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9NO > EXAMEN 1 > Flashcards

EXAMEN 1 Flashcards

1
Q

FORMULA TONICIDAD

A

2[Na]

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2
Q

SLN HIPOTONICA

A

TON <290

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3
Q

SLN ISOTONICA

A

290-310

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4
Q

SLN HIPERTONICA

A

> 310

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5
Q

1CC = ? MEQ

A

2

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6
Q

1G NA = ?MEQ

A

17

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7
Q

HOLLIDAY-SEG 3-10KG

A

100CC/KG

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8
Q

HOLLIDAY-SEG 11-20

A

1000CC + 50*CADA KG MAYOR DE 10

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9
Q

HOLLIDAY-SEG 21-30

A

1500CC + 20* CADA KG MAYOR DE 20

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10
Q

GOTEO PEDIATRICO

A

CC/24HR

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11
Q

REQ NA

A

3-5MEQ/KG/DIA

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12
Q

REQ K

A

2-3MEQ/KG/DIA

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13
Q

REQ CA

A

200-300MG/KG/DIA

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14
Q

REQ MG

A

30MG/KG/DIA

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15
Q

REQ GLUCOSA

A

4-6MG/KG/MIN

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16
Q

HIPONATREMIA

A

NA < 135

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17
Q

CUANDO SE REPONE HIPONATREMIA

A

NA < 135 + MANIF NEURO –> LLEVAR A 135
NA < 125 –> LLEVAR A 125

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18
Q

CUANTO SE CORRIGUE DE NA EN HIPO

A

0.5-1MEQ/L/H MAX 12

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19
Q

NA SLN 0.3%

A

HIPONATREMIA
513 NA

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20
Q

HIPERNATREMIA

A

NA > 150

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21
Q

CUANTO SE CORRIEGUE DE HIPERNATREMIA

A

< 0.5 MEQ/HORA

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22
Q

NA SLN 0.45%

A

HIPERNATREMIA
77 NA

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23
Q

HIPOKALEMIA/POPTASEMIA

A

K < 3.5 MEQ

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24
Q

COMO SE SI ES HIPOKALEMIA

A

K DISM + EKG

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25
Q

A QUIEN LE REPONGO HIPOKALEMIA

A

PX POST-QX DE CORAZON
CARDIOPATIA
K < 2.5

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26
Q

CUANTO SE REPONDE DE HIPOKALEMIA

A

0.5 MEQ/KG/H EN 4 HORAS
DILUIDO HASTA 80MEQ/L

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27
Q

HIPERKALEMIA/POTASEMIA

A

K > 5.5 MEQ

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28
Q

COMO SE REPONE HIPERKALEMIA

A

NO SE REPONE CON LIQUIDOS

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29
Q

TTO HIPERKALEMIA

A

GLUCONATO DE CA = 1-5CC
BICARBONATO DE SODIO = 1MEQ/DOSIS C/8H

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30
Q

DIARREA

A

3+ DEPOSICIONES EN 1 HORA
5+ DEPOSICIONES EN 4 HORAS

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31
Q

TTO DIARREA

A

ZINC
< 6M = 10MG/DOSIS
6M - 10 A = 20MG/DOSIS
X 14 DIAS

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32
Q

PLAN A DESHIDRATACION

A

DIARREA SIN DESHIDRATACION
PREVENIR LA DESH
1. SUERO ORAL X PERDIDA
2. ALIMENTACION
3. ZINC
4. SIGNOS DE ALARMA

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33
Q

PLAN B DESHIDRATACION

A

DIARREA + ALGO DE DESHIDRATACION
VO
1. 100CC/KG EN 4 H
2. 120CC/KG EN 6 HORAS
SE DIVIDE TOMAS EN C/15MIN

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34
Q

INTOLERANCIA A LA VIA ORAL

A

3 VOMITOS EN 1 HORA

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35
Q

PLAN C

A

DIARREA + DESHIDRATACION
SUERO IV
1. REPOSICION RAPIDA = 60CCKG EN 20CC
2. REPOSICION LENTA = 100CCKG/H (50/3 Y 50/2)

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36
Q

DENGE SIN SIGNOS TTO

A

REPOSOS + SRO + ACETAMINOFEN + EVITAR AINES

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37
Q

SIGNOS DE ALARMA DENGUE

A

DOLOR ABD INT
VOMI
HIPOTENS
HEPATOMEG DOLOROSA
HEMO DE MUCOSA
SOMNOLENCIA
DISM DIUREISI
HIPOTERMIA
AUM HTO Y CAID PLAQ
ACUM LIQ
DIARREA

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38
Q

TTO B1 - DENGUE

A

SIN SIGNOS + COMO
HOSPI

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39
Q

TTO B2 - DENGUE

A

CRISTALOIDE 10ML/KG EN 1 H (HASTA 3 V) Y LUEGO BAJAR

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40
Q

TTO C - DENGUE

A

CRISTALOIDE 20ML/KG EN 15-30 MIN (HASTA 3 VECES)
- MEJORA BAJAR A 10
- NO MEJORA DAR SANGRE

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41
Q

DENGUE SIN SIGNOS DE ALARMA

A

FIEBRE < 7 DIAS + CEFALEA, DOLOR RETROCULAR, MIALGIAS, ARTRALGIAS, EXANTEMA O RASH

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42
Q

DENGUE GRAVE

A

EXTRAVASACION SEVERA
- SHICK
- ACUM FLUIDOS + DISTRES RESPI
HEMORRAGIA SEVERA
DANO DE ORGANO

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43
Q

DENGUE NEXO EPI

A

PERSONA - QUIEN SEA CON NS1
TIEMPO - 21 DIAS DE CONTACTO
ESPACIO - 200MTS

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44
Q

DENGUE NS1

A

EN LA FASE FEBRIL O PRIMERO 3 DIAS

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45
Q

DENGUE IGM/IGG

A

DESPUES DE LA FASE FEBRIL
= + 3 DIAS
IGM = NUEVA
IGG= VIEJA

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46
Q

SHOCK HIPOVOLEMICO

A

20 ML/KG EN 3 DOSIS
HEMO = 3ML X CADA PERDIDA
NO HEMO = DESHIDRATACION Y EDA

47
Q

SHOCK CARDIOGENCO

A

NITROGLICERINA
NITROPRUSIATO
MILRINONA

48
Q

SHOCK DISTRIBUTIVO

A

20ML/KG EN 3 DOSIS
ANAF = ADRENALINA
SEPT = ANTB + INOTROPICO
NEURO = TRENDELENBURG

49
Q

SHOCK OBST

A

TRATAR CAUSA

50
Q

SHOCK DISIOSATIVO

A

IRREVERSIBLE

51
Q

QUEMADURA MENOR

A

2 GRADO < 10%
3 GRADO < 2%

52
Q

QUEMADURA MAYOR NO COMPLICADA

A

2 GRADO 10-20%
3 GRADO 2-10%

53
Q

QUEMADURA GRAVE

A

2 GRADO >20%
3 GRADO > 10%
CARAS, EXTREMIDADES, PERINE
ELECTRICAS, TRAUMATICAS, INHALACION
SUPRIMIDOS

54
Q

TTO ANALEGISIA QUEMADRUEAS

A

MORFINA
0.1-0.2 MG/KG/DOSIS

55
Q

TTO LIQUIDOS QUEADURAS

A

1D = 5000 SCTQ
2D = 4000 SCTQ
3D = 3000 SCTQ + K (30MEQ)
+ 2,000 SCT

56
Q

EN QUEMADURAS SE DA ANTB?

A

EN QUEMADURAS > 75%

57
Q

CETOASIDOSIS DIABE

A

GLICEMIA > 300
ACIDOSIS METABOLICA
CETONURIA/CETONEMIA

58
Q

MANIFESTACIONES CETOACIDOSIS

A

SIGNOS DE DESHIDRTACION
- AUMENTO FC
- PULSOS DEBILES
- LLENADO CAP LENTO
- ALIENTO CETONICO

59
Q

CETOACIDOSIS LEVE

A

PH 7.2-7.3
HCO3 10-15

60
Q

CETOACIDOSIS MODERADA

A

PH 7.1-7.2
HCO3 5-10

61
Q

CETOACIDOSIS GRAVE

A

PH < 7.1
HCO3 < 5

62
Q

ACIDOSIS METABOLICA

A

PH DISM
ALT PR DISM HCO3
ALT COMP DISM PCO2
BE DISM

63
Q

ACIDOSIS RESPIRATORIA

A

PH DISM
ALT PR AUM PCO2
ALT COMP AUM HCO3
BE AUM

64
Q

ALCALOSIS METABOLICA

A

PH AUM
ALT PR AUM HCO3
ALT COMP AUM PCO2
BE AUM

65
Q

ALCALOSIS RESPIRATORIA

A

PH AUM
ALT PR DIM PCO2
ALT COMP DISM HCO3
BE DISM

66
Q

ANION GAP

A

NA + K ) - CL+ BICARBONATO

67
Q

DIF IONES FUERTES

A

NA + K ) - CL

68
Q

NEUROINFECCION

A

INFLAMACION DE LAS MENINGES

69
Q

SINTOMAS DE LA NEUROINFECCION

A

NAUSEAS
VOMITOS
CEFALEA
RIGIDEZ DE NUCA
FOTOFOBIA

70
Q

ETIOLOGIA NEONATO NEUROINFE

A

ECOLI
STREP GRUPO B

71
Q

ETIOLOGIA > 1M NEUROINF

A

NEUMO Y MENINGOCOCO

72
Q

DX NEUROINF

A

PL
HEMOGRAMA
TAC
FILLARRAY

73
Q

PL EN NEUROINF

A

PLEOCITOSIS
HIPERPROTEINORRA
HIPOGLUCORRAQ

74
Q

CONTRAINDICACION DE LA PL

A

COAGULOPATIAS
AUEMNTO PIC
INESTAB. HEMODIN
INFECCION DE LA ZONA

75
Q

HEMOGRAMA NEUROFINF

A

LEUCOCITOSIS

76
Q

TTO NEONATO NEUROFINF

A

AMPICILINA + GENTA O AMIKA

77
Q

TTO NINOS NEUROINF

A

CEFTRIAXONA + VANCO Y ACICLOVIR IF NEEDED

78
Q

CRISIS FEBRIL

A

CRISIS CON FIEBRE > 38\
6M-5A
SIN ANT CRISI FEB
NO NEUROFINF
NO ALT META

79
Q

CF SIMPLE

A

< 15 MIN
SIN RECURRENCIA
CRISIS GENERALIZADA
SIN LATERACION POSTICTAL

80
Q

CF COMPLEJA

A

> 15 MIN
CON RECURRENCIA
CRISIS FOCAL
PARALISIS DE TODD / ALTERACION POSTICTAL

81
Q

INDICACION PL CF

A

SIGNOS MENINGEOS
CF COMPLEJA
VACUNAS INCOMPLETAS
ANTIBIOTICO PREVIO

82
Q

DX CF

A

HEMORAMA = POSTICATL PROLONGADO
GLICEMIA = ALTERACION DEL ESATDO GENERAL
ELECTROLITOS = DESHIDRATACION

83
Q

TTO CF

A

1 DOSIS = BZD
2 DOSIS = BZD
3 DOSIS = ANTICON
4 DOSIS = DOSIS CARGA ANTICON

84
Q

BZD

A

DIAZEPAM RECTAL 0.5
MIDAZOLAM INH 0.2
LORAZEPAM 100MCG

85
Q

ANTICONVULSIVANTES

A

LEVETIRAZETAM 60
AC. VALPROICO 20
FENITOINA (TRAUMA) 2-3
FENOBABITAL (NEONATOS) 2-3

86
Q

DEF ESTATUS EPILEPTICO

A

1 CRISIS > 30 MIN
2+ CRISIS SIN RECUPERAR CONCIENA IN BETWEEN

87
Q

ESTATUS PRECOZ

A

5 MIN = BZD

88
Q

ESTATUS ESTABLECIDO

A

30 MIN = ANTICONV

89
Q

ESTATUS REFRACTARIO

A

60-120MIN = ANALGESIA

90
Q

ESTATUS DUPERREFRACTARIO

A

24 H = ANESTESIA

91
Q

TRAUMA CRANEONECEFALICO

A

CLINICA + NEUROIMAGEN

92
Q

TTO TRAUMA CRANEO

A
  1. HIPEROSMOLAR
    - MANITOL 0.25-1G
    - SS 3% 6.5-10
  2. PROF ANTICON
    FENITONIA O LEVETIRAZETAM
  3. PROF ANTIBIO
    VACOMINCINA + CEFALO 4 GEN
93
Q

FIEBRE

A

> 38
2 MED AXILARES
1 MED > 39

94
Q

SIGNOS GENERALES DE PELIGRO

A

NO COME
VOMITA TODO
CONVULSIONA
LETARGIC

95
Q

TTO FIEBRE

A

ACETA 10-15
IBU 10
NO DAR AMBAS EN MISMA FIEBRE

96
Q

NEONATO CON FIEBRE =

A

SEPSIS

97
Q

NEONATO CON FIEBRE < 72 H =

A

SEPSIS TEMPRANA = NEUMONIA
* HEMOCULTIVO

98
Q

NEONATO CON FIEBRE > 72 H =

A

SEPSIS TARDIA = NEUROFINF
* POLICULTIVAR

99
Q

TTO SEPSIS NEONATAL

A

AMPI + GENTA O AMIKA

100
Q

FIEBRE 1-3 M = POSIBLE

A

INFECCION BACTERIANA GRAVE

101
Q

ESCALA ROCHESTER

A
  1. ASP GENERAK
  2. PREV SANO
  3. NO IPTB
  4. LABS
    - LEUCOS
    -CAYADOS
    -LEUCO EN ORINA/CORPO
    -PCR/VSG

DEBE CUMPLI TODOS PARA ESTAR BIEN

102
Q

LACTANTE 3-36M CON FIEBRE =

A

BACTEREMIA OCULTA

103
Q

ESCALA DE YALE

A
  1. CALIDAD DE LLANTO
  2. INTERAC CON PADRE
  3. ESTADO SUENO-VIG
  4. COLORACION
  5. HIDRATACION
  6. RESPUESTA SOCIAL
104
Q

SIGNOS UNIVER DESNUTRI

A
  1. DILUCION BIOQ
    - DISM OSM SERICA
    - DISM NA, K, MG
  2. HIPOFUNCION = DISM FUNC ORGANICA
  3. HIPOTROFIA
    - DISM MASA MUSC
    - DISM PENICU ADIP
    - DISM OSIFI
105
Q

SIGNOS CIRCUSNTACIALES DESNUTRI

A

ALTE DERMATOLOGICA Y MUSC
UNAS FRAGILES Y QUEBRADIZA
CABELLO DELGADO, QUEBRADIZO SIN BRILLO Y DECOLORADO

106
Q

SIGNOS AGREGADOS DESNUTRI

A

INFECCIONES
TRAST ELECTROLITICO
DEFICIT VITAMINICO

107
Q

DX DESNUTRI

A

ATROPOMETICAS
ANAMNESIS = FIEBRE, TOS, DIARREA, IPTB, ALT CONDUCATL
EF = SIGNOS PERIDA DE PESO
* EDEMA = DESN AGUDA SEVERA
* PB < 11.5

108
Q

TTO DESNUTRI

A
  1. PRUEBA APETITO - FTLC
  2. ESTANCIA
109
Q

SI LE DOY FTLC TENGO QUE SUMPLEMENTAR?

A

ACIDO FOLICO

110
Q

FASE DE ESTAB DESNUTRI

A

24-72H
TRATAR LAS CONDICIONES MEDICAS
ANEMIA GRAVE (<4)
HIPOGLICEMIA (<54)
HIPOTERMIA (<35)
INICIAR ANTIBIOTICO

111
Q

FASE DE TRASN DESNUTRI

A

3-7/14D
PASO DE F-75 A FTLC

112
Q

FASE DE REHAB DENSUTRI

A

HASTA 60 DIAS
AUMENTO DE PESO PROGRESIVO

113
Q

TTO DESN AMBU

A

FTLC 150 KCAL/KG/DIA
AMOXI
ALBENDA (15 D EN > 1A)
AC FOLICO

114
Q

TTO DESN HOSP

A

AMPI-GENTA
DAD 10% (HIPOGL)

9NO (7 decks)

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