Protocols - Hemorio

More documents

Recommendations

Info

G6PD DEFICIENCY INITIAL EVALUATION Anamnesis Complete clinical exam Orientation about disease Supply explicative manual about the disease LABORATORIAL EVALUATION Complete Red Blood Cell Test G6PD research Biochemistry (Glucose, urea, creatinine, sodium, potassium) Liver function test Annual Serology (HIV, HTLV, hepatitis A, B, C, Chagas Disease, VDRL) SAE and Parasitology: feces DIAGNOSE G6PD research positive G6PD dosage CLINICAL PICTURE Most of subjects is asymptomatic and diagnose is made by chance in familiar study. It comes with hemolytic anemia variable as enzymatic deficiency levels, ranging since a mild way to severe pictures, triggered by infections (Staphylococcus aureus, Salmonella, Serratia marcescens, Escherichia coli, and fungus like Candida albicans, and Aspergillus). Anemia can be triggered by infections, drugs. Osteomyelitis Oral and perioral lesions . TREATMENT Avoid hemolyze by substance (see picture) Avoid infections; Transfusion when symptomatic and hemoglobin
AGENTS CAPABLE OF TRIGGERED HEMOLYZE ON ERITROCYTES WITH G6PD DEFICIENCY CATEGORY MAY BE USED CAREFULLY MUST BE AVOIDED ANALGESIC AND ANTIPYRETICS Acetaminofen, acetophenetidin (phenacetin), acetylsalicylic acid, aminopyrine, antipyrine, phenacetin, paracetamol 45 Acetanilide, metamizol, fluotane, aminosalicylic acid ANTIARRHYTHMIC Procainamide Quinidine ANTI-HELMÍNTIC Piperazine ANTIHYPERTENSIVES Captopril, enalapril (maleate), hydralazine ANTIMALARIC Cloroquine, pirimetamine, quinacrine, quinine (cloridrate) Hydroxicloroquine, mefloquine, pamaquine, pentaquine, primaquine, quinocide ANTIANGINOSOS Isosorbide Mononitrate, Isosorbide dinitrate, nitroglycerine (trinitrine) ANTIBACTERIANS P-aminobenzoic acid, Isoniazide, Nalidixic acid, cloranfenicol, ciprofloxacine, trimetropine Estreptomicine dapsone, fenazopiridine, furaltodone, furmetonol, nitrofurantoine, nitrofurazone, norfloxacine, ofloxacine, Co-trimoxazol, furmetonol, neoarsfenamine ANTIEPILETICS Fenitoin ANTIPARKINSONIAN L-Dopa ANTIPROTOZOAL Furazolidone ANTISEPTICS Metylene Blue ANTITOXICS Dimercaprol (BAL) ANTINFLAMATORY Probenicide ANTIHISTAMINICS Astemizol, azatadine, bronpheniramine, cetirizine, clorfeniramine, ciproeptadine, difenidramine, dexclorfeniramine, CYTOSTATICS difenidramine, elastine, hydroxyzine, loratadine, mequitazine, oxatomide, terfenadine Doxorrubicine (cloridrate) CONTRASTS Toluidine Blue ESTROGEN Mestranol SULFONAMIDES AND Sulfisoxazol Sulfacetamide, Sulfametoxazol, SULPHONES Sulfadiazine Sulfametoxipirimidine, Sulfapiridine, Sulfametoxipiridazine Sulfassalazine, Diaminodifenilsufone (DDS), Dapsone, Sulfanilamide, sulfamerazine, sulfatiazol, sulfoxone, tiazolsufone, N- VITAMINS Vitamin C (Ascorbic Acid) acetilsufanilamide, sulfatiazol Vitamin K1, Vitamin K3 FOOD AND DOMESTIC USE Conservative, Naphthalene
Page 2 and 3: PROTOCOLS INSTITUTE OF HAEMATOLOGY
Page 4 and 5: COORDINATION AND REVISION Clarisse
Page 6 and 7: SUMMARY: PART I - CLINICAL PROTOCOL
Page 8 and 9: 1.INICIAL CLINICAL EVALUATION SICKL
Page 10 and 11: TREATMENTO AND IN ADULTS AT ANY AGE
Page 12 and 13: SPLENECTOMY - INDICATIONS: (1) CHIL
Page 14 and 15: OUTPATIENT TREATMENT: It is based o
Page 16 and 17: ASPIRIN AND NSAID PARACETAMOL OPIOI
Page 18 and 19: CONDUCTION: - Hospitalization - Com
Page 20 and 21: ONE, TWO-DIMENSIONAL DOPPLER ECHOCA
Page 22 and 23: Hemianopsia Homonymous deficit of v
Page 24 and 25: TREATMENT OF CONVULSIVE EPISODES -
Page 26 and 27: INITIAL ATTENDANCE TO PREGNANT WOME
Page 28 and 29: - It may occurs acute thoracic synd
Page 30 and 31: 3 Diet with potassium restriction 4
Page 32 and 33: MICROALBUMINURIA Screening Patients
Page 34 and 35: RECURRENCE OF PRIAPISM: - Pain Trea
Page 36 and 37: SPECIAL CARES DEFERASIROX - The use
Page 38 and 39: TREATAMENT: DRUG Hydroxiurea (hard
Page 40 and 41: MAJOR AND INTERMIDIATE THALASSEMIA
Page 42 and 43: HEREDIRATY SPHEROCYTOSIS CLINICAL E
Page 46 and 47: LABS EXAMS TO DIAGNOSE APLASTIC ANE
Page 48 and 49: SELFIMMUNE HEMOLYTIC ANEMIA CONCEPT
Page 50 and 51: 2. Splenectomy: Vaccinate 14 days b
Page 52 and 53: IMMUNE THROMBOCYTOPENIC PURPURA LAB
Page 54 and 55: THROMBOTIC THROMBOCYTOPENIC PURPURA
Page 56 and 57: HEMORRHAGIC SYNDROME INTRODUCTION H
Page 58 and 59: MULTIDISCIPLINARY FOLLOW-UP OF HEMO
Page 60 and 61: LYOPHILIZED CONCENTRATES: They are
Page 62 and 63: TABLE 2: REPLACEMENT THERAPY TO PER
Page 64 and 65: CONDUCTION IN CONFIRMED INTRACRANIA
Page 66 and 67: Severe CET with neurological change
Page 68 and 69: PHARMACOKINETICS OF CLOTTING FACTOR
Page 70 and 71: INHIBITORS CLASSIFICATION The inhib
Page 72 and 73: - Extended surgeries require increa
Page 74 and 75: CLINICAL DIAGNOSIS: According to In
Page 76 and 77: DDAVP TEST The “test dose” must
Page 78 and 79: TREATMENT OF BLEEDING SITUATIONS SI
Page 80 and 81: TABLE 6 - REPLACEMENT THERAPY IN LE
Page 82 and 83: • Primary prophylaxis: controvers
Page 84 and 85: CLINICAL AND LABORATORIAL FOLLOW-UP
Page 86 and 87: MYELODISPLASIC SYNDROME LABORATORIA
Page 88 and 89: If EPO < 500 mU/ml : EPO (8000U 3x/
Page 90 and 91: ACUTE MYELOID LEUKEMIA LABORATORIAL
Page 92 and 93: LMA LMA M3 - non-M3 LMA Protocol LM
Page 94 and 95:
Key: Volunteer to aggressive treatm
Page 96 and 97:
Acute Promyelocytic Leukemia Transf
Page 98 and 99:
BMP LMA IN CHILDREN AND TEENAGERS
Page 100 and 101:
Ara-c dose reduction by age: Age in
Page 102 and 103:
ATRA RECOMMENDATION: ATRA is starte
Page 104 and 105:
- venous hydration - leukapheresis
Page 106 and 107:
POLYCYTHEMIA VERA LABORATORIAL TEST
Page 108 and 109:
TREATMENT - 2nd LINE - Indicated fo
Page 110 and 111:
ACUTE LYMPHOID LEUKEMIA LABORATORIA
Page 112 and 113:
RE-INDUCTION Phase I (weeks 1-4) -
Page 114 and 115:
Cycles 2, 4, 6, 8 - Methotrexate 20
Page 116 and 117:
PHASE 2 Infusion CPM in 1 hour 1000
Page 118 and 119:
CURATIVE RADIOTHERAPY of CNS < 1 ye
Page 120 and 121:
CHRONIC LYMPHOCYTIC LEUKEMIA LABORA
Page 122 and 123:
fludarabine 25 mg/m VENOUS 2 D1-D3
Page 124 and 125:
TRICHOLEUKEMIA LABORATORIAL TESTS -
Page 126 and 127:
- age >45 years old - leukocytosis
Page 128 and 129:
- Leukemia / T-Cell Lymphoma in Adu
Page 130 and 131:
INDICATIONS FOR THE TREATMENT: Symp
Page 132 and 133:
1 st line Chemotherapy R- CHOP (21
Page 134 and 135:
CODOX- M/IVAC Cycles 1 and 3 Cyclop
Page 136 and 137:
BLOCK A DEXA VO/IV 10 mg /m2 in 3 d
Page 138 and 139:
- Surgical treatment is only indica
Page 140 and 141:
LEUKEMIA / T-CELLS LYMPHOMA OF THE
Page 142 and 143:
HN2 or PUVA (similar to the located
Page 144 and 145:
MULTIPLE MYELOMA LABORATORIAL TESTS
Page 146 and 147:
RESPONSE CRITERIA Full Response Abs
Page 148 and 149:
WALDENSTRON MACROGLOBULINEMIA LABOR
Page 150 and 151:
− If HLA-identical related donor
Page 152 and 153:
TREATMENT PROTOCOL - ACUTE MYELOID
Page 154 and 155:
TREATMENT PROTOCOL - MULTIPLE MYELO
Page 156 and 157:
Post-autologous transplantation pro
Page 158 and 159:
PART II - TRANSFUSIONAL PROTOCOLS A
Page 160 and 161:
PRESERVATION AND CONSERVATION: The
Page 162 and 163:
TRANSFUSION OF RED BLOOD CELLS, PLA
Page 164 and 165:
FORMAL CONTRAINDICATIONS TO THE PLA
Page 166 and 167:
1 - TRANSFUSION OF FROZEN FRESH PLA
Page 168 and 169:
COMMUNICATION FORM OF CRYOPRECIPITA
Page 170 and 171:
Volume to be = changed (*) VOLEMIA
Page 172 and 173:
HEMOTHERAPIC PROTOCOL TO FALCIFORM
Page 174 and 175:
5 - TRANSFUSIONAL CONDUCT AT THE SE
Page 176 and 177:
CML - Subjects with symptoms relate
Page 178 and 179:
- Aplastic anemia bearers - HIV pos
Page 180 and 181:
Severe reaction: anaphylactic shock
Page 182 and 183:
- Heart monitoring - Prescribe Furo
Page 184 and 185:
CARES AT THE PLATELETS CONCENTRATE
Page 186 and 187:
ATTACHMENT I - HEMATOLOGICAL CLINIC
Page 188 and 189:
INFECTIOUS SPLENO MEGALIES IMMUNO L
Page 190 and 191:
INVESTIGATION OF HEMORRHAGIC SYNDRO
Page 192 and 193:
INVESTIGATION OF POLYGLOBULIAS: POL
Page 194 and 195:
ATTACHMENT III - HEMATOLOGY SPECIAL
Page 196 and 197:
IMMUNOPHENOTYPE PROFILE OF THE ACUT
Page 198 and 199:
ATTACHMENT IV - PAIN APPROACH ROUTI
Page 200 and 201:
If it is prescribed for more than 1
Page 202 and 203:
HOW TO PRESCRIBE OPIOID: SPECIAL CA
Page 204 and 205:
SPECIFICITIES OF EACH OPIATE (cont
Page 206 and 207:
METHADONE Intravenous (*) Oral path
Page 208 and 209:
Psychic Dependence or “addiction
Page 210 and 211:
CROSS TOLERANCE - The subject must
Page 212 and 213:
ATTACHMENT V - CHEMOTHERAPY SUBJECT
Page 214 and 215:
ATTACHMENT VII - IRON CHELATION GEN
Page 216 and 217:
10. G N N - DFP DFP-100 mg/kg/day d
Page 218 and 219:
ATTACHMENT VIII - SEDATION IN CHILD
Page 220 and 221:
224 NOTES _________________________
Page 222 and 223:
224 NOTES _________________________
Page 224:
Expresso Gráfica e Editora Ltda-me
show all

Protocols - Hemorio

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?