INHALOTERAPIA (NEBULIZACIONES)

<br /> <div class="MsoTitle" style="clear: left; float: left; line-height: 12pt; margin-bottom: 1em; margin-right: 1em;"> <img height="204" src="http://4.bp.blogspot.com/-klzRbAHnsuo/TfEC_KaRcBI/AAAAAAAACho/1R8sYW-iFig/s320/23.jpg" width="320" /> </div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;"><b>CONCEPTO:  </b><o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: Arial, sans-serif;">Se trata de la conversión de un líquido a vapor por una corriente de gas o eléctrica para la impregnación de agua o medicamentos en las vías respiratorias mediante un nebulizador</span><span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;">.<o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;"><b>OBJETIVOS:</b><o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; margin-left: 14.15pt; 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: Symbol;">  ·<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;">Fluidificar secreciones y facilitar su movilización.<o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; margin-left: 14.15pt; 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: Symbol;">  ·<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;">Administrar medicamentos en la vía respiratoria.<o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; margin-left: 14.15pt; 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;"><br /></span></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;"><b>TIPOS:</b><o:p></o:p></span></div> <table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0cm 3.5pt 0cm 3.5pt; mso-table-layout-alt: fixed;"> <tbody> <tr style="height: 28.75pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;"> <td style="height: 28.75pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 457.1pt;" valign="top" width="609"> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;">Nebulizador de gran volumen:</span><span lang="ES-MX" style="font-family: Arial, sans-serif;"> Generan 100 % de humedad y se utilizan para tratamientos a largo plazo.  Suministran una niebla caliente o fría, según la necesidad del paciente.  Funciona basado en corriente de aire (gas).<o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> </td> </tr> <tr style="height: 28.75pt; mso-yfti-irow: 1;"> <td style="height: 28.75pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 457.1pt;" valign="top" width="609"> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;">Nebulizador ultrasónico</span><span lang="ES-MX" style="font-family: Arial, sans-serif;">:   Generan 100 % de humedad.  El 90 % de las partículas llegan a la porción inferior de las vías respiratorias.  Se usan en sesiones terapéuticas breves en el paciente con secreciones espesas.  Funcionan basado en electricidad.<o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> </td> </tr> <tr style="height: 28.75pt; mso-yfti-irow: 2;"> <td style="height: 28.75pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 457.1pt;" valign="top" width="609"> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;">Micronebulizador:</span><span lang="ES-MX" style="font-family: Arial, sans-serif;"> Suministra medicamentos en forma de aerosol.  Pueden utilizarse con aire u oxígeno.<o:p></o:p></span></div> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> </td> </tr> <tr style="height: 28.75pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;"> <td style="height: 28.75pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 457.1pt;" valign="top" width="609"> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;">Nebulizador de corriente lateral</span><span lang="ES-MX" style="font-family: Arial, sans-serif;">: Este se une a un ventilador o a un aparato de respiración mediante presión positiva intermitente.  Suministran medicamentos en forma de aerosol.<o:p></o:p></span></div> </td> </tr> </tbody></table> <div class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly;"> <br /></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: left;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;"><b>PRECAUCIONES:</b><o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 14.15pt; mso-line-height-rule: exactly; mso-list: l2 level1 lfo2; text-align: left; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">·<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;">Vigilar signos de sobrehidratación.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 14.15pt; mso-line-height-rule: exactly; mso-list: l2 level1 lfo2; text-align: left; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">·<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;">Observar al paciente durante el tratamiento.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 14.15pt; mso-line-height-rule: exactly; mso-list: l2 level1 lfo2; text-align: left; text-indent: -14.15pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">·<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;">Verificar buen funcionamiento de aparatos.</span><span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;"><o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: left;"> <br /></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: left;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;"><b>EQUIPO:</b><o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo4; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">-<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;">Toalla y almohadas.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo4; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">-<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;">Pañuelos desechables.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo4; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">-<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;">Riñón.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo4; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">-<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;">Nebulizador equipado con mangueras adecuadas al modelo.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo4; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">-<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;">Toma de gas o de corriente eléctrica dependiendo del tipo de nebulizador a usarse.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l3 level1 lfo4; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol;">-<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;">Agua bidestilada.</span><span lang="ES-MX" style="font-family: "Arial","sans-serif"; mso-ansi-language: ES-MX;"><o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: left;"> <br /></div> <div align="left" class="MsoTitle" style="text-align: left;"> <span lang="ES-MX"><span style="font-family: Arial, sans-serif;"><span style="line-height: 16px;"><b>PROCEDIMIENTO</b></span><span style="line-height: 12pt;">:<o:p></o:p></span></span></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Verificar indicación médica.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Lavarse las manos.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Preparar equipo y medicamento si se va a administrar a través de nebulización.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Llevar el equipo a la unidad del paciente.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Identificar al paciente.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Dar preparación psicológica.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Preparación física:  Posición fowler.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Proporcionarle pañuelos desechables.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Colocar la toalla sobre el tórax del paciente y acercarle el riñón.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Verificar que el nebulizador contenga agua en el recipiente y las mangueras estén correctamente adaptadas al aparato y se encuentren libres de agua.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Conectar el aparato a la toma de gas o corriente eléctrica, abrir la toma de gas si se trata de un nebulizador neumático.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Encender el aparato,  cerciorarse de la salida de niebla y calibrar su densidad.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Acercar el aparato al paciente, si está en condiciones de colaborar solicitarle que sujete la manguera del nebulizador a una distancia de 10 a 15 cm. de sus vías aéreas superiores, y respire normal.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Dejarlo por espacio de 15 a 20 minutos dependiendo de la indicación médica y tolerancia del paciente.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Al terminar la sesión retirar el material y equipo.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Dejar cómodo al paciente.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Dar cuidados posteriores al equipo.<o:p></o:p></span></div> <div align="left" class="MsoTitle" style="line-height: 12.0pt; margin-left: 18.0pt; mso-line-height-rule: exactly; mso-list: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: left; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Arial, sans-serif;">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;">Efectuar las anotaciones  de enfermería.<o:p></o:p></span></div>

INHALOTERAPIA (NEBULIZACIONES)

CONCEPTO:  Se trata de la conversión de un líquido a vapor por una corriente de gas o eléctrica para la impregnación de agua o medica...

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ADMINISTRACIÓN DE MEDICAMENTOS POR VÍA OTICA

<br /> <div align="center" class="MsoNormal" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: center;"> <img height="200" src="http://www.aceiteoliva.info/wp-content/uploads/2009/06/dolor-de-oido.jpg" width="198" /> </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;">CONCEPTO:  <o:p></o:p></span></b></div> <div class="MsoBodyTextIndent" style="line-height: 12.0pt; mso-line-height-rule: exactly;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Son las maniobras que se realizan para introducir gotas  en el conducto auditivo externo.<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: 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;">Ablandar cerumen.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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;">Aliviar dolor.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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;">Tratar enfermedades.<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: 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;">La membrana timpánica con sus características  de inervación es un medio útil para la absorción.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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;">Dirigiendo la corriente hacia la pared del conducto se evita lastimar la membrana timpánica.<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;">PRECAUCIONES:<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: l2 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;">Si el gotero es de vidrio, verificar que la punta no esté áspera.<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;">EQUIPO:<o:p></o:p></span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 3.5pt 0cm 3.5pt; mso-table-layout-alt: fixed;"> <tbody> <tr style="height: 12.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;"> <td style="border: none; height: 12.5pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 251.55pt;" valign="top" width="335"> <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: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">Charola con cubierta que contenga:<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: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">Tarjeta cárdex.<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: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">Medicamento indicado.<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: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">Gotero estéril.<o:p></o:p></span></div> </td> <td style="border: none; height: 12.5pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 226.85pt;" valign="top" width="302"> <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: l7 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">Torundas.<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: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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 para aseo del conducto auditivo externo.<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: l5 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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  con agua jabonosa.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly; text-align: justify;"> <br /></div> </td> </tr> </tbody></table> <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;">PROCEDIMIENTO:<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: l3 level1 lfo4; 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;">Verificar orden médica.<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: l3 level1 lfo4; 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;">Lavarse las manos.<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: l3 level1 lfo4; 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;">Preparar el equipo y llevarlo a la unidad del 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: l3 level1 lfo4; 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;">Identificar 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: l3 level1 lfo4; 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;">Dar preparación psicológica<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: l3 level1 lfo4; 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;">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: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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 posición de decúbito dorsal con la cabeza girada de lado.<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: l3 level1 lfo4; 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;">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;">Limpiar secreciones, si es necesario.<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: l3 level1 lfo4; 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;">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;">Tomar el gotero  y cargarlo con el medicamento.<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: l3 level1 lfo4; 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;">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;">Traccionar el conducto auditivo de la siguiente forma:<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l6 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">En niños: Tomar la oreja del lóbulo y jalar ligeramente hacia arriba y atrás.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l6 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">En adulto: Tomar la oreja del pabellón, jalando ligeramente hacia atrás y arriba para enderezar el conducto.<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: l3 level1 lfo4; 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;">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;">Aplicar el medicamento gota a gota en las paredes del oído.<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: l3 level1 lfo4; 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;">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;">Colocar el gotero en el riñón con agua jabonosa.<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: l3 level1 lfo4; 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;">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;">Indicar al paciente que mantenga la posición por espacio de cinco minutos y colocar una torunda seca si está indicado.<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: l3 level1 lfo4; 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;">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;">Repetir el procedimiento en el oído contrario, si está indicado.<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: l3 level1 lfo4; 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;">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;">Dejar cómodo 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: l3 level1 lfo4; 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;">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;">Retirar el equipo y darle los cuidados posteriores a su uso.<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: l3 level1 lfo4; 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;">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;">Hacer anotaciones en la hoja de registros correspondientes: Además de la regla de los 5 correctos.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l4 level1 lfo7; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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;">Oído correcto.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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>

ADMINISTRACIÓN DE MEDICAMENTOS POR VÍA OTICA

CONCEPTO:  Son las maniobras que se realizan para introducir gotas  en el conducto auditivo externo. OBJETIVOS: ü Ablandar cer...

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ADMINISTRACIÓN DE MEDICAMENTOS POR VÍA OFTALMICA

<br /> <div align="center" class="MsoNormal" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: center;"> <a href="http://enferlic.blogspot.com/" target="_blank"><img height="200" src="http://www.prospectos.net/files/chibroxin%20solucion%20oftalmica-figura3.gif" width="151" /></a> </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: 12pt;">CONCEPTO:  <o:p></o:p></span></b></div> <div class="MsoBodyTextIndent" style="line-height: 12.0pt; mso-line-height-rule: exactly;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">Son las maniobras que se realizan para administrar gotas o aplicar ungüento en los ojos con técnica estéril.<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: 12pt;"> </span></b><b style="line-height: 12pt;"><span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">OBJETIVOS:</span></b></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt;">ü<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: 12pt;">Aliviar irritación ocular.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt;">ü<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: 12pt;">Dilatar o constreñir la pupila para examen de ojo.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt;">ü<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: 12pt;">Aplicar anestesia.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt;">ü<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: 12pt;">Tratar enfermedades de los ojos.<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: 12pt;">PRINCIPIOS:<o:p></o:p></span></b></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt;">ü<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: 12pt;">La córnea y mucosa conjuntival son medios útiles para la absorción de medicamentos.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt;">ü<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: 12pt;">Una postura adecuada ayuda a evitar que la solución por efecto de la gravedad, escurra por el puente de la nariz e infecte el ojo contrario.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt; letter-spacing: -0.6pt;">ü<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: 12pt; letter-spacing: -0.6pt;">La retracción suave del tejido proximal del párpado inferior mantiene el fondo del saco al descubierto.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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: Wingdings; font-size: 12pt;">ü<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: 12pt;">El ojo se lastima con facilidad con el roce más ligero de un objeto extraño.<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: 12pt;">PRECAUCIONES:<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: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Wingdings; font-size: 12pt;">ü<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: 12pt;">Utilizar únicamente material estéril. <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: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Wingdings; font-size: 12pt;">ü<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: 12pt;">No tocar al paciente que tenga los ojos vendados sin antes hablarle.<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: l3 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Wingdings; font-size: 12pt;">ü<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: 12pt;">No presionar el ojo después de instilado el medicamento.<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: 12pt;">EQUIPO:<o:p></o:p></span></b></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 3.5pt 0cm 3.5pt; mso-table-layout-alt: fixed;"> <tbody> <tr style="height: 12.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;"> <td style="border: none; height: 12.5pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 251.55pt;" valign="top" width="335"><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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Charola con cubierta que contenga:<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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Tarjeta cárdex.<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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Medicamento indicado.<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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Gotero estéril.<o:p></o:p></span></div> </td> <td style="border: none; height: 12.5pt; padding: 0cm 3.5pt 0cm 3.5pt; width: 226.85pt;" valign="top" width="302"><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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Torundas o gasas estériles.<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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Solución salina o agua estéril.<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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Riñón  con agua jabonosa.<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: l5 level1 lfo6; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Guantes.<o:p></o:p></span></div> </td> </tr> </tbody></table> <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: 12pt;">PROCEDIMIENTO:<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">1.<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: 12pt;">Verificar orden médica.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">2.<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: 12pt;">Lavarse las manos.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">3.<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: 12pt;">Preparar el equipo y llevarlo a la unidad del 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: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">4.<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: 12pt;">Identificar 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: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">5.<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: 12pt;">Dar preparación psicológica<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">6.<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: 12pt;">Dar preparación física: <o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l4 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Dar posición de decúbito dorsal con hiperextensión del cuello.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l4 level1 lfo4; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Indicar al paciente que durante el procedimiento mire hacia arriba.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">7.<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: 12pt;">Limpiar secreciones del ojo con una torunda estéril del ángulo interno al externo de un solo movimiento, si es necesario.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">8.<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: 12pt;">Tomar el gotero  y cargarlo con el medicamento.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">9.<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: 12pt;">Bajar el párpado inferior y aplicar el medicamento en el ángulo interno.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">10.<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: 12pt;">Colocar una torunda estéril en el conducto lagrimal.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">11.<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: 12pt;">Colocar el gotero en el riñón con agua jabonosa.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">12.<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: 12pt;">Indicar al paciente que cierre el ojo para que el medicamento se distribuya.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">13.<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: 12pt;">Secar el exceso de medicamento<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">14.<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: 12pt;">Repetir el procedimiento en el ojo contrario, si está indicado.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">15.<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: 12pt;">Dejar cómodo 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: l1 level1 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">16.<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: 12pt;">Retirar el equipo y darle los cuidados posteriores a su uso.<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 lfo3; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Arial, sans-serif; font-size: 12pt;">17.<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: 12pt;">Hacer anotaciones en la hoja de registros correspondientes: Además de la regla de los 5 correctos.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l2 level1 lfo5; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;"> <span lang="ES-MX" style="font-family: Symbol; font-size: 12pt;">·<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: 12pt;">Ojo correcto  y reacciones del paciente.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; mso-line-height-rule: exactly;"> <br /></div>

ADMINISTRACIÓN DE MEDICAMENTOS POR VÍA OFTALMICA

CONCEPTO:  Son las maniobras que se realizan para administrar gotas o aplicar ungüento en los ojos con técnica estéril.   OBJETIV...

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ADMINISTRACIÓN DE MEDICAMENTOS POR VÍA NASAL

<br /> <h3 align="center" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em; text-align: justify;"> <img height="200" src="http://www.hcqho.sld.cu/joomla/Farmacologia%20I/P-Farmacologia/contenidos/tema_4_5/imagenes_tema1/Administraci%C3%B3n%20nasal.gif" width="193" /> </h3> <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="MsoBodyTextIndent" style="line-height: 12.0pt; mso-line-height-rule: exactly;"> <span lang="ES-MX" style="font-family: "Arial","sans-serif"; font-size: 12.0pt;">Son las maniobras que se realizan para introducir substancias medicamentosas gota a gota en las fosas nasales.<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: 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;">Aliviar congestión nasal.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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;">Aplicar analgésicos locales.<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: 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;">La tracción del vértice de la nariz hacia arriba y atrás, favorece la instilación de gotas en la cavidad nasal.<o:p></o:p></span></div> <div class="MsoNormal" style="line-height: 12.0pt; 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;">La absorción excesiva de fármacos por nariz y faringe pueden producir síntomas de intoxicación.<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;">PRECAUCIONES:<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: l2 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;">Evitar que el gotero tenga contacto con las paredes de la nariz. <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: l2 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;">Administrar el medicamento gota a gota.<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;">EQUIPO:<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: l3 level1 lfo5; 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;">Charola con cubierta que contenga:<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: l3 level1 lfo5; 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;">Tarjeta cárdex.<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: l3 level1 lfo5; 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;">Medicamento indicado.<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: l3 level1 lfo5; 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 para aseo de fosas nasales.<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: l3 level1 lfo5; 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;">Gotero.<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: l3 level1 lfo5; 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  con agua jabonosa.<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: l3 level1 lfo5; 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;">Toallitas de papel.<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;">PROCEDIMIENTO:<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: l4 level1 lfo3; 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;">Verificar orden médica.<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: l4 level1 lfo3; 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;">Lavarse las manos.<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: l4 level1 lfo3; 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;">Preparar el equipo y llevarlo a la unidad del 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: l4 level1 lfo3; 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;">Identificar 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: l4 level1 lfo3; 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;">Dar preparación psicológica<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: l4 level1 lfo3; 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;">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: 12.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-line-height-rule: exactly; mso-list: l1 level1 lfo4; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;"> <!--[if !supportLists]--><span lang="ES-MX" style="font-family: Symbol; font-size: 12.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<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 posición de decúbito dorsal con la cabeza colgando hacia atrás.<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: l4 level1 lfo3; 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;">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;">Realizar aseo de fosas nasales o indicar al paciente que se limpie la nariz suavemente.<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: l4 level1 lfo3; 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;">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;">Tomar el gotero con el medicamento.<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: l4 level1 lfo3; 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;">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 punta del gotero  sobre la superficie de las fosas nasales, levantar un poco la nariz y administrar el medicamento gota a gota.<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: l4 level1 lfo3; 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;">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;">Colocar el gotero en el riñón con agua jabonosa<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: l4 level1 lfo3; 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;">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;">Pedir al paciente que mantenga la cabeza hacia atrás por unos minutos (1 a 5) para que la solución no retroceda.<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: l4 level1 lfo3; 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;">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;">Observar las reacciones del 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: l4 level1 lfo3; 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;">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;">Dejar cómodo 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: l4 level1 lfo3; 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;">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;">Retirar el equipo y darle los cuidados posteriores a su uso.<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: l4 level1 lfo3; 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;">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;">Hacer anotaciones en la hoja de registros correspondientes.<o:p></o:p></span></div>

ADMINISTRACIÓN DE MEDICAMENTOS POR VÍA NASAL

CONCEPTO:  Son las maniobras que se realizan para introducir substancias medicamentosas gota a gota en las fosas nasales. OBJETIV...

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