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c.Diroul ll SoNDAJ f,. sP,iL,iTURr.

cLISME

aspir"s. conlinuruLri Srslli.:

' -

intoducerca unor incdi.dtricdrci obliD.rca nrurci iidirirc pcmru cdce&rca brcituh'i KoclL

livll eu ciruciorpenrn natcnalel


sondcndioopacc dc cru.tuc sau din marcrid pta(ic sicrite; s.ingrde20 ftli s.rinei Guy.n (50 hl) lcnLi: solL ie perrru

lubrilicrckqtr, gcl):

minLsid.rni.rink,!iili
epruh.r. pun,{r colccroare p.nh .otecbrca cdnljndulLi elininari alinrnrc. mcdicamentcin tun.rie de sc.p tl indi.x!icl tahdrnd. Lclcoplas. lrosoaDe. serclctc dc hedie: prosop. drmp pcnh ndecl ia lcnjci cj.

- sc cxnLici sco0ulsinccc$r.a. modul dc derutatc a proccduni. dnrar:: . r f (J trtuJ.'tdccntd r dc. .cnh"n, . tr ,nL r; rt, 5c indcpin.azi ndeTa d tari Si se punc ifu-un pabf mt .u qril sondd sc p.ate inlrcduc. pe d1e nazala sdtr bucaE: - pdcimrulesefls.r saurjubt si sicmrc nasulr
se alcgc nafu in

tunclicdc pcrncabitilrre. pnnind lracjcrrutsa ftspiLc atrcmriiv pc o Mr;

presciplia ncdicrLti mrcnxlcl. in functic dc ir'llc{ricr se idcntiti., pricniulr


sc sc aLes

vfitici

sc sc sc

ininlcazi Fc

icntu I in pozirlc scziind sru

scnisdand:

dc utuci lilosinldi prcrejeu.i lenjeria enruLui .u un ptus'p sru un ciD]p pLas sub b.rbic: sc misoori dislanFdintu lobnl ulcchii ri vedirl trlsului Dini la.pcndicclc xilbid: sc rrchcdzi loc0lcclor2 nisuritorlsru sc rolcaza di$ilolc dri sonda c{e gradrd: sc di pacicnrului si rint rrlih.mti $rb brrbic: se unczcstc larfirl sordei pen(ru a asiguD inai'rllrll sonft scinrodncccnErij.prinnaEsclectaGnnpiugand-osprcsnarcin jos: inghi!iEa sc fd.c lcil, dind p.cicrtolui la ncvoic canliriti hlci dc ap.'il pacicrtuI ilshitclrini la pri'nu semnl sc o[scni sl.rca pocicrtuluidco!rccc pot atlrc tusea. ozri hlb0riri rospirdbrii. cccx co rftii cr sondaa.juns in Lmhccal p1 agr iinlhniid*'p:r:,,dldoird-.'r'

imbnci ninnsi

ci

:.

'

l 'l ri-.JtnirJ\ndcit1.idin', "'.'f u il\.

od.

aspinra coninutului stonacali

'tr

d.

inr uJ re J ",. J. i' un u , pcn!ru dinrcnratic sru ifiloduccrcounor mcdicamcnlc 't vcrincdrd tcbuic

'

-Jhr

liou$pri'l

c.trrol ridiolocici cAnd sonda d ajuns in idohc la diviznrca 45 sau 55. in lunclie dc .alcn p. clre I a inrodus. sc lixcazi cu lclcoplasl pc ms adf.l inctl sn nu nnpicdicc voderea si \a fu

screali/eazaobuclidinp! eallbeli!sordqpc.n!apcmirenri\.aNaLibqidcrptrh'iri sc tncc a dona nr.rc: r..isntul ene 4e2t in porric conodii se conrinuilubajul conibn scopnlui ti indicrlici:

sondn so clampcazi: sc rr d$cdzi la sondi pu nga colcctoarc.

M i !u

se

sc lcritici sc asigtrlr

schin$i lcucoplastul dc fixlrc !i locull ilicnd ordlr.

lcnr..bilild'q

sondcii

ri p entru conbatrer incid entelor 'dacaO.cicntulnucol.boto./:l.lrrcconundrcamcdiculuiscpoar.lblosispnyanc$cz1ci - sond. a piiruns jn ciile Espnrrorii (plcicrtulturcstc, sc cidnoaazi) se 'ragc.nacicmu| eslc lis sdsc Liri$.sct, scinccarcidir notri scnalir dc !om{ si arcali sc combd[ pnn rcspiradi p.olunde.
e

I n

dicllii Drivind schi mb rrcn sond ei: - sordclc dc.Nciuctot li lisxrc pc 1..2-:1,

irr ce

din

nlrcrialplaiic,l ?2ilcl

MON]TORUL OFICIAL AL ROMANIE

cind cxistl indicailr dc schimb.m I sondci inrE indqinaru si reDu.crc rebuic si un ftprus in timpol nophi dd 6 3 !re: Rn,da sc rcpunc tblosirdcealalli nanni.

crrjc

tava

sx

rnisuii

pcr

n! n'rt$idlci

rninu$

dcrn

blosinli;

lici re.oDuf d aro mcd ictr llli pn vlnd indcninxrer/sc I i'nbro soDdcj i ici P.occdum: tdclentll.nc dc4r i. pdziric renri$czi.dJ \ru .szArd i. tun.riedcsar Bcrcrdlr:
sc vci sc cxp sc 0D icn n'b blirb ir pacicmulu i un prosopi sc spalii ftlinilc \e nnbraci ninusi dc uni.i fblosinLi:

vurinci daci sondi cncpcisari: s. indcDi'rcaza lcrdplastulcu blandclo dcpc nas Jifali: pacicnrul c$Dtugar si i'rttir. sisa riinind in apncci sr pritc sondr nrtrc dceclc sj r! prcselza binc. apoi sc rcrage nrd ni oprodpc dr tamge. rpoi or o m i!.dr. dpidii se tudcpinezi: in tihnulcxtmaciisonJa poarr fi ghidari cu cctrotri,niDi folosind lcNctclc sau proson de hifri. p inzird crpirtrLttbcr: FllcitLl .r. tugI si r.sptr! n.nmL: s. nrf.r u pahrr cu api tlnrnL r \i. l!fa.
sc

inroxlcalii aliinent!rc: supr.ddlarcr nrcdi!dh.nldkrl

n.no7i piloicii pcntunrdepaf.rca 5ra7.i: iruinrc. mor opeotii pcnoinri ir ai [., ea$oscopici.
sonda

rruchcrslu

sotrdo

gdricd

nrai

ni.

$.iitc. ad.prar vaEtcji

serine!Ctrlon d.200 cNi li.hid penru spilfum in turcticdc s.op;

cnnidcsticlasru .rdldc5lr

cirbmc aninal. solurii htiddldupicvi eprubele penm rccottarc. itr caz de intoxic.liii
2 soitun inpennddbi le:

cvcmaal

ddkhtitor

dc

gri, ctnriLd

dc i,aubalie

lspiralic.

idhrinct prcientul: ci rccomrndarcr mcdicali: sc intomuzi lacicrlul asutm ncccsilatil procod0iii sc cxilici paoicnrul0i mo{tr1 dc dcruldrc { ptuccdriij .-ntur'd7it' r1'l i {c pulib I q i \c entu . Je o 'J: .d obtife colaboErea ti oonsin,limantul: se 3faz, pasicntul pc scau cu laF sprc luninr: ' se pmtcjcui lcnlcria cu un prosop nrins jn j urul gtrului !i cu ur so{ dc nidrdid DLArlc: - sc ii dcpinevi roreTa i - se oled pacicniului rivilr rcndi si cstc rugar si o lini sub birbie or atub.te ortrnL (imobiLizcozi N6lnilc si caf tcazd sali!.)i cnc in(flrn sii rcspin prolibd pcnh d coDbatc evcnruala scnzarin de \ona
se se verifi
D

sc aduce
se
sc

vlsul colcdor ldngd pacicnri


dc unic,

'

jnbnca n,nusi

lolosinri:
proccdulii

de materirl plastic pentru nune sc unre/ege son,ia cu aFl

ioi

in tonca ,lrcopti a prcicnlulri si fixcd7i ddpll accstui. inre toracc $i anrcbmr: soliciti ptuicnlul0isid!s..[idi gud !i stEspirc prohrd] sc in{rodkc cdp ul dl sondei pAn, l. psdcte Dostcior {t teingctut aprcapc dc 'olmjil rrd icina limbi i, pacientul fihd inlitar s, ingh i(i: rc supravegltc.zi pcmanmr narea pacicrtului pcnrru d ovira pirudccx n,ndej nr cijtc Espn rii (rlentie h rrcies. rcspi!4ic, anaritia tusci): sondajnainreazillcctnr csotig sisprc somd. pini la diviziunca45-501a arcadd dcnraii: se adaprcat nelnia la odpfurl lib0r al sondcil sc cobor, pilnia subnivclulloacclui fi scumptc.u tichid ta tcnrpcr.{ura de 25-26c,300se se

rFazi

sc

ndloi ulor pahia dca$rpn capulLi Dacientului pcotru a pcrtunc pirrundcrc. bttndi

. -

iminr. de reminarca cololnci dc lic[id din pllnic. iccasra sc coboad suh rivc trt stomaalui (cfi8anrulri) pcnru I pcnnnc !idhidului din {omac si sc inroar.i in
conlormirdrc.u pnncipiul silonajuluil sc golcac con{inurul pil.iei in vrsul oolcctori

AI

RO(A\,

POPI-A

tt.a:a.i) o\ ari pti llnhi.l.lhnitus...t|(t:i\rutrtp." r ( t. f"hr fut l?tulltit.il \. rcn.rx opcririLnea dc 4.5.ri prlni cittrd tichidut etimr.r e*c ctrid. 6ri reJruri
rlihcnrrr.
sru alic

subna.r..rnriratci d.ljctrid tbtNitliindde

5 Lnr

hloricrliii

I iu pcnnir. conrinlrulu din urncnut , t{'..,. l.ir.: ',, ' o niscarc scr.i 1csondrlcnrntnilr|lcl|lfxringeLLriiDoi ruprdi:e nrd+irlcrzli:
se pciscr/:i binc

'' J,'. tr'e .

.ap,o liticr xl

. .

sondsl

kJo,.,ll I
.si

pcfru

s..rl'a pr.icnluluiun pohr.u .ni \i sci.ryc gurJibirbianr..ntulul:


s. inJeptdQza ri!i1r remli

.]it.issa e!ft:

ingrijir.! pxcimtului d pi spill uri . sc nLpralcehcazi li'trc ibvn,lc:

cieposihiLsi&uTc0soriiJi\figiecircd*rurctilinakmcnl
veriligi rnrcl: c rlmduce capanr I ihera sondcijr(hnprharcLaFsiscobscj{dxcialurbutcdcaer: \! i rodnccnerp.if soMli rr \c.\ctrlri cL arutool unrijctoscopi \e supnrcgherziFcicfrul: dira sc cimoTeazi. alx. rcitcxtrtdc rac e$c s.mn.a sord.. ajrns in ciih rcst mlorii! sc rchge.
s

Poz(lx sondci

' r{rrLr:tr

Qr.iutrLLur Jo.d.irlii \rdrca LroL rcnc de d rSno!r.; Ltr.nrr.tr.aitf brhr'.: rLlD' n-hrrJLnorlich lchiJ rrnL! 5i Duririve. a unor njcdicrmenrc: 6ptrric c.nri'n'i la |acicmi chirurg oall

$ndi rrirtiom

soin!idct(J nl. s$ingii rninusi Je urici Ll$irli:


2

ftrilii

gnyoDl

pcmi.iLindicas.u rd suldlnb

nnr$inn. rLezi. I)nrsopi

o paturri solLLric

rn'rc'irlc in lnDclie dc scon (epruhc!..

|crtu

hidrrtan si

thrn

\LLhr de mrSNziu Doroc.ini. ticlri.tc

rLi'ncrraru. nrdicrmcnrc)i

se

cxplici scopul

si

necesil]rcr:

MONITORUL OFICIALAL ROMANIE

sc.brineconsimlimint'l:
sc indc|)artcozd prorca dcnlaE doci
c x

isri si sc pldscdi semi$7ind5.

in rr un

p3hd cn atr:

scrlcgc mrd loncrion{Ii:

scasczipa.icnrul in pdziric scztndt

sau

se

intoduce sondr drpi tehnica lubnjuLui sasric. pana in nomaci

rau.

s. inLodtr.c $rb hipocondnrl ([.p1 o pfnii ciljndiici


sc asca/i in

JF f4i.trr rtr'Ccrub ..r" drlr.. ..nl ni.r

sau un sul Falizar

difu-d pirtrt

tulr prcienruLui o nrusdmr acopritacu!lezai se insruictt pacicntoi sainghihincd,Icnt.I-2cin laI5 minurc: csE.rcnliond ci inghitirc. i.pida hvorizM/i incdlicnea sondci nr slomac: severifici poTiria sondei Drin: intoducclca capaiu lu i libc. !l sondc i irtr'o cprubcL - nomd sc scu' se bilar sc insulla 60 mL Nr h sond! tl sc r_nccdrii rocupc.rft, dupi I Dir.da., sc dbrin nrai ptrtin dc 20nl sond{ csc in drcdcnl sc inroduc l0mllaprccdnnu'miDorfi recuperali soida esre un duodcni contolradiologioi La diviznnc. T5 la arc.da dcntari. soida e{c in duodcn ti so cdminui rlbartrl if conlbmira rc cu scopul um iri r.

ingrijirm prcicnturui duDi prcccdurn: $]da poatc st dmana pc loc pcntnr indcplirrM s.oprlui sotrdr sc po.{o rohlo in 3 pdsl: - inrii pini la nivclul {onrullij rpoi Pini la nivelulfaringeLuii cuo mi$crre rdpldi se exnagc i. caln.ra bucdli:

prcpus:

ofed pacic.tulul.prl

si-iicll.xsci guo

3..1

Sondajul

teriul h tmcic
sDontaD.

cracudru .omin!fului vczicii unnaE cnnd accastx nu sc nrij producc

cdphd unnii

in

cv

de incontinentr:

.onJ u' .

r'

1lc(thlcr.

clab-lL.Jf' d tr
LloslnF:

iunr,

mtruli srfilc !i ninusi

dc unidi

sol ii dc/inf ranre, tupodc si cofrpr.se sreile. scrinei. so li2iotogto solulii sterilc pcnh lubn ficrca son de il
nratcrjalc Fntru toalck olganclor gcnnrb:

sau

.ti

neriLr.

MON TOR]JLOFICIAAL ROMAN E

2 eprubctc cnr.rc

ti

trscrte.

in tormcaTi prcicnb privind dcru larea proc sc obl inc r olrbomftr si con {im rimanlulr sc asdiTi pacienra ln poziic girccologicil

sc

cdnii i

se rs

igul. intimnatcr.

idcntificd prcicnla si sc vcrili!, sconandrea med icala i sc Drctrjaz, pdul c0 rLa si cu dNamlj sc dczbr.tct prncd inf.nori a corpuluii
5e

sc inbraci urici folosil.i 'niruride sc cfccueaza loalcb rcgiutui nlvarc cu


se

rDi si snpuni schimbi rinusllccucele sterile: sc cvidcnlinf rneatd urhar: sc de/infcdcazd oriliciul{rclmld. $rs in.i.s loldsind ?,3lxnpornel se prindcsondo nrft dcgcrclc mcdir si inclar!le mainii doninantel sc Lubrili.rl $ndr cL ulci lcnL sc linc sonda.rp pcLncrctun in rin,pul scrisului ii is inlroducc in rrcti h o adincinc de
sc continunsondajrl in

tuncticdc sc!pul nroDus.

ingrijire! prclrntui dupn nro.cduri

. -

$1. rjuhii \i s imbm- si 5c rlczc intr s. \eriticr daca acuza dis(nion: da.i rcuzi durcri sdu stn!.rcdzi s

poritie comodi:

3.5 Sondnjur

\.zic,rh bnrbrt
mri pmduco rponran.
sau

dvdcmEa corlinuruLui leTicii urinarc olnd ,ccana nu sc


caprarex

uinci

nr caz dc

ircoi'incnrri

:o.dnn -rc'r, l Tldu 'oco L d i '


mi;uti slcriic
\o utii{ca

'u

.nlurrd.

T!..i"r' rrt 'nt i.oup'.r.at" !.r ig,. , fi.,irEr..r,f,)rri.3 (ftni ubnticrcr \onJe i

sj

rrnusi

dc unici folosnn.l

mrterJl.|]tn n lulLcL dlddclorg.n Jle.

l-2 eprubctc ormtc

tius.

intbnnca/i pmieDtul dclprc dcrularea proccduriir obli'ie colabordea $i oonsnnlimentuli sc .iazi ta.icnlul jn d.ctrbn d.s.l ctr DicioareLc intinsc uior dcpandrd cu o pcmi
sc sc

rare

\Lb

Ptin'ri yndti rcitdl td lnrbat v tnr tlc c,lt'? ptncattn rcde "'edit, arislentuI ht..li.al pc ho:d un i p'nto.ol:Lthiln ti:onnut d. netli - selcifi.e rcc.mrM,rc, 'ncdicrlel - sc aei Dacientul jn pozlt ftc.nMdrtii se proteic@i paiul cu rlcTj :i mulanra: scspllamdiDil!riscnnbracin[trusidcunici,Uosinli:

I |il.rtu a! .drt

sc sc

clcotuoa, tdalcrallxndulLd ctr apii si sioun: dczintc.rcui nicatol uri.ar lblosind I rampornc. scr fi7iologic $l solurie anriscplicii

\d schimbi mlnu5lle cu cele stenle: \e prinde sonda cu mtua donilanlai sc lLrbnfiazt in inlr.ginc a c{trnirarea

liberi

se intoducc

nrd

la o adrncinre de

l0-t5

in rimpul irrtroduccrii sndci- pcrkul sc litu in pozirjc lcnicrli.


s..otrlinuli sonddjrl oonlorn $opului.

se rcspccrt rniecru

ingrjji.d prcirnrurui
sonda polre

- pdcicntul c$c.icar int{ pdilie co'nodii - scvcnidld l ictr/i disconfon. daci arc sctr^ric dc d6uri.
Ddla !,nlu

dupn procedurn si riDeDd pc loc i. linclic dc soop:

,1inh t'tI.!.:inttstrlhn oei.


C.pnhn ior al tutnlei ^F .ldhp.ua.l a a pst:n

fi

tit1. ni

t.id

pe"u

ctitse

ni n,Lc .ile s( lhh^ete n,t.la taler 1. aft twd tnllii haknnr-ni catu!\ed:t:and iu itt. ont
o pungA

u.larkdzd ta

coted.or lat i te dnfi m. hrti \e

Esc iitoduccrco unci solulilmodicamcnt asc nnn sondi in lczic. urinari.

indcpi aE! exudatclorDatolo8iccn^lhre in um! iniamotici nuco4ei lcziolc: cud!tua calititii in r.dcrca rcdi/.irli uno!qtlolnri (.isoscopic). pielogmfic
Medidn - )vontuntt[t

4!thu]u p'ltttt tiiti.ld

L,h

btt,.lctlneazd prh,nllonddi

MONIORUL OFICIAL AL ROMAME

mnnu

de

micn foiosi4n.

Pcnrru d.zinfeclic Si batert cxtcnl5:

oxicianu.i de mercu l/50001

nAnuii

de

lnict fdlosinl5i

unmd (dacd nu $!e nonhra)i pcise homost ticc; scringr euyln, la ncvoic bcdii de culturr:
sonda
doud

solutic de sptlnnin la lenpmlura coDutui rcconandati de mcdici solutic d rivanol 0,1,2%i nilrar dc argint l4qri vasc[na sltrili stu ulci dc paEfinl pcnrru hbnfieE.

se se

- sc efectucaz, roalch enema: - * atu d in poziric ginecolagicri - se protcj@i parul cu alczt !i cu musana. identificr pacicntul: se verinct indicatia ncdiculuir
sc

arumi $ cxp licA ncccsibrea efecnriri i prdcn uii; 6igui rcspcddd inrinit5liir

consinlihantuli rMlch orgarctoi genitatc; sc continui cu $ldajul vaical cvocurtori sc odrpt@n b sondi *ringa Cuyon; scinrDduc30-l00ni solulic: se detaieri $ringa ti sc hsa se se etinine lichidul inr un sc reper5 opclati, pena cand chiduteEcuar stc rin1]redc;
sc oblinc
se inccpc cu

baziner sau in

raviF rmali:

MONITORUL OFICIAL AT ROMAN E

ingrij irc, pdci$tulu i d u p i proccdu rn sondi raninc pe loc. nind inchhi cu o punsii sr0 racordari, dupr cx/. ta o Durgd

obscFa aspcctul

mdn'lll 0rln{r.

. -

prcgftnea Drcientolui pcntru cxaminiri cndos.!pi.c si c.rdntogice: pEgunea l)cnta inlcrcntii chinr3icilci clacuaro.otr!irNtrluj rcdsl nr cv dc cdn{ipriie

ln;inNi de unica foLosinFi

iigator, !ubdccdtrcir. hng dc .aiuli ro.hlii icnEj pdr.i dc cru ci uc pdn ru sugari
apa caldi (35,:17') 500 1000

1,5 2 mi

mlD.rlnL ad!lri. 150

'nt

pcnh, copij.50-60 nn dnrru

narivDeno! irilllol Drahialc pcnld dcycd crdcruui puisxriv: sdrc (r tiuuiri ta r I dc.pii). uteidc ricir (4 Lingrj la l lapi), gliceina(409r. r500mtapi).srpun(l lingrili rusi Lr I

yAllini pcntu llbrineF!cdrlcl:


conDrese stcrilc.

dcrularu prdrcdGi: sc asiatrli pa.i.nlul de respectarc. pLlddriii sc rlcgc polili! nr tuncac dc shtoa gencnlal dNtrbn do6al cu mcmbrclc inlcnoan L!o, ncchr. $i colljsctc dcpi,hrej dccubit lorcmlstins cu nchbrul inlirior inrins )i cc I d Npr tccraij gcnrpdcbaLi sc izolca/i pdtul cn nn pxm van:
se explica

sd

pNtjcaz.

cu

xl., )im$rml

MON TORULOF CAL AL ROMANE

Ese in lirtr.h. de iipuL

d..rlinr:

.hsmi cvafl'riffi. !hplii.

.lrytu Fnf siloDa:

r) Clismn cucu,.orje snnplii \efi\ca7i c rln h ribtrliigrrnulLL !j s.in.hid.i0hirctut([.cv.icse]pljciope'sii): s. \ crirlcr rcnrpciirlr r|t i

'

obinctuls sc.linintlrcn'ld!na oxtu sc inchide drn nor: lubritirzi.inuh cu vrscliDli tir.\i'rl comnrcsc dc ritnnl 5e lixci2i ,ngrbnL l). shrir: scs|]xln nr,ifilcs { nnbtucl nli'n'\i: r nidc0irrc.^ lcsctr prcicnru tri sise:itoducc cxruti Di anus in ,c.r.u !i.tuLo,ictral \0.cfor!irdl.rioari,noitDrptlnutsr.nltri(p.rrn'rtuspcclxcurbwaftctuhi)l sc irtuodtrc.crnula l0 l?cminl n.nulrccnrlui: sr dc\chidc oli n.tul srn rnsx si sc illie nigdonLt ta.prorimrti! 50 dn rrnbtr i
sc d.schide

\e

lnvonzr \curgcLcr li.hrdu trii sc vorbelrc.u txcionruL si c*c m!.r

sa

nNr;.linc. si:. Ebx./.si

sircrina sotLrrx ti)

pxcicnrulrcrTi du'9c $ cobofii ir lltont lcfuu 3 s.ad.a pRsiuD..li.hnlu uil s. inchnb rob,icr'lnRinLc d! rcmiDi'.a ti.hxlu uiifdnL r m Fmrdcrer):
daca

\.i'idq,idcr/icurLr\i\eDuminriyrLarcrai: .. ibrn)it po,trr lrx.Gnn'tur i'r d. drcutrir d.,rLdrcor.

Fr!

decubrr

3rr Pn)rtrfd: r. crprUri \duDtrl in p .\cil


:r

dorxlpctrhL

rpoi si

sau sc

clrnini labrleri

\!eiictucr?itariLcasirli$nisnnpti: re illoo'ienc c li toctuli o canuti ne\ihili !0c poare p rundc tjr.oton tr

Folnnzim.dc 10-40 cnr: nigat.n \c ridrci [ 1.5 n pcnr i crc*. prsjun.: rpci; icD,Nrrrra ltci esrc m.isci/rli (t5 t6.L) pcnru aacnr cte.hrtpuga{n

scefecnrcazipentruridqjii'rd$.cxldletor.nuroruuid.D.s,rrafa$tuucoActor: aiula e(c irrloc0ira o \onJu de 15.40 crn uBinic cu dnmeN dc t.j .jn p,cviizurii cu

- $ lubrlr:iaza canutx (\ondr) sis. i c ' ,,',. l,l,.o,,"1

i'ig oruls. inlocuietle ar o liln:c dc t.5 t: s! pr\cLi rubul dc c r.iu.lifgi.rnul,:


rodtrco

scridi.rlntlnirlaidrii'ncrdc I rn\i!cd,dnrntr $ei:

pri'j Drilcarjde mbltc ptjli in cotonrlsigmojd:

cct n

't

' 'I

MONTORULOF]CALAL ROMANIE

sc foloscsc oprorihrd,200
sc mcminc
sc cx.c

nl ulci incitzi! t. l7'C

crre sc jnroducc tcm. in t5-2r)

uleiulin rcd 6-12 ore: ut, scar., clim inrca sc tlcc dininca ra: sc lo loscsrc in constipalii cro n icc. lcc, krnj sc pror.je,i lcrjcri. dc pdr. cxnrtndposibitirdrea

elirinirii rcconrrol.tc

sclutrutuj

clicLdlsobDcaTi pe oc.rca nnui mediu l]ipcnon, fage ap. din rcsuturi

8.3

scddn lichid usor dc cliilimri sc tblosetle o solLrrie conccnrmti (250 dd gNzc

nl api ou 2 Lir$ri Mssc)4)i

lDtrodn&r$ tubuhri

lntotiuccreunuirlbsemi !iddcl0-35cinlunEin.ri3 12'mrdirmeh.u cu sc.Nldc r climina eazclc din colon ir caz dc bcrc.rism abdonrinat.
Mcdicul - @on.ndi nroDrarcr tubului. ,\sisrcnrulncdi.it toalc c tccnD poccduE po e cvacua guclc in mod sponlrn

tb

rr recomlnda rc rcdi cali

runc i

m{nusi dc unici folosing

sc .nunti ii sc cxplict acientului tuptutci ga7-clor vd csnc shrc. dc ..nfofrl sc

dc$hiddea sfincrcrulri anit potnL eyacuar..


dc dccubn Ldbmti

asctr p!cicntol jn

pozirjc

gin{ologica s.u in pozilic

scimbncinUnulidchicifolosinlii
urgc tnbu cu lascliDa lcrilti sc deD!frcazi lcsclc pdcieDrului.u mino $ings iar cu prin anus in ftcr, prin mi!.in de .otalic, h pa.icmll esio a.otorir cu. iirvclirorftj
sc

mim drcopti

sc inlrodrce tubu

semntine mrxin

2 oru:

sc Etm8c 0sor ror pnn

mi$dri dcrurallci

MONI IORUL OFICIAL

I'

ROMAIIE

das sG ndoie

pmtc iepuc 1,2 orc dnld ce

$ e'abilqG

cirturatio la n,lelul

insrijiornlcicnrului dupl pro..duri

- s laco ioalelr rginnii


sc
se

duole

pdlru r indoporla vselim;

atcza paciefiul cmod;


lnvelEre pacicntul;

sc

supnvcgh@! stas abdoninlE

dupe

ihdcpitura tubului

de

goz.

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