Sistema Respiratorio Anatomia
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Transcript of Sistema Respiratorio Anatomia
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COORDINACION DE ENSEÑANZA Y CALIDAD EN ENFERMERIA
HOSPITAL GENERAL DE NOGALES
SSA
II CURSO TALLER
CUIDADOS DE ENFERMERIA AL PACIENTE CON VENTILACION MECANICA
21 DE MAYO 2014
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ANATOMIA Y FISIOLOGIA DEL SISTEMA
RESPIRATORIO
DR. LUIS ARMANDO LLAMAS ESQUER
COLEGIO DE CIRUJANOS DE SONORA
ASOCIACION MEXICANA DE CIRUGIA GRAL.
CONSEJO MEXICANO DE CIRUGIA GENERAL
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““Hay que hacer cosas Hay que hacer cosas diferentes si queremos diferentes si queremos
resultados diferentes” Joseph resultados diferentes” Joseph Jaffe:Jaffe:
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PLEURA
MEMBRANA SEROSA, REVISTE MEDIASTINO, PULMONES Y PARED COSTAL.
PARIETAL
VISCERAL
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PLEURA
MANTIENE LA PRESION NEGATIVA O SUBATMOSFERICA
SECRECION Y ABSORCION DE LIQUIDO PLEURAL 600 A 1000 ML POR DIA
PRESION HIDROSTATICA Y ONCOTICA DE LA SANGRE
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PRESION INTRAPLEURAL NEGATIVA
INSPIRACION - 6 A - 12 Cm H2O
ESPIRACION -4 A - 8 Cm H2O
PRESION INTRATORACICA 756 mmHg
PRESION ATMOSFERICA 760 mmHg
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NEUMOTORAX
PRESENCIA DE AIRE EN ESPACIO PLEURAL, POR
RUPTURA DE ALGUNA DE LAS PLEURAS
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NEUMOTORAX ETIOLOGIA
PRIMARIO, SIMPLE O ESPONTANEOPEQUENAS VESICULAS SUBPLEURALES,ADULTO
JOVEN, MASCULINO
SECUNDARIO O SINTOMATICOPATOLOGIA PLEUROPULMONAR, EPOC,
TUBERCULOSIS.
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NEUMOTORAX
TRAUMATICO
TRAUMA ABIERTO Y CERRADO DE TORAX
IATROGENO COMPLICACION POR ANESTESIA DE PLEXO
BRAQUIAL,PUNCION SUBCLAVIA, BAROTRAUMA POR ASISTENCIA VENTILATORIA, PUNCION PERICARDICA
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NEUMOTORAX A TENSION
INSUFICIENCIA RESPIRATORIA GRAVE
INSUFICIENCIA CIRCULATORIA
AUMENTO DE LA PRESION INTRATORACICA
IMPIDE EL RETORNO VENOSO DE CAVAS EN LA DIASTOLE
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TRIADA DE GAILLIARD
• PALPACION AUSENCIA DE VIBRACIONES VOCALES
• PERCUSION HIPERSONORIDAD
• AUSCULTACION AUSENCIA DE MURMULLO VESICULAR
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NEUMOTORAX
• ENFISEMA SUBCUTANEO
• HIPERCLARIDAD
• AUSENCIA DE TRAMA BRONCOVASCULAR
• BORDE PULMONAR ALREDEDOR DE HILIO
• 3 DIMENSIONES
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NEUMOTORAX A TENSION
DESVIACION DE TRAQUEA Y MEDIASTINO AL LADO OPUESTO
DESCENSO DE HEMIDIAFRAGMA
AUMENTO DEL ESPACIO INTER COSTAL DEL LADO AFECTADO
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HEMOTORAX
• PERCUSION MATIDEZ EN BASES
• AUSCULTACION DISMINUCION O AUSENCIA DE RUIDOS RESPIRATORIOS
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HEMOTORAX
• RX. BORRAMIENTO DEL SENO COSTODIAFRAGMATICO
• RX TORAX DE PIE
• RX DECUBITO SUPINO Y LATERAL
• 200 ML POR HORA = TORACOTOMIA
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HEMOTORAX
• PERMANECE LIQUIDO
• HEMONEUMOTORAX PUEDE COAGULARSE
COLAPSO PULMONAR
FIBROTORAX
DISMINUYE RESERVA PULMONAR
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HEMORRAGIA INTRATORACICA
• CONTUSION PULMONAR
• LACERACION
• PARENQUIMA SIN AIRE
• NO DEBRIDAR
• REVERSIBLE
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COMPLICACIONES
• CONOCER Y RESPETAR EL PROCEDIMIENTO
• LESIONES CON PINZA
• TUBO MUY BAJO
• PERFORACION DE DIAFRAGMA, HIGADO, BAZO
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LA MAYORIA DE NOSOTROS NO PODRIAMOS HACER GRANDES COSAS, PERO
PODEMOS HACER MUCHAS COSAS PEQUEÑAS MUY BIEN
HECHAS
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Hospital General de Nogales
GRACIAS !!!!!!!!!!!