VALORACION PRE ANESTESICA EN PEDIATRIA RIESGOS OBJETIVOS EXAMENES COMPLEMENTARIOS HISTORIA CLINICA NO REALIZAR CIRUGIA EXAME N FISICO REVISION POR SISTEMAS Slides before 1st Section Divider ORDENES OPERATORIASORDENES OPERATORIAS LABORATORIOSLABORATORIOS

Dra. Yolanda Fuentes Rocha Anestesiologa VALORACION PRE ANESTESICA EN PEDIATRIA

pptPlex Section Divider VALORACION PRE ANESTESICA EN PEDIATRIA The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

El niño es el ser mas noble que existe Debe ser evaluado cuidadosamente ya que tiene nula o ningun contacto con el ambiente quirurgico

pptPlex Section Divider OBJETIVOS The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

OBJETIVOS  Obtener los detalles esenciales de la Enf. Actual  Proporcionar informacion sobre el ambiente  Disminuir la ansiedad  Obtener consentimiento informado  Explicar : Monitoreo Laboratorios Cateteres intravenosos

pptPlex Section Divider RIESGOS The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

 Riesgos dentales durante la intubacion endotraqueal  Aspiración gastrica  Apnes en lactantes  Posibilidad de ventilación mecanica postquirurgica  Transfusiones sanguineas

pptPlex Section Divider HISTORIA CLINICA The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

REALIZACION DE LA HISTORIA CLINICA Historia clinica.- Valoración de la enfermedad Periodo neonatal crecimiento e infancia Hospítalizaciones y cirugias previas Fuente Sintoma principal

pptPlex Section Divider REVISION POR SISTEMAS The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

RESPIRATORIO

CARDIOVASCULAR NEUROLOGICO

GASTROINTESTINAL

RENAL

HEMATOLOGIA

pptPlex Section Divider EXAMEN FISICO The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

SIGNOS VITALES

o CABEZA

o CUELLO

TORAX

COLUMNA

CARDIOVASCULAR ABDOMEN

NEUROLOGICO

pptPlex Section Divider ORDENES OPERATORIAS The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

N P O Via Periferica Medicacion y vias de administración Registros y ordenes especiales

pptPlex Section Divider LABORATORIOS The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

PARÁMETROS HEMATOLÓGICOS DETERMINACIÓNR.N.1 MESLACTANTESNIÑOS MAYORES HTO.(%) GLÓBULOS ROJOS A A A A Hb (gr/dl)14,5-22, ,5 GLÓBULOS BLANCOS Neutr. Cayado (%) Neutr. Segm. (%) Eosinófilos (%) Basófilos (%)0,60, Linfocitos (%) Monocitos (%) Reticulocitos (%)2-50,5-1,50, Rto. de plaquetas

COAGULOGRAMA: Tiempo de Coagulación= 3-9 min Tiempo de Sangría= 2,5-5,5 min Tiempo de Protrombina= seg (70-100%) KPTT= seg.

QUIMICA SANGUINEA

pptPlex Section Divider EXAMENES COMPLEMENTARIOS The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

RADIOGRAFIA DE TORAX

pptPlex Section Divider NO REALIZAR CIRUGIA The slides after this divider will be grouped into a section and given the label you type above. Feel free to move this slide to any position in the deck.

No se recomienda realizar cirugia electiva o ( programada ) o Hto <30 % o Hb < 10 g/dl o Leucocitos: mm 3 o Tp < 70 % o Plaquetas < / m 3 o Glicemia > 200mg/dl o Na > 150 o < 131 mEq/l o K > 5.7 o < 2.8 mEq/l

GRACIAS