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Cirugía > Electrolitos > Flashcards

Electrolitos Flashcards

Aprender datos de trastornos electroliticos

1
Q

Determinantes Osmolaridad

A

Sodio, Glucosa y Urea

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2
Q

3 tipos de Trastornos del equilibrio

A

Volumen
Concentración
Composición

PUEDEN COEXISTIR
TTO INDEPENDIENTE

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3
Q

Causa número 1 de trastornos en Cirugía

A 
Perdidas de liquidos Aguda!
Vomitos
Diarreas
Fistulas
Quemaduras
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4
Q

Sintoma Gastrointestinal de hipovolemia? Qx

A

ILEO

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5
Q

Sintomas hipervolemicos Gastrointestinales Qx?

A

Edema intestinal…… Íleo eventual

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6
Q

Que sucede con la regulación de liquidos en Posoperados?

A

Aumento de la secreción de ADH, aumento de Volumen, Dilucional

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7
Q

Porque causan hiponatremia los antidepresivos triciclicos y los IECAS?

A

Retienen Agua!

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8
Q

Valores de sodio Riñon normal y riñon patológico?

A

Riñon Normal: <20 meq

Riñon Patológico: >20meq

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9
Q

Cuándo empiezan los sintomas en pacientes con hiponatremia?

A

< o = 120meq/L

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10
Q

Causa numero 1 de hipernatremia hipervolemica

A

Administracion de H2O aumentada Yatrogenia

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11
Q

Valores de NaOrina y OsmOrina Extrarenales

A

NaOrina: >20meq/L
OsmOrina: > 300meq/L

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12
Q

Valores de NaOrina y Osm Orina en casos renales

A

NaOrina:<20meq/l
OsmOrina: <300mOsm/l

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13
Q

Concentracion de sodio que presents sintomas

A

> 160meq/L

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14
Q

Sodio igual o mayor a 160meq/L es predictor de?

A

Alta morbimortalidad irreversible

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15
Q

La que valores de NaOrina y OsmUrinaria da la tirotoxicosis ?

A

NaOri: <15meq

OsmUrinaria : > 400 mosm

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16
Q

Causa Qx más importante de hiperpotasemia?

A

Lisis celular

17
Q

que alteracion electrolitica aparece con el suminustro de manitol?

A

Pseudohiponatremia por aumento de volumen

18
Q

Cuanto es el valor de NaOrina en riñon normal y riñon patológico durante la Hiponatremia?

A

Normal=<20meq

Px=>20meq

19
Q

Cuanto es el valor de NaOrina en riñon normal y riñon patológico durante la Hiponatremia?

A

Normal=<20meq

Px=>20meq

Cirugía (3 decks)

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