3p toxi: SALICILATOS & PARACETAMOL Flashcards

1
Q

MA salicilatos

A

(-) cox 1 de forma irreverisble

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2
Q

cc de intox x salicilatos

A

⭐️HIPEROPNEA –> ALCALOSIS RESP
⭐️AC. METABOLICA xq salicilato es acido
⭐️DOLOR RETROESTERNAL
-estado estuporoso & delirio
-DESHIDRATACION IMPORTANTE x perdida de K
-hemorragia

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3
Q

⭐️dx intox x salicilatos

A

a las 6h –> nonograma DONE

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4
Q

⭐️tx para dism absorcion del salicilato

A
  • lavado gastrico
  • CARBON ACTIVADO
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5
Q

⭐️tx para aument. eliminacion en una intox x salicilatos

A

ALCALINIZAR ORINA con BICARBONATO NA IV

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6
Q

dosis toxicas paracetamol en niños

A

80-150 mg/ kg

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7
Q

dosis toxicas paracetamol en adultos

A

125 mg/kg o 7.5g

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8
Q

MA del paracetamol

A

(-) raro de la cox & (-) centro hipotalamico termoregulador

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9
Q

⭐️cuales el metabolito que causa daño en la intox x paracetamol

A

NAPQI xq genera NECROSIS HEPATICA

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10
Q

fase III de la intox x paracetamol :

A

72-96 hrs
HEPATITIS FULMINANTE

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11
Q

⭐️dx de intox x paracetamol

A

nonograma de RUMIACK MATHEW a las 4h

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12
Q

⭐️tx intox x paracetamol

A

N-ACETILCISTEINA
xq actua como el glutation

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13
Q

⭐️cual seria la dosis inicia oral de n-acetilcisteina
a)150 (1dosis)
b) 140
c) 70 (x17 dosis c/4h)

A

140 mg/kg

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14
Q

⭐️cual seria la dosis en px que tiene hepatitis fulminante o que es intolerante a la via oral
a)150 (1dosis)
b) 140
c) 70 (x17 dosis c/4h)

A

150 mg/kg

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15
Q

⭐️cual es la dosis de mantenimientos via oral de intox x parecatol

A

c/4 hrs x17 veces 70mg/kg

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