terapia volemica Flashcards

1
Q

care sunt fluidele eritrocitare?

A

sange, masa eritrocitara, hematii congelate

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2
Q

care sunt subs neeritrocitare?

A

cristaloizi si coloizi

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3
Q

care sunt cristaloizi?

A

izotone
hipertone
hipotone

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4
Q

care sunt coloizii?

A

plasma si derivati
substituenti de plasma

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5
Q

cu ce se poate face terapia volemica?

A

sange
plasma si derivati
substituenti de plasma
solutii cristaloide

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6
Q

care sunt sol izotone?

A

Gl 5%, SF, sol. Ringer

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7
Q

care sunt sol. hipotone?

A

SF 0,18%

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8
Q

Care sunt col hipertone?

A

NaCl 3-5,85-10%, Gl 10-60%, sol fructoza, xilit, sol. KCl, bic de Na, manitol

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9
Q

care sunt indicatiile sol hipertone?

A

arsuri extinse
edeme cerebral
hipovolemie

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10
Q

ce este transfuzia?

A

metoda de tratament biologic ce consta in introducerea in arborele circulator a sangelui sau a derivatelor de sange

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11
Q

care sunt indicatiile majore de transfuzii?

A

hemoragiile masive posttraumatice, chirurgicale sau obstreticale, hipovolemia din soc
exanghinotransfuzia si circulatia extracorporeala

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12
Q

anemiile necesita intotdeauna transfuzii. A/F?

A

F- sunt suficiente substituentii deficitari

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13
Q

care sunt indicatiile mesei eritrocitare?

A

anemie fara hipovolemie, soc hemoragic

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14
Q

plasma proaspat congelata contine toate proteinele si toti factorii de coagulare? A/F?

A

A

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15
Q

pentru PPC riscul transmiterii infectiilor virale este acelasi ca si la sangele integral. A/F?

A

A

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16
Q

PPC trebuie sa fie compatibila numai dpdv al sist ABO. A/F?

A

F- si Rh

17
Q

ce este crioprecipitatul?

A

concentrat de proteine plasmatice obt din PPC prin dezghetare si apoi reinghetare la o temp ft scazuta

18
Q

cum se face transfuzia masiva?

A

10 unitati de sg in 6h
5 unitati de sg in 1h
inlocuirea intregului volum de sg in 24h

19
Q

care sunt efectele secundare ale transfuziei masive?

A

afectarea aportului de oxigen livrat la tesuturi
afectarea coagularii- trebuie administrat si PPC
hipotermie, hipocalcemie, hiperpotasemie, acidoza metabolica