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Latitude: 37.751
Longitude: -97.822




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fișe: tehnici de nursing -13:intervenţii în şoc anafilactic mintervenţii în şoc hipovolemic ,. alergia - răspunsanormal la unanumit antigen. hipersensibilitatea - exagerarearăspunsuluifiziologic la. oricesubstanţă cu caracter antigenic. reprezintă o urgenţămedicală!!!!. pacientulpoatedecedaîncâteva minute dacănu se intervine de urgenţă.. alergeniincriminaţi: polenul, veninul de insecte, penicilina, serurileantibacterieneşiantitoxice.. observaţie: şoculanafilacticestemai sever decâtalteforme de şocdatorităreacţiei de hipersensibilitate de tip i, cu elibarearea. de mediatoriîncompartimentul intravascular şi multiple consecinţefiziopatologicedefavorabile.. anafilaxia – reacţiaacută de hipersensibilitateimediata antigen – anticorpmanifestata clinic sub diferiteforme de la forma usoara. la severasi cu potential letal. şoculanafilactic = şocdistributiv produs prin vasodilataţia. bruscă sistemică indusă de mediatorii anafilaxiei, reacţie de hipersensibilitateimediatăbrutala, dramatica, cu. de mediatorichimici. soculanafilacticestedeci o anafilaxiesevera cu prabusire cardio-circulatoriesirespiratorie..  aparat respirator: constricţietoracică, dispnee cu polipnee, tuse, stridor laringian, edemglotic,wheezing cu bronhospasm. aparatcardiovascular:tahicardiesinusală, cu pulsperifericfiliform, ↓ ta, până la şoc, aritmii . coloizi (dextran 70), anestezice locale (xilină, procaină), narcotice (meperidina), miorelaxante (d-tubocurarina), protamina;. atitudinepractică de urgenţăîncazulşoculuianafilactic. monitorizare: ecg, ta, linie arterial, catetervenos central, sondăurinară. încaz de dubiuasupraetiologieişocului, acestava fi tratat ca hypovolemic, fiindcauzaceamaifrecventăşireversibilă.  menţinerealibertăţiicăiloraerienesuperioareşioxigenoterapie (o2 100%);. -    linievenoasăsigură; -    dacăestenevoie iot cu ventilaţieasistatămecanic;. pesonda de iot., repetat la 1-5 min, până la 1-2 mg în 60 min; - umplererapidă a patului vascular (1000-2000 ml serfiziologic,


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H3: FIȘE: TEHNICI DE NURSING -13:Intervenţii în şoc anafilactic MIntervenţii în şoc hipovolemic ,

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