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Verzorgend redeneren, uitgewerkte casus $5.51   Add to cart

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Verzorgend redeneren, uitgewerkte casus

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Verzorgend redeneren Uitgewerkte casus

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  • April 5, 2020
  • 4
  • 2019/2020
  • Other
  • Unknown

10  reviews

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Stap 1
Persoonlijke gegevens:
Naam: Mw de Jong
Geboortedatum: 88 jaar
Geboorteplaats: Rotterdam
Woonplaats: Woont in Buytenhaghe 106
Nationaliteit: Nederlands
Gezinssituatie: Gehuwd


Situatie:
Mw voelt zich is sinds 2 dagen niet lekker.
Geeft pijn aan haar spieren.
Koorts: 38,6
Droge hoest, rillerig en transpireert veel.
Vochtinname: Amper (Nog niet kunnen noteren)
Diurese: (Nog niet kunnen noteren) Mw zegt s, nachts te zien die er niet zijn. (Hallucineert) Mevrouw beseft dit ook is voelt
zich daardoor angstig.
Score van de vitale functies = 8
Adem: 20 p/m hoest veel, klinkt droog
Pols: 110
Bloeddruk (systolische) 120/70
Diurese: Amper
Temperatuur: 38,6
Bewustzijn: Beetje verzwakt, ze reageert wel op aanspreken maar is niet alert.


Behandeling/achtergrond tot nu toe.
Diagnose Reuma 2016
Behandelende arts:
Medicatie:
Ibuprofen
Pantoprazol
Vitale functies:
Hartfrequentie 110
Tensie Ademhaling 120/70
Diurese Mw drinkt niet omdat ze misselijk is.
Temperatuur 38,6 koorts
Bewustzijn Beetje verzwakt, ze reageert wel op aanspreken maar is niet alert.




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