Quemaduras

GENERALIDADES ,[object Object]

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

GENERALIDADES: Piel ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GENERALIDADES: Piel ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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

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

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

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

CLASIFICACION: Superficiales ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICACION: Profundas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICACION: Profundas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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

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

FISIOPATOLOGIA: Respuesta Metabolica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FISIOPATOLOGIA: Funcion Renal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FISIOPATOLOGIA: Respuesta Hemodinamica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FISIOPATOLOGIA FENOMENOS EN LA QUEMADURA SUSTANCIAS IMPLICADAS Vasodilatacion Histamina, IL, Leucotrienos, Ac. Lactico,etc Aumento de daño local FNT, TX, FAP, Radicales libres Lisis de eritrocitos IL y radicales libres Linfocitopenia PG E2 Catabolismo Cortisol, glucagon, catecolaminas, IL, FNP Hiperfuncion de leucocitos Leucotrienos Reparacion de tejidos Factor de crecimiento, IL, FNT Trombosis Tromboxanos, IL, PG, FNT Inflamacion IL, PG, lipoxinas, FNT, radicales libres Falla Organica multiple FNT, TX, PG, IL, radicales libres.

FISIOPATOLOGIA: Respuesta Catabolica ,[object Object],[object Object],[object Object],[object Object],[object Object]

FISIOPATOLOGIA: Respuesta Catabolica ,[object Object],[object Object],[object Object],[object Object]

ATENCION INICIAL: Via Aerea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ATENCION INICIAL: Ventilacion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

REGLA DE LOS “9” (Esquema de Tennison y Pulaski) Lactantes: Cabeza: 18% Piernas: 14%

ATENCION INICIAL: Reposicion de liquidos Extension de SCQ =

ATENCION INICIAL: Reposicion de liquidos ,[object Object],[object Object],FORMULA SOLUCION CRISTALOIDE SOLUCION COLOIDE SOLUCION GLUCOSA 5% EVANS Sol. Salina 1ml/kg/%SCQ 1ml/kg/%SCQ 2 lts. BROKE Sol Hartman l.5ml/kg/SCQ 0.5ml/kg/SCQ 2lts. PARKLAND Sol. Hartman 4ml/kg/SCQ BROKE MODIFICADA Sol. Hartman 2ml/kg/SCQ Niños 3ml

ATENCION INICIAL: Reposicion de liquidos ,[object Object],FORMULAS SOLUCION CRISTALOIDE SOLUCION COLOIDE SOLUCION GLUCOSA 5% EVANS 50% de las primeras 24 hrs 50% de las primeras 24hrs 2lts. BROKE 50-75% de las primeras 24 hrs 50-75% de las primeras 24 hrs 2 lts. PARKLAND Mantener diuresis >1ml/kg/hr BROKE MODIFICADA 50% de las primeras 24 hrs Mantener diuresis >1ml/kg/hr

ATENCION INICAL: Reposicion de liquidos ,[object Object],[object Object],[object Object]

ATENCION INICIAL: Criterios de gravedad ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ATENCION INICIAL: Criterios de gravedad ,[object Object],[object Object],[object Object],[object Object],[object Object]

ATENCION INICIAL: Criterios de gravedad ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ATENCION INICIAL: Pac. Ambulatorios ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ATENCION INICIAL: Pac. Intermedio ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ATENCION INICIAL: Pac. Grave ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LESIONES POR EXPOSICION AL FRIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LESIONES POR EXPOSICION AL FRIO ,[object Object],[object Object],[object Object],[object Object]

LESIONES POR EXPOSICION AL FRIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

QUEMADURAS QUIMICAS ,[object Object],[object Object],[object Object],[object Object]

QUEMADURAS QUIMICAS: ALCALIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

QUEMADURAS QUIMICAS: ACIDOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

QUEMADURAS QUIMICAS: HIDROCARBUROS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

QUEMADURAS QUIMICAS ,[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]

QUEMADURAS ELECTRICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

QUEMADURAS ELECTRICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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

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

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

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

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

PREVENCIION DE COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PREVENCION DE COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object]

PREVENCION COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PREVENCION DE COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PREVENCION DE COMPLICACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PREVENCION DE COMPLICACIONES ,[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]

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