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    v classasssbTCont-row-docCont-row-docnt-row-doc-row-docdocc"dCont-ISBN9785970406175-A000nt-ISBN9785970406175-A000-ISBN9785970406175-A000"bTCont-row-doc-aCont-row-doc-aИСЛОВИЕСЛОВИЕЛОВИЕОВИЕВИЕВИЕf=https://prior.studentlibrary.ru/en/doc/ISBN9785970406175-A001.htmltps://prior.studentlibrary.ru/en/doc/ISBN9785970406175-A001.htmlprior.studentlibrary.ru/en/doc/ISBN9785970406175-A001.htmlior.studentlibrary.ru/en/doc/ISBN9785970406175-A001.htmlr.studentlibrary.ru/en/doc/ISBN9785970406175-A001.html/en/doc/ISBN9785970406175-A001.htmln/doc/ISBN9785970406175-A001.htmldoc/ISBN9785970406175-A001.htmlc/ISBN9785970406175-A001.htmlBN9785970406175-A001.html9785970406175-A001.html0406175-A001.html06175-A001.html175-A001.htmllasss="ВТОРАТОРАОРАРААa><85970406175-A002970406175-A0020406175-A0025-A002A00202c/ISBN9785970406175-A002.htmlISBN9785970406175-A002.htmlBN9785970406175-A002.html9785970406175-A002.html85970406175-A002.html970406175-A002.html0406175-A002.html175-A002.html5-A002.htmlA002.html.htmltml classassrow-doc-aw-doc-adoc-a-aЯ УХОДА. ДЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯ УХОДА. ДЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯХОДА. ДЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯОДА. ДЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯДА. ДЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯА. ДЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯДЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯЕОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯОНТОЛОГИЯ И ЛИЧНАЯ ГИГИЕНА МЕДПЕРСОНАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯАЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯЛА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯА. ВНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯНУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯУТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯТРИБОЛЬНИЧНАЯ ИНФЕКЦИЯИЧНАЯ ИНФЕКЦИЯЧНАЯ ИНФЕКЦИЯНАЯ ИНФЕКЦИЯdivv classasss="ont-row-doct-row-docrow-docХ БОЛЬНЫХ БОЛЬНЫХБОЛЬНЫХЬНЫХНЫХЫХa studentlibrary.ru/en/doc/ISBN9785970406175-A005.htmludentlibrary.ru/en/doc/ISBN9785970406175-A005.htmlentlibrary.ru/en/doc/ISBN9785970406175-A005.htmllibrary.ru/en/doc/ISBN9785970406175-A005.htmlbrary.ru/en/doc/ISBN9785970406175-A005.htmlary.ru/en/doc/ISBN9785970406175-A005.html5-A005.htmlA005.html05.html.htmltmlllassssСНАЩЕНИЕ, ПРИНЦИПЫ РАБОТЫ ХИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИНАЩЕНИЕ, ПРИНЦИПЫ РАБОТЫ ХИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИАЩЕНИЕ, ПРИНЦИПЫ РАБОТЫ ХИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИНИЕ, ПРИНЦИПЫ РАБОТЫ ХИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИИЕ, ПРИНЦИПЫ РАБОТЫ ХИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИЕ, ПРИНЦИПЫ РАБОТЫ ХИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИРУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИУРГИЧЕСКОГО ОТДЕЛЕНИЯ И ОПЕРАЦИОННОГО БЛОКА. ПОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИОДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИДГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИГОТОВКА БОЛЬНЫХ К ОПЕРАЦИИОТОВКА БОЛЬНЫХ К ОПЕРАЦИИТОВКА БОЛЬНЫХ К ОПЕРАЦИИОВКА БОЛЬНЫХ К ОПЕРАЦИИВКА БОЛЬНЫХ К ОПЕРАЦИИКА БОЛЬНЫХ К ОПЕРАЦИИБОЛЬНЫХ К ОПЕРАЦИИОЛЬНЫХ К ОПЕРАЦИИЛЬНЫХ К ОПЕРАЦИИСЛЕОПЕРАЦИОННОМ ПЕРИОДЕЛЕОПЕРАЦИОННОМ ПЕРИОДЕЕОПЕРАЦИОННОМ ПЕРИОДЕЕРАЦИОННОМ ПЕРИОДЕРАЦИОННОМ ПЕРИОДЕАЦИОННОМ ПЕРИОДЕИОДЕОДЕДЕЕivivt-row-docrow-docw-docdoc" TCont-ISBN9785970406175-A007A00707hrefef" class="bTCont-row-doc-aЕЛ 6 ОСНОВЫ ЭЛЕМЕНТАРНОЙ СЕРДЕЧНО-ЛЁГОЧНОЙ РЕАНИМАЦИИЛ 6 ОСНОВЫ ЭЛЕМЕНТАРНОЙ СЕРДЕЧНО-ЛЁГОЧНОЙ РЕАНИМАЦИИ 6 ОСНОВЫ ЭЛЕМЕНТАРНОЙ СЕРДЕЧНО-ЛЁГОЧНОЙ РЕАНИМАЦИИНО-ЛЁГОЧНОЙ РЕАНИМАЦИИО-ЛЁГОЧНОЙ РЕАНИМАЦИИ-ЛЁГОЧНОЙ РЕАНИМАЦИИЁГОЧНОЙ РЕАНИМАЦИИГОЧНОЙ РЕАНИМАЦИИОЧНОЙ РЕАНИМАЦИИЧНОЙ РЕАНИМАЦИИОЙ РЕАНИМАЦИИЙ РЕАНИМАЦИИ РЕАНИМАЦИИРЕАНИМАЦИИАНИМАЦИИНИМАЦИИИМАЦИИМАЦИИЦИИИИИivasss=TCont-row-docont-row-docISBN9785970406175-A008BN9785970406175-A0089785970406175-A00885970406175-A008970406175-A0080406175-A00875-A008-A008008785970406175-A008.html5970406175-A008.html70406175-A008.html75-A008.html-A008.html008.htmls="НЫМИ В ОТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИЫМИ В ОТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИМИ В ОТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИИ В ОТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИ В ОТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИВ ОТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИ ОТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИТДЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИЕЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИЛЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИЕНИИ РЕАНИМАЦИИ И ИНТЕНСИВНОЙ ТЕРАПИИiviv-dococd="bTCont-ISBN9785970406175-A010nt-ISBN9785970406175-A010-ISBN9785970406175-A010785970406175-A0105970406175-A01070406175-A010/div>
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    Антропометрия грудного ребенка

    Антропометрия — совокупность методов и приемов измерения, описания человеческого тела в целом и его отдельных частей. Антропометрию детей до года проводят с целью определения гармоничности физического развития ребенка (табл. 2.1).

    Таблица 2.1. Антропометрия детей грудного возраста

    Этапы
    Подготовка к обследованию
    Установить контакт с мамой или другими представителями ребенка — поздороваться, представиться, обозначить свою роль
    Попросить маму или других представителей ребенка представиться
    Сверить фамилию, имя и отчество ребенка с медицинской документацией (листом назначений)
    Объяснить ход и цель процедуры
    Убедиться в наличии у мамы или других представителей ребенка добровольного информированного согласия на предстоящую процедуру
    Подготовка фельдшера:
    • обработать руки гигиеническим способом, высушить их;
    • надеть нестерильные перчатки
    Подготовка оборудования.
    • Включить весы. Нажать рукой небольшим усилием на центр лотка до появления цифровых показаний, соответствующих усилию руки. На цифровом табло дождаться появления нулей.
    • Положить на весы одноразовую пеленку. На индикаторе должна высветиться ее масса. Сбросить значение массы в память прибора, нажав кнопку «Т». На индикаторе должны появиться нули.
    • Положить на пеленальный столик пеленку.
    • Приготовить ростомер
    Выполнение обследования
    Осторожно переложить ребенка на пеленальный столик, сначала ягодицами, затем плечами и головой
    Распеленать, раздеть ребенка
    Измерение окружности головы
    Наложить сантиметровую ленту на голову пациента по ориентирам: сзади — затылочные бугры, спереди — надбровные дуги (рис. 2.1)
    Определить результат измерения
    Снять сантиметровую ленту
    Сообщить маме/законному представителю ребенка результат измерения
    Записать результаты в соответствующую медицинскую документацию
    Измерение окружности грудной клетки
    Слегка отвести руки ребенка в стороны
    Наложить сантиметровую ленту сзади по нижним углам лопаток, спереди — по нижнему краю околососковых кружков (рис. 2.2)
    Определить по ленте значение окружности грудной клетки. При этом рекомендовано натянуть ленту и слегка прижать мягкие ткани. Измерение следует проводить в покое
    Сообщить маме/законному представителю ребенка результат измерения
    Поместить сантиметровую ленту в емкость для дезинфекции
    Записать результаты в соответствующую медицинскую документацию
    Измерение массы тела
    Осторожно уложить ребенка на платформу сначала ягодицами, затем плечами и головой. Ноги слегка придерживать (рис. 2.3)
    После установления окончательного показателя измерения массы тела на индикаторе весов зафиксировать полученные данные
    Переложить ребенка на пеленальный столик
    Спустя 5–6 с обнулить показания весов
    Сообщить маме/законному представителю ребенка результат измерения
    Поместить пеленку в емкость для медицинских отходов соответствующего класса
    Записать результаты в соответствующую медицинскую документацию
    Измерение длины
    Попросить маму взять ребенка на руки, чтобы переложить его на площадку ростомера. Переложить пеленку с пеленального столика на площадку ростомера (рис. 2.4)
    Уложить ребенка на ростомер так, чтобы голова плотно соприкасалась теменем с неподвижной планкой, а верхний край козелка уха и нижнее веко находились в одной вертикальной плоскости
    Ноги ребенка должны быть выпрямлены легким нажатием и прижаты к доске ростомера. Придвинуть к стопам подвижную планку ростомера
    Определить по шкале длину тела ребенка. Длина тела равна расстоянию между неподвижной и подвижной планками ростомера
    Сообщить маме/законному представителю ребенка результат измерения
    Записать результаты в соответствующую медицинскую документацию
    Завершение обследования
    Предложить маме/законному представителю взять ребенка на руки. Переложить пеленку с ростомера на пеленальный столик
    Предложить маме/законному представителю разместить ребенка на пеленальном столике. Одеть ребенка
    Обработать руки антисептиком
    Оценить результаты измерений по центильным таблицам, результат записать в медицинской документации
    Обработать поверхность весов, пеленального столика, ростомера дезинфицирующим средством
    Снять перчатки, поместить их в дезинфицирующий раствор, вымыть и осушить руки


    Рис. 2.1. Измерение окружности головы ребенка

    Рис. 2.2. Измерение окружности груди ребенка

    Рис. 2.3. Измерение массы тела ребенка

    Рис. 2.4. Измерение длины ребенка

    Параметры физического развития ребенка на первом году жизни

    Сразу после рождения происходит физиологическая потеря массы тела, которая достигает максимума к 3-му дню и составляет в норме 6–10% массы тела при рождении. Масса тела восстанавливается к 7–10-му дню жизни новорожденного.

    Прибавка массы тела за 1-й месяц составляет около 600 г, за последующие 5 мес в первом полугодии — по 800 г/мес. Во втором полугодии — по 400 г/мес. Таким образом, к году ребенок, родившийся доношенным, достигает массы тела в 10–10,5 кг.

    Прибавка длины первые 3 мес составляет по 3 см/мес, во вторые 3 мес — по 2,5 см/мес, в третьем триместре жизни — по 1,5–2 см/мес, а в последний триместр первого года — по 1 см/мес. Таким образом, к году доношенный ребенок увеличивает длину в 1,5 раза: длина годовалого ребенка достигает 75–80 см.

    Длина тела ребенка удваивается к 4 годам и утраивается к 12 годам.
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