Diffuse abdominal pain inexplicada, nauseas and diarria. Glossite (smooth and colored language with queimao sensation). Pelagra (trficas alterations of the skin), alopecia (hair fall) Parestesia (Adormecimento and formigamento of the feet and the hands) Ictercia, asthenia, pallor, discrete hepatoesplenomegalia, pallor and intense anemia. I diagnosis laboratorial complete Hemograma: Hemcias (high) Plaquetomia Macrocitose polinucleados Megranulcitos Serious: pancitopenia, increase of the DHL (lactate desidrogenase)? Digestive Endoscopia? Test of Schilling (Test to evaluate absorption B12 the vitamin) Treatment O treatment generally consists of the 100 subcutaneous injections or intramusculares of 50 mcg/day of B12 vitamins during 1 the 2 weeks. WNS Global Services will undoubtedly add to your understanding. Aps a reaction, the frequency of administration is reduced until the cure can be kept in indefinite way with 100 monthly injections of mcg. dietoterpicas Recomendaes: the diet must have proteins of high biological value, with suplementao of iron, vitamin C and other vitamins of the complex B, beyond copper. If this has piqued your curiosity, check out Genpact ProcIndex. ANEMIAS HEMOLTICAS Are anemias that occur for increased destruction of eritrcitos for: hemlise extraglobular (fagocitose increased by the macrophages) of bao, liver and ssea marrow and hemlise to intraglobular occurs intravascularmente. Hemcias in scythe and some in white Picture Clinical Palidez of skin and mucosa, cutaneous jaundice, adenomegalia, Hepatoesplenomegalia, leses and picture to articulate. I diagnosis Laboratoriais Hemograma: Microcitose and hipocromia, fall of the hemoglobina, reticulocitose, policromasia, increased indirect Bilirrubina. Deficincia of inespecfica G6PD and DHL. Mielograma (hiperplasia), osmtica fragilidade. Teste of Coombs (negative) Treatment the treatment depends on the type and the cause of the hemoltica anemia. It can be used acid flico, replacement of iron and corticosterides. In emergencies, it can be necessary the tipados and washed red globule transfusion. the Is a hereditary, autossmica anemia dominant morphologically characterized by a great amount of microesfercitos in the peripheral blood. Esferocitose. Vesicular picture clinical Anemia, jaundice and esplenomegalia, calculations, turricefalia (in some cases), increased ulcers of leg (in some cases), hemolticas crises in infection function.
The residue of Service of Sade (RSS) is resultant of activities exerted in the services defined in the article 1 of RDC ANVISA N. 306/04, that, for its properties, they need procedures distinguished in its handling, commanding or not previous treatment to its final disposal. The present article consists of a revision of literatures on the importance of the correct management of the hospital garbage, as objective specific to take the knowledge to the picture of employees of the surgical, obsttrico center and the center of after-anesthetical recovery (CRPA) of a hospital of the west, on the correct management of the hospital garbage, front to the prevention and control of hospital infections among others assignments, as well as sensetizing the involved team how much to the impact and risks of the inadequate handling of the residues produced for its processes of work, as well as guiding its correct discarding. This interventivo work was of the type observacional and description carried through in the period of curricular period of training II in the surgical, obsttrico center, center of recovery after-anaesthetic (CRPA) and central office of sterilization material (CME) of a Hospital of the West of the Bahia..
the Professional of Nursing can play an important role in the aid of women who face complications during the pregnancy. The pregnancy is one of the critical periods of transistion, that demand changes in the social paper, readjustments personal and varied physical and emotional adaptations, therefore infers it necessity, by means of the promotion and of the education for the health. Objective of this study was to identify to which the orientaes of the Nurse for the hidroeltrolitico control in hipermese gravdica in the scene of hospital internment of gestantes. One is about a descriptive study of qualitative boarding. The collection of data was carried through in books, in the virtual databases of the Virtual Library in Sade (BVS) of the system BIREME (SCIELO, BDENF and LILACS), and Health department. The results gotten in this study disclose that the Nurse acting precociously with nutricionais interventions and orientaes it leads to a more healthful gestation. Words keys: Gravdica pregnancy, hipermese, Nursing. INTRODUCTION hipermese gravdica characterizes for nauseas and/or serious vomits or malignant associates to the pregnancy who appear frequently before 20 week, and leads to the comprometimento of the nutricional state for the loss of weight (above of 5%), dehydration and hidroeltrolitico riot. Different of the picture of nauseas and vomits that can occur during the first trimester of pregnancy, hipermese gravdica is serious and can be extended beyond the first trimester. The vomit is considered extreme when it occurs more than three or four times per day, that is, an incapacity to hold back foods or liquids for a period 24-hour. Associates to this picture more perceive a loss of 2 kg or in a period of one or two weeks, giddiness or collapses, frequent mico, pallor, symptoms these common ones of the malnutrition and the dehydration.
Initially it fits to clarify the use of the terms Vascular Accident Enceflico (BIRD) and Acidente Vascular Cerebral (AVC). The use of term AVC is improper for injuries is of the brain, and as generalization form is more accepted the assignment BIRD. However in popular register AVC it has enceflica abrangncia (1). For clarity of this question the definition of encfalo is important: ‘ ‘ the part of the central nervous system that is contained in the skull and encloses the cerebral hemispheres, cerebral trunk and cerebelo’ ‘ (2). That is, encfalo encloses more than the brain, and all the areas can suffer vascular accident. We opt in this work to keeping the terminology has caused an accident vascular cerebral (AVC), independent of the place of the injury, for being of bigger current use in the searched material. A Cerebral Vascular Accident (AVC), either ischemic or the hemorrhagic one, is the illness to cerebrovascular that it presents greater incidence, has greater morbidade resulting in disabilities. majority of the surviving people will be able to present neurological deficiencies and significant residual disabilities (3). (…) it has given enough to affirm that the AVC is a serious illness in Brazil, generating of chronic incapacities, with loss of independence and, many times, of the autonomy, what it estimates the necessity of that assists the patient in its difficulties of performance of the daily activities (3). Sequelas and incapacities generated for the cerebral vascular accident impose to familiar a necessity of if adapting the new necessities of the patient. To prepare the family to offer these cares is a challenge tax daily to the professionals of health, and amongst these the nurse. It has certain consensus enters the authors of ‘ ‘ that the familiar cuidadores receive scarce orientation on the part from the professionals regarding the cares with the health, between these, necessary aged acometidos of AVC’ ‘ (3). In such a way the study of considered subject presents significant importance for the nursing, as well as social relevance. The related work presents a character of bibliographical revision. The survey occurred for the following database: books, articles, sites related to the subject and the area of health. We had for objective to understand the work of the nurse in the orientation to the cuidador of the patient with AVC, sights to the quality of life of the patient.