Manejo Del Neonato Critico

CONSIDERACIONES GENERALES ,[object Object],[object Object],[object Object],[object Object],[object Object]

MULTIDISCIPLINARIO ,[object Object],[object Object],[object Object],[object Object],[object Object],terapeutas ocupacionales farmacéuticos trabajadores sociales capellanes del hospital

El neonato en estado crítico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RUIDO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SHOCK: Definición ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETIOLOGIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fisiopatología ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clasificación Tipo Mecanismos Hipovolémico Hemorragias, pérdidas electrolíticas Distributivo Sepsis, vasodilatadores, depresión miocárdica, injuria endotelial Cardiogénico Falla cardiaca, arritmias, isquemia miocárdica, miocardiopatía Obstructivo Neumotórax a tensión, taponamiento cardiaco

SHOCK HIPOVOLÉMICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SHOCK CARDIOGÉNICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SIRS, Sepsis, Shock Séptico, MODS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fases del shock ,[object Object],[object Object],[object Object]

signos clínicos de shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Score de severidad shock Puntaje: Shock leve: 1-3 Shock mod: 4-6 Shock severo: 7-1 0 Signo clínico 0 1 2 Color de piel N Pálido Moteado Llene capilar < 3 seg. 4 – 6 seg > 6 seg T° cutánea N Baja Fría Pulsos periféricos N Débiles Imperceptibles PAM N < 20 % > 20 %

Cambios vasculares en el shock Tipo de shock Precarga Postcarga Contractilidad Cardiogénico AUM AUM DISM Hipovolémico DISM AUM N Séptico precoz DISM DISM AUM Séptico tardío AUM AUM DISM

TRATAMIENTO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Manejo del shock neonatal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MILRINONA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

OXIDO NITRICO inhalado (NOi) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Monitoreo del shock neonatal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

METAS ESPECIFICAS. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TIPOS DE MONITORIZACIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object]

PARAMETROS MONITORIZADOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Métodos de monitorización no invasiva ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BH = I - E E = EGRESOS + PERDIDAS INSENSIBLES PI = (PESO INICIAL + INGRESOS) - (PESO FINAL + EGRESOS)

Complicaciones del monitoreo invasivo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Presión arterial invasiva ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Monitoreo respiratorio ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Monitoreo neurológico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Score de predicción de riesgo neonatal ,[object Object],[object Object],[object Object],[object Object]

CRIB Clinical Risk Index for Babies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CRIB (Clinical Risk Index for Babies) (Índice de riesgo clínico para bebés)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

Manejo Del Neonato Critico

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