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Pediatria > patologias NEO guevara > Flashcards

patologias NEO guevara Flashcards

1
Q

Hipoglicemia neonatal

FR

A

GEG, PEG, HMD, RNPT, RNposT, poliglbulia

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2
Q

Hipoglicemia neonatal

Clínica

A

Covulsiones, sopor, llanto, letargia, irritabilidad, temblores, ojo 2 y 4 hrs
HGT a la < 2hrs en FR, OPT temprano

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3
Q

Hipoglicemia neonatal

DG

A

HGT u OPT <45 o 47mg/dl

Se debe confirmar con glicemia venosa

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4
Q

Hipoglicemia neonatal

Tto

A

Leve >30mg/dl asintomatico -> pecho o FI o SH VO

Severa con <30mg/dl sintomatico -> SG 10% EV aprox 6mg/kg/min

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5
Q

Hipocalcemia Neonatal

FR

A

RNTP y HMD

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6
Q

Hipocalcemia Neonatal

Clínica

A

Hipotonía, tetania, convulsiones y riesgo de arritmias con QT largo y torsión de puntas
(cerebro, músculo y corazón)

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7
Q

Hipocalcemia Neonatal

DGx

A

Calcio Total <7-8

Calcio ionico <3-4

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8
Q

Hipocalcemia Neonatal

Tto

A

Leve -> bien y delta de <1 -> observar
Severa -> sintomática, delta > 1 (menor a 6 y 2) -> gluconato de calcio 10% 1-2ml/kg (max 20ml/bolo) diuluido en sg5% EV muy lento (10 a 15mins) vigilando FC

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9
Q

Poliglobulia

FR

A

GEG, PEG, RNposT, HMD, Preeclampsia y/o RCIU

¿Retraso demorar cordón?

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10
Q

Poliglobulia

Clínica

A

piel violacia, pletórica, rubicundéz
convulsiones
hipoglicemia
encefalopatía

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11
Q

Poliglobulia

Dgx

A

Hcto >65%

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12
Q

Poliglobulia

Tto

A

Sintomatico o >70% -> eritroféresis

Asintomatico o <70% -> observar

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13
Q

Encefalopatía hipoxico isquémica

Causas

A

asfixia

hipoxia intrauterina

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14
Q

Encefalopatía hipoxico isquémica

clínica

A

Letargia, convulsiones, hipotonía, irritabilidad, meconio

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15
Q

Encefalopatía hipoxico isquémica

Dg.

A

Descarte de otras causas

y ecografía por riesgo de hemorragia periventricular

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15
Q

Encefalopatía hipoxico isquémica

Dg.

A

Descarte de otras causas

y ecografía por riesgo de hemorragia periventricular

16
Q

Encefalopatía hipoxico isquémica

TTo

A

Soporte y luego rehabilitación

17
Q

Convulsiones neonatales

A

Fenobarbital + buscar y tratar causa, hipoglicemia, EHI entre otros

18
Q

Sepis neonatal

Agente

A

S. Agalactiae (SGB)

E. Coli y otros G(-)

19
Q

Sepis neonatal

FR

A

Prematurez
RPM >18hrs
Corioamnionitis

20
Q

Sepis neonatal

Clínica

A 
Fiebre >38
Hipotermia
Letargia
Covulsiones
Hipotonía
Rechazo alimentario
Ictericia
Hepatoesplenomegalia (TORCHS -> microcefalia!)
Deterioro en general
21
Q

Sepis neonatal

Manejo

A 
Hemograma
PCR
Exs generales
Hemocultivos
Pancultivar
RxTx
PL
Iniciar ATB empírico

Pediatria (20 decks)

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