TRASLADO DEL PACIENTE DE LA CAMA A SILLA DE RUEDAS

<br /> <div align="center" class="MsoNormal" style="clear: left; float: left; line-height: 12pt; margin-bottom: 1em; margin-right: 1em; text-align: center;"> <img height="213" src="http://4.bp.blogspot.com/_JhdYWrv3YCQ/Srv3yjsQJcI/AAAAAAAAAZA/quoSyYphFtg/s320/FIJAS95.jpg" width="320" /> </div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">CONCEPTO:  <o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Son las maniobras que se realizan para trasladar al paciente de la cama a la silla de ruedas o viceversa.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">OBJETIVOS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">  ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Trasladar al paciente que no puede deambular o necesita apoyo a algún lugar determinado.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">  ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Proteger al paciente de esfuerzos innecesarios.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">PRINCIPIOS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Jalar un cuerpo o deslizarlo requiere menor esfuerzo que levantarlo, porque para levantarlo se requiere moverlo contra la fuerza de gravedad.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El grado de esfuerzo necesario para mover un cuerpo depende de su resistencia y de la fuerza de gravedad<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">PRECAUCIONES:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Valorar el estado general del paciente antes de levantarlo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Verificar que el freno esté puesto.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">EQUIPO:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Silla de ruedas.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Almohada.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Sábana clínica.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Sábana o cobertor.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 13.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">PROCEDIMIENTO:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Lavarse las manos.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Preparar el equipo y llevarlo a la unidad del paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Identificar al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo5; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Dar preparación psicológica.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Medir los signos vitales.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Dar preparación física:<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Aislar al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Posición fowler.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Retirar ropa de cama hacia la piecera.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Cubrir al paciente con sábana auxiliar.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Colocar cobertor transversalmente en la silla cubriendo el asiento.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Colocar la almohada sobre el asiento de la silla de ruedas.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo10; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Colocar la silla en la piecera o cabecera de la cama.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">10.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Poner los frenos a la silla de ruedas.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">11.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Incorporar al paciente al borde de la cama lentamente manteniéndolo sentado por un breve tiempo para observar sus facies y actitud.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">12.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Cuando el paciente está sentado en el borde de la cama, colocar los brazos de la enfermera por debajo de las axilas del paciente para rodearlo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo14; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">13.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Levantarlo sosteniéndolo y conducirlo a la silla.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo15; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">14.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Cubrir al paciente con el cobertor.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo16; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">15.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Abrochar el cinturón de seguridad.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo17; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">16.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Acomodar los pies en los soportes.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo18; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">17.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Trasladarlo al lugar indicado.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo19; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">18.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Cumplido el objetivo, acercar la silla a la piecera o cabecera de la cama.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo20; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">19.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Retirar cobertor y levantar al paciente de la misma manera, conducirlo a la orilla de la cama sentándolo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo21; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">20.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Acostarlo y dejarlo cómodo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo22; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">21.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Retirar equipo y darle cuidados posteriores.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo23; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">22.</span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Hacer anotaciones de enfermería.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Procedimiento realizado<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Fecha y hora<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.15pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Reacciones presentadas.<o:p></o:p></span></div>

TRASLADO DEL PACIENTE DE LA CAMA A SILLA DE RUEDAS

CONCEPTO:  Son las maniobras que se realizan para trasladar al paciente de la cama a la silla de ruedas o viceversa. OBJETIVOS: ...

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MOVILIZACIÓN DEL PACIENTE PARA SENTARSE EN EL BORDE DE LA CAMA

<br /> <div align="center" class="MsoNormal" style="clear: left; float: left; line-height: 12pt; margin-bottom: 1em; margin-right: 1em; text-align: center;"> <img height="212" src="http://4.bp.blogspot.com/_JhdYWrv3YCQ/SrwK01xyb9I/AAAAAAAAAaI/WKVOIxE5Y_U/s320/FIJAS86.jpg" width="320" /> </div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">    a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Poner al paciente de lado en el borde de la cama en el que se desea sentarlo (según procedimiento anterior).<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">     b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Asegurar al paciente de lado de manera que no se vaya a caer.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">     c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Levantar la cabecera de la cama.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">  d)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">La enfermera sostiene los hombros del paciente  con un brazo, al tiempo que con el otro ayuda al paciente a extender la parte inferior de las piernas fuera del borde de la cama.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">     e)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Adoptar una postura firme.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">f)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">   </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El paciente es llevado a la posición sentada natural en el borde de la cama cuando la enfermera, sin dejar de sostener los hombros y las piernas del paciente, gira sobre sí misma de modo que las piernas del paciente son arrastradas hacia abajo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">g)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El peso de la enfermera pasa desde su pierna delantera hacia la de atrás.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div>

MOVILIZACIÓN DEL PACIENTE PARA SENTARSE EN EL BORDE DE LA CAMA

    a)     Poner al paciente de lado en el borde de la cama en el que se desea sentarlo (según procedimiento anterior).      b)     A...

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MOVILIZACION DEL PACIENTE ENCAMADO

<br /> <div align="center" class="MsoNormal" style="clear: left; float: left; line-height: 12pt; margin-bottom: 1em; margin-right: 1em; text-align: center;"> <img height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhIxyy_zDxnvvFY6PDGW955NK8VHKJhuHJOzK7eYPC1mC0pyNxg9SmRX7rUfI07o9c-fCtQoNQtAP7WpiKHSelQLlE9AKYl221iCHDddDShNSDNCWgiGz325LEUEQep5o_19RjreaR6mr5x/s320/I_000027.JPG" width="320" /> </div> <br /> <br /> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Arial, sans-serif; font-size: 12pt;">Hacia el borde de la cama:</span></b><b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">     a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Ponerse de pie frente al paciente, en el lado de la cama hacia el lugar en donde se desea moverlo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">     b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Adoptar una postura firme, con una pierna adelante de la otra y con las rodillas y cadera flexionadas, de modo que sus brazos queden al nivel de la cama.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">    c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Poner un brazo debajo de los hombros y nuca del paciente y el otro debajo de la cintura.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">    d)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pasar el peso de su cuerpo desde el pie delantero al de atrás, al tiempo que se balancea hacia el borde  de la cama.  Al retroceder se van bajando las caderas; se debe empujar al paciente en lugar de levantarlo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Se mueve a continuación la parte media del paciente en la misma forma, colocando el brazo debajo de la cintura y el otro debajo de los muslos, luego los pies y parte inferior de las piernas.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="background-color: white; background-position: initial initial; background-repeat: initial initial; font-family: Arial, sans-serif; font-size: 12pt;">A decúbito lateral:</span></b><b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Asegurarse que el paciente se encuentre en la orilla contraria de la cama hacia donde se desea mover.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Ponerse de pie en el borde de la cama hacia donde se desea voltear al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Se le dobla el brazo distal sobre el tórax y la pierna distal encima de la otra.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Asegurar que el brazo proximal del paciente quede paralelo a su cuerpo y algo separado de éste.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">La enfermera estará de cara al pecho del paciente al lado de la cama  con uno de los pies por delante del otro.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">f)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">     </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Pasar un brazo por encima del hombro distal del paciente y el otro por encima del lado distal de cadera.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">g)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">La persona desplaza el peso desde su pierna delantera hacia la trasera y hace rodar al paciente hacia ella.  Durante este movimiento, las caderas de la enfermera descienden.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div>

MOVILIZACION DEL PACIENTE ENCAMADO

Hacia el borde de la cama:      a)     Ponerse de pie frente al paciente, en el lado de la cama hacia el lugar en donde se desea ...

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TECNICA PARA APLICACION DE ENEMA EVACUANTE

<br /> <div style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"> <img alt="Resultado de imagen para enema evacuante blogspot.com" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQDX8PWYuThXyeeWF6wXvhP-kFT9Rkn1yQRmo7S-Sadl0E1RLSH" /></div> <br /> <div align="center" class="MsoHeader" style="clear: left; float: left; line-height: 12pt; margin-bottom: 1em; margin-right: 1em; text-align: center;"> </div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">CONCEPTO:<o:p></o:p></span></b></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify; text-indent: 35.4pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Son las maniobras que se realizan para inyectar líquidos en el recto que pasan a través del intestino.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">TIPOS DE ENEMAS:<o:p></o:p></span></b></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l10 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">    1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Limpiadores: Son los que se utilizan principalmente para eliminar las heces del colon.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l4 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">   ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enema de agua jabonosa: 1000 ml. de agua con 5 ml. de solución de jabón.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l4 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">   ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enema de solución salina.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l4 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">   ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enema de agua.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l4 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l4 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l10 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enema de aceite: Se utilizan en casos de estreñimiento muy severo o situación anal dolorosa.  Se usa de 150 a 200 ml. reteniéndolo por espacio de 30  60 minutos, siendo necesario realizan otro enema limpiador.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l9 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enema de aceite mineral.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l9 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enema de aceite de oliva.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l10 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enemas carminativos: Se administran para ayudar a expulsar gases del colon.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 36.0pt; mso-line-height-rule: exactly; mso-list: l2 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Solución de bicarbonato de sodio.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l10 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enemas astringentes: Se usan para contraer los tejidos y detener hemorragias.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l10 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Enemas emolientes: Se usan para cubrir la mucosa del colon y suavizar tejido irritado (solución de almidón).<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">OBJETIVOS:<o:p></o:p></span></b></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Limpiar la parte inferior del intestino de sólidos y gases.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Aliviar estreñimiento.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Aliviar y tratar mucosa irritada.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Como medida de seguridad en pacientes que van a ser sometidos a alguna cirugía, estudio radiológico y el parto.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">PRINCIPIOS:<o:p></o:p></span></b></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l8 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Introduciendo lentamente el tubo rectal lubricado, se reduce al mínimo los espasmos de la pared intestinal.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l8 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Se estima que el colon adulto soporta aproximadamente de 750 a 2000 ml.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l8 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El calor estimula los plexos nerviosos de la mucosa intestinal estimulando por consiguiente el peristaltismo.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l8 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El colon  descendente se encuentra del lado izquierdo, la fuerza de gravedad ayuda a que penetre la solución.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">PRECAUCIONES:<o:p></o:p></span></b></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l7 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Verificar la temperatura del agua del  enema  (37 a 40 grados C).<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l7 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">No lastimar al paciente forzando la entrada de la sonda.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">EQUIPO: <o:p></o:p></span></b></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Carro pasteur con:<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Irrigador de 2 litros con tubo de goma o plástico.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Sonda rectal número 22 al 28 (en niños 14ª 16).<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Jalea lubricante.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Riñón.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Sábana auxiliar y hule clínico.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Guantes.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">2 Cómodos.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Toallas desechables.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Tripié.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l0 level1 lfo11; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Papel higiénico.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l6 level1 lfo12; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">-<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">       </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Equipo de aseo y pinza.<o:p></o:p></span></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <br /></div> <div class="MsoHeader" style="line-height: 12.0pt; mso-line-height-rule: exactly; tab-stops: 35.4pt; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">PROCEDIMIENTO:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Lavarse las manos.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Verificar la orden médica.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Preparar la solución indicada para el enema y el equipo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Llevarlo a la unidad del paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Identificar al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Dar preparación psicológica al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">7.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Dar preparación física:<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l5 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Aislar al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l5 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Retirar ropa de cama hacia la piecera y cubrir al paciente con sábana auxiliar.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l5 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Proteger ropa de cama con el hule clínico.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l5 level1 lfo9; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Colocar al paciente en posición Sims izquierda.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">8.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Purgar el equipo del irrigador y pinzarlo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">9.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">    </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Colocar jalea lubricante en una gasa.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">10.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Calzarse los guantes.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">11.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Lubricar la sonda.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">12.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Descubrir al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">13.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Separar los glúteos e introducir la sonda lentamente de 5 a 10 cm. y abrir la pinza.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">14.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Levantar el irrigador a 30 cm. por arriba del ano o a 45 cm. por arriba del colchón.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">15.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Si hay intolerancia por parte del paciente suspender la irrigación hasta que pase el espasmo, continuar la administración del enema.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">16.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Al terminar de pasar la solución retirar la sonda lentamente y colocarla en el riñón.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">17.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Colocar rápidamente el cómodo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">18.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Quitarse los guantes.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">19.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Cubrir al paciente con la sábana auxiliar.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">20.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Dejar al paciente solo, acercándole el timbre y el papel higiénico.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">21.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Al terminar retirar el cómodo sucio, cubrirlo con toallas desechables y colocar otro cómodo limpio.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">22.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Asear la región glútea y secarla.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">23.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Retirar el cómodo y el hule clínico.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">24.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Dejar cómodo al paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">25.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Retirar el equipo  y darle los cuidados posteriores a su uso.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l11 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-fareast-font-family: Arial;">26.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Hacer anotaciones de enfermería.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Fecha y hora en que se realizó el procedimiento.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Tipo de enema aplicado.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Reacciones del paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 13.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.85pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo10; tab-stops: list 18.0pt; text-align: justify; text-indent: -17.85pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Resultados obtenidos.<o:p></o:p></span></div>

TECNICA PARA APLICACION DE ENEMA EVACUANTE

CONCEPTO: Son las maniobras que se realizan para inyectar líquidos en el recto que pasan a través del intestino. TIPOS DE ENEMA...

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ELIMINACION INTESTINAL

<br /> <div align="center" class="MsoNormal" style="clear: left; float: left; line-height: 12pt; margin-bottom: 1em; margin-right: 1em; text-align: center;"> <img height="200" src="https://encrypted-tbn0.google.com/images?q=tbn:ANd9GcQa_By78pphwgFN0kX9HzD3OCyft1q4uJ1tm5PvHO-xkAUbT-4f3dBFMHs" width="148" /> </div> <br /> <br /> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">CONCEPTO:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify; text-indent: 35.4pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Proceso mediante el cual se eliminan por el ano la materia fecal.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">OBJETIVOS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">  ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Eliminar los productos de desecho de la digestión.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">  ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Mantener una adecuada eliminación.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">  ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Evitar complicaciones.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <b><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">PRINCIPIOS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">  ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">La atención del individuo ante el deseo de defecar evita o disminuye la presencia de alteraciones en la eliminación intestinal.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">  ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El control de la defecación es muy importante para la independencia de la mayoría de los individuos.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;"><br /></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Aunque algunos residuos se evacuan dentro de las primeras 24 horas después de la digestión, la mayor parte de ellos se evacuan varios días después.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l0 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Wingdings; font-size: 12.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">ü<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">  </span></span><!--[endif]--><span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">El excremento está formado por una masa sólida constituida por alimentos no digeridos, celulosa, secreciones del intestino y del hígado, sales inorgánicas, leucocitos, células epiteliales  y agua.<o:p></o:p></span></div>

ELIMINACION INTESTINAL

CONCEPTO: Proceso mediante el cual se eliminan por el ano la materia fecal. OBJETIVOS:   ü   Eliminar los productos de dese...

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