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Extraordinario Pediatría > Hipoxia-isquemia Neonatologia > Flashcards

Hipoxia-isquemia Neonatologia Flashcards

0
Q

Que es isquemia

A

Flujo sanguineo insuficiente para mantener la funcion celular y de organos

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1
Q

Que es hipoxemia

A

Concentracion de oxigeno arterial inferior a lo normal

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2
Q

Que es anoxia

A

Ausencia completa de oxigeno secundaria a distintas causas

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3
Q

Etiologia de enfermedad hipoxico isquemica

A 
Hipoventilacion o hipotension materna
Tetania uterina, insuficiencia placentaria
Desprendimiento prematuro de placenta
Nudos de cordon
Anemia, shock, cardiopatia
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4
Q

Signos de hipoxia fetal

A 
CIR con resistencias vasculares aumentadas
Taquicardia
Bradicardia
DIPS II
Disminucion variabilidad latido-latido
Acidosis metabolica
pH < 7.2
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5
Q

Que sabes de las lesiones hipoxico isquemicas en RNT

A

Produce una encefalopatia hipoxico isquemica secundaria a necrosis neuronal de la corteza con posterior atrofia cortical y lesiones isquemicas parasagitales

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6
Q

Que sabes de las lesiones hipoxico isquemicas en RNPT

A

Leucomalacia periventricular

Status marmoratus de los nucleos de la base y hemorragica intraventricular

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7
Q

Efectos cardiovasculares de la asfixia

A

Isquemia miocardica
Disminucion de la contractilidad
Insuficiencia tricuspidea
Hipotension

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8
Q

Efectos respiratorios de la asfixia

A

Persistencia circulacion fetal
Hemorragia pulmonar
SDR

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9
Q

Efectos renales de la asfixia

A

Necrosis tubular aguda o corticol

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10
Q

Efectos suprarrenal de la asfixia

A

Hemorragia

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11
Q

Efectos digestivos de la asfixia

A

Perforacion
Ulceracion
Necrosis

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12
Q

Efectos metabólicos de la asfixia

A 
SIADH
Hiponatremia
Hipoglucemia
Hipocalcemia
Mioglobinuria
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13
Q

Efectos cutaneas de la asfixia

A

Adiponectina

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14
Q

Efectos hematologica de la asfixia

A

CID

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15
Q

Tratamiento para asfixia

A 
De soporte
Oxigenoterapia
Anticonvulsivantes
Glucosa
Calcio

Extraordinario Pediatría (6 decks)

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