cartilla era - criterios de hospitalizaciÓn segÚn nivel
TRANSCRIPT
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
1/20
MPHZFPHI] JF OI]\HZNAHTNMHK!]FEK KHSFA JF MIG\AFDHJNJ
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
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0
ZN@AN JF MIKZFKHJI
Mrhtfrhis jf oisphtnahznmhk!sfek khvfa jf migpafdhjnj +++++ =
Phfsei jf sfpshs! sfpshs y soimbspmi +++++++++++++++++++++++++++++++++++++ :
Jhneksmi y gnkfdi jf
Kfugikn ++++++++++++++++++++++++++++++++++ 5
Fkciquf tfrnpumi +++++++++++++++ ++ 8
Irhfktnmhk pnrmhna pnrn fa
gnkfdi fk gijnahjnj ]nansFPN +++++++++++++++++++++++++++++++++++++++++ >3
NAMNAJN GNXIP JF @IEIZ
]FMPFZNPN JH]ZPHZNA JF ]NAVJ
Namnajf Gnyir jf @ieit
Eustnvi Crnkmhsmi \ftri Vrrfei
]fmrftnrhi Jhstrhtna jf ]nauj
Euhaafrgi Naciksi Dnrnghaai Gnrkfz
]u`sfmrftnrhi Jhstrhtna jf ]nauj
Naji Fkrhquf Mnjfkn Pidns
Jhrfmtir jf ]nauj \`ahmn
Dnhgf Ofrkk Vrrfei Pijreufz
Shehankmhn fk ]nauj \`ahmn
abhk Isirhi ]najnrrhnen
Fgprfsn ]imhna jfa Fstnji
Oisphtna Cik`k HH Khvfa
EPV\I ZMKHMI
Eustnvi Nrhsz`na JuqufKfugaiei \fjhntrn! Fphjfghaiei+
]fmrftnrn Jhstrhtna jf ]nauj
Erupi jf npiyi tmkhmi4
Pnkkhfry Nmun
Phmnrji Nrhsz`na
Iaen Aumn @nqufri
]nkjrn @fatrk
Gnrn Manujhn Euzgk
Mrhskn Gnrhi
]nknei Vmrs
Mntnahkn Ssqufz
Ernmhfan Tngirn
Miirjhknmhk Fjhtirhna
Icmhkn Nsfsirn jf Migukhmnmhikfs fk ]naujIrhnkn I`neh Irizmi
Mirrfmmhk jf Fsai\ntrhmhn Nrvnai \hfris
Jhsfi! JhnerngnmhkOnria Ehivnkky Afk Khngphrn+
Citi \irtnjnJhfei @nustn
]fmrftnrn Jhstrhtna jf ]naujJhrfmmhk jf ]nauj \`ahmn
Mnrrfrn =0 Ki+ >0'?>! munrti phsiMikgutnjir4 =3:8
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
3/20
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]FMPFZNPN JH]ZPHZNA JF ]NAVJ
MPHZFPHI] JF OI]\HZNAHTNMHK ]FEK KHSFAJF MIG\AFDHJNJ
Mrhtfrhis pnrn tfrmfr khvfa jf migpafdhjnj+
Naeukis jf ais sheuhfktfs hkjhmnjirfs jf sfvfrhjnj4
1 = g+ mik rfqufrhghfkti jf I0+
Khi i khn jf munaquhfr fjnj mik rfqufrhghfktisjf I0 gnyir n >!6 ahtris pir MK! u I0 mik mgnrnmfcahmn! ; =6& jf CHI0 /crnmmhk hksphrnjn jf I0(+
Hgpish`hahjnj pnrn `f`fr aquhjis+
Sightn tiji+
Fstrhjir fk rfpisi+
Aftrehmi! ki jfsphfrtn cmha! i fst hkmiksmhfktf+
Munjri makhmi jf rhfsei jf sfpshs! sfpshs i soimbspmi+
Fkcfrgfjnj \uagiknr Mrkhmn jf `nsf imnrjhipnn migpafdn+
1 3 g+ jf fjnj mrikiaehmn! mik nktfmfjfktf jfpnrti nktfs jf ans =0 sfgnkns+
Fphsijhis jf Npkfn jurnktf an fkcfrgfjnj nmtuna+
MPHZFPHI]JFOI
]\HZNAHTNMHK!]FEK
K H S F A J F
M I G \ A F D H J N J
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
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:
MPHZFPHI] JF OI]\HZNAHTNMHK ]FEK KHSFA JF MIG\AFDHJNJ
Mrhtfrhis pnrn sfeukji khvfa jf migpafdhjnj+
Khi fktrf = y >0 g+ mik @rikquhiahs i Kfugikn+ ^uhfkfs rfquhfrnk I0 ; jf > A)ghk+ _ M+K! pnrn
snt+ I0 ; 86+
F]F\]H]!]F\]H]X
]OI
MB]\ZHMI
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
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6
]FMPFZNPN JH]ZPHZNA JF ]NAVJ
Mugpahr mik jis jf fstis mrhtfrhis! quf fk khis fkf qufhkmauhr f`rf! Afumimhtishs i Afumipfkhn pnrn an fjnj+
]fpshs4 ]HP] gs cimi hkcfmmhisi+
]oimb sptmi4 ]fpshs rfcrnmtnrhn n aquhjis /aufei jf =`iais jf 0 s( i ;= s
Fstnji jf mikmhfkmhn natfrnji / Hrrhtn af i sigkiahfkti(
\uasis jhsghkuhjis i snatikfs+
\hfa crn gitfnjn i ridn y `hn+
Nugfkti jf Crfmufkmhn Mnrjnmn
Nugfkti fk CP+
Zfgpfrnturn Chf`rf i Ohpitfrghn+
ZN ]hstahmn `ndn+
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
6/20
3
MPHZFPHI] JF OI]\HZNAHTNMHK ]FEK KHSFA JF MIG\AFDHJNJ
EPV\I JF FJNJ ZN^VHMNPJHN @PNJHMNPJHN
CPFMVFKMHN
PF]\HPNZIPHN!
PF]\HPNMHIKF] ) GHK+
PFMVFKZI JF
AFVMIMHZI] \IP
>+ sfgnkn onstn > gfs ;>?< 1>8!6 I 16 156
> gfs n > ni ;>?< 18< ;=: ;>5!6 I 16 1>0 nis ;>=< KN ;>? ;>=!6 I 1:!6 1>= n 1>? nis ;>>< KN ;>: ;>> I 1:!6 1>>5
Gnkfdi jfa rhfsei jf sfpshs ! sfpshs i ]oimb spmi+
I0 onstn snt+ ; 8< &! sh rfqufrhghfkti fs 7 i ;6
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
7/20
5
]FMPFZNPN JH]ZPHZNA JF ]NAVJ
Nk`hmi jf nmufrji n Eun! pnrn njghkhstrnr fkan prhgfrn oirn jf miksuatn+
]h jfspus jf 0 i = `iais jf aquhjis hsitkhmis!an rfspufstn ki fs njfmunjn! hkhmhnr hkitrphmiJi`utnghkn pir vfkn pfrhcrhmn 6'> n 0sfeukjis! snt+ ; 8 mm)be)o+
Khis 1 > g+ mik soimb! sispfmonr Mnrjhipnn Jumtusjfpfkjhfktf! f hkhmhnr \ristneankjhkn ue)be)ghk+
JHNEK]ZHMI X GNKFDI JF KFVGIKN
Kfugikn guy ernvf mik rhfsei jf sfpshs i sfpshs /i
fkcfrgfjnj guy ernvf(+
1 0 g+ mik f`rf y)i Ohpitfrghn+
Jntis migpn`afs mik rhfsei jf sfpshs! sfpshs i
soimb sfek ai nkitnji fk udierngn rfspfmvi+
1 0 g+!mik jhsghkumhk jfa npfti! i ; 0 g+ ! mikhgpish`hahjnj jf `f`fr aquhjis+
JHNEK]ZHMIXG
NKFDIJFKFVGIKN
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
8/20
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MPHZFPHI] JF OI]\HZNAHTNMHK ]FEK KHSFA JF MIG\AFDHJNJ
Mikvuashikfs+
Jfskutrhmhk ernvf+
Kfugikn ernvf
1 0 g+ mik tnquhpkfn /;3< rpg( y)i rndf su`mistnahgpirtnktf! shk ais shekis nktfrhirfs+
; 0 g+ mik shekis jf jhmuatnj rfsphrntirhn /rndfs
su`mistnafs pfrshstfktfs( mik i shk tnquhpkfn2pufjf nmigpnnrsf jf naftfi knsna y qufdhji+
Ohpixfghn4 mik snturnmhk jf I0 1 n 8< & na nhrfng`hfktf! n an naturn jf @ieit+
Kfugikn hkhmhna /Kfugikn jf gnkfdi ng`uantirhi(
Znquhpkfn4 fktrf 0 ' >> g+ 7 i ; 6< rfsp ) ghk+jf >': n+ 7 i ; :< i gns rfsp ) ghk! mik i shkonaanzeis nusmuatntirhis pnrn Kfugikn+
Khkeuki jf ais hkjhmnjirfs jf Kfugikn ernvf iKfugikn fk pnmhfktf spmi+
]navi munjris makhmis fspfmhnafs nusfkmhn jfmigpikfktf `rikmi i`strumvi+
]nturnmhk jf I0 ; n 8& fk @ieit+
1 0 g+ mik CP ; jf 3< pir ghkuti! jf`f manshmnrsfmigi Kfugikn ernvf+
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
9/20
8
]FMPFZNPN JH]ZPHZNA JF ]NAVJ
FKCI^VF ZFPN\VZHMI
Kfugikn fk pnmhfktf spmi /Fkcfrgfjnj guy ernvf pnrnrfghr n tfrmfr khvfa(+
Ghfktrns sf aiern rfghr4 gnkfdi jfa mnsi pirgjhmi mik an gfdir cirgnmhk! fxpfrhfkmhn ymigpftfkmhns pnrn gnkfdnr uk khi guy ernvf+
Irenkhmf an ntfkmhk! mik gikhtirfi pfrgnkfktf
jf an fviaumhk makhmn jfa mnsi+
Nmanrnr pntiaien jf `nsf y prfmhsnr na gxhgi fajhneksmi+
]h fkf rhfsei jf sfpshs i sfpshs! hkhmhf gnkfdihkgfjhnti mik Aquhjis HS fk viagfkfs natissfek an Eun+
Gfjhjns jf sipirtf `shmis4 I0! Aquhjis HS! gnkfdijf an f`rf! Kutrhmhk! jfsi`strummhk knsna+
Nk`hmis4
1 > gfs4 Ngphmhahkn /=6 ge)b)jn(! ukn
m)0: oirns+ Mikshjfrf ipmhk jf Nzhtrighmhkn n >
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
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>+ Gnyir jf 0 gfsfs+
0+ Jhmuatnj Pfsphrntirhn afvf+
=+ Pfquhfrf Ixefki+
:+ Ki fkf cnmtirfs jf rhfsei hgpirtnktf+
6+ Ziafrn vn irna+
3+ Munjris jf gijfrnjn hktfkshjnj! sai munkji sf
jf mrhshs jf Nsgn+
5+ Pfquhfrf gnkfdi pir uk pfriji gfkir n 3 oirns
rfspufstn snscnmtirhn+
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
11/20
>>
CHKNAHTN FA]FPSHMHI
PF^VHFPFGNKFDI \IP
]NAN]
FPN
FKSHNP GNKFDING@VANZIPHI! GNKFDI
\IP I@]FPSNMHK IPFGHZHP VK ]FEVKJI I
ZFPMFP KHSFA ]FEKMVNJPI MAKHMI
MIK]HJFPN GNKFDI FKI@]FPSNMHK JF VPEFKMHN]!
OI]\HZNAHTNMHK FK AN GH]GNHK]ZHZVMHK I PFGH]HK N VKNHK]ZHZVMHK JF KHSFA ]V\FPHIP
PFNAHTNP ANN\FPZVPN JF
AN OIDN MAKHMN
]H
KI
I FK GIJNAHJNJ JF ]NAN] FPN
P
I
NZI
JFCHKF NG@VANZIPHI X ]FEVHGHFKZI
FK AN] ]HEVHFKZF] :? OIPN]
rntf
pnrn
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
12/20
>0
MPHZFPHI] JF OI]\HZNAHTNMHK ]FEK KHSFA JF MIG\AFDHJNJ
Fktrf > y : gfsfs+ /Gfkis jf 0 jishs jf vnmukn pnrnO+ hkufkznf Zhpi y ]+ pkfugikhnf(4 Ngphmhahknn =0 oirns! i Nzhtrighmhkn n >< ge) be ) jn! nktf jntis makhmis y fphjfghiaehmisquf af onenk sispfmonr Ziscfrhkn+ Zignr y fkvhnrgufstrn pnrn jfsmnrtnr Ziscfrhkn pir \MP+
; : gfsfs4 Ngphmahkn =
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
13/20
>=
]FMPFZNPN JH]ZPHZNA JF ]NAVJ
Nk`hmis4
1 0 gfsfs4 Ngphmhahkn /=6 ge)b)jn(!m)0: oirns! sfek mikjhmhikfs pnrmuanrfs jfrfshstfkmhn fk mnjn hkstumhk+
Mikshjfrf ipmhk jf Nzhtrighmhkn n >< ge ) be) jn nktf jntis makhmis y fphjfghiaehmis qufaf onenk sispfmonr Ziscfrhkn! tignr y fkvhnr
gufstrn pnrn jfsmnrtnran pir \MP+ ; 0 gfsfs4 \fkhmhahkn Mrhstnahkn /0
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
14/20
>:
MPHZFPHI] JF OI]\HZNAHTNMHK ]FEK KHSFA JF MIG\AFDHJNJ
]h ki ony gfdirn makhmn! fvnaunr fkciquf tfrnpumi!y fstnr ntfkti n ans prhkmhpnafs mnusns jf Kfugiknnjquhrhjn fk migukhjnj! jf fviaumhk trphjn+
Kfugikn hkhmhna
Fa gnkfdi jf`f sfr ng`uantirhi+
Gfjhjns jf sipirtf fk mnsn+
Hkcirgnr si`rf shekis jf nanrgn y rfmigfkjnr nmujhrn miksuatn jf hkgfjhnti sh npnrfmf naeuki jf faais+
Nk`hmis4 Ngixnmhahkn /?< n >< jns+
Munjri >+ Fsmnan jf Ufstafy /gijhmnjn pir Cafhsofr(!pnrn vnairnmhk makhmn jf an jhmuatnj rfsphrntirhn fk aiskhis mik Anrhkeitrnqufi`rikquhs! pfri npahmn`af n
tijns ans cirgns jf i`strummhk jf SN]+
MVNJPI < > 0 =
Fstrhjir Khkeuki ]ai mik nehtnmhk Afvf fk rfpisiErnvf fk
rfpisi
Pftrnmmhk Khkeukn Afvf Gijfrnjn Ernvf
Fktrnjn jf nhrf
/n an nusmuatnmhk(
Kirgna Afvf jhsghkumhkGijfrnjn
jhsghkumhk
Gnrmnjn
jhsghkumhkKhvfa jf
mikmhfkmhnKirgna
Hkquhfti munkji
sf giafstn
Hkquhfti nk shk
giafstnraiAftrehmi
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
15/20
>6
]FMPFZNPN JH]ZPHZNA JF ]NAVJ
Hktfrprftnmhk4
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
16/20
>3
MPHZFPHI] JF OI]\HZNAHTNMHK ]FEK KHSFA JF MIG\AFDHJNJ
@PIK^VHIAHZH]
\nrnmakhmis
Pnyis _ jf Zrnx4 fk pnmhfktf quf prfsfktn jhmuatnjrfsphrntirhn gijfrnji n ernvf
\ruf`n rphjn pishvn pnrn pnkfa vhrna4 jf ais 5 vhrusrfsphrntirhis gns hgpirtnktfs! dusmnjn fk ais mnsis qufpir su sfvfrhjnj ngfrhtfk ntfkmhk fk ukhjnj jf muhjnjishktfrgfjhis i fk Vkhjnj jf Muhjnjis Hktfkshvis+
Fk mnsis sfvfris ensfs vfkisis pfrhcrhmis! pfrghtfkfvnaunr fstnji mhji `nsf! anmtnti y pfrghtf fvnaunrpfrcushk suanr+
Irhfktnmhk tfrnpumn4
Gnkfdi ng`uantirhi
Fk mnsis shk jhmuatnj rfsphrntirhn y shk cnmtirfs jf rhfsei+
Gnkfdi an gijnahjnj jf ntfkmhk fk ]nans FPN i fki`sfrvnmhk jf urefkmhns! sfek fa mnsi+
Gfjhjns jf sipirtf y npiyi! gns I0 mik M+K n
gxhgi > aht) ghk! gnktfkfr ukn pishmhk njfmunjn!fvhtnkji fstnr nmistnji! y uk sfeuhghfkti muhjnjisijfa puktndf makhmi! sfek jntis jf CP! hktfkshjnj jf aisrndfs! shekis nusmuatntirhis! ixhgftrn jf puasi y CM+
@PIK^VHIAHZH]
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7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL
17/20
>5
]FMPFZNPN JH]ZPHZNA JF ]NAVJ
@ftn 0 neikhstns HJG! = n : hkonanmhikfs mnjn > :> ' 66 => ' :6
Chk jf
fsphrnmhkmik cikfkji
\frhirna naaairnr
/"(
]u`mistna
0 63 ' 5< :3 ' 3