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Faltan Cmi Iv > Pericardio > Flashcards

Pericardio Flashcards

1
Q

Bicho

A

Viral

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2
Q

Causas pericarditis aguda (1-2 semanas o menos)

A

Idiopatica, viral, …

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3
Q

Clinica pericarditis

A

Dolor
Tope
Alivia genu
Virosis

Taqui
Fiebre
Frotes (auscultacion dinamica)

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4
Q

Dg pericarditis

A

Clinico + ecg

Rx torax se ve botella
Ecg: sdST e infraPR —> invierte T
Troponina y ecocardio.
Panel viral y ANA
Lab

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5
Q

Tto pericarditis

A

AINES + colchicina
Corticoides (AI nunca en viral!!)
Hospitalizar

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6
Q

Derrame y taponamiento que importa

A

Velocidad

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7
Q

Triada de taponamiento

A

Beck: hipotension, ingurgitacion, menor ruido

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8
Q

Pulso paradojico en derrame y taponamiento

A

Baja PAS en inspiracion. Hay taquicardia de pasada

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9
Q

Dg derrame y taponamiento

A

Clinico + ecocardio (confirma)

Ecg: alternancia qrs
Rx torax: 200ml

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10
Q

Pq en derrame y taponamiento evito inotropos + (vasoactivo) y ventilacion mecanica

A

Pq ya esta haciendo todo lo posible

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11
Q

Tto derrame

A

Pericardiocentesis + volemizar + corticoides (solo AI). Luego ver causa

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12
Q

Pericarditis constrictiva a q se parece

A

ICD con buena funcion VI (sin aumento bnp)

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13
Q

Pericarditis constrictiva causas

A

Cicatriza
Idiopatica
Post qx
Radiacion
Tbc

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14
Q

Clinica constrictiva

A

Disnea y edema.

Kussmaul (ingurgita)
Knock peericardico

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15
Q

Dg

A

Clinico + ecocardio

Rx torax
Bnp

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16
Q

Constrictiva pq evitar cronotropo - (bb)

A

Pq ya tiene IC

17
Q

Tto constrictiva

A

Diureticos y restringe na
Pericardiectomia

Faltan Cmi Iv (7 decks)

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