Professional Documents
Culture Documents
Semiologia e semiotcnica
Atividade em classe
Profa Adriene kviatkovski
Feridas e coberturas
As funes da pele vo muito alm da proteo
estrutural contra agentes fsicos, mecnicos e
biolgicos ela responsvel por promover
barreira qumica; pela manuteno da
homeostase; pela sntese da vitamina D; um
orgo sensorial para percepo de presso, dor
e temperatura.
Reviso:
1. Identifique as camadas da pele na figura abaixo:
hidrocolide
hidrogel
AGE
Carvo ativado
Alginato de clcio
papana-10%
papana 04 a 06%
papana- 02%o
SF 0,9%
Indicaes
Contra indicaes
AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
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ANOTAO DE ENFERMAGEM
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DIAGNSTICO DE ENFERMEGEM
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PRESCRIO DE ENFERMAGEM
AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
________________________________
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ANOTAO DE ENFERMAGEM
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AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
________________________________
_____________________________________________________
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ANOTAO DE ENFERMAGEM
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AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
________________________________
_____________________________________________________
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ANOTAO DE ENFERMAGEM
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calcanhar esquerdo
DIAGNSTICO DE ENFERMEGEM
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PRESCRIO DE ENFERMAGEM
AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
________________________________
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ANOTAO DE ENFERMAGEM
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AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
________________________________
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ANOTAO DE ENFERMAGEM
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Regio sacra
DIAGNSTICO DE ENFERMEGEM
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PRESCRIO DE ENFERMAGEM
AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
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ANOTAO DE ENFERMAGEM
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AVALIAO DA FERIDA:
Nmero de leses: ______________
Localizao anatmica: ___________
Tamanho: __________________ cm
Profundidade: ______________ cm
Etiologia: aguda ( ) ou crnica( )
Agente causador, tipo de ferida:
______________________________
grau de contaminao: ___________
comprometimento tecidual:
______________________________
Mecanismos de cicatrizao da ferida:
1 ( ) 2 ( ) ,3 ( ) inteno
Presena de exudato: _____________
Presena de outras complicaes:
________________________________
_____________________________________________________
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ANOTAO DE ENFERMAGEM
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