droguri, medicamente si infectii neonat Flashcards

1
Q

marijuala: riscuri pt mama si fat

A

mama: minime
fat: RCIU, prematuritate

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2
Q

cocaina: riscuri pt mama

A

aritmie
infarct miocardic
AVC
hemoragie subarahnoidiana
convulsii
abruptio placentae

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3
Q

cocaina: riscuri pt fat

A

abruptio placentae
RCIU
prematuritate
deces fetal
anomalii faciale
dezvoltare intelectuala intarziata

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4
Q

etanol riscuri pentru mama si fat

A

mama: minime
fat: sindrom alcoolic fetal (retard mintal, RCIU, neuropatie senzoriala si motorie, anomalii faciale);
avort spontan
deces fetal intrauterin

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5
Q

opioide: riscuri pentru mama

A

infectie de la ace
sevraj narcotic
rupture prematura a membranelor

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6
Q

opioide: riscuri pentru fat

A

prematuritate
RCIU
aspiratie de meconiu
infectii neonatale
sevraj narcotic uneori fatal

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7
Q

stimulente: riscuri pentru mama

A

lipsa poftei de mancare si malnutritie
aritmie
depresie dupa sevraj
hipertensiune arteriala

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8
Q

stimulente: riscuri pentru fat

A

RCIU
defecte cardiace congenitale
palatoschizis

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9
Q

tutun: riscuri pentru mama

A

abruptio placentae
placenta previa
ruptura prematura a membranelor

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10
Q

tutun: riscuri fat

A

prematuritate
RCIU
avort spontan
deces fetal intrauterin
dezvoltare intelectuala afectata
risc de infectii respiratorii neonatale

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11
Q

halucilogene: riscuri mama si fat

A

mama: punere in pericol
fat: posibil intarzieri de dezvoltare

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12
Q

Teratogene: IECA

A

anomalii renale
scaderea osificarii craniului

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13
Q

Teratogene: Aminoglicozidele

A

Leziuni NC VIII
anomalii ale scheletului
defecte renale

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14
Q

Teratogene: carbamazepina

A

anomalii faciale
RCIU
retart mental
anomalii cardiovasculare
defecte tub neural

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15
Q

Teratogene: chimioterapice

A

deces intrauterin fetal in 30% din cazuri
RCIU sever
anomalii anatomice multiple (palat, oase, membre, organe genitale)
retard mental
avort spontan
neoplasme secundare

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16
Q

Teratogene:diazepam

A

palatoschizis
defecte renale
neoplasme secundare

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17
Q

dietilsilbestrol

A

cancer vaginal si de col uterin ulterior in viata (adenocarcinom)

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18
Q

fluorochinolone (ciprofloxacin)

A

anomalii de cartilaj

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19
Q

Teratogene: litiu

A

anoalia Ebstein

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20
Q

Teratogene: fenobarbital

A

sevraj neonatal

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21
Q

Teratogene: fenitoina

A

RCIU
anomalii faciale
retard mental
anomalii cardiovasculare

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22
Q

Teratogene: retinoizi

A

anomalii ale SNC
anomalii cardiovasculare
anomalii faciale
avort spontan

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23
Q

Teratogene: sulfonamide

A

kernicter (encefalopatie bilirubinica)

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24
Q

Teratogene: tetraciclina

A

anomalii ale scheletului
anomalii ale membrelor
modificari de culoare dentara

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25
Teratogene: talidomidele
anomalii ale membrelor
26
Teratogene: acid valproic
defecte ale tubului neuraol 1% anomalii faciale anomalii cardiovasculare anomalii ale scheletului
27
Teratogene: warfarina
RCIU avort spontan anomalii ale SNC anomalii faciale retart mental malformatia Dandy-Walker
28
toxoplasmoza: efecte asupra fatului
hidrocefalie microcefalie calcificari intracraniene corioretinita avort spontan convulsii
29
toxoplasmoza: diagnostic
clinic: similar mononucleoza pcr din lichidul amniotic sau screening anticorpi serici
30
toxoplasmoza: tratament
primetamina sulfadiazina acid folinic
31
toxoplasmoza: masuri igieno-dietetice
FARA gradinarit, carne cruda, lapte nepasteurizat, litiere de pisici
32
rubeola: efecte fat
risc de avort spontan leziuni ale pielii (bebelus ca o briosa cu afine) sindrom de rubeola congenitala: RCIU, surditate, anomalii CV, vedere sau SNC, hepatita
33
rubeola: diagnostic
screening pentru IgG realizat precoce prenatal
34
rubeola: tratament
imunizare inainte de sarcina fara tratament daca faci infectia in sarcina, imunoglobulina nu e dovedit ca ajuta
35
rujeola: efecte fat
risc prematuritate, RCIU si avort spontan risc de deces neonatal, mai mare la prematuri
36
rujeola: diagnostic
la mama clinic, confirmare prin IgM sau IgG dupa eruptie cutanata
37
rujeola: tratament
imunizare inainte de sarcina imunoglobuline in caz de infectie in sarcina fara vaccin in sarcina (viu atenuat)
38
sifilis: efecte fat
anemie neonatala surditate hepatosplenomegalie pneumonie hepatita osteodistrofie eruptii cutanate cu descuamare maini si picioare mortalitate neonat 25%
39
sifilis: diagnostic
RPR sau VDRL prenatal precoce confirmare prin FTA-ABS
40
sifilis: tratament
penicilina in caz de alergie desensibilizare
41
CMV: efecte fat
RCIU corioretinita anomalii SNC retard mental anomalii vedere surditate hidrocefalie convulsii hepato-splenomegalie
42
CMV: diagnostic
asemanatoare mononucleoza IgM sau ADN viral in primele sapt de viata
43
CMV: tratament
in sarcina fara tratament ganciclovir la NN igiena corespunzatoare reduce transmisia!
44
Herpes simplex: efecte fat
RCIU prematuritate avort spontan risc de deces neonatal anomalii SNC
45
Herpes simplex: diagnostic
diagnosti clinic, confirmare prin imunotestare sau cultura virusului
46
herpes simplex: tratament
daca leziuni active cezariana aciclovir la NN
47
Hepatita B: efecte fat
risc de prematuritate RCIU deces neonatal
48
Hepatita B: diagnostic
screening prenatal precoce al AgHBs
49
Hepatita B: tratament
vaccinare materna vaccinare NN si imunoglobulina dupa nastere
50
HIV: efecte fat
5% risc transmitere in utero progresie rapida a bolii spre SIDA
51
HIV: diagnostic
screening matern serologic cu consimtamant
52
HIV: tratament
zidovudina reduce riscul de trasnmisie verticala regimul antiviral trebuie continuat cu evitarea: efavirenz, didanozina, stavudina si nevirapina
53
Gonoree/Chlamydia: efecte fat
risc de avort spontan sepsis neonatal conjunctivita
54
Gonoree/Chlamydia: diagnostic
cultura cervicala si analize imunologice
55
Gonoree/Chlamydia: tratament
eritromicina la mama sau NN
56
VZV: efecte fat
prematuritate RCIU encefalita pneumonie anomalii SNC anomalii membre risc de deces neonat
57
VZV: diagnostic
screening IgG daca femeile nu au istoric cunoscut de boala la NN pt confirmate IgM si IgG
58
VZV: tratament
imunoglobulina pt mama expusa la infectie in primele 96 de ore si pt NN nascut in infectie activa vaccin CIND in sarcina
59
Streptococul de grup B: efecte fat
detresa respiratorie pneumonie meningita sepsis
60
Streptococul de grup B: diagnostic
screening antigen dupa 34 de sapt
61
Streptococul de grup B: tratament
beta lactamine sau clinda IV in travaliu sau la NN infectati
62
Parvovirus B19: efecte fat
scaderea productiei eritrocitare anemie hemolitica hidrops fetal
63
Parvovirus B19: diagnostic
screening anticorpi IgM sau testare PCR a ADN viral
64
Parvovirus B19: tratament
monitorizarea hemoglobinei fetale prin prelevarea percutana de sange ombilical si transfuzie intrauterina daca anemie severa