Pneumo - Crise Asmática Flashcards

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1
Q

Gasometria na crise asmática

A

Alcalose respiratória

Hipocapnia

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2
Q

Hipercapnia na crise asmática

A

Iminência de PCR

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3
Q

Crise asmática leve/moderada

A

BEG, frases, sibilos, FC e FR normais, SatO2 >95%, PFE>50

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4
Q

Crise asmática grave

A

Agitado, frases curtas, sibilos difusos, FC e FR aumentadas, SatO2 91-95%, PFE 30-50, PaCO2 <45

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5
Q

Crise asmática muito grave

A

Confuso, monossilabos, MV diminuído, FC e FR muito aumentadas, SatO2<90%, PaCO2 >45, PFE <30

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6
Q

Tórax silente

A

Crise asmática muito grave

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7
Q

Fatores de pior prognóstico crise asmática

A

Uso de CS, baixa renda, asma lábil, má percepção da crise, IOT prévia, >1 frasco BD/mês

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8
Q

Efeitos adversos SABA

A

Tremor, taquicardia, hipoK+

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9
Q

Corticoterapia na crise asmática

A

VO=EV
1mg/kg/dia
3-10 dias

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10
Q

Alvo oxigenoterapia crise asmática

A

SatO2 92-95%

Gestantes e crianças 94-95%

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11
Q

Toxicidade da aminofilina

A

Cardíaca

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12
Q

Boa resposta ao tratamento da crise asmática

A

PFE >70%

SatO2 >95%

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13
Q

Resposta parcial ao tratamento da crise asmática

A

PFE 50-70

Dispneia

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14
Q

Pouca reposta ao tratamento da crise asmática

A

PFE <50

Dispneia

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15
Q

Anestésico para IOT na crise asmática

A

Quetamina (efeito BD)

Também pode usar propofol

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16
Q

VM na crise asmática

A

Baixo volume corrente e FR

Diminuir o aprisionamento aéreo