Sepsis Fisiopatologia Mio
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Transcript of Sepsis Fisiopatologia Mio
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DR. VICTOR EUCLIDES BRIONES MORALESFELLOW MEDICINA CRITICA Y
CUIDADOS INTENSIVOS
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ETAPAS DE LA SEPSIS SEGÚN BONE
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ROLLING Y UNION FUERTE AL ENDOTELIO
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. Imagen producida por Juan Carlos Gómez Rodríguez, M.D., usando en parte las imágenes de Servier Medical Art.
ACTIVACIÓN INFLAMATORIA DE LA COAGULACIÓN.
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MECANISMOS FISIOPATOLÓGICOS INVOLUCRADOS EN LA SEPSIS
Preiser JC, Van Gossum A, Bere J, Vincent JL, Carpentier Y. Enteral feeding with a solution enriched with antioxidant vitamna A, C, and E enhances the resistence to oxidative stress. Crit Care Med 2000; 28: 3228-32.
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SISTEMA PIRO PARA ESTRATIFICAR LA SEPSIS
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Algoritmo de Terapia Temprana Dirigida por Metas (Early Goal-Directed Therapy) Modificado de Rivers EP, McIntyre L. Early and innovative interventions for severe sepsis and septic shock: taking advantage of a window of opportunity. CMAJ. 2005; 173(9): p. 1054-1065
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BACTERIASBACTERIAS
INFECCION FOCALINFECCION FOCAL BACTEREMIABACTEREMIA
SEPSISSEPSIS
SINDROME DESINDROME DESEPSIS SEVERASEPSIS SEVERA
SHOCK SEPTICOSHOCK SEPTICOTEMPRANOTEMPRANO
SHOCK SEPTICOSHOCK SEPTICOREFRACTARIOREFRACTARIO
MODSMODS
R. I. P.R. I. P.
SEPSIS, MAS AL MENOSSEPSIS, MAS AL MENOSUNO DE LOS SIGUIENTESUNO DE LOS SIGUIENTES:
* CAMBIOS MENTALES* CAMBIOS MENTALES* HIPOXEMIA* HIPOXEMIA* LACTATO EN PLASMA * LACTATO EN PLASMA * OLIGURIA* OLIGURIA
SINDROME DE SEPSISSINDROME DE SEPSISMAS:MAS:HIPOTENSION O POBREHIPOTENSION O POBRELLENADO CAPILLAR.LLENADO CAPILLAR.QUE TARDA MAS DE 12 H.QUE TARDA MAS DE 12 H.A PESAR DE LIQS. IV. Y A PESAR DE LIQS. IV. Y QUE REQUIERE APOYOQUE REQUIERE APOYOVASOPRESORVASOPRESOR
EVIDENCIA CLINICA DE INFECCIONEVIDENCIA CLINICA DE INFECCIONMAS : MAS : * HIPERTERMIA / HIPOTERMIA* HIPERTERMIA / HIPOTERMIA* TAQUICARDIA* TAQUICARDIA* TAQUIPNEA* TAQUIPNEA* ALTERACIONES EN FORMULA B.* ALTERACIONES EN FORMULA B.
SINDROME DE SEPSISSINDROME DE SEPSISMAS :MAS :HIPOTENSION O POBREHIPOTENSION O POBRELLENADO CAPILAR QUELLENADO CAPILAR QUERESPONDE PRONTAMENTERESPONDE PRONTAMENTEA LIQUIDOS IV. Y/O INTERA LIQUIDOS IV. Y/O INTER--VENCIONES FARMACOLOGICASVENCIONES FARMACOLOGICAS
CUALQUIER COMBINACION DE: CUALQUIER COMBINACION DE: * CID* CID* SIRPA* SIRPA* INSU.F RENAL AGUDA* INSU.F RENAL AGUDA* INSUFICIENCIA HEPATICA AGUDA* INSUFICIENCIA HEPATICA AGUDA*DISFUNCION CEREBRAL AGUDA*DISFUNCION CEREBRAL AGUDA
SEPSIS: SECUENCIASEPSIS: SECUENCIACLINICACLINICA
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BACTERIA MONOCITO
RESPUESTA INFLAMATORIA
HIPER-RESPUESTA RESPUESTA BALANCEADA HIPORESPUESTA ( SIRS/SDOM ) (SIRS/CARS) (CARS/SEPSIS)
MUERTE RESOLUCION MUERTE
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MODELO DIAGNÓSTICO DE SEPSIS CON PROCALCITONINA.
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MODELO DE MONITORIZACION DE LOS PACIENTES SÉPTICOS CON PROCALCITONINA.
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