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3061633
ECLAMSIA
Description
Mind Map on ECLAMSIA, created by rmnhg2 on 13/07/2015.
Mind Map by
rmnhg2
, updated more than 1 year ago
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Created by
rmnhg2
almost 9 years ago
10
0
0
Resource summary
ECLAMSIA
HAG + CONVULSIONES O COMA
+ RIESGO CON PREECLAMSIA SEVERA
ETIOLOGÍA
VASOCONSTICCIÓN CEREBRAL
EDEMA CERERBAL
INFARTO
HEMORRAGIA
ENCEFALOPATÍA METABÓLICA
CLINICA
HAS
CONVULSIONES
CEFALEA
ACUFENOS FOSFENOA
DOLOR ABDOMINAL- HELLP
MOMENTO DE PRESENTACIÓN
ANTEPARTO 50%
PUERPERIO
+ RIESGO EN 1AS 48 HRS
10% A PESAR DE SULFATO DE M
TARDÍA DE 48 HRS- 7 DÍAS
DIAGNÓSTICO DIFERENCIAL
EPILEPSIA
TIMOR
NEUROINFECCIÓN
EVC
INTOXICACIÓN POR METALES
MORTALIDAD 14%
PRINCIPAL FACTOR ASOCIADO NO CONTROL PRENATAL
COMPLICACIONES
HELLP 15%
COAGULACIÓN INTRAVASCULAR DISEMINADA 14%
DESPRENDIMIENTO PREMATURO DE PLACENTA NORMOINTENSA
HEMORRAGIA CEREBRAL POCO FRECUENTE > RIP
HEMATOMA Y RUPTURA HEPÁTICA
MANEJO
PRIMERO MANTENER VÍA AÉREA PERMEABLE
MEDIDAS GENERALES
DECUBITO LATERAL
EVITAR CAIDAS
ACCESO VASCULAR
ASPIRAR SECRESIONES
OXIGENO 8 LT MIN
VOLUMEN
GLUCOSA AL 5%
BOLO INICIAL 250 CC
MANTENIMIENTO 1,000 CC P/ 8 HRS
CONTROL TA
INICIO NIFEDIPINO 10 MG SUBLINGUAL
MANTENIMIENTO
ALFAMETIL DOPA 500 MG CADA 6 HRS + HIDRALAZINA 50 MG CADA 6 HRS
CRISIS COVULSIVAS
SULFATO DE MAGNESIO
4 GR BOLO EN 100 CC DE GLUCOSA AL 5%
MANTENIMIENTO
2 HR POR HR / MAXIMO 72
ANTIDOTO GLUCONATO DE CALCIO
RANGO TERAPAUTICO 4.8-8.4
SI PERSISTEN CONVULSIONES BOLO SULFATO M 2 GR EN 3 MIN
2A OPCION DFH 250 MG IV DU + 125 MG IV CADA 8
3A OPCION DIAZEPAM
BRADICARDIA FETAL ESPERADA DESPUES DE CONVULSION
< 3 MINUTOS
SI + 5 MM SUGIERE DPPPNI
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