GASTRITIS EROSIVA Flashcards

1
Q

CAUSA MAS FRECUENTE DE GASTRITIS

A

STDA// EROSIVA HEMORRAGICA

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2
Q

GASTRITIS AGUDA CARACTERISTICA

A

SON LESIONES EROSIVAS HEMORRAGICAS

Y HAY PRESENCIA DE NEUTROFILOS

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3
Q

FACTOR DE RIESGO MAS IMPORTANTE DE GASTRITIS EROSIVA

A

AINES

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4
Q

MENOR GASTROTOXICIDAD DE LOS AINES

A

CELECOXIB

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5
Q

MENOR RIESGO DE SANGRADO EN DOSIS TERAPEUTICA DE LOS AINES

A

IBUPROFENO

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6
Q

CELULAS QUE SECRETAN HCI PRODUCIENDO GASTRINA

A

CELULAS PARIETALES

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7
Q

CUADRO CLINICO DE GASTRITIS EROSIVA

A

dispepsia
dolor abdominal epigastrico
melena o hematemesis
riesgo de mortalidad de 20%

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8
Q

factores independientes clínicos para gravedad son

A

MELENA
HIPOTENSION < 100
INGESTA DE AINES

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9
Q

ROCKALL < 2 PUNTOS

A

BAJO RIESGO

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10
Q

ROCKALL > 3 PUNTOS

A

ENDOSCOPIA

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11
Q

PUNTAJE DE 1 PUNTO DE ROCKALL

A

EDAD DE 60 A 79 AÑOS
PULSO > 100
TA SISTOLICA < 100

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12
Q

MANEJO DE ROCKALL < 2 PUNTOS

A

ENDOSCOPIA PROGRAMADA

INICIO OMEPRAZOL

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13
Q

MANEJO DE ROCKALL > 2 PUNTOS

A

HOSPITALIZACION
MANEJO HEMODINAMICO Y OMEPRAZOL IV
ENDOSCOPIA

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14
Q

METODO DE ELECCION DE GASTRITIS EROSIVA

A

ESOFAGO GASTRO DUODENOSCOPIA

DEBE REALIZARSE EN LAS PRIMERAS 24 HRS DE MELENA

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15
Q

TRATAMIENTO DE GASTRITIS EROSIVA

A

IBP PH INTRAGASTRICO > 6 MAS DE 72 HRS

BOMBA DE INFUSION 80 MG BOLO> 8 MG/ HR POR 72 HORAS

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16
Q

A QUE PH LA MUCOSA GASTRICA SE RESTITUYE CUANDO EL PH ESTA ARRIBA DE

A

4

17
Q

ALERGIA A AMOXICILINA EN LA ERRADICACION DE H. PYLORI

A

LEVOFLOXACINO

18
Q

PARA PREVENIR EL RESANGRADO ES MEJOR

A

CELECOXIB + ESOMEPRAZOL