Pacientes

com prolongado tempo de internao no esto livres

de novas complicaes clnicas com declnio siolgico e podem
necessitar de cuidados intensivos. O atendimento a este ;po de
paciente pode adquirir complexidades par;culares devido
variedade de diagns;cos, complicaes, iatrogenias e
intervenes terapu;cas especiais acumuladas. Informaes de
to variada natureza podem dicultar, em um primeiro contato
com o paciente recm admi;do, a elaborao de diagns;cos
e;olgicos mais precisos por parte da equipe assistencial,
tornando muitas vezes suciente em um primeiro momento a
declarao de um diagns;co sindrmico ou situacional que
permita nortear as condutas da em diante. Sequencialmente, esta
categorizao inicial servir como base tanto para renamento das
hipteses ou para confrontamento com outras possibilidades
diagns;cas surgidas que melhor se enquadrem no quadro
empiricamente percebido. A avaliao diria e sistem;ca do
paciente cri;camente enfermo um instrumento fundamental
para a pr;ca clnica do enfermeiro intensivista.

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