Boli infectioase

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1. Neutropenic (Staf. BGN, fungi, virusuri, Pn. Carini) tratament - Βlactamine antipiocianic + fluorchinolone resp. + aminoglicozide - Βlactamine antipiocianic + aminoglicozide + Macrolid - durata medie de spitalizare 14-20 zile 2. Imunodepresii celulare (MRSA, BGN, B.K., CMV, EBV, Pn. Carini) tratament cefalosporine gen. III/Amoxicilină – inhibitori de β lactamaze + Macrolid fluorchinolone respiratorii Ex. HIV Neoplazii Hemopatii maligne Trat. imunosupresoare Agent Tratament etiologic Pn. Carini cotrimoxazol + corticoizi CMV Gangyclovir Aspergillu s Voriconazol/ Amfotericină B bk tuberculostatice INTFECTIA URLIANA I.DIAGNOSTIC PARACLINIC 1.INVESTIGATII NESPECIFICE -hemoleucograma, VSH, CRP, Fibrinogen, -amilaza serica, amilaza urinara, uree, glicemie, TGP, -sumar urina *In determinare meningiana - punctie lombara - LCR - clar, opalin, limf.→ (90 %), leucocite-300-2000/mm3 - alb.usor →, cl = N, gl = N, bacterioscopic negative -EKG (in determinare miocardica) -Ecografie abdomino-pelvina (in determinare pancreatica, orhita) II.DIAGNOSTIC ETIOLOGIC -serologic-evidentiere IgM antivirus urlian-RFC,Reactie de neutralizare,RIH -evidentiere Ac anti virus urlian din LCR-ELISA 14
II.TRATAMENT 1.Igieno - dietetic - spitalizare in complicatii,determineri extrasalivare - repaus la pat - regim alimentar fara dulciuri,fara grasimi,hiposodat in caz de corticoterapie - caldura umeda regiunea parotidiana tumefiata Parotidita, submaxilita 2.Simptomatic - analgezice, antitermice, antiemetice, sedative, fermenti pancreatici, vitamine (multivitamine), vitamina C 3.Patogenic – AINS- ibubrufen, ketoprofen, diclofenac; anitacide – dicarbocalm, malucol; - anti H2 – po, inj.-ranitidina; IPP – omeprazol; Pancreatita 1. Igieno - dietetic – intreruperea temporara a alimentatiei orale(1-2 zile) 2. Simptomatic – antispastice, antialgice, antiemetice, antiH2inj., IPP, antiacide, KCL 1-2 g/zi 3. Patogenic – PEV-cu Ringer, ser fiziologic, glucoza 5%, aminoacizi; - AINS - corticoterapie de scurta durata:prednison 1 mg/kg/zi 5-7 zile, dexametazona 0,4 mg/kg/zi 5-7 zile; Orhita 1. Igieno-dietetic - regim alimentar mentionat anterior - imobilizare la pat; comprese reci local (punga cu gheata) - suspensor pentru testiculul inflamat 2. Simptomatic – mentionat anterior (la pancreatita) 3. Patogenic – mentionat anterior (la pancreatita) Meningita, Encefalita urliana 1. Igieno-dietetic – mentionat anterior 2. Simptomatic – antitermice, antialgice, antiemetice, sedative, fermenti pancreatici, anticonvulsivante-fenobarbital, diazepam 3.Patogenic – AINS - CORTICOTERAPIE – dexametazona -0,4 mg/kg/zi 2-3 prize/zi, 7-14 zile -1 f la 12 ore - solumedrol 2-4mg/kg/zi 2 prize/zi -HHC-10 mg/kg/zi la 6h -200-400 mg/zi la 6h - ANTIEDEMATOASE CEREBRALE – manitol 20% 1-2g/kg/zi 3 zile - furosemid 1-2mg/kg/zi, 1f la 12 h, 2-3 prize/zi - glucoza 10 %, sulfat de Mg - PEV cu vitamine B1, B6, C, calciu gluconic, reechilibrare volemica, H-E- Ringer, ser fiziologic, antiH2inj., antiacide, KCl 1-2 g/zi; 15
Page 1 and 2: SCARLATINA 1. Protocol de diagnosti
Page 3 and 4: ● Bronhopneumonice - sau pneumoni
Page 5 and 6: Terapie alternativă ● Cloramfeni
Page 7 and 8: 15 mg/kg/zi) administrată zilnic t
Page 9 and 10: c). Tratament - administrare ATPA,
Page 11 and 12: Shigella - Acid nalidixic - Cotrimo
Page 13: a). severitate medie (agenţi etiol
Page 17 and 18: 2. Simptomatic - analgezice, sedati
Page 19 and 20: * Hepatita virala acuta cu virus C-
Page 21 and 22: 6h,Claritromicina 1g/zi la 12h-po,i
Page 23 and 24: - mediu - animal • bolnav • dis
Page 25 and 26: ENDOCARDITA CERTA ( cu etiologie de
Page 27 and 28: saprophyticu s Enterococ Piocianic
Page 29 and 30: Criterii care definesc insuficienta
Page 31 and 32: AGENTUL TERAPIE ALTERNATIVE ETIOLOG
Page 33: - controlul si igiena integritatii

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