ASMA Flashcards

1
Q

IOT em asma

A

-ACIDOSE RESPIRATORIA
-reducao da CONSCIÊNCIA
-torax silencioso: MV ABAFADO

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2
Q

classificacao DE CONTROLE

A

-sint 2xsem
-despertar noturno
-resgate 2xsem
-limitacao de atividades

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3
Q

FR para exarcebar

A

-Adesão
-UTI ou IOT
-ABUSO DE SABA
-CORMOBIDADES

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4
Q

Tto segundo step > 6a

A

1 e 2 : CI baixo
3: CI baixo + LABA ( MART )
4: CI medio + LABA
-SABA p/ Todos

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5
Q

STEP de 6 a 11a

A

1: Sint 2x /mes
2: > 2x/mes
3: Sint diarios ou despertar
4: 3 + espirometria alterada
-Leve ( 1 e 2 ), Mod ( 3 e 4 ) , grave ( 5 )

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6
Q

etapas para tto <6a

A

1: SABA sn
2: CI baixo ou LEUCOTRIENO
3: CI dobrado ou CI baixo + leucotrieno
4: CI DOBRADA + leucotrieno
- 3 e 4 refere ao especialista

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7
Q

crise asmatica leve / moderada < 6a

A

-SABA 2 puff
-O2 e ipatropio s/n
-observa por 2hs depois

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8
Q

crise asmatica grave <6a

A

-SABA 6 puff + O2 ( 94 a 98 %)
-Metilpredinisolona 1 a 2mg x kp
-Considerar ipatropio
-repete SABA em 3 hs : resposta parcial

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9
Q

crise asmatica grave <6a parametros

A

-40 rpm
-150 bpm ( >3a ) > 180 ( <3a)
-< 92%
-palavras intercortadas
-tiragem instercostal ou subcostal

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10
Q

rx e gasometria para asma ( nao em 1 momento )

A

-Suspeita de infeccao secundaria
-Aspiracao de corpo estranho

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11
Q

indice preditivo de Castro Rodrigues

A

-MAIORES : pais asmáticos + eczema (dermatite )
-MENORES: eosinofilia > 4, rinite, sibilante
-DX: 1M ou 2m

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12
Q

criterios na crise grave > 6a

A
  • > 30 rpm
  • > 120 rpm
    -< 90 %
    -Frases curtas
    -Agitado
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13
Q

dose SABA e IPATROPIO

A

-1 puff cada 3kp
-0,25 MG ou de 20 a 40 gotas

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14
Q

tto da crise leve a moderada em >6a

A

-Saba 4 a 10 puff c/ 20 min 1h
-Predinisolona 1h
-Considera : ipatropio e 02

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15
Q

tto da crise grave em >6a

A

-Saba 4 a 10 puff cada 20 min por 1h
-Predinisolona 1 h
-Brometo de ipatropio e o2
-Considera : SMG

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