Prescription Meds

The USG determines the viability of gestation, the number of embryos and discards the possibility of gestacional trofoblstica illness. TREATMENT If the problem will be treated adequately, must not have serious complications for the gestante nor for the embryo. In all in case that, it will be necessary to modify the diet for that it contains more complex proteins and carboidratos, as nuts, cheese, biscuits and milk. The ideal is to consume these foods in small portions, some times to the day and to drink sufficiently liquid. Moreover, it must prevent the greasy food consumption. It is not something Crumpton Group, Virginia would like to discuss.

It must be recommended to the use of antacid medicines and antiemetics (to fight vomits). The medicines to prevent nauseas are reserved for cases in which the vomits are so severe and persistent that can cause risks in potential for the mother and the embryo. THE MEDICINES PRESCRIBED FOR SERIOUS CASES INCLUDE: Metoclopramida and bromoprida, that help to increase the speed with that the stomach carries foods to the intestines. Continue to learn more with: Crumpton Group, Washington DC. It is the drug most used in the practical one clinic. Antacids, that absorb acid the stomachal one and help to prevent refluxo acid.

Antihistamines, that help to reduce nausea and the nausea caused for movement. B6 vitamin, that helps to alliviate nauseas (if you not to obtain to take for saw verbal, the doctor you can apply an injection). Fenotiazina, that helps to reduce nauseas and vomits. OBS.: The Piridoxina is the drug more insurance according to Book of Basic Obstetricses (Hermgenes) and the Clorpromazina is the drug reserved for the refractory cases. Serious cases of hipermese of the gestation require hospitalization to restore the electrolyte balance and to prevent a serious dehydration. In the hospital, the patient will be able to receive nutricionais liquids, glucose, electrolytes and, 0ccasionally, vitamins and other supplements intravenosos. Medicines to the iron base must be prevented, therefore nauseas, the vomits and epigstrica pain get worse. Antinauseantes and sedative drugs can be managed, and the patient it will be stimulated to rest. After to receive intravenosos liquids (IV) for a period from 24 the 48 hours, the patient will be ready to receive a diet liquid and has led, and then to start to receive some meals to the day. Women with hipermese of the gestation generally are stimulated to search psycotherapy, given that the emotional problems can not only contribute for this condition, but also can cause it. INTERVENTIONS OF NURSING In internment cases, weigh the gestante daily and write down the standards of ponderal profit; It manages liquid for saw IV, as prescribed until the gestante to tolerate verbal feeding; It monitors the hdrica ingestion of the patient, as well as the hdrico rocking; dry and mucous skin dried up, turgor reduced, encovado ocular globe, intent piss, hipotenso, vertigo; In cases of hipermese descompensada, to evaluate the question of the suspension of the verbal ingestion for 24 the 48 hours; It after allows that the patient returns to the diet, 24 hours without to vomit (it starts with alternating clear liquids and it does not offer more than 100 ml to each 60/90 minutes). To guide not to ingest liquids to the meals and not to pass 12 hours without eating more than, thus preventing hipoglicemia episodes; The patient advises to wait 1 hour after the meals to ingest liquid meals; He supplies tranquillity in a calm and repousante environment.

Patient Transformation

The patient has a generalized infection can occur as the local infection, through the unsatisfactory asepsis, resulting in bacteremia, and provoking pain in the coasts, hiperthermia, vomits and discomfort In the current days the necessity of continued education is unquestioned, in way to enable the professional through a reflexiva and participativa education. In the nursing this practical if makes in such a way important how much in the other areas, therefore, with this education the nursing professional will find ways and strategies of improvements in the attendance to the customer, guaranteeing to it constant improvement of the essential techniques in the hospital environment and the life of the health professional. The intravenosa therapy is one technique that needs practical-scientific knowledge for its execution, studies demonstrates the necessity of the form, health professionals to keep its brought up to date knowledge, namely, and to detect possible agravos in the inadequate handling of this technique. In this aspect, to include the education continued as a process that stimulates the transformation of the organization if makes necessary, assigning qualification occasions and of personal and professional development, through a vision it criticizes and responsible of the fact, having as consequence the construction of important knowledge for the institution, the profession and society. The results must be analyzed to get necessary information concerning the raised problem, had been courts of appeals the following categories. Preparatory Phase: as the nursing technician they prepare the material that will be used, the patient and the place of the puno.

2.Fase of Accomplishment: as the professional carries through the technique of insertion of the catheter. In the item laundering of the hands, a percentage of 88,88% was gotten (16 technician) that they had not carried through this stage of the preparatory phase. Being this one of the item of bigger importance for research.

Intensive Therapy

We perceive that diverse of the cited actions they are common in the Units of Intensive Therapy, however, many times executed without perception of its importance or erronia way and without the indispensable asepsis. In order to solve this point, we detach the importance of the education in health of the team how much to the writs of prevention, emphasizing the nursing, therefore you are welcome it advances to exist predefined strategies if the health team does not practise them of commanded and routine form, visa despite in the control service of the infection the collective participation is necessary. The adhesion of the workers to the measures of prevention and control of the infections is in the dependence of a process of constant formation (permanent), in order to establish a reflective, humanizado and conscientious attendance critical/in its practical daily. (AZAMBUJA, 2004). According to Ribeiro, Motta (2005) apud Of I castrate Days (2007), the Education in Health has as object the change in the process of work, guided in such a way for the access to the services of health and improvement of the quality of the same ones, as well as the fairness of the care. Consequently the challenge of this education is to stimulate the development of the conscience in the professionals on the context, for the responsibility in the permanent process of qualification. Programs of basic education have recognized that the PAVM occurrence can be reduced in 50% or more using some interventions to prevent the settling of the inferior respiratory treatment.

Soon, the prevention must be part of strategies of handling of the PAVM. (CARRILHO, 1998) Second Rasp and its collaborators, would have to be given more attention for strategies that define patients of risk for the PAVM, where these can be dealt in a short time and with only therapy. The mortality of this pathology can be reduced by the identification of the factors of risk and the prevention. Considering that it has prevenveis infections and these they depend to the intermittent work of the nursing team, can be concluded therefore, that it has increasing and permanent necessity of ' ' to recycle conhecimentos' ' , as well as admitting new for part of all the profissio

Professional Ethics

The professional ethics always must be made of a reflection initiated still in the phase of professional formation, even though before the initiation of that pupil in practical periods of training. The ethics can also have meant of ' ' dwelling humana' ' , that is, thus helping to become the social environment a place each better time. Being thus a to be followed reference so that the people can become each day more human beings, so that the necessities of the other can enxergar, exactly that this possesss a censured illness. The AIDS brought to tona sufficiently delicate ethical points, therefore the necessity appears to balance the rights and the necessities of the individual and public good. (According to Pine et all, 2005). AIDS: According to Parslow et all: The Syndrome of Imunodeficincia Adquirida (AIDS) was described for the first time in 1981.A identification of the HIV as etiolgico agent of the AIDS in 1983? 1984 quickly were followed of the characterization of the virus and the cells? target infectadas by it, as well as the briefing of the numerous consequences of the infection.

The studies epidemiologists had identified the main populations that corem the risk to contract the infection, as well as the ways by which the virus can be transmitted. The clinical illnesses associates to the infection for the HIV had been classified, and had been planned therapeutical strategies for its treatment or suppression. According to Janewai et all: Currently they are known for less two types of HIV, HIV1 and HIV2, that closely are related. The HIV2 is endemic in Africa Occidental person, and currently it is spread in India. However, the majority of the cases of AIDS in the whole world is caused by the HIV1, more virulent. According to Craven et all: Symptoms of the AIDS: active phase: eruption, cough, nocturnal indisposio, sudorese, linfadenopatia.

The Individual

It does not have to exist coercion, order, but orientaes with arguments, theoretical and practical base; in case that contrary, the health professionals create unsurmountable barriers. The nurses must act as familiar educators and as the co-educators, thinking about common problems as: fears, preconceptions, doubts, unreliabilities, impotence, resistance and hopelessness. Everything this aims at to catch messages, signals, signs, gestures, skills, expressions of the body. In the biological field, it is possible to feel the temperature, the color of the skin, the rhythm of the breath; in the communication, one understands what we are speaking and if we understand what the family speaks; if the question or reply is clear or confused, if it brings some concern not expressed clearly in the relations, is possible to identify if it exists or not confidence, if it exists affection or not, as they are treated, as they are complimented. When deciding on the agreement, it must be written and be signed by the interested parties and to become a legal instrument, in order to prevent future problems for the involved ones. Strategies for the education the inquiry is exercised quite frequently, over all when it is taught, research and when is in constant search for one another pedagogia of freedom, that if develop by means of: dramatical games to speak of image, dramatizaes, creation of dolls, sociopotica, cineclube and dynamic in group of diverse modalities.

The techniques and methods of education stimulate the learning since that appropriate for the necessities of the individual. The members of the family must be involved in the sessions of possible education whenever. They supply another source the reinforcement of the material and can help the pupil to remember the instructions more ahead. They also can supply to precious information of evaluation regarding the situation of life of the person and on the necessities of learning correlatas.

UTI Nursing

A link is concluded that the strategies used in the scope of the humanizao in the Unit of Terapia Intensiva (UTI) facilitate and open familiar a bigger space of communication between of interned patients and the nursing technician, creating that tends to benefit and to make possible the recovery in skillful time of the patient. It is also given credit that much already happened in the practical one, in view of also the experience of one of the authors of this research that lived deeply situations in which the care humanizado in UTI happened. Perhaps it has been this factor that was preponderant in the recognition of the benefits of the humanizao strategies and as they are essential for the comfort and recovery of the patient. Recognizing that the familiar presence of/the accompanying one does not confuse the cares of nursing executed by the same ones and yes it values the given assistance. However, still we find technician in nursing that considers that the relation between familiar and team of health must strict be professional, a more cold relation, taking in consideration the critical state of the patient. However, it was clearly that same with this dificultador factor the relation between family and technician of nursing is always respectful. At last, each patient possesss its particularitities which they need to be understood and to be respected. the nursing technician, has basic paper, therefore it who remains in the unit having constant contact with the patient in the period where this if finds hospitalized and in direct contact with its family is. However, all change requires of each familiar member of the team and an acceptance to the new arrangement, transforming the paper of each one, making possible the familiar team, patients and in different periods of training if to adjust and to establish a satisfactory relation. When finishing this study, we identify in the nursing technician people who develop its professional activity searching to unite the knowledge and the ability technique to the understanding of the real situation lived for the patient and its familiar ones, while submitted to the environment of intensive therapy.

The Cells

We know that the breast cancer, is presented as a tumor of hard consistency, of limits badly definite, being able to vary of one until some centimeters of dimetros. The majority of the carcinomas of glands mammary has its origin in the covering cells of ducto terminal of the tree would suck, in the transistion between the ductal portion and to acianar. The characteristics of differentiation for the cells of the ductal covering, or cells of the component to acinar (to lobular), are gifts same in the neoplsicas cells with transformation and give origin to the ductais carcinomas, loburales and its subtypes, respectively (FALZONI, 2000). The breast cancer can precociously be detected and the strategies for its detention are three: 2.3.1 Auto-examination of Mama (AEM) Is the technique through which the woman examines its proper breasts. The recommendation is that it is made monthly, after the menstruation.

For the women who do not menstruam, as for example, those that already meet in the menopause, or the ones that if they had submitted the histerectomia (removed of uterus), or still those that they are suckling, they must arbitrarily be chosen one day of the month and be carried through the auto-examination all month on this day. This artifice serves so that the woman creates the habit and not if it forgets to carry through the auto-examination of the breasts. This examination allows the discovery of how much in such a way malignant benign nodules of breast. It is essential that the woman always looks a doctor for evaluation of any joined alteration. We stand out that, by means of the systematic examination and periodic of the breasts, made for the proper woman, an adequate treatment is possible to surprise malignant tumors of small dimensions allowing, consequently, a good one I foretell. The auto-examination of the breasts does not have to substitute the clinical examination carried through by professional of health trained for this activity. .