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Pediatria Piso > Infecciones de vias aereas altas > Flashcards

Infecciones de vias aereas altas Flashcards

1
Q

Amigdalitis:

Diagnostico

A

Clinico

Petequias en paladar

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2
Q

Amigdalitis:

Tratamiento Viral

A

Sintomatico

Acetaminofen

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3
Q

Dosis y Presentacion:

Acetaminofen

A

Dosis: 15mg/kg/dosis
Presentacion: 150mg/5ml

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4
Q

Dolex 2+

A

Presentacion: 160mg/5ml

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5
Q

Dolex 7+

A

Presentacion: 250mg/5ml

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6
Q

Dolex 0+

A

Presentacion: 100mg/5ml

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7
Q

Amigdalitis:

Tratamiento Bacteriana

A

Penicilina Benzatinica
Amoxacilina
Acitromicina

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8
Q

Dosis y Presentacion:

Penicilina Benzatinica

A

Dosis: 50’000UI/kg

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9
Q

Dosis y Presentacion:

Amoxacilina

A

Dosis: 90mg/kg/dia en 3 dosis durante 7 dias

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10
Q

Dosis y Presentacion:

Azitromicina

A

Dosis: 15mg/kg/dia en 2 dosis

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11
Q

Amigdalitis:

Complicaciones Supurativas

A

Abcesos
Meningitis
Otitis
Celullitis

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12
Q

Amigdalitis:

Complicaciones No-supurativas

A 
Artritis
Glomerulonefritis
Fiebre reumatica
Shock Toxico
PANDAS
Fiebre escarlatina
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13
Q

Amigdalitis:

Bacteria mas comun

A

Estreptococo Beta Hemolitico del grupo B

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14
Q

Otitis externa:

Definicion

A

Celulitis de la piel del Conducto Auditivo Externo

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15
Q

Otitis externa:

Bacteria

A

Estafilococo

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16
Q

Otitis externa:

Sintomas y Diagnostico

A

Inflamacion
Edema
Dolor
El diagnostico es clinico

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17
Q

Otitis externa:

Tratamient

A

Ciprofloxacina

Dexametasona

18
Q

Otitis externa:

Complicaciones

A

Celulitis

Pericondritis

19
Q

Otitis media:

Etiologia mas comun

A

Las mas comunes son Virales: VSR, Influenza, Metaneumovirus

Bacterianas, menos comunes: Neumococo, HiB, Moraxella

20
Q

Otitis media:

Signos y Sintomas

A 
Otalgia
Otorrea
Fiebre
Congestion nasal
Membrana timpanica eritematosa y abombada
21
Q

Otitis media:

Indicaciones de Antibioticos

A

Otitis bilateral
Otorrea
Fiebre mayor a 48 horas
Paciente menor a 6 meses

22
Q

Otitis media:

Tratamiento viral

A

Lavados nasales

Oximetazolina

23
Q

Dosis y presentacion:

Oximetazolina

A

Dosis: 2 gotas cada 8 horas

24
Q

Otitis media:

Tratamiento antibiotico

A

Amoxacilina
Amoxacilina/Clavulanato
Ampicilina/Sulbactam

25
Q

Dosis y Presentacion:

Amoxacilina/Clavulanico

A

Dosis:
>2 meses: 30mg/kg/dia en 3 dosis
<2 meses: 40mg/kg/dia en 3 dosis
Presentacion: Amoxacilina 250mg/ Clavulanico 62,5mg en 5ml

26
Q

Dosis y Presentacion:

Ampicilina/Sulbactam

A

Dosis: 100-300 mg/kg/dia
Presentacion: 1,5g (1g Ampicilina, 0,5g Sulbactam)

27
Q

Otitis media:

Complicaciones

A

Meningitis
Mastoiditis
Perforaciones de membranas timpanicas

28
Q

Laringotraqueitis:

Etiologia

A

Parainfluenza, VSR, Influenza

29
Q

Laringotraqueitis:

Escala de Wesley (Puntaje)

A

Leve: < 3 puntos
Moderada: 3-7 puntos
Severa: >7 puntos

30
Q

Laringotraqueitis:

Escala de Wesley (Criterios)

A 
Estridor respiratorio
Tirajes
Ventilacion 
Cianosis (Mas puntos)
Nivel de conciencia (Mas puntos)
31
Q

Laringotraqueitis:

Tratamiento

A

Leve: Manejo Sintomatico
Moderado: Dexametasona, Adrenalina
Severa: Oxigeno, MNB Adrenalina, Dexametasona, Nada via oral

32
Q

Dosis y Presentacion:

Dexametasona

A

Dosis: 0,15-0,6 mg/kg dosis unica y si es necesario continuar a 0,15mg/kg cada 6 horas
Presentacion: 4mg/ml

33
Q

Dosis y Presentacion:

Adrenalina MNB

A

Dosis: 0,5ml/kg/dosis
Presentacion: 1mg/ml

34
Q

Epiglotitis:

Etiologia

A

Hib, Meningococo, Estreptococo

35
Q

Epiglotitis:

Indicacion absoluta

A

Intubar inmediatamente, si no puede intubar llevar a un sitio donde si sepan/puedan

36
Q

Epiglotitis:

Tratamiento

A

Ampicilina/Sulbactam a dosis maxima

37
Q

Epiglotitis:

Paraclinicos

A

Hemocultivos, Hemograma, PCR, Placa de cuello

38
Q

Laringitis Bacteriana:

Tratamiento

A

Oxacilina

Vancomicina

39
Q

Dosis y Presentacion:

Oxacilina

A

Dosis: Neonatos 50-75mg/kg/dia 2 dosis
>1 mes 100-200mg/kg/dia en 4 dosis
Presentacion: 2g

40
Q

Dosis y Presentacion:

Vancomicina

A

Dosis: Neonatos 10-15mg/kg/dosis (Inicial a 15, continua a 10), 2 dosis en <7 dias y 3 dosis en >7 dias
>1 mes 10-15mg/kg/dosis 4 dosis
Presentacion: 500mg; 1g

Pediatria Piso (9 decks)

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