NOME: ______________________________________________________________________ D___ IH NOME: ______________________________________________________________________ D___ IH

IDADE: _____ IDADE: _____

SAT: _____ Fluxo: ___________________ Ur ______ Cr _____ SAT: _____ Fluxo: ___________________ Ur ______ Cr _____
FR: _____ Na ______ K ______ FR: _____ Na ______ K ______
FC: _____ BT _____ BD ______ TGO _____ TGP _____ FC: _____ BT _____ BD ______ TGO _____ TGP _____
PA: _______ PA: _______
HB _____ VG _____ PCR ______________ HB _____ VG _____ PCR ______________
Dextro _____ Dextro _____
Leuco ________ Bast _______ Leuco ________ Bast _______
Tax: _____ Tax: _____
Plat ____________ Plat ____________
Qx: _________________________________ Qx: _________________________________
RNI _______ TTPa _________ RNI _______ TTPa _________
Ausculta: ____________________________ Ausculta: ____________________________
DDímero ________ Outros: __________________ DDímero ________ Outros: __________________
Dieta: ________ Dieta: ________
pH ________ pCO2 ______ PO2 ________ pH ________ pCO2 ______ PO2 ________
Evac: __________ Evac: __________
Bic _________ BE ________ Sat __________ Bic _________ BE ________ Sat __________
Diurese: _________ Diurese: _________
CD: ________________________________________
 CD: ________________________________________

______________________________________________________________________________________
______________________________________________________________________________________

NOME: ______________________________________________________________________ D___ IH NOME: ______________________________________________________________________ D___ IH

IDADE: _____ IDADE: _____

SAT: _____ Fluxo: ___________________ Ur ______ Cr _____ SAT: _____ Fluxo: ___________________ Ur ______ Cr _____
FR: _____ Na ______ K ______ FR: _____ Na ______ K ______
FC: _____ BT _____ BD ______ TGO _____ TGP _____ FC: _____ BT _____ BD ______ TGO _____ TGP _____
PA: _______ PA: _______
HB _____ VG _____ PCR ______________ HB _____ VG _____ PCR _____________
Dextro _____ Dextro _____
Leuco ________ Bast _______ Leuco ________ Bast _______
Tax: _____ Tax: _____
Plat ____________ Plat ____________
Qx: _________________________________ Qx: _________________________________
RNI _______ TTPa _________ RNI _______ TTPa _________
Ausculta: ____________________________ Ausculta: ____________________________
DDímero ________ Outros: __________________ DDímero ________ Outros: ________________
Dieta: ________ Dieta: ________
pH ________ pCO2 ______ PO2 ________ pH ________ pCO2 ______ PO2 ________
Evac: __________ Evac: __________
Bic _________ BE ________ Sat __________ Bic _________ BE ________ Sat _____________
Diurese: _________ Diurese: _________
CD: ________________________________________
 CD: ________________________________________