INSTITUTO UNIVERSITARIO DE TECNOLOGÍA DE ADMINISTRACIÓN INDUSTRIAL

CARRERA: ENFERMERÍA
UNIDAD CURRICULAR: ENFERMERÍA MÉDICO QUIRÚRGICO II
FACILITADOR: Lic: José Luís González Romero

INFORME DE ÁREA CLÍNICA

(Recuperación)

PARTICIPANTE: _____________________________ SECCIÓN: _______TURNO: _______

PACIENTE: _____________________________ EDAD: _______QUIRÓFANO: _______
FECHA DE INGRESO: _____ EDO.CIVIL_________LUGAR DE NACIMIENTO: __________
MOTIVO DE INGRESO: _________________________ DIAGNÓSTICO MÉDICO: __________
INTERVENCIÓN REALIZADA: _____________________________________________________
TIPO DE INTERVENCIÓN: _________________________ ANESTESIA: __________________

VALORACIÓN (RESUMEN DE INGRESO):___________________________________________

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EXAMEN FÍSICO POR SISTEMA:

NEUROLÓGICO:_________________________________________________________________
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RESPIRATORIO:__________________________________________________________________
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CARDIOVASCULAR:_____________________________________________________________
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GASTRO-INTESTINAL: ___________________________________________________________
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RENAL METABOLICO: ___________________________________________________________

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SÉPTICO-HEMATOLOGICO: ______________________________________________________
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IDENTIFIQUE:
DATOS OBJETIVOS: __________________________DATOS SUBJETIVOS: ____________________
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PROBLEMAS DETECTADOS: __________________________________________________________

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NECESIDADES INTERFERIDAS: _______________________________________________________

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DIAGNÓSTICO DE ENFERMERÍA: _____________________________________________________

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OBSERVACIONES: