Sepsis Neonatal Flashcards

1
Q

Inicio temprano
Inicio tardío

A

<7 días
>7 días

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2
Q

Patogeno en sepsis temprana y tardío

A

E coli (Mexico), galactae (mundo)
S. Epidermis

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3
Q

Golf estándar para Dx

A

Hemocultivo

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4
Q

Auxiliares

A

Conteo leucocitario
Pcr >10
Procalcitonina >5

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5
Q

Tx temprana y tardía

A

Temprana ampi| genta
2da línea cefotaxima| amika
Tardía: dicloxa| genta

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6
Q

Vasopresor de elección

A

Dopamina|dobutamina

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7
Q

Principal factor de riesgo para encefalopatia hipoxico isquemica

A

Prematuro

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8
Q

Tratamiento en caso de sospechar candida

A

Anftericina b liposomal

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9
Q

En caso de sospechar pseudomona

A

Se agrega cepefime

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10
Q

Manejo en choque séptico

A

Solución cristaloide (salina/ ringer) iniciar cargas de 10ml/kg en un tiempo de 15 a 20 min.
iniciar antibiótico
Corrección de hipoglucemia e hipocalmia

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11
Q

En caso de que el paciente está en choque séptico y tiene una cardiopatía dependiente de conducto, como se maneja?

A

Con prostaglandina E1 y corrección de líquidos especializada

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12
Q

Si estás ante un choque refractario a liquidos se maneja con

A

Dopamina

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13
Q

Clasificación de VOLPG

A

1: menos del 10%
II: entre 10-50%
III: más del 50%

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14
Q

Tiene una mortalidad del

A

11 - 19%

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15
Q

Anticonvulsivo de 1ra elección

A

Fenobarbital

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