meningites Flashcards

1
Q

tratamento inicial de meningites

A

LABORATORIO
HEMOCULTURA
PL dx
ATB empirico
dexametasona ( alguns casos )

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2
Q

TAC ANTES DA PUNCAO LUMBAR

A

-Imunosuprimidos
-Convulsao
-Papiledema

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3
Q

puncao lumbar BACTERIANA

A

-abertura : aumentada
-celulas 500
-Polimorfomonucleares
-proteinas : aumentada
-glicose : reduzida

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3
Q

puncao lumbar viral

A

-linfomonocitario
-proteinas : normal / aumentada
-glicose : normal

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4
Q

puncao lumbar TUBERCULOSA

A

-aparencia : xantocromico
-linfomonocitario
-proteinas : aumentada
-glicose :diminuida

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5
Q

gram - responsaveis pela meningites

A

-Coco: neisseria
-Bacilos : h. influeNzae

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6
Q

gram + cocos meningites

A

-streptococo pneumoniae

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7
Q

causa mais comum de meningites viral

A

-Enterovírus, transmitido via fecal-oral
-NAO FAZ ISOLAMENTO

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8
Q

tto meningite bacteriana segundo faixa etaria

A

-até 2m : cefotaxima + ampicilina
-3 m a adultos: ceftriaxona
- >60a e imunodeprimidos : ceftriaxona + ampicilina

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9
Q

tempo de duracao de ATB segundo o agente

A

-neisseria: 5 a 7 dias
-streptococo: 10 a 14 dias
-listeria: > 21 dias

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10
Q

indicacao profilaxia

A

-Mesmo domicílio ,Creches e dormitorio
-Procedimento invasivo

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11
Q

Quimiprofilaxia de meningitidis

A

-Rifampicina 600 mg 12/12 hs 2d ( neisseria ) por 4 d ( h.influenzae)
-alt: ceftriaxona ou ciprofloxacino
-em até 14d do caso indice ( preferencial ate 48hs )

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12
Q

tto de meningites tuberculosa

A

-2 meses: RHZE
-10 meses: rifampicina + isoniazida

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13
Q

isolamento respiratorio

A

24 hs apos o inicio do ATB
-Mascara cx : preucacao com GOTICULAS

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14
Q

sintomas da meningococcemia ou sx de waterhouser frederish

A

-sufusões hemorrágicas
-petéquias
-insu.adrenal

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15
Q

meningite herpetica

A

-febre + cefaelia + convulsoes + deficit focal
-RNM : hiperatenuada de uma lado
-PL: pleocitose com linfocitose + proteinorraquia com glicose normal

16
Q

Esquema preferencial em lactentes maiores e criancas

A

Vancomicina + Ceftriaxona ou Cefotaxima