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Pediatria > Disturbio Resp Neonato > Flashcards

Disturbio Resp Neonato Flashcards

1
Q

Etiopatogenia dç da membrana hialina

A

Pouco surfactante
Tem mt so dps da 34 sem
Causa colapso pulmonar e hipoxia

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2
Q

Fatores de risco para dç membrana hialina

A

Prematuridade
Asfixia
Sexo masculino
Diabetes materno

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3
Q

Diabetes materno na dç membrana hialina

A

Insulina retarda a produçao de surfactante

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4
Q

Clinica da dç membrana hialina

A

Inicio nas primeiras horas
Taquipneia
Retraçao costal + gemido
BAN cianose

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5
Q

Rx dç membrana hialina

A

Infiltrado reticulo granular difuso (hipotransparencia)

Vidro fosco/ moido

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6
Q

Tto dç membrana hialina

A

Hood
CPAP (evita colapso pulmonar)
Ventilaçao mecanica (indicaçao surfactante)
Atb

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7
Q

Mecanismos de sepse neonatal e agentes

A

Ascendente/ intraparto: precoce
Primeiras 48h
Strepto grupo B, gram neg entericos

Nosocomial/ comunitaria: tardia
Apos 7dias
Staphylo, gram neg; fungos

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8
Q

Fator se risco sepse por fungo

A

Extremo baixo peso
NPT
Cateter

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9
Q

Fatores de risco sepse neonatal precoce

A

Ruptura prolongada de membranas
Corioamnionite
Prematuridade
Colonizaçao materna por germe patogenico

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10
Q

Clinica sepse neonatal

A 
Pode haver periodo assintomatico
Desconforto respiratorio
Dç sistemica
Distermia
Alteraçao estado de alerta
Alteraçao cardiovasc e gastrointest
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11
Q

Sepse neonatal precoce: exames

A

Rx torax
Hemograma (relaçao I/T)
PCR

Identificar agente:
Liquor
Hemocultura
Urocultura

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12
Q

Relaçao I/t

A

Neutrofilos imaturos/ neutrofilos totais

> 0,2 é infec bacteriana

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13
Q

Tto sepse neonatal

A

Precose: amp+ genta
Tardia: empirico

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14
Q

Formaçao meconico

A

Relaxamente esfincter anal por asfixia fetal

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15
Q

Historia sd de aspiraçao meconial

A

Termo e pos termo
Sofrimento fetal
LA meconial

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16
Q

Clinica sd aspiraçao meconial

A

Inicio primeiras horas

Desconforto resporatorio grave

17
Q

Rx sd aspiraçao meconial

A

Infiltrado alveolar grosseiro
Pneumotorax
Volume pulmonar aumentado

18
Q

Tto sd da aspiraçao meconial

A

Ventilaçao mecanica
ATB
Surfactante

19
Q

Sinonimos taquipneia transitoria do RN

A

Sd desconforto respiratorio tipo 2

Sd pulmao unico

20
Q

Etiopatogenia sd pulmao unico

A

Retarno da absorçao liq pulmonar

21
Q

Historia sd pulmao unico

A

Ausencia de trabalho de parto
Cesariana
Termo

22
Q

Clinica sd pulmao unico

A

Inicio nas primeiras horas do dia
Desconforto resp moderado
Rapida resoluçao

23
Q

Rx sd pulmao unico

A 
Congestao hilar
Aumento trama vascular
Liq cisural; derrame
Cardiomegalia
Hiperinsuflaçao
24
Q

Tto sd pulmao unico

A

Oxigenoterapia

Suporte

Pediatria (16 decks)

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