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Ingrijirea pacientului cu reumatism articular acut

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INGRIJIREA PACIENTULUI CU Reumatism Articular Acut (Reumatism Articular Acut (R.A.A.).)

Reumatism Articular Acut (R.A.A.) se manifesta prin inflamatia succesiva a mai multor articulatii. Atingerea articulara se vindeca fara sechele. Atinge frecvent cordul lasand urme grave.

Criteriile de diagnosticare sunt : – poliartita

                                                     -cardita

                                                     -coreea

                                                     -eritem marginat

                                                      -noduli subcutanati



 

CIRCUMSTANTE DE APARITIE:

  • Varsta – copiii au receptivitate pt infectia streptococica
  • Conditii insalubre
  • Frig
  • Umezeala
  • Anginele streptococice

MANIFESTARI DE DEPENDENTA:

  • Febra
  • Poliatralgii
  • Durerea este migratorie
  • Tumefierea articulatiilor
  • Hipertermie
  • Intoleranta la effort fizic
  • Dificultate de mers
  • Deficit in a-si acorda ingrijiri igienice
  • Risc de complicatii (cardita, coree, deshidratare)

OBIECTIVE:

  • Pacientul sa prezinte temperature corpului in limite fiziologice
  • Sa se obtina o stare de bine prin disparitia durerilor articulare
  • Sa se previna complicatile

INTERVENTII:

  • Asigura rapausul la pat pana la disparitia durerilor articulare si in continuare 2-3 sapt cu reluarea treptata a mersului
  • Foloseste perne pt suportul aticulatiilor
  • Asigura igiena corporala si lenjeria patului
  • Recolteaza analizele pt laborator (VSH, ASLO, fibrinogen, protein C reactiva, exsudatul faringian, EKG)
  • Administreaza tratamentul (penicilina G, aspirina, cortizon in doze descrescatoare pana la normalizarea VSHului)
  • Asigura alimentatia pacientului (regim hidrozaharat, lacto-fainos apoi se va imbunatati treptat)
  • Se va asigura necesarul de lichide pt a evita dezhidratarea
  • Dieta desodata pe toata perioada tratamentului cu cortizon
  • Educa pacientul sa previna infectiile streptococice (continuarea tratam cu moldamin)
  • Educa pac sa faca controale repetate
  • Asanarea focarului de infectii
  • Internare dupa caz

 

Remedii care te pot ajuta:

  1. Ingrijirea pacientului cu reumatism degenerativ
  2. Ingrijirea pacientului cu cataracta
  3. Ingrijirea pacientului cu infarctul miocardic acut (IMA)
  4. Ingrijirea pacientului cu infectii nazofaringiene, sinuzale si laringiene
  5. Ingrijirea pacientului cu defecte de vedere
  6. Ingrijirea pacientului cu spondilita anchilozanta
  7. Ingrijirea pacientului cu boli congenitale  ale inimii

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