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Chronic Hypertension

Chronic Hipertenso is the arterial pressure above of 140×90 mmHg before the twentieth week of gestation. The DHEG is characterized, beyond rise of the sanguineous pressricos levels, by the presence of proteinria and edema generalized, initiates after 20 week of gestation, and with these symptoms is classified as daily pay-eclmpsia (Valadares Grandson et al, 2000). When irritability of Sistema Nervoso Central occurs (SNC) has as consequncia the convulsions it eats and it, being then called eclmpsia (Arajo et al, 1998; Alencar Jr, 2000). Alencar Jnior (2000) divides the daily pay-eclmpsia in: Light Daily pay: characterized for bigger or equal arterial pressure 140×90 mmHg, or 30 increase of mmHg in the sistlica pressure, or still 15 increase of mmHg in the diastlica pressure; edema that it does not yield to the rest and proteinria. Serious Daily pay: 160×110 is characterized for bigger or equal arterial pressure mmHg, or with appearance of any another premunitrio signal of eclmpsia. Alencar Jnior (2000) points, still, the premunitrios signals of eclmpsia: Chronic headache, mental confusion, confusion of the vision, epigastralgia or pain in the right hipocndrio; Syndrome HELLP (anemia hemoltica? H? ; raised hepticas enzymes? el? ; trombocitopenia, or plaquetas below of 100.000/mm? ' ' lp); Proteinria (3g or more in 24h); Oligria (less than 450 ml/24h); Pulmonary Edema, cianose; Hemoconcentrao. The modified pressricos levels, when perceived for the health team, must be confirmed in, at least, two measures, with the gestante in rest (Schirmer et al, 2000). Orra, Silva and Muniz (1994) show that in atypical pictures they can be found hemlise, hepticas enzyme trombocitopenia and rise, characterizing Syndrome HELLP, above cited, that it means I aggravate for the deteriorizao of the organic functions maternas, demanding immediate resolution of the gestation. According to Cabral, Costa and Cabral Jr (2003), the childbirth Caesarean type passed to be used in order to diminish the indices of infantile morbimortalidade materna and in the case of the DHEG and other complications.

The Cells

The chronic effect include damage, disfuno or bankruptcy of agencies, especially sanguineous kidneys, nerves, heart and vases. The initial presentation can be given for polidipsia symptoms, poliria loss of weight; in more serious cases, these symptoms evolve for cetoacidose or eat to hiperosmolar that, if not taken care of readily, they can lead to bito' '. (DUCAN, 2004, P. 935). It is responsible for the morbi-mortality of good part of the Brazilian and world-wide population, reaching people of the most varied phases of the vital cycle. One knows, however, that great part of its complications could be prevented with writs of prevention, what mellitus can be made by means of programs of health for control of diabetes or of its complications.

(TEIXEIRA, 2004). According to Brunner ' ' diabetes mellitus is a group of metabolic illnesses characterized by raised glucose levels in the blood (hiperglicemia) resultant of defects in the secretion of insulina and or the action of this. ' ' (BRUNNER, 2000, P. 936) ' ' The insulina, is the hormone produced for the pncreas, controls the glucose level in the blood when regulating its production and storage. In the diabetic state, the cells can stop to answer the insulina or the pncreas can stop total of produced-la.' ' (BRUNNER, 2000, P. 935) diabetes mellitus can be classified in 03 types: gestacional, type I and type II, being, according to Brunner 2001, the main classifications are: Type I? previously related as insulino dependent; Type II? previously related with diabetes mellitus not insulino dependent.

' ' Diabetes type I characterizes for destruction of the pancreticas cells beta. One gives credit that a combination of genetic, imunolgicos and possibly ambient factors (p.ex you capsize) contributes for the destruction of the cells beta' ' (BRUNNER, 2000, P. 935). ' ' Normally, the insulina one leagues it receiving special in the cellular surfaces and initiates a series of involved reactions in the metabolism of the glucose.


They must always be associates to the biological tests, therefore separately it does not guarantee an efficient sterilization. (BRAZIL, 2001). The external pointers are ribbons of self-adhesive used basically to differentiate the not processed processed packages of. (BRAZIL, 2001) Brazil, 2001 Mentions that the types of internal pointers vary the sterilization processes in accordance with. They are divided in: Classroom 1: pointers of process (former: zebrada ribbon). It indicates that the material passed for the sterilization process. The materials must be used in all to be used.

For use of materials type package or box. Classroom 2: pointers for use in test specific (former: Bowie and Dick). It serves to test effectiveness of the system of vacuum in the daily pay-vacuum sterilizers. It carries through the detention of air bubbles and evaluates the ability of the sterilizers, daily pay-vacuum in air removal when the admitted vapor and, forming the vacuum. It must not have formation of bubbles that can compromise the sterilization process. It must daily be carried through, before the processing of the first load. Classroom 3: parameter pointers.

Projected to measure one of the critical parameters of the sterilization process: vapor, time, temperature or saturated vapor. Classroom 4: multi-parameters: Used to measure two or more critical parameters of the sterilization process. They indicate the exposition to the sterilization cycle. Classroom 5: integrated pointers: Projected to react with all the critical parameters of the process of sterilization, inside of a specific interval of sterilization cycle. Classroom 6: Simulators: Projected to react with all the critical parameters of the process of sterilization. The reading of the pointer is capable to mention possible imperfections in some specific parameter Test of Bowie-Dick, as Roman, 2010. p.2 For its accomplishment becomes a package with clamped fields one on the other forming a stack of 25 the 28 cm of height, in the way of this stack places a paper with ribbons of sterilizer or zebradas ribbons glue in cross form, covering all the surface of the paper.

Internal Secular Organization

Therefore, the process is dependent of the luminosity or the lack of it, thus it is initiated when putting of the sun, when becoming gloomy, as it was an acknowledgment to the organism to prepare itself to sleep. Whereas the adrenal gland liberates the hormone cortisol, that it informs and it prepares the organism for the vigil. If to measure the body temperature to each two or three hours throughout some days, will verify that it tends maximum values in the end of the afternoon and minimum values in the way of the night (…) This variation of temperature is verified same if the ambient conditions of luminosity and temperature to remain constant (LOUZADA and MENNA-BARRETO, 2007, P. 16). Then, with this inquiry, it is possible to evidence the existence of internal clocks that regulate our functions and that they are independent of the environment, the call Internal Secular Organization. We have an internal clock that in the awaken one and it makes in them to adormecer.

When the internal clock is indicating the period of vigil, the organism if it speeds up and its energy increases, what disfara the effect of behind sleep. However, when it points with respect to a slower period of training, the corporal processes lose rhythm and energy, exacerbando the effect of the debit of sleep (COREN, 1998, p.69). From this we come across in them with a great controversy in relation to the system of the biological clock, the what concerns the necessary amount of sleep to the individuals. It is important to clarify that this factor is sufficiently relative, since each person.


Initially in 1974, Gomes (cited by BENATTI & NISHIDE, 2000), made the first study on the occupational health in hospital, and observed that in 1971 4,468 employment-related accidents in Brazilian hospital establishments had occurred. Later in 1981 Franc 1977 studied 26 occupational groups of hospital workers in the year of catching complaints and illnesses related with the work process, such as: infectum-contagious illnesses, alrgicas lombalgias, illnesses, fatigues and employment-related accidents. Justification and Objective the choice of the thematic one was given in function of that the worker in health, demonstrates little to be worried about the risks the one that are displayed when giving the care to the hospitalized patient. As observed for Oliveira & Murofuse (2001) that the health workers know the risks to its health of a form generic. that the demonstrated knowledge is daily practical fruit of and the not deriving one of the existence of a service of occupational health in the institution. We have as objective to describe the risks the one that these professionals are displayed on the basis of diverse literatures that had approached this subject.

Methodology Treats? if of a integrativa revision of the literature, whose articles selected for this study are deriving of a database searched in the site Scielo and other sources as urisan.tche.br; ccs.uel.br. They had been used as word-keys for the search of the data expressions as occupational risk, Workers of the health, industrial accident. They had been found, approximately, twenty referring publications to the subject, being selected eleven articles scientific to be used for the accomplishment of the work. The used criteria of exclusion had been: articles published before year 2000; unrelated articles directly to the subject. Quarrel Until few decades, the focus of the attention of the professionals of the health if limited to attendance and to the care of the other and rare was valued the relation of its proper health with its environment of work (IT HISSES, 2008).

Infectious Complications

To introduce the wire guides, being unnecessary to detach from the needle. The introduction of the wire guides must occur without resistance, to remove the metallic needle, keeping the wire guides inside of the vein, dilatao of the orifice of the skin and the vein with proper dilatador through the wire guides, rank of the definitive catheter through the wire guides and withdrawal of the same. The setting of the monofilamentado catheter with (nylon), following the specifications of the manufacturer, oclusivo Dressing on the place of the puno, Confirmation x-ray of the positioning of the catheter. They is esteem that half of the patients admitted in hospital receives some type of therapy, wants either intravenosa or invasive procedures, being that the presence of infections in deep the venoso system represents a potential fort of infectious complications (3). I diagnosis it of the infections related to the catheter and difficult because nor all the patients present the signals of inflammation in the place of exit of the catheter and when the signals are gifts, the infection alone and after confirmed the withdrawal of the harvested catheter the tip of the catheter and three sample of blood sent for laboratory. Basing us laboratoriais and clinical criteria It was considered septicemia when it had the same at least two positive cultures for microorganism in the blood collected through puno of the catheter and peripheral vein, associate to the presence of suggestive sintomatologia of sistmica infection, as persistent fever and tremors (3). Justification and objective the central venoso catheter and an instrument I medicate very used in the monitoramento of patients in state I criticize.