Posparto Y Puerperio Flashcards

1
Q

Qué es una hemorragia puerperal

A

Hemorragia de más de 1000 ml o caída de la hematocrito más del 10% o inestabilidad hemodinámica

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2
Q

A qué se le denomina hemorragia precoz

A

<24 hrs

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3
Q

que es la hemorragia obstétrica tardía

A

> 24 hrs a 6 sem

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4
Q

Útero tónico de elección en hemorragia obstétrica

A

Oxitocina

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5
Q

Cuál es la vida media de la oxitocina

A

5 min

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6
Q

Útero tónicos de segunda elección en hemorragia obstétrica

A

Ergonovina

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7
Q

Indicaciones de uso de Carbetocina en hemorragia obstétrica

A

Sobre distensión uterina y cesárea

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8
Q

Útero tónicos de tercera elección en Hemorragia obstétrica

A

Carbetocina

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9
Q

Contraindicación absoluta de ergonovina

A

HAS

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10
Q

Dosis de ergonovina

A

0.2 mg IM

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11
Q

Riesgo de recurrencia de hemorragia obstetrica en el siguiente parto

A

15%

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12
Q

Clínica de endometritis

A


Dolor abdominal
Lóquios

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13
Q

Antibiótico de elccion en endometritis

A

Genta o clinda

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14
Q

Ante falla de tratamiento con útero tónicos en hemorragia obstétrica cuál es la siguiente conducta a realizar

A

Pinzamienti de arteria uterina_ técnica ZEA o balón bakri

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15
Q

Ante fallas de balón Bakri obstétrica cuál es la siguiente conducta

A

Suturas uterinas B LYNCH
Ligadura de arterias uterinas o hipogástricas

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16
Q

Cual es la conducta si la hemorragia obstetrica no se resuelve con histerectomia

A

Empaquetamiento abdominal