Curativo

206 visualizações

Publicada em

  • Seja o primeiro a comentar

  • Seja a primeira pessoa a gostar disto

Curativo

  1. 1. Dispensação de material para curativo domiciliar __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ __________________________ __/___/_____ _________________________ __/___/_____ _________________________ __/___/_____ _________________________ _______________________________________________ Assinatura da enfermeira responsável
  2. 2. Cadastro de paciente em curativo Nome:______________________________________________________________________________________ Endereço: ____________________________________________________________________________________ Data de nascimento:______/______/_________ idade:_________ Telefone:___________________________ Doenças/ Hábitos Hipertenso: ( ) sim ( )Não Cardíaco: ( ) sim ( )Não outros: ______________________ Diabético: ( ) sim ( )Não Vascular: ( ) sim ( )Não Fuma: ( ) sim ( )Não Historia da ferida:______________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ __________________________________________________________________________ Característica da ferida Medicações em uso/pomadas Alergias medicamentosa/pomadas ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Localização Extensão Tecido Exsudato Odor Epitelização Sim Fétido Granulação Pouco Característico Macerada Médio Sem odor Esfacelo Muito Necrose Debridamento Fibrina Não Cirúrgico UBS Regional Sul

×