SEPSE Flashcards by Deleted Deleted | Brainscape

Q

Sepsis 3

Quais são os critérios

A

Glasgow diferente de 15

PAS < ou igual a 100

FR > ou igual a 22

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Q

Quais exames solicitar

A

Hemograma, ureia e creatinina, eletrólitos, bilirrubina, gasometria com lactato e exames específicos da queixa

+++ CULTURAS

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Q

Hemograma para visualizar, principalmente

A

plaquetas

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Q

Suspeita de sepse

A

sala de emergência + avp

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Q

sepsis orienta o que para iniciar o tratamento

A

Expansão volêmica com cristalóide 30mL/Kg

+

ATB largo espectro

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Q

ATB de largo espectro

A

Ceftriaxona em até 1 hora

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Q

Choque séptico

A

Hipotensão refratária a volume

+

sinais de hipoperfusão

+

alteração de lactato

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Q

Qual a droga vasoativa do choque séptico

A

nora

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Q

Dose de NORA

A

5 mL hora

0,05 - 0,10 ug/kg/min

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Q

Qual o alvo de PAM

A

> 65

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Q

Choque refratário

A

má perfusão com dose de

> 0,5 - 1,0 ug de nora

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Q

Corticóide?

A

em dose de stress (100 mg de Hidrocortisona)

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Q

Qual a segunda droga?

A

Dobuta
ou
Vasoativa

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