considerac especiales en pediatria-2016

7/25/2019 Considerac Especiales en Pediatria-2016

1/23

LIC. ANTONIA MAMANI ENCALADAESPECIALISTA EN EMERGENCIAS Y

[email protected]


2/23

!"m#$as%


3/23

Con&e"si!n 'e'e(t"osa )*o$#t"o$+,,--

Con&e"ti" 'e(t"osa'e 5/ a 0/

o"m#$a% $o'esea'o15

,.2

E3% Con&e"ti" 'e(t"osa5/ a #na 'e(t"osa a$/#ti$i4an'o 'e(t"osa a$

5/ y De(t"osa a$ /

Se"ia% 156,.2 7+,.8--

Enton-es en mi

&o$#t"o$ 'e +,, --ten'"9a :#e a;"e;a"+,.8-- 'e 'e(t"osa a$/ y


4/23

Con&e"ti"De(t"osa 'e

+,/ a 0 /o"m#$a%Lo 'esea'o =

+,,.2

E3% Con&e"ti" 'e(t"osa+,/ a #na 'e(t"osa a$+2.5/ #ti$i4an'o'e(t"osa a$ +,/ y

De(t"osa a$ /.

Se"ia% +2.51+,6,.2 7+,.--

Enton-es en mi&o$#t"o$ 'e +,, --ten'"9a :#e a;"e;a"+,.-- 'e 'e(t"osa a$/ y


5/23

Dextrosa que quiero - Dextrosa quetengo x 100 Dextrosa de > conc.

Dextrosa de < conc.

5% (-) 23 + 100 2! x 23 "

!2.1 Dext. 5 % 1033% (-) 5 100 2! x 5" 1#.$ Dext.33 %

2!


6/23

Con&e"si!n 'e'e(t"osa a$ +,/ ameno"-on-ent"a-i!n

Se "ea$i4a -on a;#a'esti$a'a

De(t"osa+,/+,;7+,,--

De(t"osa +5/+5;"7+,,--

De(t"osa 8.5/ 8.5;"7+,,--

E3em>$o% Con&e"ti"'e(t"osa a$ +,/ enDe(t"osa a$ 8.5/

P$anteamiento% +,; 11111+,,-- 'e(t +,/

785--

8.5111111? A;#a'esti$a'a

725-- ? 7 85 -- 'e(t"osa +,/

A;"e;a" 25-- 'e a;#a'esti$a'a 7 +,, --.


7/23

P"ees-o$a"% E'a' ( 2

Es-o$a"% E'a' ( 2 +,

PBe"% E'a' ( 2 +2


8/23

7 I = E

7 In;"esos 1 E;"esos


9/23

+.Ca$-#$a" ennios :#e >esan

menos 'e +, F;.

PI 7 Peso ? ,

Pa"a 2 ho"as.

E3em>$o% Ca$-#$a" $a >e"'i'a

insensiB$e >a"a #n

nio :#e >esa.5,,F;

PI 7 .5,?, 7 +,5

-- La PI 'e este nio

se"H +,5 -- >a"a2 ho"as.


10/23

2. Ca$-#$a" en nios:#e >esan mHs 'e

+, F;. PI 7 ,, (

S#>e"-ie -o">o"a$

S. C. 7 Peso ( 8

Peso $o% Ca$-#$a" $a >e"'i'a

insensiB$e >a"a #n nio:#e >esa +.5,,F;

SC 7 +.5,, ( 8 +.5,, e"'i'a InsensiB$ese"H 2 -- >a"a 2ho"as.


11/23

. Ca$-#$a" Re-iKnNa-i'os

2, = , -- ( Fi$o( '9a

E3em>$o% Ca$-#$a" $a

>e"'i'a

insensiB$e 'e #nRN 'e


12/23

PESO RN ORMLA DE PERDIDA

INSENSILE

Meno"es 'e + F; PI 7 2.5-- ( F; ? Nho"asDe + a +.5 F; PI 7 2-- ? F; ? N

ho"asDe 2 a 2.5 F; PI 7+-- ? F; ? N

ho"asDe 2.5 a F; PI 7,.8 -- ? F; ? N

ho"asMHs 'e F; PI 7,.5 -- ? F; ? N

ho"as

RN en In-#Ba'o"a Ce""a'a PI 7S#>e"-ie Co">o"a$? ,,

RN en In-#Ba'o"a ABie"ta %

se"&o -#na otote"a>ia

PI7 S#>e"-ie Co">o"a$

? J,,


13/23

D 7 *o$#men 'e O"ina

Peso ( N ho"a


14/23

+. !"m#$a >a"a -a$-#$a" $as#>e"-ie -o">o"a$ )S.C. en m2

S.C. 7 Peso en F;. ( 8 Peso en F;.


15/23

2. CH$-#$o 'e $as >K"'i'asinsensiB$es )PIC

Men. +, F;. 7 Peso en F;. ( ( N'e ho"as 6 2

May. +, F;. 7 m2 'e S.C. ( ,, ( N'e ho"as 6 2


16/23

Men. +, F;. 7 *o$. En m$ 6 >eso 6 N'e ho"as

May. +, F;. 7 *o$. En m$ 6 S.C. 6 N 'eho"as

*a$o"es No"ma$es% ,.5 = 5m$6F;6ho"a


17/23

*o$. En m$ 6 >eso en F;. 6 N

ho"as

+, m$6F;6ho"a o mHs 7 #3oa$to 'e 'ia""ea.


18/23

CORRECION DE HIPONATREMIA

1gr NaCl = 17 meq Na+ NaCl 3% = 513 meq Na+/ lt)

Preparar a) NaCl !"#% $!! + NaCl &!% 1!! '5amp) = 513meq/l(tr * e 1!! = 51"3 meq

,) NaCl !"#% $! + NaCl &!% &! = 1!!

-( e.(te E0ema Cere,ral C2l(e 4ata qe l (g erlg( e0a

D(m(6e la PIC


19/23

Tem>e"at#"a O"a$% J.5 C 18C

Tem>e"at#"a A(i$a" % JC =J.5C

Tem>e"at#"a Re-ta$ % 8C = 8.5C


20/23

EDAD LCTACIONR.N 5, = J, 6 min

LACTANTES , = 5, 6 minPRE ESCOLARES , = , 6 minESCOLARES 2, = , 6 min


21/23

EDAD PROMEDIOR.N +, = +J, 6 minLACTANTES ++, = +, 6 minPREESCOLARES , = ++, 6 minESCOLARES J, = , 6 min


22/23

EDAD SISTOLICA DIASTOLICA

R.N 60 -

LACTANTES 80 40

PREESCOLARES 85 100 50

ESCOLARES 100 110 50


23/23

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considerac especiales en pediatria-2016

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