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Pediatria > Desconforto respiratório do RN > Flashcards

Desconforto respiratório do RN Flashcards

1
Q

aceleradores da maturação pulmonar

A

pre eclampsia
corticoide antenatal
RCIU
RPMO

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2
Q

doença da membrana hialina
definição
FR

A 
síndrome do desconforto respiratório do RN
deficiencia de surfactante 
RN <35s
mae DM
masculino
asfixia perinatal
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3
Q

Rx membrana hialina

A

infiltrado reticulogranular difuso (vidro moído)

broncograma aéreo

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4
Q

indicação de profilaxia com surfactante

A

RN <28s

peso <1000g

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5
Q

corticoide antenatal

A

24-34s IG
efeito após 24h
duração 7d

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6
Q

principal fator TTRN

A

parto cesárea eletiva fora do TP

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7
Q

TTRN quadro

A 
desconforto leve (taquipneia) BSA <5
melhora em 24-48h
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8
Q

Rx TTRN

A

congestão perihilar

cisurite

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9
Q

tto TTRN

A

CPAP nasal

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10
Q

SAM

A 
meconio > inativação do surfactante
inflamação
obstrução
mais comum em RN pos-termo
estertores grossos
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11
Q

complicação comum SAM

A

hipertensão pulmonar persistente

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12
Q

rx SAM

A

opacidades grosseiras

hiperinsuflação

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13
Q

tto SAM

A

atb empirico

suporte ventilatorio

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14
Q

pneumonia precoce germes

A

GBS, e coli, listeria

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15
Q

fatores de risco pneumonia

A

prematuridade, RPMO >18h, colonização pelo GBS, corioamnionite

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16
Q

Rx pneumonia

A

infiltrado reticulogranular bilateral + broncograma aereo

dd- membrana hialina, hemorragia pulmonar

17
Q

tto pneumonia

A

ATB (penicilina C + amicacina ou ampicilina + gentamicina)

18
Q

HPPN quadro clinico

A

desproporção desconforto x hipoxemia
labilidade SatO2
hiperfonese B2

19
Q

Rx HPPN

A

inespecífico

dx eco

20
Q

tto HPPN

A

suporte
O2
vasodilatadores pulmonares (NO, sildenafil, milrinona)

21
Q

HPPN doenças associadas

A 
SAM
pneumonia/sepse
membrana hialina
cardiopatias
hipoplasia pulmonar
asfixia neonatal
22
Q

BDP quadro clinico

A

prematuro com uso prolongado de O2 >=28d

23
Q

Rx BDP

A

inespecífico

24
Q

tto BDP

A

suporte
O2
diureticos

25
Q

tto BDP

A

ventilação gentil
alvo SatO2 91-95%
cafeina
palivizumabe

26
Q

palivizumabe

A

profilaxia de bronquiolite por VSR em RN com BDP

Pediatria (12 decks)

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