Anotação Melissa Téc L04-L06

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SEM SINAIS DE LES\uc1 \u195 ?O MUDAN\uc1 \u199 ?A DE DEC\uc1 \u218 ?BITO DORSAL.}{\
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \
ri0 \widctlpar \nowwrap \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \
af2 \hich \af0 \loch \f4 08:00 M\uc1 \u195 ?E AUSENTE, SONDA TESTADA E LOCADA COM
AUSCULTA CLARA OFERTADO DIETA }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \
lang1046 \langnp1046 10}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 ML DE FIE
APOS LAVADO COM 0}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \
langnp1046 ,}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 5 ML DE AD.}{\fs21 \
kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \
loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 09:00 }{\fs21 \kerning2
\dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 INICIA-SE }{\fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f4 HOR\uc1 \u193 ?RIO DO SONINHO COM OBSERVA\uc1 \
u199 ?\uc1 \u195 ?O DA EQUIPE DE ENFERMAGEM. }{\fs21 \kerning2 \dbch \af2 \hich \
af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap \aspalpha \
af2 \hich \af0 \loch \f4 10:00 REALIZADO CONTROLE DE SINAIS VITAIS APLICO ESCALA DE
DOR NIPS COM SCORE 0, REALIZADO TROCA DE FRALDA + HIGIENE INTIMA COM DIURESE
PRESENTE E EVACUA\uc1 \u199 ?\uc1 \u195 ?O PRSENTE, POUCA QUANTIDADE, PERINEO
INTEGRO EM USO DE POMADA PROTETORA, RODIZIO DE OXIMETRIA PARA MIE SEM SINAIS DE
LES\uc1 \u195 ?O LATERALIZO \uc1 \u193 ? D. }{\fs21 \kerning2 \dbch \af2 \hich \af0
\loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap \aspalpha \
af2 \hich \af0 \loch \f4 11:00 M\uc1 \u195 ?E }{\fs21 \kerning2 \dbch \af2 \hich \
af0 \loch \f4 \lang1046 \langnp1046 AUSENTE, I}{\fs21 \kerning2 \dbch \af2 \hich \
af0 \loch \f4 NSTALADO VANCOMICINA CORRER EM 1H CPM. }{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f4 \lang1046 \langnp1046 AP\uc1 \u211 ?S SALINIZO COM 0,5ml SF
0,9%}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 . }{\fs21 \kerning2 \dbch \
af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 HIGIENIZO SOG, }{\fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f4 TESTADO}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch
\f4 \lang1046 \langnp1046 ,}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 A
MESMA }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046
ENCONTRA-SE }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 LOCADA OFERTADO DIETA
ELEMENTAR }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046
10}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 ML POR METODO DE GAVAGEM A}{\
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 P\uc1 \u211 ?S
LAVO COM 0,5}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 ML DE AD.REALIZADO
INALA\uc1 \u199 ?\uc1 \u195 ?O DE BUDESONIDA CPM.}{\fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap \
af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \
plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap \aspalpha \aspnum \adjustright \lin0 \
rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \f4 12:00 INSTALADO AMICACINA}{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f4 \lang1046 \langnp1046 /}{\fs21 \kerning2 \dbch \af2 \hich \
af0 \loch \f4 IV }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \
langnp1046 PARA }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 CORRER EM}{\
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 BIC}{\fs21 \
kerning2 \dbch \af2 \hich \af0 \loch \f4 40MIN.}{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap \
\af2 \hich \af0 \loch \f4 13: 00 REALIZADO CONTROLE DE SINAIS VITAIS , APLICO
ESCALA DE DOR NIPS COM SCORE 0, FEITO HIGIENE OCULAR, ORAL E FACIAL COM AD MORNA,
TROCA DE FRALDA + HIGIENE INTIMA COM DIURESE PRESENTE E EVACUA\uc1 \u199 ?\uc1 \
u195 ?O AUSENTE, PERINEO INTEGRO EM USO DE POMADA PROTETORA,}{\fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 }{\fs21 \kerning2 \dbch \af2 \hich
\af0
\loch \f4 RODIZIO DE OXIMETRIA PARA MID SEM SINAIS DE LES\uc1 \u195 ?O, MUDAN\
uc1 \u199 ?A DE DEC\uc1 \u218 ?BITO, MEDICADO COM ESP}{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f4 \lang1046 \langnp1046 I}{\fs21 \kerning2 \dbch \af2 \hich \
af0 \loch \f4 RONOLOCTONA POR SOG. E CAFEINA}{\fs21 \kerning2 \dbch \af2 \hich \af0
\loch \f4 \lang1046 \langnp1046 /SOG }{\fs21 \kerning2 \dbch \af2 \hich \af0 \
loch \f4 CPM}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046
AP\uc1 \u211 ?S LAVO COM 0,5ml AD}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \
f4 , }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \
qj \li0 \ri0 \widctlpar \nowwrap \aspalpha \aspnum \adjustright \lin0 \rin0 \
af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \
nowwrap \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \
af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 14:00 M\
uc1 \u195 ?E AUSENTE SONDA TESTADA E LOCADA OFERTADO DIETA }{\fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 12}{\fs21 \kerning2 \dbch \af2
\hich \af0 \loch \f4 ML ELEMENTAR POR METODO DE GAVAGEM E APOS }{\fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 LAVO }{\fs21 \kerning2 \dbch \
af2 \hich \af0 \loch \f4 COM 0}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \
lang1046 \langnp1046 ,}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 5ML DE
AD. }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \
li0 \ri0 \widctlpar \nowwrap \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \
loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 15:00 INICIA-SE HOR\
uc1 \u193 ?RIO DO SONINHO COM OBSERVA\uc1 \u199 ?\uc1 \u195 ?O SA ENFERMAGEM. }{\
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \
loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 16:00 REALIZADO CONTROLE
DE SINAIS VITAIS APLICO ESCALA DE DOR NIPS COM SCORE 0, REALIZADO TROCA DE FRALDA +
HIGIENE INTIMA COM DIURESE PRESENTE E EVACUA\uc1 \u199 ?\uc1 \u195 ?O AUSENTE,
PERINEO INTEGRO EM USO DE POMADA PROTETORA, HIGIENE EM COTO UMBILICAL COM CLOR\
uc1 \u201 ?X AQUOSO, RODIZIO DE OXIMETRIA PARA MIE SEM SINAIS DE LES\uc1 \u195 ?O
MUDAN\uc1 \u199 ?A DE DEC\uc1 \u218 ?BITO DORSAL.}{\fs21 \kerning2 \dbch \af2 \hich
\af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap \
\af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 16:10H OBSERVO MEMBRO COM AVP
EDEMACIADO, CONFIRMO EXTRAVASAMENTO DE SOLU\uc1 \u199 ?\uc1 \u195 ?O MEDICAMENTOSA,
AVP PERDIDO, COMUNICO ENF\uc1 \u170 ? MELISSA, PUNCIONADO NOVO AVP EM MSD REGI\
uc1 \u195 ?O DA FOSSA CUBITAL J24, FIXADO COM PELICULA TRANSPARENTE.}{\fs21 \
kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 \par }\pard \plain \
af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\
pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap \aspalpha \aspnum \adjustright \
lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs21 \kerning2
\dbch \af2 \hich \af0 \loch \f4 17:00 M\uc1 \u195 ?E AUSENTE, SONDA TESTADA E
LOCADA COM AUSCULTA CLARA OFERTADO DIETA}{\fs21 \kerning2 \dbch \af2 \hich \af0 \
loch \f4 \lang1046 \langnp1046 12}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \
f4 ML DE ELEMENTAR APOS LAVADO SONDA COM 0}{\fs21 \kerning2 \dbch \af2 \hich \af0 \
loch \f4 \lang1046 \langnp1046 .}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4
5ML DE AD. }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \
af2 \hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 18:00
PASSO PLANT\uc1 \u195 ?O}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 }{\
fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f0 \par }\pard \plain \ql \li0 \ri0 \
sb140 \sa140 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \cbpat18 \
brdrb \brdrs \brdrw15 \brdrcf14 \brdrl \brdrs \brdrw15 \brdrcf14 \brdrr \brdrs \
brdrw15 \brdrcf14 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\fs18 \
kerning2 \dbch \af5 \hich \af5 \loch \f5 \cf8 \par }\pard \plain \ql \li0 \ri0 \
sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 \par }\pard \plain \ql \li0 \ri0 \
af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 L-02 LAURA EMANUELY }{\fs22 \
kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 \par }\pard \plain \
af2 \hich \af0 \loch \f4 06:00 RECEBO O PLANT\uc1 \u195 ?O NA UTI NEONATAL, RN
ACOMODADO EM INCUBADORA AQUECIDA EM MODO PELE ,SENSOR DE PELE EM FLANCO LATERAL
ESQUERDO BEM FIXADO COM PELICULA EST\uc1 \u201 ?RIL,MANTENDO AR AMBIENTE,SOG N\
uc1 \u186 ?6 FECHADA PRA DIETA E MEDICA\uc1 \u199 ?\uc1 \u213 ?ES PULSEIRAS DE
IDENTIFICA\uc1 \u199 ?\uc1 \u195 ?O E UMA PULSEIRA VERMELHA EM MSD CONFORME
PROTOCOLO DA INSTITUI\uc1 \u199 ?\uc1 \u195 ?O.}{\fs21 \kerning2 \dbch \af2 \hich \
REALIZADO CONTROLE DE SINAIS VITAIS PESO DIARIO APLICO ESCALA DE DOR NIPS COM SCORE
0. REALIZADO HIGIENE OCULAR E ORAL COM AGUA MORNA ,HIGIENE DO COTO CATETERIZADO COM
ALCOOL \uc1 \u193 ? 70%, RODIZIO DE SENSOR DE OXIMETRIA SEM SINAIS DE LES\uc1 \u213
?ES TROCA DE FRALDA COM DIURESE PRESENTE,RODIZIO DE SENSOR DE OXIMETRIA.}{\fs21 \
af2 \hich \af0 \loch \f4 08:00 M\uc1 \u195 ?E AUSNETE REALIZADO TESTE DE AUSCULTA
DA SOG,LOCADA, ADM DIETA 23ML DE FP EM BI}{\fs21 \kerning2 \dbch \af2 \hich \af0 \
loch \f4 \lang1046 \langnp1046 C POR 40MINUTOS, }{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f4 ,AP}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \
lang1046 \langnp1046 \uc1 \u211 ?}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4
S HIGENIZO COM 0.5 DE AD.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\
\dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \
pard \plain \s15 \qj \li0 \ri0
\widctlpar \nowwrap \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \
loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 09:00 INICIA}{\fs21 \
kerning2 \dbch \af2 \hich \af0 \loch \f4 \lang1046 \langnp1046 -SE}{\fs21 \kerning2
\dbch \af2 \hich \af0 \loch \f4 O HORARIO DO SONINHO}{\fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \f4 \lang1046 \langnp1046 SOB OBSERVA\uc1 \u199 ?\uc1 \u195 ?O DA
ENFERMAGEM}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 . }{\fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \
\dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \
REALIZADO CONTROLE DE SINAIS VITAIS ,AVALIADO SCOR DE DOR COM NIPS EM (0) HIGIENE
DO COTO COM ALCOOL \uc1 \u193 ? 70%,TROCA DE FRALDA COM DIURESE E EVACUA\uc1 \
u199 ?\uc1 \u195 ?O PRESENTE ++, RODISIO DE SENSOR DE OXIMETRIA SEM SINAIS DE LES\
uc1 \u195 ?O APLICO ESCALA DE DOR NIPS COM SCORE 0}{\fs21 \kerning2 \dbch \af2 \
\af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 11:00 M\
uc1 \u195 ?E PRESENTE E MEDICADO COM FOSFATO TRICALCIO EM SOG E REALIZADO TESTE DE
AUSCULTA DA SOG,LOCADA, ADM DIETA 23ML DE LHP NA B.I,APOS HIGENIZO COM 0.5 DE AD. }
{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \
loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 11:20 REALIZADO
ENOXOPARINA PELA ENFERMEIRA MELISSA. }{\fs21 \kerning2 \dbch \af2 \hich \af0 \
RTEALIZA CONTROLE DE SINAIS VITAIS AVALIADO SCORE DE DOR COM NIPS EM (0) HIGIENE DO
COTO CATETERIZADO COM ALCOOL \uc1 \u193 ? 70%,TROCA DE FRALDA COM DIURESE E EVACUA\
uc1 \u199 ?\uc1 \u195 ?O AUESENTE, RODIZIO DE SENSOR DE OXIMETRIA SEM SINAIS DE
LES\uc1 \u195 ?O APLICO ESCALA DE DOR NIPS COM SCORE 0, MEDICADO COM POLIVITAMINICO
SOG CPM. }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \
\dbch \af2 \hich \af0 \loch \f4 14:00 M\uc1 \u195 ?E PRESENTE REALIZADO TESTE DE
AUSCULTA DA SOG,LOCADA, INSTALADO DIETA 25ML DE LM EM B.I,APOS HIGENIZO COM 0.5 DE
AD. }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \
af2 \hich \af0 \loch \f4 15:00 HORARIO DO SONINHO COM OBSERVA\uc1 \u199 ?\uc1 \u195
?O.}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \
af2 \hich \af0 \loch \f4 16:00 REALIZADO CONTROLE DE REALIZADO HIGIENE OCULAR E
ORAL COM AD MORNA E GAZE,HIGIENE DO COTO CATETERIZADO COM ALCOOL \uc1 \u193 ? 70%,
RODISIO DE SENSOR DE OXIMETRIA SEM SINAIS DE LES\uc1 \u195 ?O APLICO ESCALA DE DOR
NIPS COM SCORE 0,MEDICADO COM SULFATO FERROSO CPM. }{\fs21 \kerning2 \dbch \af2 \
\af2 \hich \af0 \loch \f4 \par }\pard \plain \s15 \qj \li0 \ri0 \widctlpar \nowwrap
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \
hich \af0 \loch \af0 {\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 17:00 M\uc1 \
u195 ?E AUSENTE E REAIZADO TESTE }{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \
f4 \lang1046 \langnp1046 AUS}{\fs21 \kerning2 \dbch \af2 \hich \af0 \loch \f4 CUTA
SONDA LOCADA INSTALADO DIETA EM B.I. APOS HIGIENIZO COM 0,5ML AD.}{\fs21 \
af2 \hich \af0 \loch \f4 18:00 PASSO O PLANT\uc1 \u195 ?O. }{\fs21 \kerning2 \dbch
\af2 \hich \af0 \loch \f4 \par }\pard \plain \ql \li0 \ri0 \sb100 \sa100 \sbauto1 \
saauto1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \
loch \f0 \par }\pard \plain \ql \li0 \ri0 \sb140 \sa140 \widctlpar \aspalpha \
aspnum \adjustright \lin0 \rin0 \cbpat18 \brdrb \brdrs \brdrw15 \brdrcf14 \brdrl \
brdrs \brdrw15 \brdrcf14 \brdrr \brdrs \brdrw15 \brdrcf14 \itap0 \fs21 \kerning2 \
dbch \af2 \hich \af0 \loch \af0 {\fs18 \kerning2 \dbch \af5 \hich \af5 \loch \f5 \
cf8 \par }\pard \plain \ql \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \
loch \af0 {\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 \
par }\pard \plain \ql \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\
fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 \par }\pard \plain
\ql \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
\dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 \par }\pard \plain \ql \li0 \
ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
af4 \hich \af4 \loch \f4 \lang22 \langnp22 L-04 }{\fs22
\kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 ANTHONY GOMES}{\
fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 \par }\pard \
plain \ql \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \itap0 \fs21 \kerning2 \dbch \af2 \hich \af0 \loch \af0 {\
fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 06H RECEBO O
PLANT\uc1 \u195 ?O NA UTI NEONATAL (L-04) RN DO SEXO MASCULINO, ACOMODADO EM
INCUBADORA AQUECIDA MODO PELE, }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \
lang1046 \langnp1046 EM AR AMBIENTE COM AUXILIO DE FUNIL O\uc1 \u178 ? 1L/MIN.
FOTOTERPIA DUPLA BILITRON COM PROTE\uc1 \u199 ?\uc1 \u195 ?O OCULAR, }{\fs22 \
kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 SOG N:6 FECHADA,SENSOR
DE PELE ADERIDO EM FLANCO }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \
lang1046 \langnp1046 ESQUERDO }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \
lang22 \langnp22 SEM SINAL DE LES\uc1 \u195 ?O OU HIPEREMIA, SENSOR DE OXIMETRIA
OCLU\uc1 \u205 ?DO POR COBAN, PORTANDO DUAS PULSEIRAS DE IDENTIFICACAO N:086172 E
UMA VERMALHA EM MSD, PRESERVAR MEMBRO PARA PICC.}{\fs22 \kerning2 \dbch \af4 \
hich \af4 \loch \f4 \lang22 \langnp22 \par }\pard \plain \ql \li0 \ri0 \sa200 \
sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs21 \
loch \f4 \lang22 \langnp22 \par }\pard \plain \ql \li0 \ri0 \sa200 \sl276 \
loch \f4 \lang22 \langnp22 07H AFERIDO SSVV, AFERIDO PA}{\fs22 \kerning2 \dbch \af4
\hich \af4 \loch \f4 \lang1046 \langnp1046 :65X51}{\fs22 \kerning2 \dbch \af4 \hich
\af4 \loch \f4 \lang22 \langnp22 mmHg PAM:(}{\fs22 \kerning2 \dbch \af4 \hich \
af4 \loch \f4 \lang1046 \langnp1046 54}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch
\f4 \lang22 \langnp22 mmHg),APLICO ESCALA DE DOR NIPS SCORE 0. REALIZADO HIGIENE
ORAL FACIAL E INTIMA COM AGUA MORNA, TROCA DE FRALDA COM DIURESE PRESENTE E EVACUA\
uc1 \u199 ?\uc1 \u195 ?O AUSENTE. RODIZIADO SENSOR DE OXIMETRIA, O MESMO SEM LESAO
OU HIPEREMIA,}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \
langnp1046 }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22
FEITO MUDANCA DE DECUBITO.}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22
\langnp22 \par }\pard \plain \ql \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \
af0 \loch \af0 {\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 \
fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 08:00H REALIZADO
GLICEMIA CAPILAR }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \
langnp1046 65}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22
mg/dL. M\uc1 \u195 ?E }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \
langnp1046 AUSENTE}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \
langnp22 , TESTO SOG, LOCADA, HIGIENIZADA, ADMINISTRADO }{\fs22 \kerning2 \dbch \
af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 20}{\fs22 \kerning2 \dbch \af4 \hich
\af4 \loch \f4 \lang22 \langnp22 ml LHP}{\fs22 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 \lang1046 \langnp1046 E 10ml FI}{\fs22 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 \lang22 \langnp22 POR GAVAGEM, AP\uc1 \u211 ?S}{\fs22 \kerning2 \dbch \
af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 CADA ADMINISTRA\uc1 \u199 ?\uc1 \
u195 ?O }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 LAVO
COM 0,5ml AD.}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 \
\dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 09H INICIA-SE HORARIO DO SONINHO
SOB SUPERVIS\uc1 \u195 ?O DA ENFERMAGEM.}{\fs22 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 \lang22 \langnp22 11H AFERIDO SSVV, APLICO ESCALA DE DOR, SCOR DE DOR 0.
REALIZADO HIGIENE ORAL FACIAL E INTIMA COM AGUA MORNA, TROCA DE FRALDA COM DIURESE
PRESENTE E EVACUA\uc1 \u199 ?\uc1 \u195 ?O AUSENTE, RODIZIADO SENSOR DE OXIMETRIA
SEM LES\uc1 \u195 ?O OU HIPEREMIA, FEITO MUDANCA DE DECUBITO.M\uc1 \u195 ?E
PRESENTE, TESTO SOG, LOCADA, HIGIENIZADA, ADMINISTRADO }{\fs22 \kerning2 \dbch \af4
\hich \af4 \loch \f4 \lang1046 \langnp1046 20}{\fs22 \kerning2 \dbch \af4 \hich \
af4 \loch \f4 \lang22 \langnp22 ml L}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \
f4 \lang1046 \langnp1046 PH E 10mL FI}{\fs22 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 \lang22 \langnp22 POR GAVAGEM, AP\uc1 \u211 ?S}{\fs22 \kerning2 \dbch \
af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 CADA DIETA}{\fs22 \kerning2 \dbch \
af4 \hich \af4 \loch \f4 \lang22 \langnp22 LAVO COM 0,5ml AD.}{\fs22 \kerning2 \
dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 \par }\pard \plain \ql \li0 \ri0 \
af4 \hich \af4 \loch \f4 \lang22 \langnp22 13H AFERIDO SSVV, APLICO ESCALA DE DOR,
SCOR}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 E}{\
fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 DE DOR 0.
REALIZADO HIGIENE ORAL FACIAL E INTIMA COM AGUA MORNA, TROCA DE FRALDA COM DIURESE
PRESENTE E EVACUACAO AUSENTE, RODIZIADO SENSOR DE OXIMETRIA, SEM LESAO OU
HIPEREMIA, FEITO MUDANCA DE DECUBITO.}{\fs22 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 \lang1046 \langnp1046 SEGUE EM CANGURU PELE A PELE.}{\fs22 \kerning2 \dbch
\af4 \hich \af4 \loch \f4 \lang22 \langnp22 \par }\pard \plain \ql \li0 \ri0 \sa200
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \
af4 \loch \f4 \lang22 \langnp22 14H M\uc1 \u195 ?E PRESENTE, TESTO SOG, LOCADA,
HIGIENIZADA, ADMINISTRADO }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \
lang1046 \langnp1046 30}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \
langnp22 ml L}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \
langnp1046 M}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22
POR GAVAGEM, AP\uc1 \u211 ?S LAVO COM 0,5ml AD.}{\fs22 \kerning2 \dbch \af4 \hich \
af4 \loch \f4 \lang22 \langnp22 \par }\pard \plain \ql \li0 \ri0 \sa200 \sl276 \
loch \f4 \lang22 \langnp22 15H INICIA-SE HOR\uc1 \u193 ?RIO DO SONINHO SOB OBSERVA\
uc1 \u199 ?\uc1 \u195 ?O DA ENFERMAGEM.}{\fs22 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 \lang22 \langnp22 16H AFERIDO SSVV, PA:50\'5c29(37), CPM. REALIZADO
GLICEMIA CAPILAR 77MG\'5cDL,
CPM. APLICO ESCALA DE DOR, SC}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \
lang1046 \langnp1046 O}{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \
langnp22 R DE DOR 0. REALIZADO HIGIENE ORAL FACIAL E INTIMA COM AGUA MORNA, TROCA
DE FRALDA COM DIURESE PRESENTE E EVACUACAO AUSENTE, RODIZIADO SENSOR DE OXIMETRIA,
O MESMO SEM LESAO OU HIPEREMIA, FEITO MUDANCA DE DECUBITO.}{\fs22 \kerning2 \dbch \
af4 \hich \af4 \loch \f4 \lang22 \langnp22 17H MAE AUSENTE, }{\fs22 \kerning2 \dbch
\af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 HIGIENIZO SOG}{\fs22 \kerning2 \
dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 A MESMA TESTADA, LOCADA, OFERTADO
DIETA }{\fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 30}{\
fs22 \kerning2 \dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 ML DE LHP, POR
METODO GAVAGEM, APOS LAVO COM 0.5ML DE AD.}{\fs22 \kerning2 \dbch \af4 \hich \af4 \
loch \f4 \lang22 \langnp22 18H PASSO O PLANTAO SEM INTERCORR\uc1 \u202 ?NCIAS.}{\
\dbch \af4 \hich \af4 \loch \f4 \lang22 \langnp22 \par }\pard \plain \ql \li0 \
ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
af4 \hich \af4 \loch \f4 \lang1046 \langnp1046 L}{\fs22 \kerning2 \dbch \af4 \
hich \af4 \loch \f4 \lang1046 \langnp1046 \par }}

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