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Neurologia > Coma > Flashcards

Coma Flashcards

1
Q

Pontuação da abertura ocular ?

A

Espontânea 4
A voz 3
A dor 2
Nenhuma 1

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2
Q

Pontuação da resposta verbal ?

A 
Orientada 5
Confusa 4
Palavras inapropriadas 3
Palavras incompreensíveis 2 
Nenhuma 1
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3
Q

Pontuação resposta motora ?

A 
Obedece a comandos 6
Localiza a dor 5
Movimento de retirada 4
Flexão anormal 3
Extensão anormal 2
Nenhuma 1
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4
Q

Na morte encefálica qual é o valor de Glasgow ?

A

Glasgow 3

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5
Q

Reflexo fotomotor ausente com pupilas com tamanho normal ?

A

Morte encefálica

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6
Q

Reflexo fotomotor ausente com pupila midriatica ?

A

Atropina/ lesão de mesencéfalo posterior por onde passa o oculomotor

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7
Q

Reflexo foto motor ausente com pupilas em miose ?

A

Opiáceos/ lesão pontina

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8
Q

SeM reflexo fotomotor ipsilateral ?

A

Herniacao uncal/ HIC

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9
Q

Fundo de olho papiledema bilateral ?

A

HIC grave

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10
Q

Estrabismo divergente , lesão de ?

A

Mesencéfalo - oculomotor

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11
Q

Morte encefálica ?

A

T>35•
O2 >94%
PÁS:100mmHg
PAM: 65

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12
Q

Morte encefálica pré requisitos ?

A

Lesão de encéfalo conhecida irreversível sem tratamento

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13
Q

Reflexo de Lázaro

A

Paciente se movimenta mesmo com morte encefálica

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14
Q

Teste da apneia

A

Hiperventila o paciente por 10 min com FIO2 de 100% —> gasometria PAO2 acima de 200mmHg
Retira o ventilador mecanico por 10 min —>gado com PACO2 > 55mmHg

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15
Q

Reflexos para avaliar Morte Encefálica ?

A 
Fotomotor
Córneopalpebral 
Oculocefalico 
Vestibulocalorico
Tosse
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16
Q

Exames complementares para avaliar Morte encefálica ?

A

Spect
EEG
Doppler transcraniano
Arteriografia cerebral

Neurologia (12 decks)

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