Sepsis Flashcards

1
Q

Confirmación de sepsis

A

Hemocultivo

Clínica en hemocultivo negativo y clínica positiva

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2
Q

Clínica sepsis

A

Inestabilidad térmica
Bradicardia o taquicardia
Taquipnea o bradipnea
Síntomas neurológicos
Desaturación
Intolerancia digestiva

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3
Q

Sepsis de inicio temprano

A

Vertical
Primeras 72 horas
Steptococo del grupo B, klebsiella. S aureus
Neumonía
10-30 porciento de mortalidad

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4
Q

Sepsis de inicio tardío

A

Horizontal
>72 horas
S. epidermia, E coli, klebsiella
Bacteriemia, meningitis

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5
Q

Clinica Sepsis Tardía

A

mala evolucion
mala regulacion de temperatura
hipoactividad
sintomas digestivos, respiratorios y neurologicos, cardiocirculatorios y hematologicos

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6
Q

Clinica sepsis tardia

A

insidiosa
taquicardia, fr mayor a 60, mueve solo a estimulos

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7
Q

tto sepsis

A

ampi-genta
en meningitis: ampi 400 mg + cefo
en piel y hueso: oxa-genta

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8
Q

Sepsis micotica

A

Rn bajo peso, con invasividad y hospi prolongada, trobocitopenia
tto anfotericina b

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9
Q

Profilaxis sepsis micotica

A

Fluconazol en
Menos de 1000 gramos o 28 sg
sepsis inicio temprano
enterocolitis necrotizante
Perforacion intestinal
uso cefalosporinas de 3ra generacion

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10
Q

Complicaciones de la sepsis

A

Meningitis
Cid
disfuncion organica
moralidad 5-75%

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