IMUNIZAÇÕES E TERAPIA PÓS-EXPOSIÇÃO Flashcards
1
Q
PRINCIPAIS ANIMAIS CAUSADORES DE ACIDENTES
A
Gato/Cachorro
2
Q
BACTERIA PRESENTE NA BOCA CÃO/GATO
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/207/901/q_image_thumb.jpg?1610900802)
A
- Streptococcus
- Staphylococcus
- Pasteurella multocida
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/207/901/a_image_thumb.jpg?1610900814)
3
Q
Tx p/ Pasteurella multocida
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/208/163/q_image_thumb.jpg?1610900898)
A
Penicilina / Amoxicilina / Amoxicilina-Clavulanato.
4
Q
AGENTE DO TÉTANO
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/208/270/q_image_thumb.jpg?1610901143)
A
Clostridium tetani.
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/208/270/a_image_thumb.png?1610901036)
5
Q
TRASMISSÃO DO TÉTANO
A
Lesão + Contato c/ bacilo.
- Plantas, águas putrefadas
- Perfurocortante enferrujado.
- Poeira das ruas.
- Boca/intestino de animais domesticos.
- Queimadura q PC se joga no chão
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/208/491/a_image_thumb.jpg?1610901243)
6
Q
A
7
Q
INCUBAÇÃO DO Clostridium tetani
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/209/010/q_image_thumb.png?1610901443)
A
1-meses (3-21d)
8
Q
CLINICA DE TÉTANOS
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/209/401/q_image_thumb.jpg?1610901848)
A
Hipertonia muscular (sons/luz/ movimentação)
- Masseteres (Trismo / Riso sarconico)
- Pescoço (Rigidez de nuca)
- Faringe (disfagia)
- Diafragma (IRA)
- ABD (“em tábua”)
- Paravertebrais (opistótono - postura tenico)
- MMSS/II (Hiperextensão de membros)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/209/401/a_image_thumb.jpg?1610901927)
9
Q
CLASSIFICAÇÃO DO TÉTANO
A
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/209/874/a_image_thumb.png?1610902528)
10
Q
Dx do TÉTANO
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/209/923/q_image_thumb.jpg?1610902049)
A
Clinica + Hist. acidente + CPK as x ↑
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/209/923/a_image_thumb.jpg?1610902070)
11
Q
Tx DO TÉTANO
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/210/575/q_image_thumb.jpg?1610903150)
A
- INTERNAÇÃO (minimo ruido/luz/movimentos)
- SEDAR (PC fica conciente) + INTUBAR (Traqueostomia) + SONDA VESICAL
- SAT 10.000 - 20.000UI IV/IM (neutralizar toxina), ou
- IMUNOGLOBULINA - IGHAT (NÃO usar se alergia/ já tiver usado)
- LIMPAR A FERIDA
- ATB (Metronidazol / Peni. Cristalina)
- VC. ANTITENAICA (entrada UTI e outra na saida)
12
Q
PREVENÇÃO DO TÉTANO
A
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/210/019/a_image_thumb.png?1610904150)
13
Q
INDICAÇÃO DE IGHAT (IMUNOGLOBULINA)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/213/172/q_image_thumb.jpg?1610904327)
A
- Hipersensibilidade qualquer soro
- Imunodeprimidos
- RN em risco
- Prematuros c/ lesão
14
Q
AGENTE DA RAIVA
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/213/438/q_image_thumb.jpg?1610906013)
A
Lyssavirus (Fami. Rhabdoviridae)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/213/438/a_image_thumb.jpg?1610905924)
15
Q
CARACTERISTICA DO VIRUS DA RAIVA
![](https://s3.amazonaws.com/brainscape-prod/system/cm/333/215/812/q_image_thumb.jpg?1610906110)
A
Tropismo por cel. nervosas.