prorcs.lc iniicriois.:
n''?''l
c

''' |enru I pro\criitrlt.hr.a:i'iu\u.ikn. r rdicxm.nrnr

ro nLitcri

6 oovn\Lr

o^P

rar\ bloo...

,oj

' -

inrirrir d. xd inlrturca oncirui neaicarncil. xsnrentr nr.dicllii rftbrie sa c0noarci nrdicxbrnruL. sc.pul d'niri$Larir. dorx f ormrli si.ric. d. MminisriLci in rinput iNtilarici nrzLe. opul paci.ntu trir. ti pozi(nrnl |E o pcmii. cit m.i .|tuxpc dc nugin* tdu ui: dxci clpul c*c inctlidr pf s \ihftu De spxrc. soLL,ita ntdtcrmcmoasi to t rjun!.in liriD3c. d! rDd! cic nirhilir. si.r'ec!t v. n nrL: sc r. rrird rringcrcr slllrrt iei inrenE. iasu ui cu pio anatrt. inruc6r Doale dcctais. ir.inllu! DaclenrulLLi: i'rifuc tl. xdminisrrr.r nni Drcdi.rDci{ nou. sc !r ficc thfiLt rtc'3.LtrAir rl

sc 0.1;rcs.

'

Fc.ftucnru de ll'cful meilcarl. prcs$ ii I cohnd condililnatc i0{ ctutccupirdiirtr rutrnd.tr nsncrtocrcu.. se\cdi.ic. nah rceson \i tcrD,.N dcl? nbihralc: cornn.cscdctih r$vclrlc dc hiiir.

- { v$ficiDrescrip!.ncdic.li: sc idmtifl.J nacieDtrl: . rccxfllci proccdtrL{ pxcicnruhii $i'rsn'icir!,.icnrulsaerir.miScfuilcinrirnNlt.or!ndiipcnrualacitn.irrsiLrrcr:

s. spali
sc

cn lnll sistirun: 'nairilc nliguri lun,ina adcc! a:

se nlascaza

n.cicntuI r_n Ma Jin rorriite dc mri j6. in tuD.ri! dc 2onr rted.ri: hurtn lulliu$drio d..ubrdor\alcu capulinctm( u\orspN rcnr ari.jdii: .iruurilc.hnoidr sl \fenoida dccubndonrt.uumcjij rrriiiritj rc pcmi si.rDu

{ or'rii trri.Drulu scncrclc dc un ci tntosi'r1ii1 - \. D\p{rszi mr n I sc in.!dlc. viidnt pi.trr.ron !i

r ,tc! drJ,i.'.,. ',. '..l ' Ll.rlc.rd ri i'no6 \pr nrflea atci.ril

;ii liitcre\rensic:

,, .rinrrt. ,,",

1u

. -

{sru lirtirt pipc{.i nj car! r. r\n r!r sotrt'x) c\ad rn narua: so lnsiiL.rTi cr rir.lcn n.c.\arinurnarind ni.&urilc: \c irsulLic{. p&ierrnl si rirnin:i in pozitia r.sprcrni rnnp dc j nrtRutu n$h I rFrcf sctrrlcEr sol$ici i aturi: seabsoarbc e\.csuld. nicni.xn0drs sr cdtrca pacicntut si .viic $jltarcx nNrtuii scpuo mrdi.d cmclc lr b.uLdedisrarci scob$ni{riapcicn(uluiriseinbnnszii itr ci{ hmp se iNratr,i da.lut: se iN"ta Fcientul / tinilir !trD sr prdccdc/e iaot vx rebui si .ominlc karanr.rut t"
sc

iorcx/i ptuccdnri

nr

fi{

de

pi{)c.drri! n&nihrlur

6.11

]\dninntrrcr mrdirNmcn.cl.rin

conductut

ludifi

errcrn prtn

inrtit.rir

i$tilariil. au cu aru sc lbLosrs. pcrtu ial ncrrul i'rlirli or \i irnaDriilld urcdrilor. n cpin.d..urcndlulmclcriclocrli.srunrdcpiinarcriNecrelorajLn{rrrld.rrx i'r
ln$l14iile auriculan sulnr pi',ciDiu coDlraindicarc pacicrnlor .tr tc'{mric dc i nlj!tr. d sr por totu$i ctactu..nunftc nrrcvc $crilci lnlllariiLe ctr hidrorodizon smr contrri'nlicate p:.icfrilor .u ,crru:. ctr rlrc nrljjc!ii \;rl!

noflirrl iiiarL scnsib . hr atunci .ind rrc rNrirc xl'.criurl. acd$i scnsibiliralc crslc. de rccc. sc rc.onlandi o biindelc dc.scbiia h di.rff.r crnrlul audiriv c$c
mod

c. roi sptlr Dirrilc in. trt. si drjri cliclru.a i,slillLiilor crir si irnre rplic{ii daca sc i'xliriahni',i(rtn:xir,nlrLr.trnrlil lrrntu a nrt\eDl rini.er ri'nDaDuLLLi, trtr se vr inroducc ri.tudr[i atlic]nrru { c.tn {Lc !ara dincolo dc plnctul!.rc sc po*cv.dc..u o.hiul Libe,.
dacii$ ifdici rninrn'rr. d. ri.irtrrisiungncni. sc l.rrliici i,irii pr.dtrtriLc: d2ci r.!.sirii..mifitric. hr.mctrhrluircarii pa.icrtultr.buicirlaFr.tr rl.nre

nd l . drl' Dx.lem'l prt/i,rt \eni- se vor lidicx bxrcl. dr nrr..r. !l( tdrlli iF rrr)l
uli, ii$rrnr siserac!naridi..i*btr,{li \rs.ihrNidnF
i.cccdnr \cnijuli rrlrieft'l tchuic nwrvcer.at !rcari.c.hcrli. dtr0cdc.
nu

rq

nni .xF,rrLttr.lL. F.trnr

Dcflr!. obsclx c\.ntr'rl!. re0clir.tl\.se c{ \cn'i.

.
'

snuriilc pr.scr sc c.ndirior c {nsr .ll hNidni

i|

lla.oanr.u pi.uri!r:

rplicrtn.u

' rerfo r r.r.ni.lccr! c !lv.r\c ce p!r hpltrcx Lr xJnrinisnrc. dc in$ihiitrnicutN

rcc l!.alj. s,crli. ,l$trcl
sd vor

Ydi: dorun nhLu'echidi'i huDrba.:

dc

c{ll

intr{nbol.L ipi.rld:i
dac, sc

prcg i innihriiLe a tcnncrarutu cam.ri rc rinrtnd! tc lj. incalznid fl&onul in niii. sisero car. pc inclNctura mrlir i
de

o.!d

vr loos ricurib

nicli

sc

!a vc'illli i'rqrird.x rcestuir n.ftu r nn dni

scr.nfid, ideniitrtcr p!ricntuLui fi !...lrs ilc.Nii sc lcili.i tr{i.r ro.tr'1.ato rcb ic xd ininrr.adrradc cxpnxrt si\c conrii'i njcr
r1; ru indicaLixm.di.uluir

'

ser\caz. pacicm'l crlcd pc px .aopnsaur..hir rfecisrc; sc [is!n. uiducrut audin! dgind nr sr (j n] spxL dc |alilrofu rtrricnt.r. tr rdtrk ! " i(i xn rJ' h r' r'i urd.' a-,li .' '.ld. ' sc ndge oirc s.crctis obscndii .tr rpliuatorul cn .4rir d. [tr,nbr dco]relc orir. coh.ric p. . tod0cc.tcdtrl 'ncdicrDrerrului: cd ur.chca corccr pozitiorda sc .plici Rumirut i'!tj.d dc Dtcaton hniind tu rsa i picurirorul inciir nlciturilc sai crdi pc pcr.rc c co drohltri 3ud iv si ntr dncd D. {iDpar sc ccrc oriernrlni si ]iniiDii rr crr nrri 5 t0 Drlnlr ,cnru I iasa DodirancnrLt \i iic

- s. Dune u! dop dc uui irr nratol '

sc.uirii

si

u{'capi\llion!L ruricul.r

!tr'ic(hr. lLj.L netrh a inlpicdi!! lctrrlu.x rcdi..Nnruhi si ]rcnro 2 0.or.ji lrcicftul dc otrmrii Lt. ..ri drci c*c i'rdlcd sc rcpcrli proccdura pcDrl ccalaki rrecr r i cnrt dc cet pulijr t0
:e norcazi pro.!.dum in fisadc

|r.ccdtrn. plcionn'hi.
pe lcsunrenre

6.12

Adhinisb{.r mcdicimenidor
elid tcr.pdi. ni'nul.u.ir.ulxliei
obrincrca uDul

locx

\.rU. !

2onci tr{r1e ere obli3 onc pertfl dcfh{dcr precocc, ercnnDtcor nnrrii.

i: rflila tri.riJlri nrdicrnriN riir'r x curir /ora rmrdii dc lcchcr.tticarc. pcfuu r nk\ .rril nlrrir pi.Lii Drir icututard.reziduuri msdicrncnr0ascrcchi: pdlr:r ar!\ilrlsL ub|gxlon. tcnN I treventrh$Lltir mcdtcancmutuifrtn piclcr
Dtr

n,i,r lor x!i{.i[] mrli,,'1. p.dto d tt{ra rncdi..rn.rtr'l nc zonr rNxri 5i potru 3 pror.ia lcrid r dc dtrn.

. u't'.

'1.-,r!i'

Ltn .p..

sc

v.

Se ncgircsc pe o ravi

nddicaocriclc prcs. cr solulii. nudrc. uiguenr. .r.D!. niDusidr r riuc. con|trcsc dc rjf.ni s|{tuL.. p.nsr lro,r raDpo.: trdcialpenm pror..haprluhi.

nrdiratii rd' pccarucior

,n111sn.

ph

u.i:

s.

n'tscris, s ccl.libcr]ri dc rcmcnul de vdabilirdc .l nredicrni$tr or: sc iJcnrlnci p.cicrnrl si /onn ce Lmnzii . fi Frhr;:
corcspondcnfu turrc mcdlcxlid sc

rcill.i

\crili.,

famr.i.:

MONITORI]L OFCIALAI ROMAN E

l. anlicrn deoarccc fi?jrirar.a pa.lc ildr. dupa cxrchdre. vor si ri xdmini$rczc singfti medlcamcDtu : sc rsiguri i$inlhrca paci.itLluil sespola siillr]u rntinlle \lsc imbn., mif$iJc.du.nLcr sc iseai pacicDnrl nrtr-. Dorllic conlbnabila cr. ra pcnnnii ac.csuL ta zdfu cc reblie
sc

lxpllci p1lcodtrii

conrn,ua

d.ci ciu

nccosar sc

ntdicanNnorle vesli

ctrdri dclea dc s*dn. cru{e, ccL0t. noanc $n

opoi sc schihh;l

aplfualii d

minusilc

ADlic!rc! ungncnl.ldr/c.cmrlori

- sc

ugucri nnDiid0-sf capad't cL fltu cxtcmi nrjos pe rd r clnr cdnlamir2e suDrxlcrci ir .i,rorodpd.trluil s. rplica c'.m. $r unsucnlrl po sutrrlilr al hE diEcl dir iib sdu cd rjurorLl unci sr)alllu Ji sc in*cd, 2oDr trjn nri$iri lcnrc. usoxre. pari cridrl unguenrut paruude in niclc,.ibl]nind Ln Nn. luciu aL pieliii
cs.hide rubuLcu
s. i ddcDneazi exoc$rl ctr o.o prc*r (eili: sc c\i'i frecarca zon.i rcnru anu prodrcc nii!!ji.

&limrc!

. -

xc.tuolilor spray: rgir, flr..0ulp.D!u r om!!urizr conrpo/ir ai se linc rlr.n!ll.l5-10 cft rlo picl. si\e Dullcrizc.zi fin nr.dicrnrmlt lr. zon. inJi!dj
sc

s. rsrcii
sc dc

$p lih]rieliiupae.
cril.

tai cu.itari
cu

rnlici trn slrd subrirdcpldri v!r,, prin \corurtrre:

rcrJrdn: ajuhtulptrlvcrizxrorltrjsau qi
dc

\e pLotcjc.d ochli.

Nspimrorii in

rirpu pullcriTirii. Naiator

Aplic$.! n!tch-f ildr {ptr*uritor)

sc

crtlicii proidruhLi

i '. alnrtrrt,.r.n .. r..ipd,i-r

hi0t'rtr r!tu!!
c. rdtrva

ca pa.ch ul.r irimulrc rr0! i: vjnc in co$ad dircr cu nictcs si crft oorlirre o rnici canrilrre Llc slbsbnri DrcdicamDib.sl icrila; al doilc. nrar controlcazi . ib$anr blpura a mcdic.rncnrului din noniunc! princirdli x prrch ul! i d r.i.a $a1 oonlin! prndprla dozi de nredicrn.m si e$c,nrejai ir crluior trlntr un milcrid did t.lic$ert.luftinju:

srklll

.rc

j.rn

in.xlul

, .,$

ri( ha.
re

ibanj..fn..r.t.id"
.j

in carc r.cidentd prr.h

f, t..o{rt,,

, .e!,t.

!Lsc{pr pclds. vr trcbriinloctrn cu MrlDor ptr{rin rtt

acccdsiorirolflaasigraconti r lilcxtdrncntrLLui: rplici cL:]0 Je nrinurniainr icn tindcpi r pccellcchi: sc notcad dru rlorn aplicanl Fr.h uluipc nrprdtdk lri e{etua (durahdc opticx c$e!c
natch ul s.aplicala

ronl|Erc[

MONITORIJL OFICIAL AL ROMANIEI, PARTEA

I N.669bS/31J2013

prcimruL u fi ndrilorze pmrru depisrer prccoe ! ctictctor advcFe hiDotcnsiuN U adminirEEa pla!tun ld a niiDsl i@rini).
6.13

tq.

dureri dd dar,

AdBlnblrurea mcdic.mont'clo. pc st r.diD Mcdicxmcnrelelarc s rdministrcazd inlftft rat suntsupozirorrctcsi uDgunrele Slpo,noaLtlc suil fo.oro mcdiamcntoasc aolidc, de tohd conioi c.r. au s.bsbnld rcrivl in3loh":1 o tri.? grr.urll p. DJli ue unrd rrlo ghr:nnt rcr .. tr fl pcE r ' obsorbnc bnr. ' corntrlui !i sDl

lndiolli !i

Confu rindicafii

{in,ulau pclhraltnmuh'i inl6rifal si rl dcrecaiicij reduccr durcril. a inflom.lici $ia inbliilorlo.,tc:

rcducsca $brci ri I sidptonclor sD.ificc unor

ipetq
-pur.,Frrr Inr,i..b rrm..j

tmld Se

rL

tuo.-e
in zora rcclurd sau
a

pdcnli opmli Beni

lracitrlr cu

prostnrcii

rc.loBgjc

vor preg:ti pc

.'tucianl

dc

suluitoorclc rccrrto,

pi$lre

lrru
la Itigids pana in moncnrul

iimiercdtqrnca br: ninuJi d. uniuilolosinFi

lrbhlirnL lrenrfl suporitoa.c: unsuomll ctr un anlioaior s0cciali rompresc d. tlfonrpro lpc dc nlnict

rdhini$.irjj

pcnLru a prcvcni

- r. veritfi corcspondch9 jnrrc ncdicaria pescn$ dc ncdi. si coa clibcrare dc famacic: - s.vdifidi dli{dlea Si inrg hta $rponbarclor. tuburitor ctr ungucntc, idncnut d. - $ iddilici pacicntul ii sc rsigura iftimitsre! acshla. idninisrrares supoTito{rol.. . .c r.-/, r4rf ''l ir pri j. sn/s rdc!ro drnl (dn. c.,. -,.,rt,r. -ior.rlag r s mcmbru rlrcpi flL I ir r). 'nfnor sc !.oF$i puicntul .rpunrrdu i dod zonx rsid.: - sc inbnci hnnui, de c cile ir miila doninanrt; rrr din J nbir q fl bn,a,; nt a d!ro.c, 'e DdLrirq: rt,: ( J de'. - on dJr i p 1.r1 Jv dc..u /on, dndt,; . \o -r In'cn'rlur { in pirt por d p, gurt tn 1 , r ' \e r.i s_puz.aqtu pmr inhiha ('vdr d d. defeca!c r (R'lu(c dFconldtut

in

MONITOiULOFICIALALROMAN E

ru

rlmdure supozitont

seirpiig.sulo/ibnLlnanliitccd.ni|.bulr rlinl.m rntuxiD.ri!r,cnr: ' sc.ur:illi /ou rnxi..! scr.rc. n. h.l c:

ie t,rd$Jr.3za fltitrtrtr: n'pozi(ort'l n!ntu x

tr inluscrvidnl.orirsi$ lild pr.trtdi d. ninusiii

r. \ollcik prcicnllhi si dn ni ii
\i tce

lcccisL pozili. rl si nr..rcc si rnrii ciL rnri nulr ele.rul 1un nFo/ilor xdrnirisn:r NtrrnL rmtrlI.! dcri.alicr t.buleretirtrccl pnnnl0 i r.Dcn0trr i ii.. ctic{rr): dxci cn..i1u. \e excniri rrsi,uc n. rNs.u o.omtrcla. pira ciind scfzrri3 dc

s. irvrla N.i.ntrl sn$u I nl'] Filedtrr0 d. inr.dtrc! I xdnrlnis(.dcx rrcio'a tcbtri..onrn,urd ii dula c\tcna... - sc n rdalipn,..dtrranr i$ dep'o!.dnn
6.1.1

ni|riznodclor da.i

Adnrinislrrrcr h.dicuncntclor p! sondn raz0glslri*i !i gN{rosronri ,^lmiDistnrcr nrcdicrrnenrcLn p. crLc.nr!.i i cazLl nnoibii lrtiit.nr]rLi.

d. r!., IFr

Pdredu'rs. rctirri li Di.lciLi.rruxdd.ix

mddi

ri.

$id.

Mu oqast ca.

tiu!'ston.mr

' .brnrli.

h nnd blcxlsruesoiagl.r tcnncer rAuri): tr'lbfliri nuiorc dc dcglLuri. llrrmlizic. d(nmriL

\-tcrutri dc

dc!

trif..

.,r;r.tr:

. sr ra .\irx ilDi'rirarx
nN)glnrica

mcdrftri.i la or. ncsci nlodurs.x trf.L cntrtidrilirriikrid.lic|idcoJnrrl|Elc.100m1 nxdrlti): in.r^'l ir crr. rcbtri. rJsinnhG I nicdr.xbr fi niasa ir rctrsi I irpj sc rx &jn risri
nnca sondr

tcbuicofririsodd.clanrprli.crlpnrirl0nirrcduriidDnnh.cl . in !r^L admristirii rn.diurici 1]. !r{ro!dnii. rr inch c cxpiilut .\Ldr d jn

cic.rrtx[

]rLrgii u,lccloatu .3u

!:Ln

dc

rsfirrrd.

dnx
J
sc

'

pozitioncxzlirceasirrcnic!1.Nil.l cr ro ller se vcrifici oiclcr liDjr tul ion(i nFu o otisc r.ycnhrl.tc irahr

ei

' '

sru ssinli obiS'Niri d( 50 60 : .on$tose dc riinn sDnc1cl.ft trdiri llLosi'ra: rccirieni 0.no n rrca rflr.nLc]d. d.ci cnc foxip.rl cl.'nnarnnrdr: ifii lx rcmpcrrltrn (4ului:

s.riDgicuyo

ndcsr.

sc

idcntifiritrcicftul:

MON TORL]LOF C

^LALROMAN

' . -

\$fi ri pcscntlia nedicxLii: sprlirsinrr u miif rcl sc crrlici t.ccdr.r pi.lc r'lLiconnidnr: se rs.x7i l)a.ic trrl i. po2iri. pmdlt!a ic.trt\i !'xc.lc usor ridrcttr)
sc
se

flcdi. ncntclrp.
s(
sc sc rspiri]

sondi

rixca/i rn.di.aDcnr!lc

nizo!.nn.i:

i| ciat

rdnrinin.ir

sohd. \i sc diT.tvi

ir slJingJ n)lu1ir DrcdLcrncrhrri vcnli.i ncnncrhilirarm soiJf i srrrr\crTascri',9. n sor dr trxsolNndr )i sc iftrodN. tsnr \nuri.: s. xdrif rrcxzi sdlLLlir nr.di.arncnroasa pc son Jc gr*rosoririi (t;.cLdi! scrirgr srtr lre fii ri.. piu.ntulliird a\c/rtin pozitlc scTlindi \M \c[ sczi]rjdii: \c sprlii \onJr fanrgxi,ioa s3! S.sroeornr cr :r0 50 rld. rli cal{ti lrcnru a i,rn.nirr \c deroscizi scriirga ri sc .honci^ \o dd nrzolrsrili pctrrtr 10:r0 (. ni,jurc dlpi rdDiristiica rnedicaNnrcl.r: r. rntrpi oiliriul .$u rt grnrononci si sc fix.x/. irl 0.?ilisrdricrLi.pi.xcli bftccl. cu o aala cordusi ctr.ut iDjriltrbdomeiulu: \e p.7iriotr!!7il ptui. Ll p. prncr nrapri inct :11) mir pcdru r turitita nrtund.r.r nrcd crnc0lclor in iomc si rd ru!prc\cnircflu\ul3inr...solir!iaD: sr i. tcxz:i pn,c.d tru ir lila dc pLoccdui a n:. crtului.

( inii: prq irii sru livran.x rrr..:

6.ls ,\dmi,risrrarcr n.ditrmcntctor p. c.te yrsinati

Af isircn dngknblor_ i.qNLcld'noi i ortrtclor...omorjn .or crrc conlii strbnrr dnrl.tu/itrrcraf rilxcic'.dc, ndicorice,lDrinoixlc in storLl cr\il ii !:4ire
rndi.3tii

si(o

l.aindicxrii p(dusc d. brcle.ii nr(zilc. !i$ononr\ sN cnjpud

Lrllamrrii

t. nrcor!r: rxsinnl.

- i

atouc vx-slnalil)i'r. .rls.$ogcflc.: irz,crrr ricrt zinlor.0rvico rasi'r c

il$lic la ur dln coDpo.c.rc . mcdic,nrtrclo. c,ncc..nrclcdorlopcnd.nL lnenrr0 cctr crr. cof rin tturftoni):

un3ucittF ild.uzlag Mlj ovolc

carnLlc m.i.

roD]Pri'fil.i

rlir!ri

dc

trni.i i)losi|ra:

mdcriaLt.nru snalii{a vagiDrl, (drci r$. nccc$r)

s. v.nnci prcscripria cdicdli si

!!

mnannxa cu

rcd oosrcLr d|b.De'procnric:

MONITORUL OFICIALAL ROMiNIE

sclcrill!i

rcfln!rtr1 dc valabiliratc:

rersi-quri frimir c.: sc a$cn7ll prcientr in dcc bit do6aL c( Scnrirhii U.crdri. colpsclc dcpirnrl. sru in

s. cvaLue!zi cap.cirdca accici. de r !i admiiistn siredra lrcdicrinenrelc: sc lircc ilsrn';ca F.ivinJ adm ini (iirea:

- r
d)

sprllDairilc sisc imbracr rdn6ide urlci tirl.\iflr: d.!.i ncdi.dlrcdmrnJi xc lac. I i'Eeput o spilftri uginala.

.tdministrarcr 0rulclor, crpsurrror, tqbtcrctor sc scdxl! hcdicamdrul din Mrbxht: - lol$nd donli.omfrcsc sc nrdcnanc.z, hbiilr mrri cvideniierd orituiutvagir. i se introdu.c ncdic mentu in cMalul va3nrlrisc iirpidgc usor pani ii tundul dc ra. sc insrruieSrc pacicnt ei

rinini

in de.uhir 15 nrifutc pcnh a tJloriza rorirer

si

utrNl. rdbldr. ldco'nicon) se unczcsc oyn apoximoriv 30 dc

\ccu c tuarm. dc

b)

idDlnislr

cd so

lnrc dd tugtrli scrrx.

uNri!idnninc.b.
x

.\diinkrrNrcr crcmelor cu ajuiorul rplicrrorrclo. \c d.schidc rubul d0 dd1i pcforifd ..p..ut dc aLumifiu cu c{rcmjrar.. orlsii
sD

pc lilon']tubl['i: tubulinnanu Gminali |riM ta oDpldu complera a alticarorutri ru .Nnii in.az dc ruzirtcnl, apinonului. acci. $Errgc futi|: r derascaTj aDlicnlonrl !i { inclidc rbull in po/{ic cnl.d. ctr genufthii ic.riti. ddp:ifldri. \e iDtoduce cu .tcnlic aplicardtrl s. prcserza
sc itupingcpisronul
se

irNnberj atllcd.nrl

pli$

la

tini

.o iir-.,ir,
L!61osirc.

.cnna! atlicnronrl

Dri,

co'npl.rra.lrc r.plir.lotul0i:
dringdpi$onuli

rmnro.r.

l,i..J, ur' r. .'.r.nu'

conrirtriftn

Sulrmrcehere,

si inrtruiie! Fcicntci duni dnini{nre p.nrru

paci.nro podrc r.r2r Lircrl, uneoi. tanonerc dc scnsibilizd. (rrsnij. nihiit cccx cc imDutu arun'aftr mdio,lu ii tntrnrcntul ntr sc im flFc nr rimnul mcnsmari.il nr crzul \rgnritcLorsc katcrzi si phn$crulr in rimpul ancntului nu se fac spal urivr!inrlu. dc.et b ildjc..r mcdicuhrii fu s. lolosisr rrnnore inrLarsgin.lc.