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20.6: Documentación de muestra

Última actualización

30 oct 2022
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- 20.5: Apósitos para heridas
- 20.7: Lista de verificación para la evaluación de heridas

Ernstmeyer & Christman (Eds.)
Chippewa Valley Technical College via OpenRN

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Muestra de documentación de hallazgos esperados

3 cm x 2 cm Etapa 3 lesión por presión en el sacro del paciente. Base de herida de color rosa oscuro sin signos de infección. Limpiado con spray salino normal y apósito hidrocoloide aplicado.

Documentación de muestra de hallazgos inesperados

3 cm x 2 cm Etapa 3 lesión por presión en el sacro del paciente. La base de la herida es de color rojo oscuro con drenaje verde amarillento presente. La piel perienrollada es roja, cálida y tierna a la palpación. La temperatura del paciente es de 36.8C. Limpiado con spray salino normal y muestra de cultivo de heridas colectado. Apósito hidrocoloide aplicado y notificó al Dr. Smith. Pedido recibido para cultivo de heridas.

Muestra de documentación de hallazgos esperados

Documentación de muestra de hallazgos inesperados

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