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Neonatología > Enf. membrana hialina > Flashcards

Enf. membrana hialina Flashcards

1
Q

< EG

A

> frecuencia

> severidad

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2
Q

Surfactante

A

Neumocitos II
Inicia: 20 a 24 sem
Cantidad adecuada: 34 sem

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3
Q

Riesgo aumentado en

A 
EG < 34 sem
Hijo de madre diabética
Hemorragia II mitad embarazo
Segundo gemelar
Sexo masculino
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4
Q

Riesgo disminuido en

A

Sexo femenino
RPM > 28 sem
Hipertiroidismo
RCIU

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5
Q

FP EMH

A

Déficit de surfactante
Colapso pulmonar
Inflamación

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6
Q

Clinica EMH

A

Aspecto prematuro
Dificultad respiratoria PRECOZ Y SEVERA
MV, pulsos periféricos y flujo urinario: disminuidos
Palidez, edema periférico

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7
Q

Rx de pac con EMH

A

Patrón reticulonodular/ vidrioesmerilado
Granulación + broncograma aéreo
Pulmón blanco

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8
Q

Manejo EMH

A

CPAP

Surfactante exógeno: survanta 25mg/ml -> 4ml/kg c/6h x 4

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9
Q

Prevención EMH

A

Corticoides: beta/dexa
Tocoliticos: atosibam/nifedipino

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Neonatología (16 decks)

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