PED. 27- MENINGITE BACT. Flashcards

1
Q

C0C0 GRAM - (MENINGITE)

A

Meningococo (N. meningitidis)

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2
Q

COCO GRAM + (MENINGITE)

A

PNEUMOCOCO

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3
Q

COCOBACILO GRAM - (MENINGITE)

A

Hemophilos

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4
Q

BACILO GRAM + (MENINGITE)

A

Listeria

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5
Q

Quando retirar precaução resp. na MENINGITE

A

até 24h após ATB

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6
Q

Ex. FISICO da MENINGITES

A
  • Brudzinski (Flexão involutaria da cabeça após fletir a cabeça)
  • Kerning (Flexão articular do joelho)
  • Lasegue
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7
Q

CLINICA da MENINGITES VIRAL

A

BOM ESTADO GERAL + Sinais Irritação meningea

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8
Q

Ex. COMPLEMENTARES na MENINGITES

A
  • *TM da cranio ANTES DA PUNÇÃO** (indicações…)
  • *Liquor** (Gram, cultura, quimiocitologia, proteinorraquia, glicorraquia)
  • HMG
  • PCR/ VHS
  • ELETROLITOS (N+/K+)
  • F. HEPATICA (TGO/TGP)
  • F. RENAL (Ureia/Creatinina)
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9
Q

INTERPRETAÇÃO do LIQUOR

A
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10
Q

CONDUTA na MENINGITE BACT.

A
  1. INTERNAÇÃO UTI
  2. SF
  3. HEMOCULTIRA (antes ATB)
  4. ATB (Cef IV 7-14d)
  5. CORTICOIDE (Dexa)
  6. ISOLAMENTO DE GOTICULAS (até 24h após ATB)
  7. NOTIFICAÇÃO COMPULSORIA
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11
Q

CONDUTA na MENINGITE VIRAL

A
  1. Suporte + Acompanhamento
  2. NOTIFICAÇÃO COMPULSORIA

*MENINGITE HERPETICA: Aciclovir IV

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12
Q

QUIMIOPROFILAXIA na MENINGITE BACT.

A

*48hrs

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