urgencias Flashcards

1
Q

choques que requieren reposicion de Volumen mas vasopresores

A

choque septico, choque anafilactico, nerogenico central y sobredosis de drogas

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2
Q

sobredosis de opiaceos

A

Nalaxona y observarcion 2-3 min

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3
Q

intoxicacion por rodenticidas cumarinicos

A

vit K

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4
Q

tx de segunda en anafilaxia

A

vasopresina

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5
Q

perdida motora ipsilateral de propiocepcion, y perdida contralateral de la sensacion del dolor y la temperatura

A

Sx de brown sequard

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6
Q

tx de primera en emergencia hipertensiva por feocromocitoma

A

fentolamina

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7
Q

compresiones de calidad en mayores de 1 años

A

100/min con 5cm de
profundidad

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8
Q

Desequilibrio ácido-base hipotermia

A

Acidosis metabólica de brecha aniónico amplia

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9
Q

clas de la hipotermia

A

leve 35-32
mod- 32 a 30
grave menos de 30

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10
Q

def de hipotermia

A

menos de 35

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11
Q

estadios de hipotermia

A
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12
Q
A
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13
Q
A
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14
Q
A
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15
Q
A
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16
Q
A
17
Q
A
18
Q
A
19
Q
A
20
Q

hipotermia

A

menor 33-35
mod 30-32
sev menos de 30

21
Q

tx hipotermia

A

Leve 35- 32 grados, recalentamiento pasivo con ropa cobijas ambiante caliente

Mod menos de 32-28 grados, recalentamiento activo externo o interno, externo con agua caliente, cosas externas de calor como calentadores e interno fluidos iv aire calinte inhalado

hipotermia severa menos de 28 grados hasta menos de 24 grados, recalentamiento activo extracorporal hemodialisis, CAVR (recalentamiento arteriovenoso) o recalentamiento venosos

22
Q

perdida de sangre

A

grado 1- 750ml FC menos 100
grado 2- 750-1500 ml fc de 100-120
grado3 1500 2000ml fc 120-140
grado 4 mas de 2000ml fc mas de 140
grado 1 cristaloides
grado 2 cristaloiees
grado 3 cristaloides y sangre
grado 4 cristaloides y sangre

23
Q

gastos urinarios post tx de reposicion de volumen

A

en pediatricos 1ml kg hr
adultos .5 ml kg hr

24
Q

EkG mas hipotermia moderada

A

ondas J osborn

25
Q

asistolia en hipotermia

A

menos de 25 grados

26
Q
A

choque pbstructivo

27
Q

intoxicacion por coca tx fx inicial

A

diazepam

28
Q

coca mas has

A

das nicardipino, alternativo clonidina

29
Q

efecto max de la coca via intransadl

A

20-30min

30
Q
A

flegmesia cerúlea dolens

31
Q

Pacientes con emergencia hipertensiva con evento vascular cerebral isquémico cuál es el tratamiento antihipertensivo

A

labetalol con metas de menos de 180/105

32
Q

ante urgencia hiperyensiva

A

labetalol