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Emergências > IRA > Flashcards

IRA Flashcards

1
Q

O que é injúria renal aguda?

A

É uma queda abrupta da taxa de filtracao glomerular

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2
Q

Como eu avalio a taxa de filtracao glomerular?

A

Dosando Cr e debito urinario

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3
Q

VR débito urinário

A

< 0,5 ml/kg/h entre 6 e 12h

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4
Q

VR creatinina

A
  • 1,5x - 2x aumentado em relacao ai basal

- aumento absoluto >/= 0,3 (48h)

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5
Q

Defina lesao renal aguda pos renal

A

Obstrução que ocorre na uretra, bexiga, ou nos ureteres bilateralmente

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6
Q

Exemplos de lesao pos renal

A

HPB, litiase renal

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7
Q

Tto lesao renal pós renal

A

Desobstrução!

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8
Q

Fisiopatologia da lesao pre renal

A

Má perfusao renal

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9
Q

Causas de lesao pré renal

A

Choque septico, hipovolemia, sangramento

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10
Q

Tto lesao pre renal

A

Volume!

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11
Q

Lesao renal (intrínseca) mais comum

A

NTA

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12
Q

Diferenca da pre e renal (intrinseca)

A

Pre renal

  • Sodio urinario baixo (rim reabsorveu para puxar agua)
  • Osmolaridade alta (urina concentrada)
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13
Q

Complicacoes ira

A

Hipercalemia, acidose, hipervolemia, uremia

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14
Q

Hipercalemia TTO (6)

A 
Gluconato de Ca
Solucao polarizante (glicose e insulina)
B agonista
Diuretico de alca 
Dialise
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15
Q

TTO uremia

A

Diálise

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16
Q

Sinais de uremia (4)

A

Sintomas do TGI
Encefalopatia
Disfunção plaquetaria
Pericardite

17
Q

O que é azotemia,

A

Padrao laboratorial da uremia: aumento de ureia e creatinina

18
Q

Sintomas hipercalemia

A

Arritmia

19
Q

Acidose metabolica TTO

A

Bic

Dialise

20
Q

Sinais de acidose (3)

A

Aumento de anion gap
Disfunção circulatória
Arritmia

21
Q

Sinais de hipervolemia

A

Edema agudo de pulmao
Insuficiência respiratória
Sobrecarga cardíaca

22
Q

Tto hipervolemia

A

Furosemida

Dialise

23
Q

Quando fazer dialise? (5)

A 
Sindrome uremica
Acidose grave (<7,1)
Hipervolemia frave e reft
Hipercalemia (>6,5)
Intoxicação

Emergências (12 decks)

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