Tecnicas de Adulto

7/24/2019 Tecnicas de Adulto

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CENTRO UNIVERSITARIO UAEM VALLE DE

CHALCO

ENFERMERIA DEL ADULTO

TECNICAS DE ENFERMERIA

LIC. MARGARITA MARTINEZ PEREZ

EDWIN AMADOR VAZQUEZ

3 SEMESTRE

GRUPO C

1


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INDICE

Introdu!"n##################.. 3

T$r%&!% Art!u'%r################....(

Mon!tor!)%!"n##################*

Nutr!!"n Ent$r%'#################+(

Nutr!!"n P%r$nt$r%'###############..+,L%-%do d$ M%no################..+*

Cur%!"n d$ U'$r% Por Pr$!"n##########/0

Cur%!"n d$ H$r!d%###############..//

Mo-!'!)%!"n###################./(

Contro' d$ L12u!do E'$tro'!to##########./,

Sond%4$ V$!%'#################.../5

D!6'!!#####################...30

Sond%4$ N%o76tr!o###############.3/

Cu!d%do d$ C%t8t$r Ur!n%r!o P$r9%n$nt$######..3:

H$9od!6'!!###################..35

2


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INTRODUCCION

E' !7u!$nt$ 9%nu%' d$ t8n!% &ro$d!9!$nto $ d$ u9% !9&ort%n!%; d$or% d$ '% &r6t!%;

A u -$) $ onu't%r% % '% >or% d$ %'7un% dud% o =%''% $n '% r$%'!)%!"n d$ un% d$$t% t8n!%.

Et$ 9%nu%' d$ t8n!% &ro$d!9!$nto $r-!r6 d$ 7u1% ?t!'; t%nto &%r% $'

&$ron%' o9o &%r% otr% &$ron% 2u$ r$2u!$r%n d$ $t% !n=or9%!"n.

3


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TERAPIA ARTICULAR

CONCEPTO:

T8n!% $&$1=!% &%r% $' tr%t%9!$nto d$' do'or otro 1nto9% d$ '% %rtr!t!r$u9%to!d$

OBJETIVO:

R$u&$r%r $' 9o-!9!$nto u%ndo '% %rt!u'%!on$ &r$$nt%n un% r$tr!!"n $n $'9!9o; %'!-!%r $' do'or %rt!u'%r 9uu'%r d$ =or9% !n9$d!%t% 9$4or%r '%=un!on%'!d%d d$' !nd!-!duo..

CALOR

LUZ INFRARRO@A: For9% d$ %'or 96 %d$u%d%. Pu$d$ u%r$ un%'69&%r% d$ 'u) !n=r%rro4%; un%

AOS DE PARAFINASon ?t!'$ &%r% tr%t%r 9%no d$do. AOS DE TINA CALIENTES: D$


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MASAJE

Su %&'!%!"n d$or%; $ ?t!'.

Lo &%!$nt$ on %rtr!t! r$u9%to!d$ $n $t%&% %7ud% &u$d$n r$%'!)%r $4$r!!o9uu'%r$ d$ %'!t$n!%. D$%!% %d$'%nt$ %tr6; %' 96K!9o &o!%!% $' &u'7%r.5 G!r%r '% 9u$% '$nt%9$nt$ >%!% %tr6 %d$'%nt$ o9o ! $ 7!r%r% un%

&$r!''% d$ &u$rt%.

5


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CODO

+ En d$?o9

TOILLO

+ F'$K!on%r '$nt%9$nt$ $' to%!% %rr!%!% %

RODILLA

+ En d$?

/ S$nt%do $n un% %9% dur% o $n un% 9$% on '% &!$rn% o'7%ndo !nto%r $' u$'o; $'$-%r %!% %tr6 ='$K!on%ndo $Kt$nd!$ndo '% &!$rn% $n =or9%%'t$rn%.

( En d$?%!% 'o '%do 4unt%r'% d$ nu$-o.

/ En d$?

6


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E@ERCICIOS DE ESTIRAMIENTO

+ En d$?%!% %d$'%nt$ $&%r%d% >%!%%=u$r%; !nt$nt%r to%r 'o d$do d$ 'o &!$ on '% 9%no !n ='$K!on%r '%rod!''%

3 En d$?

( En d$?

: Et!r%r 'o 9?u'o d$' u$''o ontr%rr$t%r '% t$nd$n!% % =or9%r un%&otur% %nor9%' ut!'!)%ndo un t!r%nt$ 2u$ tr%%t% $Kt$nd$r '% &!$rn%.

/ Con 'o


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MONITORIZACIN

CONCEPTO:

Lo !7no -!t%'$ on &%r69$tro '1n!o 2u$ r$='$4%n $' $t%do =!!o'"7!o d$'

or7%n!9o >u9%no; $$n!%'9$nt$ &ro&or!on%n 'o d%to 2u$ no d%r6n '%&%ut% &%r% $-%'u%r $' $t%do >o9$ot6t!o d$' &%!$nt$; !nd!%ndo u $t%do d$

%'ud &r$$nt$; %1 o9o 'o %9

t$r9o78n$! t$r9"'!!.Hipertermia:Inr$9$nto !9&ort%nt$ d$ '% t$9&$r%tur% or&or%' 96 d$ 3

CJ.Hiptermia:T$9&$r%tur% or&or%' 9$nor d$ '% nor9%' 9$no d$ 3, CJ.

!re"ue#"ia Re$piratria:Pro$o 9$d!%nt$ $' u%' $ %&t% oK17$no $

$'!9!n% d!"K!do d$ %r

OBJETIVO:

R$o7$r; 9otr%r r$7!tr%r 'o &%r69$tro =!!o'"7!o d$' !nd!-!duo. L% $n=$r9$r%

d$


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%o' &%r%

=%!'!t%r '% $!"n d$ 8to.3. Lo $'$trodo on $' %


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%$o %' t"r%K &%r% u%'2u!$r !nt$r-$n!"n 9%%4$; r%d!o7r%=1%;

$o7r%=1%;...J; '% &o!!"n r$o9$nd%d% $r6 $'$trodo ro4o>o9o;

$'$trodo %9%r!''o>o9or% % 2u$ &!$rd$n %'!d%d

%d>$!-%.*. Contro' d$ '% &!$' &%r% $-!t%r '$!on$ o %'$r7!%.. Co'o%!"n d$ 'o $'$trodo %


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M$d!!"n d$ '% &r$!"n 2u$ $4$r$ '% %n7r$ % u &%o &or '% %rt$r!%. H% do

9$d!d% d$ &r$!"n '% &r$!"n !t"'!%; '% &r$!"n d!%t"'!%; '% &r$!"n %rt$r!%'

9$d!% $K&r$% '% &r$!"n d$ &$r=u!"n % 'o d!=$r$nt$ "r7%no or&or%'$.

L% TA -%r1% on '% $d%d %u9$nt%ndo &ro7r$!-%9$nt$.

PROCEDIMIENTO

+. Co'o%!"n d$' 9%n"9$tro $ >%r6 d$ =or9% 2u$ %


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+. S$ r$2u!$r$ d$ %d>$!-o &%r% =!4%r./. S$ d!&on$ $' $nor &%r% '% t$9&$r%tur% ut6n$% $n '% )on% d$' >17%do

d$oJ $ =!4% % '% &!$' 9$d!%nt$ $'

d!&$ror d$ %'or.

3. P%r% '% 9$d!!"n d$ '% t$9&$r%tur% &$r!=8r!% un 'u7%r d$ o'o%!"n $ '%&'%nt% d$' &!$ o $' &u'&$4o d$' d$do 7ordo. S! r$%'!)%9o $' ontro' d$ '%

do t$9&$r%tur% $ntr%' &$r!=8r!%J; '% r$u't%nt$ $ '% t$9&$r%tur%

d!=$r$n!%'; 8t% $ un

-%o %n7u1n$o; 9$d!%nt$ 9!ro&ro$%dor$ $ %n%'!)%n '% ond% no d%n

'% %tur%!"n %rt$r!%' d$ oK17$no; '% ond% d$ &u'o %rt$r!%' '% =r$u$n!% %rd1%%.

PROCEDIMIENTO

+. E'$7!r un% )on% 2u$ $t8

'!!&ot$r9!%; r$9%no -$noo $ >!&ot$n!"n

$


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3. L!9&!%r '% &!$' o'o%r $' $nor; $7?n '% $d%d t%9%o d$' &%!$nt$; d$

=or9% %d$u%d%; $ =!4%r6 on !nt% %d>$!-% ! ''$7%r% % $r n$$%r!o.(. No o'o%r $' tr%ndutor $n un% $Ktr$9!d%d on %t8t$r %rt$r!%' o un% -1%

d$ !n=u!"n -$no%.

:. Cu!d%do d$' %% ='u4o &u'6t!' $n '% )on% d$ %&'!%!"n 2u$ no t$n7% un

9o-!9!$nto $K$!-o.*. In&$!on%r '% )on% d$ %&'!%!"n %d% 3 >or% &%r% o9&ro

MATERIAL

Sond% n%o76tr!%.

13


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E&%r%dr%&o.

Luor% '%%'!9$nt%!"n -o'-$r % o9&ro


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. Pro7r%9%r '% -$'o!d%d d$ %d9!n!tr%!"n $7?n $% &or 7r%-$d%d oNutr!or% $n %'!9$nt%!"nont!n?%.

+3.C%9or% '!9&!6ndo'o on %7u%t!

+(.R$7!tr%r $n '% >o4% d$ u!d%do d$ $n=$r9$r1% $' t!&o d$ nutr!!"n $'-o'u9$n % %d9!n!tr%r '% =r$u$n!% r!t9o d$ %d9!n!tr%!"n.

+:.R$7!tr%r $n '% >o4% d$ o9$nt%r!o d$ $n=$r9$r1% '% &o!


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MATERIAL:

So'u!"n &%r% nutr!!"n &%r$nt$r%' tot%' o &%r!%'J. E2u!&o d$ %d9!n!tr%!"n I.V. o9or% d$ !n!!o t8r9!no d$ '% o'u!"n; ='u4o d$ 7ot$o &or

9!nuto; no9


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,. En %o d$ no ont%r on

MATERIAL:

@%


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/. D$&o!t$ $n '% &%'9% d$ '% 9%no un% %nt!d%d d$ 4%% ontr% $' doro d$ '% 9%no !)2u!$rd%

$ntr$'%)%ndo 'o d$do -!$-$r%.

:. Fr"t$$ '% &%'9% d$ '% 9%no $ntr$ 1; on 'o d$do $ntr$'%)%do.

,. Fr"t$$ $' doro d$ 'o d$do d$ un% 9%no on '% &%'9% d$ '% 9%no

o&u$t%; %7%rr6ndo$ 'o d$do.

5. Fr"t$$ on un 9o-!9!$nto d$ rot%!"n $' &u'7%r !)2u!$rdo; %tr%&6ndo'o on

'% &%'9% d$ '% 9%no d$r$>% -!$-$r%.

*. Fr"t$$ '% &unt% d$ 'o d$do d$ '% 9%no d$r$>% ontr% '% &%'9% d$ '%

9%no !)2u!$rd%; >%!$ndo un 9o-!9!$nto d$ rot%!"n -!$-$r%.

. En4u67u$$ '% 9%no on %7u%.

+0.S82u$$ on un% to%''% d$$>%


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CURACIN DE ULCERAS POR PRESIN

CONCEPTO

UPP: Zon% 'o%'!)%d% d$ &$rd!d% d$ ont!nu!d%d d$ '% &!$'; 2u$ t!$nd$n %

%&%r$$r u%ndo $' t$4!do $r!d%. E2u!&o d$ r$t!r%d% d$ utur%; ! $ r$2u!$r$.

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PROCEDIMIENTO:

+. Pr$&%r%!"n d$' %rro d$ ur%!"n ''$-%r'o % '% >%

3. In=or9%r %' &%!$nt$ &ro&or!on%r'$ !nt!9!d%d.

(. V%'or%!"n d$ '% ?'$r% 'o%'!)%!"n; '%!=!%!"n $7?n $t%d!o; t!&o d$ t$4!do;

%nt!d%d d$ $Kud%do; do'or !7no d$ !n=$!"n 'o%'.

:. Co'o%r$9o 'o 7u%nt$ $t8r!'$.

,. S$ '%-% '% >$r!d% on Su$ro =!!o'"7!o % >orroJ.

5. S! '% '$!"n $ &$2u$% $t%d!o I IIJ !droo'o!d$ %%!% =u$r%.

+0. E' ont%to d!r$to d$' t$4!do -!-o on $' %!r$ =%!'!t% '% oK!7$n%!"n $-!t% '%

7%n7r$n%.

++. T%9

r$7$n$r%!"n d$' t$4!do; o

$&%r%dr%&o >!&o%'8r7!o.

+3. Por ?'t!9o; o'o%r$9o %' &%!$nt$ $n &otur% "9od% %d$u%d% $ d$


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CURACION DE HERIDAS

CONCEPTOTod% '$!"n d$ '% &!$' 9uo%; t!$n$ un% !nt$rru&!"n d$ '% !nt$7r!d%d t!u'%r &ortr%u9%t!9o; !nt$r-$n!"n 2u!r?r7!% o tr%torno. E' tr%t%9!$nto d$ >$r!d%

&r$-!$n$ '% !n=$!"n $' d$t$r!oro d$' $t%do d$ '% >$r!d% %$'$r% $' &ro$o d$!%tr!)%!"n.

OBJETIVO:E-!t%r $' &ro$o !n=$!oo. En '% >$r!d% d$' &%!$nt$

MATERIAL:

T$'% %d>$!-%

V$nd%Gu%nt$ $t8r!'$ no $t8r!'$TuoTo%''% d$ &%&$'G%% -%$'!n%d%P%o $t8r!'.So'u!"n %nt!8&t!%.Su$ro =!!o'"7!o.E2u!&o d$ ur%!"n $t8r!'.T!4$r% $t8r!'$ o >o4% d$


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PROCEDIMIENTO:

+. Id$nt!=!%r %' &%!$nt$.

/. In=or9%r'$ o$r!d% ! not%9o %'7un% -%r!%!"n $n $'%&$to d$ '% 9!9% $nro4$!9!$nto; $9&'%t%9!$nto; d$>!$n!% o '% %&%r!!"nd$ un %$r!d%.+(. Con un% &!n)% d$ d!$!"n un% d$ >$r; do%!% d$ntro.

HERIDA ABIERTA

+. I9&r$7n%r '% 7%% on u$ro =!!o'"7!o '!9&!%r u%-$9$nt$ '% &!$' d$%'r$d$dor./. D$$>%r '% 7%% $%r !n =r!!on%r.3. Irr!7%r '% >$r!d% on u$ro =!!o'"7!o; ! $K!t$ $Kud%do o u&ur%!"n.(. L!9&!%r '% >$r!d% on 7%% !9&r$7n%d% $n %nt!8&t!o; $n $nt!do !ru'%r;d$d$ d$ntro >%!% =u$r%.:. S$%r orr$t%9$nt$ on 7%% $t8r!'$; ut!'!)%ndo '% 9!9% t8n!%.,. A&'!%r $' &roduto 2u$ $t8 !nd!%do; $7?n '% %r%t$r1t!% d$ '% >$r!d%.

5. Co'o%r un %&"!to $t8r!'.*. R$t!r%r $' 9%t$r!%' ut!'!)%do.. Ao9od%r %' &%!$nt$.+0. Qu!t%r$ 'o 7u%nt$.++. L%-%r$ '% 9%no.+/. R$7!tr%r $' t!&o d$ ur% r$%'!)%d% '% $-o'u!"n d$ '% >$r!d%.

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MOVILIZACION

CONCEPTOMo-!9!$nto 2u$ $ r$%'!)% o%d% Co4!n$ S%


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DEC/BITO LATERAL+. Mu$-$ '% &$ron% >%!% $'


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CONTROL DE LI0UIDOS 1 ELECTROLITOS

CONCEPTO

E $' ontro' $K%to d$ 'o '12u!do 2u$ !n7r$%n $ &!$rd$n &or '% d!=$r$nt$-1%; &%r% $t%%$rr$&u$to $n '% d!$t% o $n '12u!do $ndo-$noo.

MATERIAL

Ho4% d$ ontro' d$ '12u!do. R$!&!$nt$; =r%o 7r%du%do; 4$r!n7% d$ ,0 . P$o ! $ n$$%r!o. Prot$!"n $&$!%'; ut!'!)%r 7u%nt$; 9%%r!''% o&!on%'J -$t!9$nt% $t8r!'>%!tor!% '1n!% otro d%to

/. H%7% $' $n%o4% d$ ontro' d$ '12u!do.

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SONDAJE VESICAL

CONCEPTO:

M%n!o%t% '% -$4!7% ur!n%r!% on =!n$

d!%7n"t!o o t$r%&8ut!o.

MATERIAL

Fu$nt$ d$ 'u). Gu%nt$ d$ un o'o uo no $t8r!'$. Gu%nt$ $t8r!'$. A7u% 4%


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E# e% 2m3re:

Co'o%r $' &%!$nt$ $n d$?

E# %a mu4er:

+. Co'o%r % '% &%!$nt$ $n d$?

(. R$%'!)%r $' '%-%do d$ 'o 7$n!t%'$.

E# e% 2m3re:

+. L%-%r 'o 7$n!t%'$ $Kt$rno on %7u% 4%%!% '%

%nt!8&t!% &%rt!$ndo d$' '1tor! >%!% '% -%7!n%.

3. R$t!r%r 'o 7u%nt$ d$ un o'o uo; '%-%r '% 9%no &on$r 'o 7u%nt$

$t8r!'$.

(. D$'!9!t%r '% )on% 7$n!t%' on &%o $t8r!'$.

:. Lu


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+. Su4$t%r $' &$n$ on =!r9$)% $t!r6ndo'o '!7$r%9$nt$ >%!% d$'%nt$ %%t% '$ -$4!7%.

/. Co9&ro$>o =!!o'"7!o d$ 2u$ $' &$r!ton$o $ un%9$9


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tr%n&ort$ o9"t!o d!=u!-o; &$r9!t$ &%%r %7u% d!t!nto o'uto d$d$ 'o%&!'%r$ %n7u1n$o &$r!ton$%'$ %' '12u!do d!%'!)%do.

OBJETVOD$&ur%!"n $Ktr%rr$n%'; $Ktr%$ndo ut%n!% d$ d$$>o; t"K!%.

MATERIAL

G%% $t8r!'$.So'u!"n d$ &o-!don% od%d%.So'u!"n d$ %'o>o'%$ton%M%%r!''%;


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/. In=!'tr%r on %n$t$!% 'o%'; : 9 &or d$

D$4%r 2u$ $' =!%dor o% o !)2u!$rd%J; %-%n)%r u%-$9$nt$ $' %t8t$r; 9!$ntr% $ r$t!r% $'=!%dor.

*. Con=!r9%r '% &o!!"n !ntr%&$r!ton$%'; '% %'!d% d$ '12u!do on=!r9% '% &o!!"n!ntr%&$r!ton$%'.

. F!4%!"n d$' %t8t$r.+0. R$ort%r $' %t8t$r.

++. Con$K!"n d$' %t8t$r on $' !t$9% d$; tu


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Introdu!"n d$ un tu$!-% o M!ro&or$

Et$too&!o G$' 'u


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/. In&$!on%r '% %-!d%d n%%' or%' d$' &%!$nt$

3. P%'&%r $' %%d% d$tr6 d$ %o9%!% $' &$>o d$4%r 2u$ $' &%!$nt$ $

r$'%4$ un 9o9$nto.

+0.Et!9u'%r %' &%!$nt$ &%r% 2u$ tr%7u$; d6ndo'$ &$2u$o or


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CUIDADOS DE CATETER URINARIO PERMANENTE

CONCEPTO:

D!&o!t!-o ='$K!%t% '% -$4!7%; dond$ 2u$d% =!4o on un


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OBJETIVO

R$ono$r %&$to &r!n!&%'$ d$' u!d%do d$ '% ond% Fo'$ $n $'&%!$nt$ r1t!o;

!d$nt!=!%r 'o &%o &r$-!o % '% !nt%'%!"n d$ '% ond% Fo'$;

!d$nt!=!%r 'o u!d%do %o!%do % '% 9%nt$n!"n d$ '% ond% Fo'$; r$ono$r '% &r!n!&%'$ 9$d!d% %o!%d% % '% &r$-$n!"n d$ !n=$!on$

d$' tr%to ur!n%r!o; r$ono$r 'o &r!n!&%'$ &ro$d!9!$nto d$ to9% d$$K69$n$ d$ '% Sond% Fo'$.

MATERIAL

E2u!&o V$!%' $t8r!' Sond% ur$tro-$!%' @$r!n7% d$ +0 " /0 A7u%

8t$ $t8r!' $ u7!$r$ no r$t!r%r t%&% &rot$tor%J. To9%r $K%9$n d$ or!n%d$ $r n$$%r!o

C$rr%r '% &%rt$ !n=$r!or d$' r$o'$tor -!$n$ %

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Co'7%r $n %9% &on$r r$$&t6u'o &%r% 2u$ '% %ut!-%9$nt$ %d% +/ >or%

T6CNICA DE HEMODIALISIS.

CONCEPTO

Tr%t%9!$nto 2u$ &$r9!t$ r$9o-$r '% toK!n% $' $K$o d$ '12u!do 9$d!%nt$ $'

uo d$ un% 962u!n% un d!%'!)%dor; t%9


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OBJETIVO

F!'tr%r '% %n7r$ &%r% $'!9!n%r 'o d$$>o &$'!7roo d$' u$r&o $' $K$o d$

%' %7u%.

E0UIPO:

M62u!n% d$ d!6'!! L!2u!do d$ d!%'!)%do M62u!n% d$ >$9od!6'!! o9$9od!%'!)%r.

/En$nd$r $' r!"n %rt!=!!%' &or '% &%rt$ %nt$r!or $&$r%r % 2u$ >%7% r$&o!!"n

d$ $n$r71%.

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3En$nd$r '% &%rt$ =ront%' d$' r!"n %rt!=!!%'.

(Pr$&%r%r 9%t$r!%' $2u!&o =!'tro; '1n$% %rt$r!%' -$no%.

:F!4%r '% 69%r% $n $' o&ort$ orr$&ond!$nt$.

,A$&%r!n%

d$ :000 UI. on$t%r % un nor9o 7ot$ro.

+:Con$t%r $' $2u!&o d$ -$no'!! % '% &%rt$ d$ '% '1n$% %rt$r!%' d$ '%


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+,V$r!=!%r; 2u$ un% -$) ''$n% '% '1n$% %rt$r!%' $ '%9&% &%r% $-!t%r '% =u7% d$

o'u!"n.

+5In$rt%r $' 7ot$ro -$noo $n u o&ort$; u

9!t%d $' =!'tro !n=$r!or d$%!% %$96t!% '%do %)u'J.

//Co'7%r '%

Tecnicas de Adulto

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