Resumen cardiopatías pedriticas
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Transcript of Resumen cardiopatías pedriticas
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RESUMEN CARDIOPATÍAS PEDRITICAS
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375%
25/0/675%
25/1075%
100/0/695%
595%
100/6595%
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MANIFESTACIONES CLINICAS
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EXAMEN CARDIOVASCULAR PEDIATRICO
SOPLOS
Sistólicos
Diastólicos
ContinuosS1 S2
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Qp / Qs 1:1
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CARDIOPATIAS CONGENITAS
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AMO
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S1 S2
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S1 S2 S1
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5
20/6
100/80
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MANIFESTACIONES CLINICAS
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TRATAMIENTO
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PRECARGA POSTCARGA
INOTROPISMO
CRONOTROPISMO
Diuréticos Inhibidores de la ECA
DigitalAminas
Betabloqueadores
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Enf. Pulmonar Enf. Cardiaca
O2 21%
O2 100% O2 21% O2 100%
Color
Oximetría
PaO2 mmHg
Azul
60%
35
Rosa
99%
120
Azul
60%
35
Azul
63%
38
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Eje QRS derecho, HVD, Sobrecarga sistólica VD
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CIRCULACION PARALELA
78%
78%
68%
98%
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Soplo
Examen Físico Normal
EKG normal
RX normal
Seguimiento Pediátrico Regular
Interconsulta a Cardiologia
Examen Físico Anormal
Cianosis
ICC
Cardiología
EKG, RX
ECOCARDIOGRAMA
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CIANOSIS
DIFICULTAD RESPIRATORIA
GASES ARTERIALES
RX TORAX
EKG
PaO₂ < 60 mmHg
PCO₂ > 45 mmHg
GASES ARTERIALES
RX TORAX
EKG
PRUEBA HIPEROXIA
100%
PaO₂ < 60 mmHg
PCO₂ 25-40 mmHg
PaO₂ >300mmHg
PCO₂ > 45 mmHg
PaO₂<100mmHg
PCO₂ 25-40 mmHg