cartilla era - criterios de hospitalizaciÓn segÚn nivel

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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

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    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

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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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

  • 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

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    ]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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    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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    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

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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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+

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    ]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 >

  • 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+

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    >>

    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

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    >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 =

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    >=

    ]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

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    >:

    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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    >6

    ]FMPFZNPN JH]ZPHZNA JF ]NAVJ

    Hktfrprftnmhk4

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    >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]

  • 7/28/2019 CARTILLA ERA - CRITERIOS DE HOSPITALIZACIN SEGN NIVEL

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    >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