protocolo neumonia upiq
TRANSCRIPT
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Infección del tracto respiratorio inferior:PAUTA DE ACTUACIÓN
Dr Sergio Negre PolicarpoUPIQ Valencia SLP
Hospital Quirón Valencia
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1 - CRITERIOS DE INGRESO EN SALA
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2 - CRITERIOS DE INGRESO EN UCI (1)
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PEWS
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3 - LABORATORIO (1): HEMOCULTIVO
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3 - LABORATORIO (2): MICROBIOLOGÍA
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3 - LABORATORIO (2): ANALÍTICA.
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4 - RADIOLOGÍA
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5 – TRATAMIENTO ANTIBIÓTICO (I)
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5 – TRATAMIENTO ANTIBIÓTICO (II)
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5 – TRATAMIENTO ANTIBIÓTICO (III)
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6 – RESPUESTA TERAPÉUTICA (I)
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RESPUESTA TERAPÉUTICA (III)
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ASPECTOS ADICIONALES
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CRITERIOS DE ALTA HOSPITALARIA
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DIAGNÓSTICO DE DERRAME PLEURAL
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NECESIDAD DE DRENAJE
Anatomía pleural
Bacteriología (LP) pH Cat Riesgo mala evol Nec
drenaje
Mínimo derrame libre
de < 1 cm (vista lateral)
Desconocido Desc 1 Muy bajo No
Derrame moderado
libre (>1 cm y <50%
hemitórax)
Negativo > 7’2 2 Bajo No
Derrame grande (>50% hemitórax) o
compartimentado
Gram o cultivo
positivos< 7’2 3 Moder Sí
Irrelevante Pus Irrel 4 Alto Sí
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LABORATORIO EN EL LÍQUIDO PLEURAL
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MÉTODO DE DRENAJE
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GRACIAS