7/23/2019 iam tto urg

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Pregunta, cules son los procedimientos primarios que deben ser llevados a cabo en un IAM? Por qu?

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Mario LauroMorfina--> Dolor, oxgeno, nitroglicerina --> para disminuir el consumo de O2 miocrdico, Aspirina y clopidrogel como antiagregantes.

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Mario LauroElectro, enzimas, verificar el tiempo de evolucin, si es menor de 6hr lo mandamos a unidad coronaria para angioplasta y si no se

cuenta con una trombolticos.

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Lean MustainSi satura 96% le daras oxgeno?

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Mario LauroNo, recuerdo que en cardio me dijeron que a menos que haya disnea o mala ventilacin y saturacin ahi si ya se da.Me gustaResponder12 h

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Mario LauroLo que s es que como falla la bomba cardiaca por el infarto, el cuerpo queda en un estado de bajo flujo y por lo tanto hipoxia.

Aunque hay quienes dicen que tambin es perjudicial porque aumentan la cantidad de radicales libres de O2. Por eso no lo explay

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Lean MustainExacto, ah quera llegar! Tenemos que desterrar el mito de que el paciente necesita oxgeno, en la unidad de cardio que estoy, hay

una cardiloga haciendo un trabajo sobre esto, y hay muchos trabajos publicados, donde se ve que no hay cambios en la morbimortalidad, y yo

creo inclusive, que el suministro de O2 es peor.. pero bueno ya se vera!

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Mario LauroEmoticn gasp Gracias por la retroalimentacin. por lo tanto eso de la "MONA" ya e tiene que olvidar. Emoticn gasp

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