HEMOFILIA Flashcards

1
Q

Qué es la Hemofilia

- Tipo de herencia

A
  • Deficiencia de los Factores VIII, IX, XI

- Recesiva ligada al cromosoma X

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2
Q

Qué factor afecta la HEMOFILIA A

A
  • Factor VIII <50%
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3
Q

Qué factor afecta la HEMOFILIA B

A
  • Factor IX (Enfermedad de Christmas)
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4
Q

Qué factor afecta la HEMOFILIA C

A
  • Factor XI
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5
Q

Manifestaciones Clínicas de HEMOFILIA

A
  • Equimosis
  • Hemorragias faciles
  • HEMARTROSIS
  • Hemorragia intracraneal
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6
Q

Sospecha Dx de HEMOFILIA en tiempos de coagulación

A
  • Tiempo de Tromboplastina Parcial (TTP): PROLONGADO
  • Via instrinseca
  • Factores: VIII, IX, XI
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7
Q

Tx en HEMOFILIA y farmacos contraindicados

A
  • Evitar ASA y Inhibidor del tromboxano A2
  • Uso de AINES u Opiodes en caso de dolor
  • Vacuna VHB
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8
Q

Tx que ayuda a ⬆️ temporalmente niveles de Factor VIII

A

*Desmopresina

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9
Q

Tx en Hemofilia A

A
  • PLASMA FRESCO CONGELADO (Factores VIII)
  • Desmopresina
  • Ac. tranexamico
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10
Q

Tx en Hemofilia B

A
  • Concentrados de Factor IX
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11
Q

Tx para prevenir hemorragia en procedimientos menores

A
  • Desmopresina

- Antifibrinoliticos

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