trombolisis Flashcards

1
Q

TIEMPO DE ORO

A

90 MIN

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1
Q

CUANDO SE HACE

A

IAM CON ELEVACION DEL ST <12H

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2
Q

CHECK LIST DE CI
9

A

HIC < 3 MESES
TCE <3 MESES
INR>1.7
ENF HEMATOLOGICA - SANGRADOS
QUE TOME WARFARINA
OTRO ACO
TA 180-105 - SI LA BAJO TROMBILIZO
HEMORRAGIA ACTIVA
DISECCION AORTICA

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3
Q

QUE ADMINISTRO Y QUE DOSIS

A

ALTEPLASE
15 MG BOLO
SEGUIDO DE 35 MG POR 30MIN
Y CONTINUO CON 50MG POR 1 HORA

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4
Q

FUNCIONO EL ALTEPLASE:

A

MEJORA EL DOLOR
EL SUPRADESNIVEL DEL ST <50% A LOS 30MIN
RITMO IDEOVENTRICULAR 10SG DESTAPA EL TROMBO (QRS SIMILAR A TV)- FC DISMINUYE 60-110

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