EVA LUAREA PREOPERATORit

estimareaabilitay-iipacientuluidearaspundelaf.de stores
-

perioadapo-stc~onfikxasuspiciuniil.mn
o-p.0-expl.paradim.ee
in

avan sale

TESTE DE SCREENING

screeningci.de/tb@
•

pacientisupus.it intervention
a pierdire soimge
aneomiedecaufa-neaenoscuta.anemie.ne-pda-ie.si
•

m_suf.ren_doi.ear_diopati_e.Dz@sarcina.l
om-ra-ogmaseri.ca/-creatinina@-D2-,HTA.bo-aloicV
,
Menala
'

, hepatica

:÷::÷::¥÷-÷÷I
lerapiecucwdeteata-VARS.TN
-

Ici

SuMARÑURiNA
-

simptome detract Minar

Cronica de TU
' '
-
boata
-

pr-oaduriurot-ogi.ee
 EVALU ARE CARDIACA-
time cesar at de Oz
Chirurgical t catecalamine , e →
• Ares →
Mia cardie

tro-rmb-ozet-KG-pacienj-iaecomorbiditatisemnificati.ve
•
supresiasist.fibrimotitic →

•
b- art citronariana

b.ar1erialoiperiferiea_t0peraIi cuuisctmalt@de.b
.

•
aritmii important
•

di structurale

TEST DE EFORT

gifgt.eardiaca-scazutaynedet.DE
↳
drear la mise

VALUARE PULMONARY
-
tote specializak →

d④ la-pa-cien.tiicum.sc
 Disfungtia renala-
B④ -
boata-
organica- renal a- sand
fungtiei me male pentru
minim 3 luni
* stadiutermimal diabiza
[
transplant renal
i④ t -
or ice
modificare minora a creatininei

pierdefpetaafuingtieirenale.ae necessitate a

dializei

pre / post si renata

-

' '
-

perioperator → mecro-za tubulara acuta

co-mplic.im/ecTioaseQ-c-agulo-patiasec.heparimiz-ari +ceaaso
rñspuins deficit ar
-

imam → rise
'

ciata
'
uremia pot
pierderik

desdnge-ca-mtari ezi@micatbiLanthidricd.M
+

enj-inereaeuvolemiei.si a perfuziei renate

-
monitor
izare~EEEU.fi I C-a.mg I →
, ,
 Disfungtia hepatica
- mai alesia
ceicuhepatita-ancg-figayviraloicgnia.lt
cHiLDPUG
-

bilirubin a , album ima , tirmpdeprotrotmbina encefalop ,

.

ascitoi
-
Child A : Chira electra bine tolerate 1<10 %)
-
Child B :
po-sibiloicupreg@aporeoperato-rieCsot.j
↳ Nd im
rexgtiihepatiaextinIT.rucardiaca- =
-
Child C :
contraindicate 1>80%7
Mt
-
bilirubina creationima INR
, ,

raloritmtre6-sbo.ca/ecislect.1aparo--sMEkDL8
-

= > mortalitate 0
→ MELD > 8 mortal itate 6%

•
chiru abdominal
oilo-rt-opedi.ca/CV
→
MELD £7 Mort 5% .

→ MELD 8- 11 molt . 10%

→ MELD 12-15 mtort .

25-1 .

•
Terapia medicaid pt ascita .
:

restriction Sadata-<_2g ! !
furosemide spiritno
-
-
 €M%
-
rise de etanoticltmtreziuat.si 5.)
↳ Maxim TMtiUA3X I
→
halucima.tii.trem-i.agita.ie , tahicardie
BZD
profitactic
→

i. Free rent apare deficit detotgtigitiamima ,

hipktgihipomg
Pacientul diabetic
stores thermo mi →
rezist.perif.la insulin a- ,

tgluco-za.lv insulin a
→

Chirurgical
de contrare
glare -
-

④ i( uneori
Chian CAD )
-

Menjinerea EUGLICEMIEI ' '

↳
prim administrate continua de insulina
→

siguroitaomelioreaza prog noticed

-

gastro pareza → imtcirzieeraalarea →

Prisca de
gastric a- aspirate
-
rise in lefties crescent
-

vimdecareaploigitrtmtoirziatoi
~ mum

1.) insulin cudurata

a tunga ①
-213 dim dozadesearoitm
moapteadinaimea -0ps
I
.

dimdo-zadedim.m@dimimqta_Wtieiprep.ora
le → d.
lung a- → se
112

oprescue 48-7-2h ant

.

d.szta-mw-gpfealdiminema.la ! !
→
 4.) imfuzie continua de giucoza
. 51 .
→
apart tag gIEEi1h
•

Moptimere gliamie 120 180 -

mg 1dL
•
alternatives insulind i. v. saw prion imfuzie cant .

1-3wnitat.ilh-3.CA _
po-stoper-ato-rbdepindedeabsen.la
D-
peale mima

insulin ei

lmsuficien.la adrenaloi
-

Cushing sepr-oducechivalentu1a36_mg@hidro-caut.lzi
→

Prednisone
20mg Hi

supresiaHPA@timpdl3sa-pt.mrr1.T
→

mto-alesituatiile-o-d-o-zamatinalsupli
cedar i min ore
oideslero-id.pro
→
not necesita
'

montane

•
Stires ohirumoderat-s-omghidr-oco-rt.ir#2m-aiimMgtehidroc .

8hpt.su#.stresdrirumaf-M
Tape care

É +
iv. mainle de arrest .

5☒ la tie care
8¥06 24h

seimj
-
.
data zilnicapoina la data de
,ti
Mon mere
 Sarina
FC , VB si v01 plasmatic t

} scdderea
-

Hematocrit lui
.

eritrocitar rdar
-
v.
pugin
pre sinned
tr
partiala 62
'
-
a

d. Post
operator = >
misc%ae-a.ae +
complicpulrmonare

ldat.pro-gestero-muluilTRIMESTRUL2Q-o-ptichirurgical
mpt.im
gastric a' imtairziatñ
evacuate
-

a-
terventia
-
teak gravidele care ausulerito trauma primesa 1g -
anti D A
lrh
negative
-
•

G.eriatricii
- rezervci functional aiadeceit timerii
- trat .
care
allereaza-roisp.fiziot-gi.cat organism ului ( MB)

saumo-d-iicoirasp.1-aimur.irmgicaa-lwarn-ca.am/i )
 CONSIMIÑMÑNTUL INFORM AT

formula rdeco-nsim.tama.int → document legal

↳ rezultatul discutiilor medic pacient
→
protejeata medical

into cuitor im luareadeciziitr

-
dirediva im avans

☒ DOCUMENTA,TiA

F.0
explicit gitm ordine cronotogiceitratamentul
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