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9NO > EXAMENN 3 > Flashcards

EXAMENN 3 Flashcards

1
Q

SINDROME NEFRITICO

A

HEMATURIA
HTA
EDEMA

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2
Q

COMO ES LA HEMATURIA

A

MICROSCOPICA CON ACANTOSITOS > 80%
- >5 EN CENTRI
- > 10 NO CENTRI

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3
Q

ETIOLOGIA NEFRI

A

STREPTO GRUPO A = PYOGENES

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4
Q

DX DE NEFRITICO

A

DISM COMPLEMENTO
HEMATURIA MICROSCO
RX TORAX = SEVERIDAD

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5
Q

TTO NEFRITICO

A

DIURETICO - FUROSEMIDA 1MG
RESTRICCION HIDRICA - 600CC*M2SC
CADA DIA ANADIR PORCENTAJE DE ORINA (50,75,100)
ANTIHTA - SI PERSISTE PST DIURETICO
ANTB - INFECCION ACTIVA

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6
Q

INDICACIONES DE BIOPSIA NEFRI

A

PERSISTENCIA DE COMPLEMENTO DISM > 8W
PERSISTE ALTER FUNCIONAL
PERSISTE HTA > 4W
PERSISTE HEMATURIA MICRO > 1A Y MACRO > 4W
PERISTSE PROTEINURA > 4W
<2A
>10A

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7
Q

SINDROME NEFROTICO

A

PROTEINURIA NEFROTICA
EDEMA
HIPERTRIGLICERIDEMIA

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8
Q

PROTEINURIA NEFROTICA

A

CUANTI > 3000
CUALI (+++)
SE CONFIRMA CO PROT/CREAT > 2

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9
Q

DX NEFRO

A

COMPLEMENTO NORMAL
UROANA - PROT NEFROTICA
HEMO - IGA/IGG DISM
PCR
HIPOTIROIDISMO
HIPERCOAGLABILIDAD
AUM VLDL Y LDL
DIM HDL
DISM CA Y PSEUDO DISM NA

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10
Q

ANTES DE TTO DE NEFRO

A

HIPERINFECCION = ALBENDAZOL
INFE LATENTE = TB

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11
Q

TTO NEFRO

A

CORTICOIDE
PREDNISOLONA 60MG
CON MEJORIA A LAS 4-6W BAJAR A 40
CON MEJORIA BAJAR UN 30% SEMANAL

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12
Q

INDICACIONES DE ALBUMINA EN NEFRO

A

ALBU <1.5
ANASARCA
DERRAME PLEU + DIF RESP
EDEMA ESCROTAL/VULVAR

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13
Q

SINT IVU

A

FIEBRE
DOLOR
DISURIA
ICONTINENCIA
VOMITO

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14
Q

DX IVU

A

ESTERASA LEUCO
PRIURIA
NITRITOS
UROANALISIS SUGESTICO

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15
Q

UROANALISIS SUGESTIVO

A

> 5 LEUCOS CENTRI
10 LEUCOS NO CENTRI

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16
Q

A QUIEN SE HOSPIALIZA EN IVU

A

<3M
>3M + INTOL VO Y SOSPECHA DE PIELO O IVU RECU O ATIPICOA

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17
Q

ASMA

A

INFLAMACION CRONICA DE LA VA

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18
Q

EXACERBACION DE ASMA

A

HIPERSECRECION DE MOCO
SIBILANCIAS
AUM TIEMPO ESPI
DISNEA

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19
Q

Asma DX <5A

A

SIBILANCIA + SINTOMATO + RESPUESTA TTO + NO HAY DX DIF

20
Q

CRITERIOS DX <5A

A

SIBILANCIA DOCUMENTADA POR MEDICO
MEJORIA CON TTO
NO HAY UN DX ALTERNO

21
Q

IPA

A

1RIO - 3+ SIB EN 1 ANO
+
1 MAY = ASMA EN PADRES, DERM ATOPI/ECZE ULTIMOS 3 A, SENSBILI ALERGENCIA
+ 2 MEN = SIB NO RELACIO, EOSINOFILIA >4%, RINITIS ALERG

22
Q

DX ASMA >5A

A

PATRON DE RECURRENCUA
SINT INTERCRISIS
REVERSIBLE

23
Q

SIGNOS CLINCIOS ASMA >5A

A

DISNEA
TOS SECA A PRODUCTIVA
SIB QUE EMPEORA EN LA NOCHE
LIMITA ACTIV DIARIAS

24
Q

SIGNOS FISIOLOGICOS asma

A

PATRON OBST
ESPIRO >12%
VARIABILIDAD PEF

25
Q

SIGNOS INFLAMATORIOS asma

A

AUMENTO IGE
EOSINOFILIA

26
Q

TRIAGE CONCINECIA

A

ALERTA
IRRITABLE
SOMNOLIENTO
NO RESPONDE
TONO

27
Q

TRIAGE RESPI

A

ESFUERZO RESP
TRIAJES
RUIDOS ANORMALES
CABECEO

28
Q

TRIAGE CIRCU

A

PERSUFSION

29
Q

A. VIA AEREA

A

PERMEABILIDAD DE LA VA

30
Q

B. BUENA RESPIRACION

A

FR
ESFUERZO
TIRAJES

31
Q

FR

A

<1A = 30-60
1-4A = 24-60
4-5A = 22-34
6-12A = 18-30
13-18A = 12-16

32
Q

ESFUERZOS RESPI

A

LEVE-MODE = SUBCOSTAL, SUBESTERNAL E INTERCOSTAL
GRAVE = SUPRACLAVICULAR, SUPERESTERNAL

33
Q

FR COMO SIGNO DE ALERTA

A

> 60

34
Q

C. CIRCULATORIO

A

FC+PA+PULSOS+PERFUSION

35
Q

FC

A

RN-3M = 85-205
3M-2A = 100-190
2A-10A = 60-140
>10A = 60-100

36
Q

PA

A

<70 + (EDAD*2)

37
Q

PULSOS CENTRALES

A

FEMORAL
CAROTIDEO
AXILAR

38
Q

PULSOS PERIFERICOS

A

BRAQUIAL
RADIAL
PEDIO
TIBIAL POSTERIOR

39
Q

TRIAGE 1

A

ATENCION INMEDIATA
RIESGO VITAL Y NECESITA MANIOBRAS DE REANIMA
ORGANO COMPROMETDO

40
Q

TRIAGE 2

A

RIESGO DE EVOLUCIONAR A LA MUERTE
DOLOR EXTREMO 8-10/10
30 MIN

41
Q

TRIAGE 3

A

URGENCIA
REQUIERE MEDIDAS DX Y TTO
PUEDE EMPEORAR

42
Q

TRIAGE 4

A

CONSULTORIO - CONSULTA EXTERNA

43
Q

TEMP DE SALA DE PARTO

A

23-28

44
Q

APGAR

A

A-APARIENCIA
P-PULSO
G-GESTICULACION (IRRITABLIDAD)
A-ACTIVIDAD
R-RESPIRACION

45
Q

CUANTO SE PONDE DE VITK

A

0.5MG <2KG
1MG >2KG

9NO (7 decks)

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