Trabajo Niño

7/25/2019 Trabajo Nio

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UNIVERSIDAD NACIONAL DEL SANTA

FACULTAD DE CIENCIAS

E.A.P DE ENFERMERIA

CURSO: ENFERMERIA EN SALUD DEL NIO II

DOCENTE: DRA CARMEN SERRANOVALDERRAMA

CICLO: VII

RESPONSABLES:

PEREYDA MENDOZA ASTRID PINEDA PALACIOS KAREEN RAMOS QUEZADA ROXANA REYES SALDARRIAGA CLAUDIA RODRGUEZ MEJA LOURDES ROJAS LECCA KELINDA ROMERO ELVA

SNCHEZ MEJA NANCY

SNDROME DEOBSTRUCCIN

BRONQUIAL Y SNDROMECOQUELUCHOIDE


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UNIVERSIDAD NACIONAL DEL SANTAFACULTAD DE CIENCIASEAP. ENFERMERA

I. INTRODUCCIN

El !"#$%&' ($%")*+,l %(-$*-+/% 0S1O2 #'l l,-,"-' ' *", #' l, ,*, &3

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+"/+'$"% #' ,#, ,:%.

L% *,#$% %(-$*-+/% #'l l,-,"-' %" l, ,*, &3 4$'*'"-' #' %"*l-, -,"-% ,

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9%8+-,l+


3/25


/!, ,;$', 7 *", &,7%$ -'"#'"+, , %l,8,$' #*$,"-' l, '8+$,+="5 *" &,7%$ !"#+'

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#' 9+8'$$',-+/+#,# ($%")*+,l )*' ' /, 8'$#+'"#% %" l% ,:%. T%#% '-% 4,-%$'

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)*' l% "+:% "% +(+l,"-'. L, -'%$!, 8$'/+, #' )*' l, 4*"+=" 8*l&%",$ #+&+"*+#,

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4/25


E *" %"*"-% #' &,"+4'-,+%"' l!"+, #'-'$&+",#, 8%$

%(-$*+=" #' l, /!, $'8+$,-%$+, +"-$,-%$3+, '" "+:% &'"%$' #'

,:% #' '#,#.

U" S.1.O. 8*'#' 8$''"-,$' %&% '8+%#+% B"+%5 8'$%

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($%")*+,l5 )*' $')*+'$," -$,-,&+'"-% &;#+%5 ' %"+#'$,

S!"#$%&' 1$%")*+,l O(-$*-+/% R'*$$'"-' 0S1OR2.

II.2. EPIDEMIOLOGA:

Al$'#'#%$ >? l,-,"-' 8$''"-, S+(+l,"+,. M3 4$'*'"-' '" &'' 4$!%. F. #' $+'6% ,%+,#% , +"4'+=" /+$,l ,+-'"+, , ,l, *",5

9,+",&+'"-%5 8%($' ,:% '" &'' #' +"/+'$"%. @? #' IRA (,, '" l,-,"-' ' &,"+4+'-," %&% S.1.O.

II.3. FACTORES DE RIESGO:

S' 8*'#'" l,+4+,$ '" '=6'"% 7 '"#=6'"%.

II.3.1. Ex!"#$:

E8%++=" , +"4'+=" /+$,l 0V+$* R'8+$,-%$+% S+"++,l5P,$,+"4l*'"


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L,-,"+, &,-'$", +"*4++'"-'. T'&8'$,-*$, ,&(+'"-,l (,,.

II.3.2. E"%!"#$:

S'% &,*l+"%. C,$,-'$!-+, #' l, /!, ,;$', #'l l,-,"-' 0,l+($' &3

8')*':% 9+8'$$',-+/+#,# ($%")*+,l2. R'8*'-, +"&*"' ,l-'$,#,. A"-''#'"-' #' 8$'&,-*$+#,#. A"-''#'"-' 8'$%",l' #' ,-%8+,5 ,l'$6+, , 8$%-'!",

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,l;$6+,2 '" 4,&+l+,$' #' 8$+&'$ 6$,#%.

II.&. SIGNOS Y SNTOMAS:

' S()(*+",(+$:' 'l +l(+#% )*' ' 8$%#*' '" L% ($%")*+% ,l 8,,$

'l ,+$' 8%$ l% %"#*-% ($%")*+,l' )*' '-3" '-$'9,#%. S'

8*'#' ,**l-,$ '" l, +"8+$,+=" %&% '" l, '8+$,+=". E" ,%

&3 6$,/' 8*'#'" '$ ,*#+(l' #*$,"-' l, $'8+$,+=" #'l "+:% +"

"''+#,# #' ,**l-,$l%.' T#$:'8*l+=" %"%$, 7 B(+-, #' ,+$' 8$%'#'"-' #' l% 8*l&%"'.

L, -% ' *" $'8*'-, 8$%-'-%$, (3+, )*' +$/' 8,$, l+&8+,$ l%

8*l&%"'5 ($%")*+% % -$3)*', #' +$$+-,"-' 7 '$'+%"'5 % 8,$,

8$'/'"+$ ,8+$,+%"' #' &,-'$+,l '-$,:% 9,+, l% 8*l&%"'. E *"

$'4l'% "%$&,l #'l %$6,"+&%.' D(-(,*/+% 0++ !$0(+:$'8+$,+=" $38+#,5 '",+=" #' ,9%6%5

$'-$,+=" 09*"#+&+'"-% '"-$' l, %-+ll,25 )*'+#%.

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l% l,$6% #' l, &*%, ($%")*+,l5 %" &*7 '8', 7 #+4!+l' #'

'l+&+",$ '" 4%$&, '8%"-3"',.' O,+$(#"+*!"/! -(!)!.


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II.4. FISIOPATOLOGA

II.5. TIPOS DE SOB:

+. SINDROME BRONQUIAL OBSTRUCTIVO DEL

LACTANTE EPISODIO AGUDO:

D!-("(,(": E"4'$&'#,# ,$,-'$+ '&,", #' '/%l*+="25

6'"'$,l&'"-' #' '-+%l%6!, /+$,l 7 )*' ' 8$''"-,

8$'4'$'"-'&'"-' '" &'"% 4$!%. T,&(+;" ' *-+l+


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). SINDROME BRONQUIAL OBSTRUCTIVO RECURRENTE DEL

LACTANTE:

D!-("(,(": C%$$'8%"#' , *" %"*"-% #' &,"+4'-,+%"' l!"+,

,$,-'$+


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+"4'+%"' /+$,l'5 8$''"-," &'%$ $'8*'-, , l% ($%"%#+l,-,#%$' 7

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8$''%l,$ 7 -+'"#' , #',8,$''$ '" l, 8$',#%l''"+,. N% -'"#$!,"

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4*"+=" 8*l&%",$ #'#' ",+&+'"-% 7 9,-, l% ,:% l'/'&'"-' #+&+"*+#%.

A l% ,:% "% 8$''"-," 9+8'$$',-+/+#,# ($%")*+,l , l, M'-,%l+",5 8'$% l,

/,$+,(+l+#,# #'l FEM % PEF '-3 ,*&'"-,#,5 8%$ l% )*' ' 8%-*l, )*' '-' 6$*8%#' "+:% -'"#$!," *", ,l-'$,+=" '" l, $'6*l,+=" #'l -%"% ($%"%&%-%$

S6"%#! B#"(+* O)$/,/(9# S!,"%+(#:

- C%$$'8%"#' ,l ? #' l% ,% )*' +(+l,". El '-*#+% #' '-% 8,+'"-'

#'(' +$ , (*,$ *", ,*, )*' #'(' #',$-,$' %&% F+($%+ )*!-+, D+8l,+, ($%"%8*l&%",$ C*'$8% '-$,:% 1$%")*+%l+-+ %(l+-'$,"-' S!"#$%&' ,8+$,-+/% I"%%$#+",+=" #' l, #'6l*+=" '" "+:% %" #,:% '$'($,l 1$%")*+'-,+, D+)*+"'+, +l+,$ I"&*"%#'4++'"+, M,l4%$&,+%"' %"6;"+-, 0,"+ll% /,*l,$'5 -$,)*'%($%"%&,l,+,5

)*+-' ($%"=6'"% C,$#+%8,-!, %"6;"+-, T*&%$' &'#+,-!"+%.

El RGE ' &3 (+'" *" 4,-%$ 6,-+ll,"-' #' ($%"%%"-$++=" )*' *",6'"-'.

C+%# ,*6"(,#:


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F+,/#!$ !0(%!(#*(,#$ + ,#"$(%!+: ;8%, #'l ,:%5

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C*+$(-(,+,(":SBOR L!9!: S' ,$,-'$+


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E3&'"' #' ,8%7% 09'&%6$,&,5 G$,&5 $'*'"-% #+4'$'"+,l 'l*l,$

7 *l-+/% #' '8'-%$,+="5 '-;-'$,2.

II.


11/25


L% l,-,"-' %" 8*"-,' % &'"% ' '"/!," , * #%&++l+% %" +"#+,+=" #'

,l(*-,&%l '" IDM &3 ,'$%3&,$,5 >?? *6 /'' ,l #!,5 , l% )*' -+'"'"


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8*"-,' #' 7 @ ' l' ,#&+"+-$," >?? *6 #' ,l(*-,&%l 7 ' '8'$, >?

&+"*-%5 + l, %(-$*+=" ($%")*+,l ' $'*'l/' ' l' '"/!, , * #%&++l+% %"

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+6*+'"-'. L% 8,+'"-' )*' 8$''"-," 8*"-% % &3 ' '"/!," , +"-'$",+=". Q*+'"' 8$''"-," '"-$' @ 7 8*"-% +"6$'," , *", '6*"#, 9%$, #'

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8,$'"-'$,l 7 #' "*'/% >?? *6 #' ,l(*-,&%l '" IDM %" ,'$%3&,$, ,#, ?

&+"*-%5 8%$ /'' 7 K+"'+%-'$,8+, $'8+$,-%$+,. S' '/,lB, 'l 8*"-,' l!"+%

8%$ Bl-+&, /'< ,l ,(% #' l, '6*"#, 9%$,. E" '' &%&'"-% l% 8*"-,'

&'"%$' ' +6*,l' , ' #'$+/," , * #%&++l+% %" +"#+,+=" #' ,l(*-,&%l

'" ,'$%%l5 8$'#"+%", %$,l 0> &66#!,2 7 %"-$%l ,l #!, +6*+'"-'. L% "+:%

)*' ,*" ,l ,(% #' l, '6*"#, 9%$, 8$''"-," 8*"-,' &,7%$ ' +6*,l , @ '

'"/!," , +"-'$",+="


13/25


II.


14/25


D' ,*'$#% , '-, l,+4+,+=" ' 'l+6' 'l -$,-,&+'"-% ,8$%8+,#%

II.?. COMPLICACIONES:

S%($' +"4'+=" 8%$ (,-'$+,. 1$%"%"'*&%"!, % "'*&%"!, 8%$ '-'"+=" #'l 8$%'%

+"4l,&,-%$+% 9,+, l% ,l/;%l%. I"*4++'"+, $'8+$,-%$+,.

GRADO DE

SEVERIDAD

TRATAMIENTO

LEVE SINTOMTICO S,l(*-,&%l '" IDM &3 ,'$%3&,$, #*$,"-'

','$(,+%"'

MODERADOSINTOMATICO S,l(*-,&%l IDM &3 ,'$%3&,$, #*$,"-' l,

','$(,+%"'DE MANTENIMIENTO 0ANTIINFLAMATORIO2 C%$-+%+#'

-=8+% +"9,l,#% '" #%+ ')*+/,l'"-' , ?? *6 #' ('l%&'-,%",

SEVERODERIVAR AL ESPECIALISTATRATAMIENTO DE MANTENIMIENTO S,l(*-,&%l &3

($%&*$% #' +8$,-$%8+%5 %$-+%+#' -=8+% +"9,l,#% , #%+

')*+/,l'"-' , ?? , ?? *6 #' ('l%&'-,%",


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II.1@. PREVENCIN:

P,$, #+&+"*+$ l, 8%+(+l+#,# #' )*' ' #',$$%ll' '-' &,l '" * 9+% '

B-+l

M,"-'"'$ *" ,&(+'"-' l+&8+%5 l+($' #' %"-,&+",+=" 09*&% #'

-,(,%5 '&%6 % %"-,&+",+=" #%&++l+,$+,2. E/+-,$ l, '8%++=" ,l 4$!%. E/+-,$ 'l 9,+",&+'"-% 0%"-,-% %" '"4'$&%2. E/+-,$ ,6l%&'$,+%"'. F%&'"-,$ l, l,-,"+, &,-'$",.

II.11. CUIDADOS DE ENFERMERA

P%++=" F%l'$ ? H+#$,-,+=" ,#'*,#,5 ,l+&'"-,+=" '6B" -%l'$,"+,. O+6'"%-'$,8+, 8,$, l%6$,$ *", ,-*$,+=" &,7%$ % +6*,l , . S,l(*-,&%l '" ,'$%%l 8$'*$+ 8*44 0>??

&6.2 %" A'$% 3&,$, % "'(*l+


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'"4'$&'#,# +"4'+%, $'8+$,-%$+, ,l-,&'"-' %"-,6+%, -$,&+-+#, 8%$ l, '$'+%"'

$'8+$,-%$+,.

II. ETIOLOGIA

Al +#'"-+4+,$ #+9% #+,6"=-+% ' +&8%$-,"-' ,l,$,$ l, ,*, '8'!4+, #'l ,%.

S' $'l,+%", %" '-, #+4'$'"-' ,*, , ,('$

INFECCIOSAS (,-'$+, %&% 1%$#'-'ll, 8'$-*+ 5 1.

P,$,8'$-*+5 1. 1$%"9+'8-+* 7 C9l,&7#+, -$,9%&,-+5 ,#'&3

#' /+$* %&% 'l ,#'"%/+$* 7 'l /+$* +"+-+,l $'8+$,-%$+%.

MECNICAS *'$8% '-$,:% #' %$+6'" '=6'"% % '"#=6'"%5%&% -*&%$' % ,#'"%&'6,l+,.

TOXICAS %"'*'"+, #' l, ,+=" l%,l #' 6,' 7 3+#% '" 'l

,8,$,-% $'8+$,-%$+%.

M*7 , &'"*#% '+-' *", ,%+,+=" '"-$' 'l ,6'"-' ,*,l #' l, -% 4'$+", 7 l%

,#'"%/+$*5 #'(+#% , l, +&(+%+ %&B" '"-$' '-% > &+$%%$6,"+&% 1%$#'-'ll,

P'$-*+ 8$%/%, % $',-+/, l, +"4'+=" ,#'"%/+$+, l,-'"-' '" l, ,#'"%+#' 7 %-$%

-'+#% l+"4%+#'.

III. EPIDEMIOLOGIA:

L, -% 4'$+", ' *", '"4'$&'#,# &*7 %"-,6+%,5 %" -,, #' ,-,)*' #' 9,-, 'l ? '" 8'$%",

*'8-+(l'.

L,B. pertussis%*8, 'l )*+"-% 8*'-% '" l, ,*, #' &*'$-' 8$'/'"+(l' 8%$ /,*", '" &'"%$'

#' ,:%5 '6B" #,-% #' l, O$6,"+ '&,", #'8*; #'l +"++% #' l, -% 8,$%!-+,.

S'6B" +"4%$&' #' l% '"-$% 8,$, 'l C%"-$%l 7 P$'/'"+=" #' E"4'$&'#,#' 0CDC2 '" A-l,"-,5 '"

E-,#% U"+#%5 ' $'6+-$= 'l -$+8l' #' ,% #' -% 4'$+", '" 'l >?? %" $'8'-% ,l >??59'9% )*'

' 9, $'6+-$,#% -,&(+;" '" %-$, 8,$-' #'l &*"#%.


17/25


D+9% ,*&'"-% '" l, +"+#'"+, 9, +#% ,-$+(*+#% , 4,-%$' -,l' %&% 'l +"$'&'"-% '" l,

+$*l,+=" #'B. pertussis,#+&+"*+=" '" l, +"&*"+#,# +"#*+#, 8%$ l, /,*", '" ,#%l''"-' 7

,#*l-%5 #+&+"*+=" #' l, %('$-*$, /,*",l' '" +'$-% 8,!' #',$$%ll,#%5 &,7%$ "B&'$% #'

"%-+4+,+%"' 7 'l *% #' 8$*'(, #+,6"=-+, &3 8$'+,.

L, +"-$%#*+=" #' l, /,*",+=" '-'"#+#, '" 'l &*"#% #',$$%ll,#% '" l% ? ,*= *",

#+&+"*+=" &,$,#, #'l "B&'$% #' ,% 7 &*'$-' #'(+#% , l, '"4'$&'#,#5 +" '&(,$6%5 *

+"+#'"+, 9, +#% ,*&'"-,"#% #*$,"-' l% Bl-+&% , >? ,:% , "+/'l &*"#+,l5 '8'+,l&'"-' '" l%

8$',#%l''"-'5 ,#%l''"-' 7 '" &'"%$' #' &'' #' '#,#.

S' #'-,, 'l 8,8'l #' l% ,#%l''"-' 7 l% ,#*l-% =/'"' '" l, '8+#'&+%l%6!, #' l, '"4'$&'#,#5

7, )*' 8%$ l% 6'"'$,l5 8$''"-," *", +"4'+=" l'/' 7 8%% +"-%&3-+, 7 +$/'" #' 4*'"-' #' %"-,6+%

, l,-,"-' )*'5 8%$ '$ &*7 8')*':%5 "% 9," $'+(+#% l, #%+ #' /,*", "'',$+, 8,$, -'"'$

8$%-'+=" %"-$,B. pertussis.

E" !* P!:

Al > #' N%/+'&($' >??5 'l INS $'+(+= &*'-$, #' 9+%8,#% 4,$!"6'% 8,$,

$',l+@ &*'-$,.

F(. @18$''"-, l, &*'-$, )*' $'*l-,$%" 8%+-+/, '" 'l INS5 '" l% )*' /, #'l

8$''"-' ,:%5 %&8,$,#, %" 'l ,:% >??.


18/25


IV. CUADRO CLINICO

El *,#$% l!"+% #' l, '"4'$&'#,# ' &*7 /,$+,#% 7, )*' ;-, ' 8*'#' 8$''"-,$ '"

,% ('"+6"% 7 '" 6$,/'5 ,! %&% #' #*$,+=" %$-, % l,$6,. P'$% '" 8$%&'#+%

#*$, #' '+ , %9% '&,",.

E+-'" l% +6*+'"-' 8'$!%#%

. ESTADIO CATARRAL: dura entre 1-2 semanas:' +"++, %" $+"%$',5 %"6'-+="

#' l, %"*"-+/,5 '-%$"*#%5 l,6$+&'%5 4'($!*l, 7 -% l'/'. D',8,$'+'"#% l%

8$+&'$% '" 8%% #!, &+'"-$, )*' l, -% /, 8$%6$',"#% '" 4$'*'"+, '

+"-'"+#,# 9,-, )*' ' -%$"' 8,$%!-+,

>. ESTADIO PARO>ISTICO 02 -4 semanas2 L% '8+%#+% #' -% ,*&'"-," #'

+"-'"+#,# 7 4$'*'"+,. L, '$+' #' . ? -%' &Bl-+8l'5 $'8'-+-+/, 7 '";$6+,5

)*' ' 8$%#*' #*$,"-' l, '8+$,+=" ' +6*'" #' *", +"8+$,+=" ($*, 7 &,+/,

)*' 8$%/%, *" 6$+-% *,"#% 'l ,+$' 8,, , l, 6l%-+ %"-$,!#,.


19/25


E" l% "+:% #' &'"% #' @ &'' #' '#,# 7 '" l% ,#*l-% 8*'#' 8$%#*+$' '-'

6$+-%. D*$,"-' l% ,-,)*' 8*'#'" '$ &*7 ,8,$'"-' l, 8'-')*+, 7 'l

'"$%'+&+'"-% 4,+,l5 ,! %&% l, +"6*$6+-,+=" /'"%, 7 +,"%+. El /=&+-% -$, l,

-% ' 8$*'(, *4++'"-' 8,$, 8'",$ )*' 'l "+:% -+'"' -% 4'$+",. L, $++ 8*'#'"

#''",#'",$' 8%$ 'l (%-' '&,",2 L, -% 8,$%!-+, 7 l% /=&+-%

/," #+&+"*7'"#% #' 4$'*'"+, ' +"-'"+#,#. D*$,"-' '-, 4,' $="+,5 l, -%

8,$%!-+,5 ,%&8,:,#, 8%$ +"4'+%"' $'8+$,-%$+, ,l-,.


20/25


N+:% #*$,"-' *", $++ #' -% 8%$ -% 4'$+",.

V. DIAGNOSTICO:

CULTIVO: G#*% S/+"%+%

E %"4+$&,#% 8%$ 'l l,(%$,-%$+% &'#+,"-' 'l ,+l,&+'"-% ' +#'"-+4+,+=" #'

Bordetella pertussis. S' #'(' %(-'"'$ l, &*'-$, '" l, 4,' ,-,$$,l % '" l, 8$+&'$,

'&,", #' l, 4,' 8,$%!-+, ,"-' #' l, ,#&+"+-$,+=" #' ,"-+(+=-+%. S+ -+'"'&'"% #' -$' , +"% #!, #' ,"-+(+=-+% %" 8'"++l+", % 1'-, L,-3&+% -%&,$ l,

&*'-$, $'4+$+'"#% 'l -+8% #' ,"-+(+=-+% *,#%.

TIPO DE MUESTRA: 9+%8,#% ",%4,$!"4'%. H+%8% %" 8*"-, #' ,l6+",-% #'

,l+% % 4+($, #' 8%l+;-'$5 %" /,$+ll, #' ,l*&+"+%. N% *,$ 9+%8% #' 8*"-, #'

,l6%#=" 0+"9+(' , l,Bordetella2.

TCNICA DEL HISOPADO NASOFARNGEO:

S'"-,$ ,l "+:% 7 *'-,$l% ,#'*,#,&'"-'.

I"l+",$l' l, ,('


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R'-+$,$ 'l 9+%8% $38+#,&'"-' 7 '-$+,$ 0'&($,$2 %($' 'l &'#+% #' A6,$.

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+"-$,#%&++l+,$+% &3 '$,"%.

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-$,-,&+'"-% %" &,$=l+#% #*$,"-' *", '&,",.

INMUNO FLUORESCENCIA DIRECTA:

U,#, 8,$, l, #+4'$'"+,+=" ' +#'"-+4+,+=" #' l,Bordetella Pertussi7 l,parapertussis. U-+l+


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N!#*(,+$: %"/*l+%"' 02 #' '-+%l%6!, &*l-+4,-%$+,l 0-%+",5

+)*'&+,5 9+8%6l+'&+,2. T,&(+;" ' %('$/, '"'4,l%8,-!, 9+8=+%

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ADULTOS ?? &6 @ 9 ?? &6 > 9 '$ #+, ??&6 6 #+,

> , #+, >? &6 K6 #+,

CORTICOIDES : CONTROVERSIA*.S' *-+4+, * +"#+,+=" '" l,-,"-' &'"%$' #' &'' %" 4%$&, '/'$, #' '"4'$&'#,#. D',&'-,%", ?.@ &6 6 #+, '" #%+ 0EV2O 9+#$%%$-+%", ? &6 6 #+, '" #%+ 0EV25 % 8$'#"+%", &6 6 #+, '" #%+ 0PO2 8% #+,.

2 ANTAGONISTAS: CONTROVERSIAL 1' *-+4+, * +"#+,+=" %" 4%$&,

'/'$, #' '"4'$&'#,# 4'"%-'$%l % ,l(*-,&%l '" "'(*l+ 8*44 0 ? ? *6 2 ,#, , @ 9%$, .

MONITOREO

& R'6+-$,$ "B&'$% #' ,'% 7 '8+%#+% #' +,"%+ '" > 9%$,.

& P$''"+, #' ,8"',5 ($,#+,$#+, % -,)*+,$#+,.

& M%"+-%$'% %" %+&'-$% #' 8*l%.

INDICACION DE TRANSFERENCIA A UCI

& D+4+*l-,# $'8+$,-%$+, '/'$,& 1$,#+,$#+, '/'$,& A8"',& C%"/*l+%"'& C%&,

VIII. PREVENCIN

INMUNIACIN PASIVA. E" 8,+'"-' )*' 9," '-,#% '" %"-,-% %"

'"4'$&%5 9,7 )*' ,#&+"+-$,$ 6,&&,6l%(*l+", 9+8'$+"&*"' . &l %&% #%+

-%-,l5 8,$, 8$'/'"+$ 'l 8,#'+&+'"-%.

INMUNIACIN ACTIVAVACUNA PENTAVALENTE.

Vacuna com'inada (ue contiene ) ant*genos: toxoide diftrico y tetnico,bacterias inactivadas de Bordetea !ert"ssis, !oisacrido con#"$ado de%ae&o!'i"s (n)"en*ae ti!o b y ant+$eno de s"!ercie de vir"s de a%e!atitis B.

Se administra en tres dosis a los -, y / &eses res!ectiva&ente,cada dosiscomprende la administraci+n de 0.1 cc por v+a intra&"sc"ar en a caraantero atera externo de &"so, con jeringa con aguja retrctil de 2 cc ya$"#a -1 3 x 24.

os ni-os (ue no hayan completado su es(uema de vacunaci+n en las edades

(ue corresponden, podrn completar el es(uema hasta los a-os, // meses y 1d*as con un intervalo de meses entre dosis dosis.


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III. REFERENCIAS BIBLIOGRAFICAS:

J. MENENGUELLO R 0>??>2. P'#+,-$!,. Q*+"-, E#++=". T%&% II5 E#+-%$+,l

P,",&'$+,",. 1%6%-3. C,$,,. R%('$-. M. Kl+'6&," MD. N'l=". T$,-,#% #' P'#+,-$!,. E#++=".

V%l*&'" I. E#+-%$+,l El'/+'$. E8,:, 9--8'"+44'$>.%$#8$'.%&@ 9--8.l+"+,l,*$,#,"+'l,.%&4+l'8$%-%%l%UCIPGCP

>?1RONQUIOLITTIS>?AGUDA>?Y>?SINDROME

>?1RONQUIELA>?O1STRUCTIVO>?EN>?LACTANTES.8#4

0LAURA DANIELA? DE JULIO DEL >?2 VALENZUELA5 R.H. LUEGAS5 J. MARQUETS5 L. 02. M,"*,l #'

8'#+,-$!,. E#+-%$+,l I"-'$,&'$+,",5 M;+%.

VACUNA C5NT6A LA 7(8TE6(A, PE6TU9(9 T;TAN59


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MARCDANTE5 K. KLIEGMAN5 R. JENSON5 H. 1EHRMAN5 R. 0>?>2.

N'l%"5 8'#+,-$!, ''"+,l @ '#++=". E#+-%$+,l El'/+'$ S,*"#'$.

1,$'l%",5 E8,:, MINISTERIO DE SALUD. E)*'&, N,+%",l #' V,*",+=" >?. RM

?. R'/+-, #' "'*&%l%6!, +"-'$"'-. S!"#$%&' %)*'l*9%+#'5 D+'6% S,,

N,/+,5 %"*l-,#% J*"+% 5 >? #+8%"+(l' '"

9--8.'"%l%&(+,.%&&'#++",$'/+-,&'#+,"'*&%l%6+,/"

>"'*&%>??%"+$%&'% E"-%$"% M;#+% +"-'$"'-. L, T% F'$+",. G*-,/% C,-+ll% R. %"*l-,#%

J*"+% 5 >? #+8%"+(l' '"

9--8.'"-%$"%&'#+%.%$6'"4'$&'#,#'#'l,,l,

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