Constat et directives Flashcards

1
Q

PP, PA, DM:
risque d’infection des voies respiratoires

A

PP

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2
Q

PP, PA, DM:
Risque de constipation

A

PP

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3
Q

PP, PA, DM:
Risque de déshydratation

A

PP

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4
Q

PP, PA, DM:
Risque de chute

A

PP

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5
Q

PP, PA, DM:
Dégagement inefficace des voies respiratoires

A

PA

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6
Q

PP, PA, DM:
Constipation

A

PA

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7
Q

PP, PA, DM:
Déshydratation

A

PA

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8
Q

PP, PA, DM:
difficulté à la marche

A

PA

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9
Q

PP, PA, DM:
Pneumonie

A

DM

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10
Q

PP, PA, DM:
Occlusion intestinale

A

DM

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11
Q

PP, PA, DM:
Hypotension orthostatique

A

DM

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12
Q

PP, PA, DM :
Fracture de la hanche

A

DM

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13
Q

SC, ST, P:
Prendre le poids à jeun DIE

A

SC

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14
Q

SC, ST, P:
Ausculter l’abdomen

A

SC

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15
Q

SC’ ST, P:
Mesurer la saturation QID

A

SC

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16
Q

SC, ST, P:
Évaluer la douleur selon la méthode PQRSTU q 8h

A

SC

17
Q

SC, ST, P:
Encourager à boire 2,5L d’eau par jour

A

ST

18
Q

SC, ST, P:
Inciter à marcher dans le corridor TID selon la tolérance

A

ST

19
Q

SC, ST, P
Rappeler d’utiliser le spiromètre pour 5 répétitions q h

A

ST

20
Q

SC, ST, P:
Encourager à pratiquer les exercices de respiration diaphragmatique

A

ST

21
Q

SC, ST, P
Faire les soins de bouche q 2h

A

P

22
Q

SC, ST, P
Inciter à marcher dans le corridor TID selon tolérance

A

P

23
Q

SC, ST, P
Faire un enseignement sur les avantages du vaccin anti-grippal

A

P

24
Q

SC, ST, P
Offrir dilaudid PRN 30 minutes avant exercices de physiothérapie

A