5. ATITUDINEA FATA DE AFECTIUNILE RESPIRATORII IN CABINETUL DE MEDICINA DENTARA See ge THERIUNIT Ste td Veto GTA, ASTMUL BRONSIC (ver si secnes ,Ugene medicle: Asmat bron") Reprcits un indo iamstr con lor stiene, eae se ‘mavifeprin ose trong reverb, pail sau complet ca hipereactite Wong Tn fine de factor determin 5 prdpocan, se desers out forme nie 1 Asta exrinsec:bosbospsml este real or alr ei extrinee, 2. Astmulintrinsee:borkospacl ete eatzat de fast lege net (rome rie sms), one medicament ste i const de spose ‘iu se inrerype medicapia de fond; in caalpaienjilor aa sub tratament ca coca, se resomands me dave prenpesan rorya cvita apart cri isoriene; “ temporanes tant omatlogic dock piel pre in wheezing + prez inhlali a indemina mediculi smatlog, 1 promote ca Midazolam 75mg eros; + evitwea vasocostictrlor,deoarece soya comin sul are ot desing erie severe de asim, evitaen ana! ene jst Seat gi pet prevent acidntelor generale ctio-asculae pin inuerseiunea cs hronbodittarl de tip eters evita gelinsorpretungke (peste 70-75 minute) de wat ment omataogis ‘© eviarea macrolislor (feet toxic Ia asocirea cu tant) ‘+ eviarea aninfamatoulor nesteridiene (aid scetisai- lila te). (rica de astm bronsie vii ssiunen Urges mace: Cra de astm boogie") rie de ses bone relies nse respiratore aca tip obsrctivprn bronslosenva (pas + sccrievlsoas Ia ‘ania mae + ede). ofa, fea, acral ee, conserva ia fara sia - i ‘uli -metabisltal de sod asx laren’ din carpe de aneseic lel), dart prelngitt a procedurilortrpeutis, idl acetic, ote antnlatonceaesteriiene pot delays cia de ‘stm. Uncle antibioice» Eriromicina sna linda = pot precipita si dean Ta poco sinatra eu mains= nen mdi cate de ect dos Apa crisor poste fens l,i prec de tse sat cf, agi, rasp ansetate ‘Tabloul line cupende: 1 disp predominant existe * whoering: ahead, isos event de hipetensiune atrial, {ano spare laren cau hip 1 torace destin, pun mobi ema vasogenic). ‘Stara de ri simatic ee sail cline cl rai several si- lui bron, reff Ia natmentul eu boabodlsacarce ohne (fia se insane br, putin dura pose 28 oe, carters in + absense a expectrtics : © canoe 4 Seme de insuiens respratrie masa, cu tends de bse elo resistor ce ate evolu spre com hipcrespich trace mobil asm va pogrom). _Aitudineserapeates im crea de astm bronge (i. 8 + ierpere ataetu somatolog; 1 sqezaespcientll in poi pzind 1 adminis de 0 (2:3 Uni 4+ se adminis un bronodlatorinhalator ssw mec rope a paces (spray e substan mimetis); + montrzarea TA gi pols paciemu 4 dacd dup minute dispacea no ererit, epote amiss Aminoiing 240-30 mg is. foane len (in eien 10 mine), mon ‘oi pus inverupe njstar ncaa pare’ etait + adninsvare de Hidrocorizon hemissint 200m in bs 4 act dispeea se prlunaese se adminisesn Cleastinun 2A gly 91s soli Ambul Dingle eit st (amen a \ ae] i ; ASPIRATIA CORPILOR STRAINI[N CAILE AERIENE Asp scidetls a eomlor sein dtemins o insfcent respmtorie acu, grav ea prognostic ezerat.Insfclen resp ratorie este determina de hipeteania issu de hiponia cerebral rode prin oss ilor acriene superior cites ost complica oa Simptomataogie: senza de mort miner + dspee inspite 4 absenj sa neficena missin respiratorit+ age moter Tndepirtarea compl sin dace I emiteren manifest ei ‘ce. Pes compl stain dee In gravis si gence pain Stopulcaso-espratr chi moan orp sin ocala taringlan “Teblol cine poate deere 0 simplomtologie dif in raport tdimensane coral apis, Corp sit voluminoy sunt ive late pot detemion © traci comple total a er arene da a moar subi rin ‘sii sa cop, Simpoonatloge 4 Ties aio, iano 4 spi psino-motrc evident, 4. dspne accetuat sa ips al amar espn Corpses mic let - arming de a db + ape rs tig orm chit de tse, “dure vioeate prowente de marine aseujite sl compl Corp sein oat inrtraeal In majorittea cazuroe, corgi sini de ta acest aivel sunt mobil oa ‘Simpiomatologie: blow damatc crater pen agai pk moore, dspce acct inspira, se, cand. fn anil de gravitte medic, aces fh aut rec apoxi- nai 30 mite, dup cae simplomatloga se amelionse, daa xsi corel stn Un una dine bri, existed perio de mobi Tiara acesua a efert sas a mig pcientul Arun ind corpus ete ott in tae, se percpe un zoo mat insisor i expato(ataratlwdap! in vat) Ge notes a az grve,decesl se pote insta imedit sau Ja seu imp prin ‘fixes cop Corp sin oat brome [Locaizaren na even este a bron primi despa a tifweaa aes Disa stagares compl sin se prelinges apse sompliaiobsiractive sete. Asitudine terapetics i eabinetal de medicing dentars Derideratl major al conduit de wring in apa de cori sun in cll respirator const in restabires ct mn pi a poral ‘eoxgen prin dear clo aciene superna + Procedure noniwasve de desbsruciea lor spar: nde color si Incl) Inve evi rae, 2 plies de ovr epetatitersapua: 3 presumes mama ere pe abdonentonce ane Hein. 1. Indpirarca corpilr sri oat a nivel cari orale Curren mecaics © orofiringeli, mama (gee, pense cu laf lng, pense May) sau ea jute aspirori, sb inspec re aed tba ete causa obstruct arene, manevrele desrse sunt efciente si sufceme pent pemeabizarea clr arce. Ded acest procs a fox relate corect tty simo- smatologia de ober respaorie rin, rbuie h oconsiderae osbiltatacaobstcoa he localiza a al nivel, 2, Aplcare de oir some ecards Se fetch contol, pe pun posteoatd a tore, intescaplr, pinto sere dep a pte cpl ple. Aces ‘el pote pica pcan pire, pie pend ukePace cone - ore rind nosis ‘eel erin ple pcm, pape de ae 5 pls o mid jul is packets ol le on ac ee posi se ape cael pail pnt a 2 ‘jie mbar axing toracel Seal cle ovis, Pacent ineament = pie clint: pct ce spe sake, eee prions =e lsat om in jul wi prio cl por, + deck ete pst, se aplacd capa pase, per ‘objnebombares maxims a tore + seat ee Tove 3. Manera Heit Mods cont dire see de 4 compre cuits In ssl stoner superior st omeshi ir, cu spl dete” op resin imatnred Acca rete a prev tne ana ca (hse tials ce peri disloaren age csv Prsiunea traci se inch Is paid, sprapendcl cop Acasa mu prdce Fegan ae un ris ods Ge late 4 orl ina sa ein Prajanes abdominals ee ina a psi in vist (exis ‘cul dear vole ont a, = Presnae choi Principio) mele const In excatrea une presin) sh Srapnaice clin el pode o restine svn atc ep, cults dela pon! sewers acd np st Pace congtent poste snotty = mee sn spe pase cu brie jun is cui, to mo eth pa pins i mia ct pl ‘ne mall pe omen pace, trans, Sub apendiele xii Se ec pay compres’ peng sete, spats tne eye ascendeat: Gina orcs Ey = ack pcos afl pe szaunl somaaogie medica treet st caprindh coet tai paientu (fe c8 tral mec sin pres sou, feed spar fot lil stomaologie eres lrg, atu! se depasenzh onal fm pore Intra. Aceasd micare se fae cu opal i mica tech dec in spalele pacienull Pacictincontent et poatie de deco dons cao ss se deschide gua pacienli 1 ediul se panes lateral de pcient,aproape de ‘oll pint, -& aplckpodulpalmei pe abdomen, pe tina de eile ine ome pends xii pra corects medicl webuie 8 permis ca umesit $l fie dieelonaaproape perpendicular pe abdomen] pact = Gompesiunle pe abdomen se fac pein aps rapide, ‘part discs, nmi de sty, de os nus, Porta espull pint co fin us et enters viel Prin ria cule se dimineard lumenal cilor reprint speroare, ‘ocindwse explzze coral stain Det ape vom in mpul manerel, capa pace se Intare rapid pe o parte 50 crt noaingee “Telia vacates pile toh dar fr data compe- sine tebuiedovate atl ints nu prado tamara sic tilor anatomic Invecinae (stem, cast, fct, sind, puknoni et) Complcai rjora aneeHeimlich de tratizre ogaelor ire, ter ponte coro min apices rand a foe de psi retice anata, Mil my tebe iid see pst rcesl xii ‘Su maine vk cos recmindinse passe rina de aes reper (dak se execitpresine abdominal), respect deasipra kor (oct press vf toace).Presa toracc sc allerstiva metodel abdominal, ca tebe de dezobstuti 4 llr serene, Stile ao demonsitt ch mu exist diene Seni ne cee dou metoe, Pacient content= pie zig sun pcre rmalical se pleas in spate: pacintls cu brie tree sub al, nent oracle acest: + selnocjezt minx pune sc dtl deh pe Tia de tle a sem fa pe poss iid sa pe ‘mage vole coal, Scere par compres scutes aide,dsinct, Pacienincostent clos ln pone Sepia; sede gun pse ame exes cu oan thc abdoningl: + pin in cc sa eco cu el din tea ‘mshi cad (vera proce io + seralizawa yoru ps sou pie pci + Procedure invcve de dora a cor repraer: acs ‘anes Heimlch mud elt, tune se otezh pont 6 proces larva de deaobsbuci a el serene, Dine azteca ht pin linazivd $i pe eae 0 recomandim este puncla membre! ci ‘ridone = Punto membrane criotldiene Esto manera chiral simp, prin care ececazso ele de omuniare aifclt fave prises infer angst mol xn, ae 5 permit venilaiapulmonts sponta sau meni Tela realiir puncte membrana ereatioiion. * pocionarea pace eu gal in iprextesc, la ‘evee agains lou sub omer ace + Silizaealaringslat eu raion noone inva st in nize superior a cartljuli tid police simedinul ters, + puncjia membrane! ersten eu aural un tocar Suri gros intros pe Tina malsnd in membrana ottnans CConirmarea reals corest a mane: + "tpwriia agonetelor rspitont gi Mosul epiator ta ciel cae esp spotan: “© objnees mir trace ample a nel erp trocar, pace care ma respi, caz In care se va continua cu manerele de resist cai respiraore, 7 “Apia color tin rereind © mare wenn caine de metic a, Condi mediculi uebuie sé fe competent cu dace CChiae duct medial reagege 58 obi expuzuea Coral stn $ rarea ven’ sponans accol'va B eangpons degen a ‘evi spect de epi mens sau ORL Das mei a ee, > sig ongenotcrpia de urge pint esas Ama