Nome:

Id/P:
DIH:
Adm:
HD:___________________________________________________________________________
SNE (___) SVD(___) Uripen(___) AVC(_____)
ATB:1_________D(___)2_________D(___)3_________D(___);
Nora(___)/Dobutamina(____)/Dompamina(____)Fenta(____)/Profofol(____)/Etomidato(____)/
Nipride(____)Nitro(____)//VM: Modo(____)/FR(___)/PEEP(___)/CO2(___)Psup(___)/VC(___)
Exame.Fsico: Hidratado (___/4+), Corado (___/4+), Anictrico (___/4+), enchi.capilar (___)
FC:______bpm; PAM:_____mmHg; FR:____irpm; SatO2:__________
Ap.Cardio:RC (__)regular em (__)T c/s sopros // Ap.Resp: MV(__) s/c rudos
Ap.Abd:plano/globoso/flcido/distendido/RHA(__)/ (___)doloroso. Timpanismo (___)
Extremidades(___)edema de MMII, (___)empastamento
Pupilas: ___________________ AO(___)/RV(___)/RM(___) =
PCR:____/Cr:____/Plaq:____/PaO2:____/INR:____/BT:____/Prof TVP(____)/Prof ulcera(____)
DH:+(_____)-(_____)=(_____) Dieta(______)
CD:
Nome:
Id/P:
DIH:
Adm:
HD:___________________________________________________________________________
SNE (___) SVD(___) Uripen(___) AVC(_____)
ATB:1_________D(___)2_________D(___)3_________D(___);
Nora(___)/Dobutamina(____)/Dompamina(____)Fenta(____)/Profofol(____)/Etomidato(____)/
Nipride(____)Nitro(____)//VM: Modo(____)/FR(___)/PEEP(___)/CO2(___)Psup(___)/VC(___)
Exame.Fsico: Hidratado (___/4+), Corado (___/4+), Anictrico (___/4+), enchi.capilar (___)
FC:______bpm; PAM:_____mmHg; FR:____irpm; SatO2:__________
Ap.Cardio:RC (__)regular em (__)T c/s sopros // Ap.Resp: MV(__) s/c rudos
Ap.Abd:plano/globoso/flcido/distendido/RHA(__)/ (___)doloroso. Timpanismo (___)
Extremidades(___)edema de MMII, (___)empastamento
Pupilas: ___________________ AO(___)/RV(___)/RM(___) =
PCR:____/Cr:____/Plaq:____/PaO2:____/INR:____/BT:____/Prof TVP(____)/Prof ulcera(____)
DH:+(_____)-(_____)=(_____) Dieta(______)
CD:
Nome:
Id/P:
DIH:
Adm:
HD:___________________________________________________________________________
SNE (___) SVD(___) Uripen(___) AVC(_____)
ATB:1_________D(___)2_________D(___)3_________D(___);
Nora(___)/Dobutamina(____)/Dompamina(____)Fenta(____)/Profofol(____)/Etomidato(____)/
Nipride(____)Nitro(____)//VM: Modo(____)/FR(___)/PEEP(___)/CO2(___)Psup(___)/VC(___)
Exame.Fsico: Hidratado (___/4+), Corado (___/4+), Anictrico (___/4+), enchi.capilar (___)
FC:______bpm; PAM:_____mmHg; FR:____irpm; SatO2:__________
Ap.Cardio:RC (__)regular em (__)T c/s sopros // Ap.Resp: MV(__) s/c rudos
Ap.Abd:plano/globoso/flcido/distendido/RHA(__)/ (___)doloroso. Timpanismo (___)
Extremidades(___)edema de MMII, (___)empastamento
Pupilas: ___________________ AO(___)/RV(___)/RM(___) =
PCR:____/Cr:____/Plaq:____/PaO2:____/INR:____/BT:____/Prof TVP(____)/Prof ulcera(____)
DH:+(_____)-(_____)=(_____) Dieta(______)
CD