Neumonia en el Paciente Pediátrico
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Una presentación con animaciones que menciona lo más importante de la neumonía en pediatría. *Una vez descargada el texto superpuesto y algunos marcos de las mágenes desaparecen.
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Neumonia en el Paciente Pediátrico
- 1. NEUMONÍA EN EL PACIENTE PEDIÁTRICO
- 2. • Inflamación del alveolo y espacio terminal en respuesta a la invasión por un agente infeccioso el cual puede introducirse por vía hematógena o inhalación.
- 3. •Bronconeumonía Según sitio anatómico •Neumonía segmentaria •Neumonía lobar •Viral Según etiología. •Bacteriana •Atípica
- 4. Agentes etiológicos Recién Nacidos a 21 días según grupo de edad:
- 5. • Streptococcus Tres pneumoniae semanas a • Staphylococcus aureus tres meses • Chlamydia trachomatis Otros: Virus Sincitial Respiratorio, Parainfluenza, Bordetella pertussis
- 6. Mycoplasma pneumoniae, Streptococcus pneumoniae, Haemophilus influenzae tipo b, Staphylococcus aureus.
- 7. Streptococcus pneumoniae, Mycoplasma pneumoniae, Chlamydia pneumoniae.
- 8. • Primera causa de muerte en menores de 5 años • Es más frecuente en niños entre 1 a 4 años de edad. Riesgo de presentar neumonía: 4/100 niños 2/100 niños 1/100 niños preescolares de 5-9 años. 9-15 años.
- 10. Vacunas contra el Diagnóstico neumococo en precoz y pacientes con tratamiento Detección de neumonías a oportuno signos de alarma repetición
- 11. Gener Respiratorios ales Tos Disnea Taquipnea Retracciones Crépitos
- 12. • Matidez • Aumento de vibraciones vocales • Disminución de ruidos respiratorios
- 13. ↓ del Crépitos murmullo vesicular Alteraciones a la auscultación pulmonar: Soplo tubárico Sibilancias •Dolor pleurítico •Dolor abdominal •Aspecto tóxico o postración
- 14. 2 meses a 5 años: retracciones subcostales o intercostales mas cianosis central ó incapacidad para alimentarse. Lactantes menores de dos meses severas retracciones intercostales, incapacidad para alimentarse, convulsiones, somnolencia y cianosis
- 15. Anamnesis y Examen Físico
- 16. •Demostración de infiltrados •Presencia de hiperinsuflación •Consolidación lobar o derrame pleural •Neumatoceles
- 17. Inespecíficos Específicos •Hemograma •Hemocultivo •Reactantes de fase aguda •Detección de Ag’s antivirales en •Crioaglutininas aspirado nasofaríngeo •Serología
- 18. • Diferenciar etiologías • Atelectasias • Tuberculosis pulmonar • Condensaciones debido a la aspiración de un cuerpo extraño • Malformaciones congénitas • Micosis respiratorias
- 19. • Medidas No Farmacológicas: – Fisioterapia de Tórax • Medidas Farmácológicas – Tratamiento hospitalario – Tratamiento ambulatorio de neumonía bacteriana
- 20. Manejo de la fiebre: Acetaminofen 10-15 mg/kg/dosis cada 4-6 horas, si fiebre > 38.5 "C Oxigenoterapia Aporte de líquidos IV Broncodilatadores Antibióticos
- 21. Recién nacido: Se trata como sepsis neonatal Menor de 6 meses: Mayores de 6 Ampicilina meses de edad: sulbactam a 100 Penicilina cristalina mg/Kg/día, 200,000 U/kg/día dividido cada 6 divididacada4- horas. 6horas
- 22. Ceftriaxona 50 - 7 5 mg/kg/ días cada 12 - 24 horas +/- Ertapenem 30 Oxacilina 100 mgkg/dia en una sola dosis Mg/kg/dia, dividido cada 6 horas
- 23. : Oxacilina : 100 mg/kg/día, dividido Claritromicina l5mg/kg/día cada 6 horas. dividido c/l2hrs por 14 días para micoplasma y 5 días para clamidia.
- 24. Mayores de tres meses, sin compromiso del estado general, sin dificultad respiratoria o requerimientos de oxigeno. Amoxicilina 50 mg/kg/día divididos cada 8 horas durante 10 días.
- 26. Pausas Incapacidad respiratorias Cianosis o familiar de saturación cuidado <92% a nivel adecuado del mar Compromiso Menores Dificultad del estado de 1 año para respirar general Rechazo significativo FR > 70/min al alimento Pausas Respiratorias
- 27. •Cianosis o saturación <92% al nivel del mar •FR> 50/min •Dificultad para respirar •Signos de deshidratación •Compromiso del estado general •Incapacidad familiar de proveer un cuidado adecuado
- 28. • Incapacidad de mantener una Sat O2 > 92% yo con una Fi O2 >60% • Choque • Aumento de FR y pulso, con dificultad respiratoria severa con o sin aumento del PaCO2 • Apnea o respiración irregular
- 29. • Que el niño no requiera aporte de oxígeno • Paciente sin complicaciones • Proceso febril y taquipnea resueltos
- 30. Sospecha de Neumonía No Sí ¿Dificultad Respiratoria? H O No Sí S ¿Aspecto tóxico infeccioso? P No Sí I ¿Menor de 3 meses? T A L I Complicaciones en Rx Sí Z tórax o compromiso A extenso No Manejo ambulatorio con control estrecho ¿Presencia de sibilancias? c/24-48 horas
- 31. ¿Presencia de sibilancias? Ingresar a UCIP si hay: insuficiencia respiratoria, choque, respiración irregular o apneas. • Tomar hemocultivo, •Tomar Panel Respiratorio hemograma, VES, PCR (si no (sospecha etiología viral). se han tomado aún). •Crioaglutininas (sospecha de • Antibióticos micoplasma). • Otras medidas de sostén •Serología específica: Mycoplasma pneumoniae Chlamydia pneumoniae Sospecha de germen atípico: Claritromicina •Broncodilatadores •Otras medidas de sostén ¿Mejoría Clínica?
- 32. ¿Mejoría Clínica? •Si hay deterioro • Alta si: clínico traslado a UCIP. •No hay dificultad •Ausencia de mejoría respiratoria. sin deterioro: •No requiere aporte de reevaluar considerar oxigeno etiología si no se ha •Proceso febril resuelto tomado en •No hay complicaciones consideración.
Notas del editor
- Animated, overlapping color bars(Advanced)To reproduce the shape effects on this slide, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank.On the Home tab, in the Drawing group, click Shapes, and then under Rectangles, select Rectangle (first option from the left). On the slide, drag to draw the first rectangle.Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group do the following:In the Shape Height box enter 0.86”.In the Shape Width box enter 10.5”.Under Drawing Tools, on the Format tab, in the ShapeStyles group, click the FormatShape dialog box launcher. In the Format Shape dialog box in the left pane, click Fill. In the Fill pane, click Solid fill,and then do the following:Click the button next to Color, and click MoreColors.In the Colors dialog box, on the Custom tab, enter values for Red: 86, Green: 113, Blue: 118.In the Transparency box, enter 40%. Also in the Format Shape dialog box, in the left pane click Line Color, and then inthe Line Color pane click No line. ClickClose.Right-click the rectangle and click Copy.On the Home tab, in the Clipboard group, clickPaste, and then click Use Destination Theme. Select the duplicate rectangle. Under Drawing Tools, on the Format tab, in the Size group do the following:In the Shape Height box enter 0.86”.In the Shape Width box enter 4.96”.Under Drawing Tools, on the Format tab, in the ShapeStyles group, click the FormatShape dialog box launcher.In the Format Shape dialog box, in the left pane, click Fill. In the Fill pane, select Solid fill, and then click the button next to Color and then under Theme Colorsselect Red, Accent 2, Darker 50% (sixth row, sixth option from the left). In the Transparency box, enter 40%.Press and hold SHIFT and select both rectangles. On the Home tab, in the Drawing group, click Arrange, point to Align, and then click Align to Slide,then do the following:Click Arrange, point to Align, and click Align Center.Click Arrange, point to Align, and click Align Middle.To create the animation effects for this slide, do the following:(Note: For this animation effect, the first (largest, blue) rectangle remains stationary on the slide.)Select the second rectangle (smaller, red).On the Animations tab, in the Animation group, in the effects gallery, click Lines, then click Effect Options and then click Right.On the slide, drag the motion path end point (red arrow) beyond the right edge of the slide. Drag the motion path starting point (green arrow) beyond the left edge of the slide. On the Animations tab, in the Timing group, in the Duration box, type in 3.55On the Animations tab, in the Advanced Animation group, click Animation Pane.In the Animation Pane, click the arrow at the motion path animation effect,and then click Start With Previous. Click again the arrow next to the motion path animation effect, and click Effect Options. In the Right dialog box, do the following:On the Effect tab, under Settings, select the Auto-Reverse check box.On the Timing tab, in the Repeat box, select Until End of Slide.Click OK.To add more colors and animated effects to the line, do the following:Right-click the second (small, red) rectangle and click Copy.On the Home tab, in the Clipboard group, clickPaste, and then click Use Destination Theme. Move this rectangle so it is not on top of those already created, so it can be more easily worked on. Repeat this step three more times until you have added four more rectangles, for a total of six.Select the third rectangle. (In the Animation Pane, of the five rectangles listed, this should select the second rectangle.) Under Drawing Tools, on the Format tab, in the Size group do the following:In the Shape Height box enter 0.86”.In the Shape Width box enter 3.16”.Under Drawing Tools, on the Format tab, in the ShapeStyles group, click the FormatShape dialog box launcher. In the Format Shape dialog box in the left pane, click Fill. In the Fill pane, click Solid fill,and then do the following:Click the button next to Color, and click MoreColors.In the Colors dialog box, on the Custom tab, enter values for Red: 79, Green: 129, Blue: 189.In the Transparency box, enter 40%. On the Animations tab, in the Timing group, in the Duration box, enter 3.1.In the Animation Pane, click the arrow at the motion path animation effect,and then click Start With Previous. Click again the arrow next to the motion path animation effect, and click Effect Options. In the Right dialog box, do the following:On the Effect tab, under Settings, select Auto-Reverse.On the Timing tab, in the Repeat box,click Until End of Slide.Click OK.On the slide, position the third rectangle on the first (and longest) rectangle lining up the top and bottom edges.To add color, size and timing to the fourth, animated rectangle, do the following:Select the fourth rectangle. (In the Animation Pane, of the five rectangles listed, this should select the third rectangle.) Under Drawing Tools, on the Format tab, in the Size group do the following:In the Shape Height box enter 0.86”.In the Shape Width box enter 1.68”.Under Drawing Tools, on the Format tab, in the ShapeStyles group, click the FormatShape dialog box launcher. In the Format Shape dialog box in the left pane, click Fill. In the Fill pane, click Solid fill,and then do the following:Click the button next to Color, and then under Theme Colors click Olive Green, Accent 3, Darker 50% (sixth row, seventh option from the left).In the Transparency box, enter 40%. On the Animations tab, in the Timing group, in the Duration box, enter 3.95.In the Animation Pane, click the arrow at the motion path animation effect,and then click Start With Previous. Click again the arrow next to the motion path animation effect, and click Effect Options. In the Right dialog box, do the following:On the Effect tab, under Settings, select Auto-Reverse.On the Timing tab, in the Repeat box,click Until End of Slide.Click OK.On the slide, position the fourth rectangle on the first (and longest) rectangle lining up the top and bottom edges.To add color, size, and timing to the fifth, animated rectangle, do the following:Select the fifth rectangle. (In the Animation Pane, of the five rectangles listed, this should select the fourth rectangle.) Under Drawing Tools, on the Format tab, in the Size group do the following:In the Shape Height box enter 0.86”.In the Shape Width box enter 1.68”.Under Drawing Tools, on the Format tab, in the ShapeStyles group, click the FormatShape dialog box launcher. In the Format Shape dialog box in the left pane, click Fill. In the Fill pane, click Solid fill,and then do the following:Click the button next to Color, and click MoreColors.In the Colors dialog box, on the Custom tab, enter values for Red: 127, Green: 140, Blue: 60.In the Transparency box, enter 40%. On the Animations tab, in the Timing group, in the Duration box, enter 5.3.In the Animation Pane, click the arrow at the motion path animation effect,and then click Start With Previous. Click again the arrow next to the motion path animation effect, and click Effect Options. In the Right dialog box, do the following:On the Effect tab, under Settings, select Auto-Reverse.On the Timing tab, in the Repeat box,click Until End of Slide.Click OK.On the slide, position the fifth rectangle on the first (and longest) rectangle lining up the top and bottom edges. To add color, size, and timing to the sixth, animated rectangle, do the following:Select the sixth rectangle. (In the Animation Pane, of the five rectangles listed, this should select the fifth rectangle.) Under Drawing Tools, on the Format tab, in the Size group do the following:In the Shape Height box enter 0.86”.In the Shape Width box enter .98”.Under Drawing Tools, on the Format tab, in the ShapeStyles group, click the FormatShape dialog box launcher. In the Format Shape dialog box in the left pane, click Fill. In the Fill pane, click Solid fill,and then do the following:Click the button next to Color, and then under Theme Colors click Olive Green, Accent 3, Darker 25% (fifth row, seventh option from the left).In the Transparency box, enter 40%. On the Animations tab, in the Timing group, in the Duration box, enter 4.2.In the Animation Pane, click the arrow at the motion path animation effect,and then click Start With Previous. Click again the arrow next to the motion path animation effect, and click Effect Options. In the Right dialog box, do the following:On the Effect tab, under Settings, select Auto-Reverse.On the Timing tab, in the Repeat box,click Until End of Slide.Click OK.On the slide, position the sixth rectangle on the first (and longest) rectangle lining up the top and bottom edges. To reproduce the background effects on this slide, do the following:Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following:In the Type list, select Radial.Click the button next to Direction, and then click From Center (third option from the left). Under Gradient stops, click Add or Remove until two stops appear in the drop-down list.Under Gradient stops, customize the gradient stops as follows:Click the left gradient stop slider and then do the following:In the Position box, enter 40%.Click the button next to Color, and then under Theme Colors click Black, Text 1, Lighter 50% (second row, second option from the left).Click the right gradient stop slider and then do the following: In the Position box, enter 100%.Click the button next to Color, and then under Theme Colors click Black, Text 1.(first row, second option from the left).Click Close.
- Animated rectangles curve up and grow in sequence(Intermediate)To reproduce a rectangle on this slide, do the following:On the Home tab, in theSlides group, click Layout, and then click Blank.On the Home tab, in the Drawing group, click Shapes, and then under Rectangles click Rounded Diagonal Corner Rectangle (ninth option from the left). On the slide, drag to draw a rounded rectangle.Drag the yellow diamond adjustment handle to the left to reduce the size of the corner radius.Select the rounded rectangle. Under DrawingTools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 2.33”.In the Shape Width box, enter 2.32”.On the Home tab, in the Drawing group, click the arrow next to Shape Fill, and select No Fill.On the Home tab, in the Drawing group, click Shape Effects, point to Reflection, under Reflection Variations, select Tight Reflection, touching (first row, first option from the left).On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, in the left pane click Line Color, and then in the Line Color pane select Solid Line. In the Color list, select More Colors, and then in the Colors dialog box, on the Custom tab, enter values for Red: 137, Green: 227, Blue: 231.Also in the Format Shape dialog box, in the left pane, click Line Style. In the Line Style pane, in the Width text box, enter 10 pt, and in the Cap type list, select Round. Also in the Format Shape dialog box, in the left pane, click 3-D Format. In the 3-D Format pane, do the following:Under Bevel, do the following:In the Top list, under Bevel, select Circle (first row, first option from the left). In Top, under Width, enter 10 pt. In Top, under Height, enter 10 pt.Under Contour, click the button next to Color, and then under Theme Colors select Olive Green, Accent 3, Lighter 60% (third row, seventh option from the left).Under Surface, do the following:In the Material list, under Standard, select Matte (first row, first option from the left).In the Lighting list, under Neutral, select Soft (first row, third option from the left).In the Angle box, enter 315°.Right-click the rounded rectangle and select Edit Text.Enter text in the text box, select the text, and then on the Home tab, in the Font group, select Gills Sans MT Condensed from the Font list, and select 28 from the Font Size list.On the Home tab, in the Paragraph group, click Center to center the text.To reproduce the animation effect on this slide, do the following:On the Animations tab, in the Animation group, click the More arrow to expand the effects gallery, and then click More Entrance Effects. In the Change Entrance Effect dialog box, under Exciting, click Curve Up.In the Timing group, do the following:In the Start list, select WithPrevious.In the Duration list, select 00.50.In the Advanced Animation group, click AddAnimation, and under Emphasis, click Grow/Shrink. In the Advanced Animations group, click Animation Pane. In the Animation Pane, click the arrow at the side of the second (grow/shrink) effect and then click Effect Options.In the Grow/Shrink dialog box, on the Timing tab, do the following:In the Start list, select WithPrevious.In the Duration list, select 0.5 seconds (Very Fast).On the Effects tab, do the following:Click the arrow next to Size, select Custom, enter 5 and then press ENTER.Click the arrow next to Size, select Vertical. Select the Auto-reverse check box.Click OK.To reproduce a second and third rectangle and the animation, do the following:On the slide, select the rounded rectangle.On the Home tab, in the Clipboard group, click the arrow at Copy, and select Duplicate. Position the second rounded rectangle next to the first rounded rectangle. Repeat until there are three rectangles.In the Animation Pane, in the animation list, press and hold CTRL and select the Curve Up entrance effect and Grow/Shrink emphasis effect for the second rectangle (third and fourth effects in the list). On the Animations tab, in the Timing group, in the Delay text box, enter 0.5.In the Animation Pane, in the animation list, press and hold CTRL and select the Curve Up entrance effect and Grow/Shrink emphasis effect for the third rectangle (fifth and sixth in the list). Click the arrow next to the effect, select Effect Options, and then in the dialog box, on the Timing tab, in the Delay text box, enter 1.0.Click the text in each rectangle to change, add or remove it.To reproduce the background on this slide, do the following: On the Home tab, in the Drawing group, clickShapes, and then under Rectangles, select Rectangle (first option from the left). On the slide, drag to draw a rectangle.Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height text box enter 1.62”.In the Shape Width text box enter 10”.UnderDrawing Tools, on the Format tab, in the bottom right corner of the Shape Styles group, click the Format Shape dialog box launcher.In the Format Shape dialog box, in the left pane, click Fill, and in the Fill pane, do the following:Select Solid fill. Click the button next to Color, select More Colors, and then in the Colors dialog box, on the Custom tab, enter values for Red: 137, Green: 227, Blue: 231.UnderTransparency, use the slider or box to enter 70%.Also in the Format Shape dialog box, in the left pane, click Line Color, and in the Line Color pane, select No line.Position the rectangle on the middle of the slide.On the Home tab, in the Drawing group, clickShapes, and then under Rectangles, select Round Diagonal Corner Rectangle (ninth option from the left). On the slide, drag to draw a rectangleSelect the round diagonal corner rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height text box enter 0.44” and in the Shape Width text box enter 0.44”.UnderDrawing Tools, on the Format tab, in the Shape Styles group, click the Format Shape dialog box launcher.In the Format Shape dialog box, in the left pane, click Fill, and in the Fill pane, do the following:Select Solid fill. Click the button next to Color, under Theme Colors, select White, Background 1, Darker 15% (third row, first option from the left).In the Transparency, box enter 60%.Also in the Format Shape dialog box, in the left pane, click Line Color, and in the Line Color pane, select No line.Select the round diagonal corner rectangle. On the Home tab, in the Clipboard group, click the arrow at Copy, and select Duplicate. Repeat this process until you have a total of seven round diagonal corner rectangles.On the slide, press and hold CTRL and select the seven round diagonal corner rectangles. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align, and do the following:Click Align Selected Objects.Click Align Top.Click Distribute Horizontally.Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.Click the button next to Direction, and then click Linear Diagonal – Bottom Right to Top Left (second row, third option from the left). Under Gradient stops, click Add or Remove until two stops appear on the slider, and customize the gradient stops as follows:Select Stop 1 on the slider, and then do the following:In the Position box, enter 50%.Click the button next to Color, and click White, Background 1 (first row, first option from the left).Select Stop 2 on the slider, and then do the following: In the Position box, enter 100%.Click the button next to Color, and click More Colors. In the Colors dialog box, on the Custom tab, enter values for Red: 204, Green: 244, Blue: 248.
- Animated tab slides over five headers(Intermediate)Tip: You will need to use drawing guides to position the shapes and text on the slide. To display and set the drawing guides, do the following:On the Home tab, in the Slides group, click Layout, and then click Blank.Right-click the slide background area, and then click Grid and Guides.In the Grid and Guides dialog box, underGuidesettings, select Display drawing guides on screen. (Note: One horizontal and one vertical guide will display on the slide at 0.00, the default position. As you drag the guides, the cursor will display the new position.) On the slide, do the following:Press and hold CTRL, select the vertical guide, and then drag it left to the 3.50 position.Press and hold CTRL, select the vertical guide, and then drag it left to the 1.75 position.Press and hold CTRL, select the vertical guide, and then drag it right to the 1.75 position.Press and hold CTRL, select the vertical guide, and then drag it right to the 3.50 position.To reproduce the long, thin rectangle on this slide, do the following:On the Home tab, in the Drawing group, click Shapes, and then under Rectangles click Rectangle (first option from the left). On the slide, drag to draw a rectangle. Select the rectangle. Under DrawingTools, on the Format tab, in the Size group, do the following: In the ShapeHeight box, enter 0.05”.In the ShapeWidth box, enter 10”.Under DrawingTools, on the Format tab, in the bottom right corner of the ShapeStyles group, click the FormatShape dialog box launcher. In the FormatShape dialog box, in the left pane, click LineColor. In the LineColor pane, select Noline.Also in the FormatShape dialog box, in the left pane, click Shadow. In the Shadow pane, click the button next to Presets, under Outer click OffsetBottom (first row, second option from the left), and then do the following:In the Transparency box, enter 68%.In the Blur box, enter 3.5 pt.In the Distance box, enter 2.2 pt.Also in the FormatShape dialog box, in the left pane, click 3-D Format. In the 3-D Format pane, do the following:Under Bevel, click the button next to Top, and then under Bevel click Circle (first row, first option from the left). Next to Top, in the Width box, enter 15 pt,and in the Height box, enter 3 pt.Under Surface, click the button next to Lighting, and then under Neutral click Balance (first row, second option from the left). In the Angle box, enter 145°. On the slide, drag the rectangle about 0.25” above the 0.00 horizontal drawing guide. (Note: To view the ruler, on the View tab, in the Show/Hide group, select Ruler.)On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following:Click Align to Slide. Click AlignCenter.To reproduce the tab (rounded rectangle) on this slide, do the following:On the Home tab, in the Drawing group, click the More arrow to expand the shapes gallery, and then under Rectangles click Round Same Side Corner Rectangle (eighth option from the left). On the slide, drag to draw a rounded rectangle. On the slide, select the rounded rectangle. Under DrawingTools, on the Format tab, in the Size group, do the following: In the ShapeHeight box, enter 0.58”.In the ShapeWidth box, enter 1.33”.Under DrawingTools, on the Format tab, in the bottom right corner of the ShapeStyles group, click the FormatShape dialog box launcher. In the FormatShape dialog box, in the left pane, click LineColor. In the LineColor pane, select Noline.Also in the FormatShape dialog box, in the left pane, click Shadow. In the Shadow pane, click the button next to Presets, under Outer click OffsetBottom (first row, second option from the left), and then do the following:In the Transparency box, enter 68%.In the Blur box, enter 3.5 pt.In the Distance box, enter 2.2 pt.Also in the FormatShape dialog box, in the left pane, click 3-D Format. In the 3-D Format pane, do the following:Under Bevel, click the button next to Top, and then under Bevel click Circle (first row, first option from the left). Next to Top, in the Width box, enter 4 pt,and in the Height box, enter 4 pt.Under Surface, click the button next to Lighting, and then under Neutral click Balance (first row, second option from the left). In the Angle box, enter 145°. On the slide, drag the rounded rectangle until the bottom edge touches the top edge of the long, thin rectangle and it is centered on the 3.50 left vertical drawing guide.To reproduce the first text box on this slide, do the following:On the Insert tab, in the Text group, click TextBox. On the slide, drag to draw a text box. Enter TAB ONE,and then select the text. On the Home tab, in the Font group, do the following:In the Font list, select TW Cen MT Condensed.In the FontSize box, enter 22 pt. On the Home tab, in the Paragraph group, click Center to center the text in the text box.On the slide, drag the text box onto the rounded rectangle until the bottom edge of the text is 0.5” above the 0.00 horizontal drawing guide and it is centered on the 3.50 left vertical drawing guide.To reproduce the other text boxes on this slide, do the following:On the slide, select the first text box. On the Home tab, in the Clipboard group, click the arrow under Copy, and then click Duplicate. Repeat this process three more times for a total of five text boxes.Click in one of the duplicate text boxes, delete TAB ONE, and then enter TAB TWO. Drag the second text box until the bottom edge of the text is 0.5” above the 0.00 horizontal drawing guide and it is centered on the 1.75 left vertical drawing guide.Click in another duplicate text box, delete TAB ONE, and then enter TAB THREE.Drag the third text box until the bottom edge of the text is 0.5” above the 0.00 horizontal drawing guide and it is centered on the 0.00 vertical drawing guide. Click in another duplicate text box, delete TAB ONE, and then enter TAB FOUR.Drag the fourth text box until the bottom edge of the text is 0.5” above the 0.00 horizontal drawing guide and it is centered on the 1.75 right vertical drawing guide.Click in the last duplicate text box, delete TAB ONE, and then enter TAB FIVE.Drag the fifth text box until the bottom edge of the text is 0.5” above the 0.00 horizontal drawing guide and it is centered on the 3.50 right vertical drawing guide.Select the text in the first text box. On the Home tab, in the Font group, click the arrow next to Font Color, and then under ThemeColors click White, Background 1 (first row, first option from the left). Repeat this process for each of the other text boxes. To reproduce the animation effects on this slide, do the following:On the Animations tab, in the Advanced Animations group, click Animation Pane. On the Home tab, in the Editing group, click Select, and then click Selection Pane.In the Selection and Visibility task pane, select the rounded rectangle (“Round Same Side Corner Rectangle” object). In the Animation group, click the More arrow to expand the effects gallery, then under MotionPaths, click Lines. In the Animation group, click Effect Options and under Direction, click Right.On the slide, point to the endpoint (red arrow) of the selected motion path until the cursor becomes a two-headed arrow. Press and hold SHIFT, and then drag the endpoint to the 1.75 left vertical drawing guide. In the Selection and Visibility taskpane, select the rounded rectangle again. In the Advanced Animation group, click Add Animation, and under MotionPaths, click Lines. In the Animation group, click Effect Options and under Direction, click Right.In the Animation Pane, select the second animation effect (right motion path for the rounded rectangle).On the slide, point to the endpoint (red arrow) of the selected motion path until the cursor becomes a two-headed arrow. Press and hold SHIFT, and then drag the endpoint to the 0.00 vertical drawing guide. On the slide, point to the starting point (green arrow) of the selected motion path until the cursor becomes a two-headed arrow. Press and hold SHIFT, and then drag the starting point to the 1.75 left vertical drawing guide. In the Selection and Visibility taskpane, select the rounded rectangle again. In the Advanced Animation group, click Add Animation, and under MotionPaths, click Lines. In the Animation group, click Effect Options and under Direction, click Right.In the CustomAnimation task pane, select the third animation effect (right motion path for the rounded rectangle). On the slide, point to the endpoint (red arrow) of the selected motion path until the cursor becomes a two-headed arrow. Press and hold SHIFT, and then drag the endpoint to the 1.75 right vertical drawing guide. On the slide, point to the starting point (green arrow) of the selected motion path until the cursor becomes a two-headed arrow. Press and hold SHIFT, and then drag the starting point to the 0.00 vertical drawing guide. In the Selection and Visibility taskpane, select the rounded rectangle again. In the Advanced Animation group, click Add Animation, and under MotionPaths, click Lines. In the Animation group, click Effect Options and under Direction, click Right.In the CustomAnimation task pane, select the fourth animation effect (right motion path for the rounded rectangle).On the slide, point to the endpoint (red arrow) of the selected motion path until the cursor becomes a two-headed arrow. Press and hold SHIFT, and then drag the endpoint to the 3.50 right vertical drawing guide. On the slide, point to the starting point (green arrow) of the selected motion path until the cursor becomes a two-headed arrow. Press and hold SHIFT, and then drag the starting point to the 1.75 right vertical drawing guide. In the Animation Pane, press and hold down CTRL and select all four animation effects. On the Animations tab, in the Timing group, do the following:In the Start list, select On Click.In the Duration list, enter 01.00.On the View tab, in the Show group, clear Ruler and clear Guides.To reproduce the background effects on this slide, do the following:Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:In the Type list, select Linear.Click the button next to Direction, and then click Linear Up (second row, second option from the left).Under Gradient stops, click Add or Remove until two stops appear on the slider, and customize the gradient stops as follows:Select Stop 1 on the slider, and then do the following:In the Position box, enter 65%.Click the button next to Color, and under Theme Colors, click White, Background 1 (first row, first option from the left).Select Stop 2 on the slider, and then do the following:In the Position box, enter 100%.Click the button next to Color, and under Theme Colors, click Blue, Accent 1, Lighter 60% (third row, fifth option from the left).
- Animated pointer and light-up text(Advanced)To reproduce the background effects on this slide, do the following:On the Home tab, in theSlides group, click Layout, and then click Blank.Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Solid fill in the right pane, and select White, Background 1 (first row, first option from the left).To reproduce the rectangle on this slide, do the following:On the Home tab, in the Drawing group, click Shapes, and then under Rectangles click Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle.Select the rectangle. Drag the yellow diamond adjustment handle to the left to decrease the amount of rounding on the corners. With the rounded rectangle still selected, under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 3.5”.In the Shape Width box, enter 0.25”.Under Drawing Tools, on the Format tab, in the bottom right corner of the Shape Styles group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane. In the Fill pane, select Solid fill, click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left).Also in the Format Shape dialog box, click Line Color in the left pane. In the Line Color pane, select No line. Also in the Format Shape dialog box, click Shadow in the left pane. In the Shadow pane, click the button next to Presets, under Outer select Offset Bottom (first row, second option from the left), and then do the following:In the Transparency box, enter 0%.In the Sizebox, enter 100%.In the Blur box, enter 8.5 pt.In the Angle box, enter 90°.In the Distance box, enter 1 pt.Also in the Format Shape dialog box, click 3-D Format in the left pane. In the 3-D Format tab, do the following:Under Bevel, click the button next to Top, and then under Bevel click Circle (first row, first option from the left). Next to Top, in the Width box, enter 5 pt, and in the Height box, enter 5 pt.Under Surface, click the button next to Material, and then under Standard clickMatte (first row, first option from the left).Click the button next to Lighting, and then under Neutral click Soft (first row, third option from the left).On the slide, select the rounded rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate.Select the duplicate rectangle. On the Home tab, in the Drawing group, do the following:Click the arrow next to Shape Fill, and then click No Fill.Click the arrow next to Shape Outline, and then click No Outline.Drag the second rectangle above the first rectangle until the lower edge overlays the top edge of the first rectangle. (Note:When the spinning animation effect is created later for these rectangles, the spin will center where the edges of the rectangles meet.)Press and hold CTRL, and then select both rectangles. On the Home tab, in the Drawing group, click Arrange, and do the following:Point to Align, and then click Align Selected Objects.Point to Align, and then click Align Center.Click Group. On the slide, drag the group until it is centered horizontally on the left edge of the slide (straddling the edge).On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following:Click Align to Slide.Click Align Middle.To reproduce the dashed arc on this slide, do the following:On the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Arc (third row, 12th option from the left). On the slide, drag to draw an arc.Select the arc. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 7.5”.In the Shape Width box, enter 7.5”.With the arc still selected, on the Home tab, in the Drawing group, click the arrow next to Shape Outline and then do the following:Under Theme Colors, click White, Background 1, Darker 15% (third row, first option from the left).Point to Dashes, and then click Dash (fourth option from the top).On the slide, drag the yellow diamond adjustment handle on the right side of the arc to the bottom of the arc to create a half circle.Drag the arc until the yellow diamond adjustment handles are on the left edge of the slide.With the arc still selected, on the Home tab, in the Drawing group, click the arrow under Arrange, point to Align, and then do the following:Click Align to Slide. Click Align Middle. To reproduce the half circle on this slide, do the following:On the slide, select the arc. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate.Select the duplicate arc. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 3.33”.In the Shape Width box, enter 3.33”.With the second arc still selected, under Drawing Tools, on the Format tab, in the Shape Styles group, click the arrow next to Shape Fill, and then under Theme Colors click White, Background 1, Darker 5% (second row, first option from the left).Under Drawing Tools, on the Format tab, in the Shape Styles group, click the arrow next to Shape Outline,and then click No Outline.Under Drawing Tools, on the Format tab, in the Shape Styles group, click Shape Effects, point to Shadow, and then click ShadowOptions. In the Format Shape dialog box, click Shadow in the left pane. In the Shadow pane, click the button next to Presets , under Inner click Inside Right (second row, third option from the left), and then do the following:In the Transparency box, enter 86%.In the Blur box, enter 24 pt.In the Angle box, enter 315°.In the Distance box, enter 4 pt.On the slide, drag the second arc until the yellow diamond adjustment handles are on the left edge of the slide. On the Home tab, in the Drawing group, click Arrange, and then do the following:Point to Align, and then click Align to Slide. Point to Align, and then click Align Middle. Click Send to Back.To reproduce the button shapes on this slide, do the following:On the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Oval (first row, second option from the left). On the slide, drag to draw an oval.Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following:In the Shape Height box, enter 0.34”.In the Shape Width box, enter 0.34”.Under Drawing Tools, on the Format tab, in the Shape Styles group, click More, and then click Light 1 Outline, Colored Fill – Olive Green, Accent 3 (third row, first option from the left).Under Drawing Tools, on the Format tab, in the bottom right corner of the Shape Styles group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane. In the Fill pane, select Solid Fill. Click the button next to Color, and then under Theme Colors click Olive Green, Accent 3, Lighter 80°(second row, seventh option from the left).Also in the Format Shape dialog box, click Line Color in the left pane. In the Line Color pane, select No line. Also in the Format Shape dialog box, click Shadow in the left pane. In the Shadow pane, click the button next to Presets, under Outer click Offset Bottom (first row, second option from the left), and then do the following:In the Transparency box, enter 0%.In the Size box, enter 100%.In the Blur box, enter 8.5 pt.In the Angle box, enter 90°.In the Distance box, enter 1 pt.Also in the Format Shape dialog box, click 3-D Format in the left pane, and then do the following in the 3-D Format pane:Under Bevel, click the button next to Top, and then under Bevel click Art Deco (third row, fourth option from the left). Next to Top, in the Width box, enter 5 pt, and in the Height box, enter 5 pt.UnderContour, click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left). In the Size box, enter 3.5 pt.Under Surface, click the button next to Material, and then under Standard click Matte (first row, first option from the left). Click the button next to Lighting, and then under Neutral click Soft (first row, third option from the left).On the slide, select the oval. Under Drawing Tools, on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Shape dialog box, click Position in the left pane, and in the Position pane, do the following to position the third and fourth ovals:In the Horizontal box, enter 2.98”.In the Vertical box, enter 1.5”.Select the oval. On the Home tab, in the Clipboard group, click the arrow under Paste, and then click Duplicate.Select the duplicate oval. Under Drawing Tools, on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Shape dialog box, click Position in the left pane, and in the Position pane, do the following to position the third and fourth ovals:In the Horizontal box, enter 3.52”.In the Vertical box, enter 2.98”. Repeat step 9 two more times, for a total of four ovals. Under Drawing Tools, on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Shape dialog box, click Position in the left pane, and in the Position pane, do the following to position the third and fourth ovals:Select the third oval on the slide, and then enter 3.52” in theHorizontal box and 4.27” in the Vertical box.Select the fourth oval on the slide, and then enter 2.99” in theHorizontal box and 5.66” in the Vertical box.To reproduce the text on this slide, do the following:On the Insert tab, in the Text group, click Text Box, and then on the slide, drag to draw the text box. Enter text in the text box and select the text. On the Home tab, in the Font group, do the following: In the Font list, select Corbel.In the Font Size list, select 22.Click the arrow next to Font Color, and then under Theme Colors click White, Background 1, Darker 50% (sixth row, first option from the left).On the Home tab, in the Paragraph group, click Align Text Left to align the text left in the text box.On the slide, drag the text box to the right of the first oval.Select the text box. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Click in the text box and edit the text. Drag the second text box to the right of the second oval.Repeat steps 5-7 to create the third and fourth text boxes, dragging them to the right of the third and fourth ovals. To reproduce the animation effects on this slide, do the following:On the Home tab, in the Editing group, click Select, and then click Selection Pane. In the Selection and Visibility task pane, select the rectangle group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin.Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following:On the Effects tab, in the Amount list, in the Custom box, enter 123°,and then press ENTER. Also in the Amount list, clickCounterclockwise.On the Timing tab, in the Duration box, select 1.00. On the Timing tab, in theStart list, selectWith Previous. On the slide, select the first oval. On the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Emphasis Effects.In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In Fill Color dialog box, the do the following:On the Effects tab, in the Fill Color list, click More Colors. In the Colors dialog box, on the Custom tab, enter values for Red:130, Green:153, Blue: 117. On the Timing tab, in the Duration box, , enter 0.50.On the Timing tab, in the Startlist, select After Previous. On the slide, select the first text box. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade.Also on the Animations tab, in the Timing group, do the following:In theStart list, selectWith Previous.In the Duration box, enter 0.50. In the Selection and Visibility task pane, select the rectangle group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following:On the Effects tab, in the Amount list, in the Custom box, enter 22°, and then press ENTER. Also in the Amount list, click Clockwise.On the Timing tab, in theStart list, selectOn Click. On the Timing tab, in the Duration box, enter 0.50.On the slide, select the second oval. On the Animations tab, in the Advanced Animation group, click AddAnimation, and then click More Emphasis Effects. In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Fill Color dialog box, do the following:On the Effects tab, in the Fill Color list, click More Colors. In the Colors dialog box, on the Custom tab, enter values for Red:130, Green:153, Blue: 117. On the Timing tab, in the Startlist, select After Previous. On the Timing tab, in the Duration box, enter 0.50.On the slide, select the second text box. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade.Also on the Animations tab, in the Timing group, do the following:In theStart list, selectWith Previous.In the Duration box, enter 0.50. On the slide, select the third oval. On the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Emphasis Effects. In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Fill Color dialog box, do the following:On the Effects tab, in the Fill Color list, click More Colors. In the Colors dialog box, on the Custom tab, enter values for Red:130, Green:153, Blue: 117. On the Timing tab, in the Startlist, select After Previous. On the Timing tab, in the Speedlist, select Very Fast.On the slide, select the third text box. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance clickFade. Also on the Animations tab, in the Timing group, do the following:In theStart list, selectWith Previous.In the Duration box, enter 0.50.On the slide, select the fourth oval. On the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Emphasis Effects. In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Fill Color dialog box, do the following:On the Effects tab, in the Fill Color list, click More Colors. In the Colors dialog box, on the Custom tab, enter values for Red:130, Green:153, Blue: 117. On the Timing tab, in the Startlist, select After Previous. On the Timing tab, in the Duration box, enter 0.50.On the slide, select the fourth text box. On the Animations tab, in the Advanced Animation group, click Add Animation,and then under Entrance click Fade. On the Animations tab, in the Timing group, do the following:In theStart list, selectWith Previous.In the Duration box, enter 0:50.