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bestindicatorofprognostsmonoclonal
-)0hfauihdfasd
8)CD8~MHCICD4~MHCII1kwhiorkor~"crump4ledtissuepaper2412"rnacrophagesNeimanPickce
lls-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidlade
nmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)starashio
rkor~decreasedprotein(calorie1sOK)marasmus-)starvationd12rugreactionsHenoch-Scho
nleinpurpura~leuhiorkor~"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)l
ipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidlade
nmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)starkocyt
oclasticvasculitisStevens-Johns4onsyndrome~hemorrhagiccrustedlesionsskinandmucus
membranes(varientoferythemamultihiorkor~"crump4ledtissuepaper2412"rnacrophagesNe
imanPickcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidlade
nmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)starfcrea
sedvitC(scurvy)Gauchercells
--?
"crump4ledtissuepaper2412"hiorkor~"crump4ledtissuepaper2412"rnacrophagesNeimanPi
ckcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidlade
nmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgrade
-+124
8124)CD8~MHCI
-+124

8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)starrnacr
ophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCICD4~MHCIIkwashiorkor~"crump4ledtissuepaper2412"rnacrophagesNeimanPi
ckcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtihiorkor~"crump4ledtissuepaper2412"rnacrophagesNeiman
Pickcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidlade
nmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)starssuep
aper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgradehiorkor~"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenm
acrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidlade
nmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)star
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkohiorkor~"crump4ledtissuepaper2412"rnacrophagesNeima
nPickcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCIdec"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidlade
nmacrophagesgrade
-+12"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophages
grade"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophage
sgrade
-+124
8124)CD8~MHCI
-+124
8124)CD8~MHCI4
8124)CD8~MHCIreasedp12rotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(calori24esOK)marasmus-)starr~dec
reasedprotein(calori24esOK)marasmus-)starvationdrugreactionsHenoch-Schonleinpurp
ura~leukocytoclasticvasculitisStevens-Johnsonsyndrome~hemorrhagiccrustedlesionss

kinandmucusmembranes(varientoferythemamultifcreasedvitC(scurvy)Gauchercells
--?cvasculitisStevens-"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lip
idladenmacrophagesgrade
-+124
8124)CD8~MHCIJohnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(vari
entoferythemamultifcreasedvitC(scurvy)Ga124uchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+124
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0"crump4ledtissuepaper2412"rnacrophagesNeimanPickcells-)lipidladenmacrophagesg
rade
-+124
8124)CD8~MHCI
bestindicatorofprognosts24monoclonal
-)0
neoplasticproliferation(singlecloneofcells)pol124yclonal
-+
reactiveprolifer12ationArias-Stellareac"crump4ledtissuepaper2412"rnacrophagesNei
manPickcells-)lipidladenmacrophagesgrade
-+124
8124)CD8~MHCIti12
-+me~hemorrhagiccrustedlesionsski
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar124asmus-)starvati
ondrugreactionsHenoch-Schonleinpurpura~leukocyto
8)CD8~MHCICD4~MHCIIkwashiork421or~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHC124IIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvati
ondrugreactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-Johnson
syndrome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultifc
reasedvitC(scurvy)Gauchercells
--?cvasculitisStevens-Johnsonsyndrome~hemo
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationd
rugreactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-Johnsonsyn
drome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultifcrea
sedvitC(scurvy)Gauchercells
--?cvasculitisStevens-Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembr
anes(varientoferythemamultifcreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+me~hemorrhagiccrustedlesionsskirrhagiccrustedlesionsskinandmucusmembranes(vari
entoferythemamultifcreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+

reactiveproliferationArias-Stellareaction
-+me~hemorrhagiccrustedlesionsskiclasticvasculitisStevens-Johnsonsyndrome~hemorr
hagiccrustedlesionsskinandmucusmembranes(varientoferythemamultifcreasedvitC(scur
vy)Gauchercells
--?cvasculitisStevens-Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembr
anes(varientoferythemamultifcreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclona
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationd
rugreactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-Johnsonsyn
drome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultifcrea
sedvitC(scurvy)Gauchercells
--?cvasculitisStevens-Johnsonsyndrome~hemorrhagiccrustedlesionsskinandmucusmembr
anes(varientoferythemamultifcreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+me~hemorrhagiccrustedlesionsskil
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+me~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultiforme)
increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedostero
id(minearlizationOK)~deente aubella(3daymeaslesorGermanmeasles)~rubellavirusrube
ola~measlesvirus(pararnyxovirus)ClassIantigens~CD8(think8xI
=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)mar
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationd
rugreactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-Johnsonsyn
drome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultifcrea
sedvitC(scurvy)Gauchercells
--?
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudoTRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado
EV, correr em30 minAnalg
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudoTRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado
EV, correr em30 minAnalgnostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+

hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudoTRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado
EV, correr em30 minAnalg
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationd
rugreactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-Johnsonsyn
drome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultiforme
)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedoster
oid(minearlizationOK)~deente aubella(3daymeaslesorGermanmeasles)~rubellavirusrub
eola~measlesvirus(pararnyxovirus)ClassIantigens~CD8(think8xI
=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationd
rugreactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-Johnsonsyn
drome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultifcrea
sedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-hiAbdome agudoTRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado
EV, correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
Rotina de abdome agudoorme)increasedosteoid(decreasedmineralization)~decreasedvi
tD(ricketts)decreasedosteroid(minearlizationOK)~decreasedvitC(scurvy)Gauchercell
s
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+creasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)

(fexofenadina): anti-hiAbdome agudoTRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado
EV, correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
Rotina de abdome agudo
hypersecretoryendometrium(pregnancy)
(fexofenadina): anti-histaminico H1de 2G com menor efeito sedativo.- alergia, u
rticria: 60mg/dose x 2- rinite: 60- 120mg/dia de 12/12h- ALTIVA (fexofenadina) 12
0mg: rinite 01 vez ubella(3daymeaslesorGermanmeasles)~rubellavirusrubeola~measle
svirus(pararnyxovirus)ClassIantigens~CD8(think8xI
=
8)classIIantigens~CD4(think4x2
=
8)CD8~MHCICD4~MHCIIkwashiorkor~decreasedprotein(caloriesOK)marasmus-)starvationd
rugreactionsHenoch-Schonleinpurpura~leukocytoclasticvasculitisStevens-Johnsonsyn
drome~hemorrhagiccrustedlesionsskinandmucusmembranes(varientoferythemamultiforme
)increasedosteoid(decreasedmineralization)~decreasedvitD(ricketts)decreasedoster
oid(minearlizationOK)~decreasedvitC(scurvy)Gauchercells
--?
"crumpledtissuepaper"rnacrophagesNeimanPickcells-)lipidladenmacrophagesgrade
-+
pathologist(microscopicappearance)stage~clinician(clinicalextenetoftumor)
-)0
bestindicatorofprognostsmonoclonal
-)0
neoplasticproliferation(singlecloneofcells)polyclonal
-+
reactiveproliferationArias-Stellareaction
-+
hypersecretoryendometrium(pregnancy)
no desequilbrio da flora bacteriana normal presente na cavidade oral, com riscode
proliferao bacteriana ou fungica.Aao anestsica e antisseptica local
Amigdalite em grvida
- CEFALEXINA 500mg, 01 cp, 8/8h, 07d
AnasarcaALDACTONE 25mg VO de 12/12h- FUROSEMIDA 01 amp EV de 12/12 h
AnemiaCOMBIRON, tomar 01 cp, 2 vezes ao dia (almooe jantar)- SULFATO FERROSO 300 mg, 01
cp, antes do almooe jantar - ACIDO FLICO 5mg, 01 vez ao dia pela manha- Transfusa
o sanguinea HMT <21 e HGB < 701 bolsa de sangue aumenta em 3,5 a 5 a HGB- ERITRO
POETINA 5000 UI (hemax) SC de 12/12h,OBS: pct com anemia e IRC no adianta fazer S
ulfatoferroso e ac folico
Asma:
NEBULIZAAO, fazer 3x com intervalo de 20 - ATROVENT 16 gotas (Brometo de ipatropio
) (ate 30gotas)Anticolinergico por inibio competitiva nos receptores.- BEROTEC 8 g
otas (Fenoterol) (ate 10g) B2 agonistade ao curta til na crise de broncoespasmo e n
a profilaxia da crise induzida por exerccioEC: tremores finos so relativamente fre
qentes etendem a desaparecer com o uso- AGUA DESTILADA 5 ml
Asma grave:
- CORTIZOL 500mg/Kg (Hidrocortisona) , 1 amp(100 e 500mg), diluido em SORO FISIO
LOGICO,IV- AMINOFILINA (Aminofilina), 1 amp (10ml
24mg/ml), EVXantina similar a
teofilina com a vantagem de usovenoso.Doses teraputicas prximas as doses txicas.CI:
gastrite, ulcera e arritmia no controladaOBS: Em pct jovens pedir um Rx pois pod
e ter uma pneumonia associada- ADRENALINA 0,3 ml SC (ate 0,7)-PC: METICORTEN 20m
g (Prednisona)01 cp 01 vez ao dia pela manha por 5 dias01/2 cp 01 vez ao dia pel
a manha por 3dOu01 cp, 03d, 12-12h01/2 cp, 03d, 24-24h01/4 cp, 03d, 24-24h
Asma grvida
- NBZ sem Berotec e Adrenalina- outros igual
Atestado de obito

Pct deu entrada j cadaver, em PCR, feito manobra deRCP sem exito. Pulso periferic
o e central ausente. AR eACV inaudiveis. Pupilas midriaticas e nofotorreagentes.
Reflexo crneo palpebral ausente.Ausencia de reflexo crneo palpebral. ECG semderivaa
o. Obito as X horas.Quando o pct estiver internado tem que colocar a causado bito
No atestato: autorizo o sepultamento em 24h
Abdome agudoTRAMAL 100mg (Tramadol), 1 amp (1 e 2 ml -50mg/ml), com 100ml de soro glicosado
EV, correr em30 minAnalgsico opioide agonista com o mesmo efeito dacodena mas com
menos efeitos colaterais
Rotina de abdome agudo
Acidente automobilstico
- Rx: bacia panormica Lombo sacra AP e perfil
Alergia
-CORTIZOL 500mg/Kg (Hidrocortisona) , 1 amp (100 e500mg) diludo em SORO GLICOSADO
100 ou 500 ml(30 gotas/mim).Dose equivalente a predinisona: multiplicar por 4CI
: ifc no controladas, sobretudo herpes, varicela,tuberculose, fungos.- FENERGAN (
Prometazina) 1 amp (2ml
50mg), IM(em caso de prurido)Anti-histaminico H1 com ao an
tialrgica,antivertiginosa, antiemetico (apenas p vmitosresistentes de etiologia de
sconhecida) e sedativohipnticoUso EV arriscado (hipotenso) prefira IM e passe para
VO assim que possvel.-DECADRON (dexametasona) 4mg/ml
2,5 ml(equivale a 1 amp) IM
dose nica- ADRENALINA 0,3 ml SC ou 0,01 mL/Kg-HIDROCORTISONA + FENERGAN + DECADRO
N+ ADRENALINA- PC: POLARAMINE 2 mg (Dextroclorfeniramina) 01cp, de 8-8 h, 3 ou 7
diasAnti-histaminico de 1 gerao. Reduzem em 30% asecreo nasal no resfriado comum.Ob
s: Quando se suspeita que a alergia por leso deinseto, pedir um hemograma pois ir
emos ver umaeosinofilia.- PC: METICORTEN 20mg (Prednisona), 01 cp, 12-12h, 7d aps
o almooCorticoide oral padro por ser eficaz e barato.Deve-se tomar com ou aps as r
efeies ou com leite para reduzir irritao gstrica.-PC: HIXIZINE / HIDROXINE / PRURIZIN
25 mg(Hidroxizina), 01 cp, 6-6h, 5d (til em urticriaresistente): anti- histamnico
c ao antialrgica,antiemetica e sedativa ou ansioltica. Util em urticriaresistente. Pr
imeira escolha nas urticrias colinrgicas ecrnicas.- alergia/urticria: 25-100mg/dose
x 3-4-melhor tomar a noite devido a sonolncia-PC: EBASTEL (ebastina): anti-histam
inico H1 de 2GUtil em alergia, urticria e rinite: 10-20mg/dose x 1-PC: ALLEGRA (f
exofenadina): anti-histaminico H1de 2G com menor efeito sedativo.- alergia, urti
cria: 60mg/dose x 2- rinite: 60- 120mg/dia de 12/12h- ALTIVA (fexofenadina) 120mg
: rinite 01 vez ao dia- ALTIVA 180 mg: urticria 01 vez ao dia
Alergia e infeco secundaria
- NEBACETIN (Neomicina e bacitracina): passar de12/12h ou 24h dependendo da ifc.
Use cremes em leses midas ou que precisam ser hidratadas e pomadas em leses secas.
ATB tpicosdermatolgicos devem ser usados de 2 a 4 vezes ao dia.Considerar o uso de
curativo oclusivo.-KEFLEX 500mg (Cefalexina), 01 cp, de 6-6 h, 07 diasCefalospo
rina de 1 gerao bem absorvida por VO mascom meia vida curta. Usado em ifc graves,
piodermite esinusite.
Amigdalite:
Sem placa de pus:- NISULID ou SCAFLAM 100mg (Nimesulida)01cp, 12-12h, 07dAntiinf
lamatrio com efeito analgsico e antitrmico.CI: hemorragia digestiva, ulcera pptica,
disfunorenal ou heptica graveCom placa de pus:-AMOXIL 500 mg (Amoxicilina), 01 cp,
de 8-8 h, 10diasPenicilina semi sinttica. ATB mais usado em pediatria.Primeira es
colha na OMA. til nas faringite, sinusite, pneumonia, ifc urinaria e na profilaxi
a da endocardite bacteriana.-BENZENTACIL 1:200.000 (Penicilina benzatina)IM.Peni
cilina de deposito IM que mantm nvel srico por ate 30d. Usado em faringoamigdalite,
profilaxiade d reumtica e sfilis.
-ZITROMAX 500mg (Azitromicina), 01 cp, 01 vezao dia, por 05 dias.OBS: Em caso de
alergia a PenicilinaMacrolideo azalidio (derivado da eritromicina) quetem meia
vida mto longa e conduzido por macrfagosaos tecidos permitindo tto de 3d p estrep
to e estafilo.Mais eficiente que a Eritro e clarito no H influenza eMoraxellaQua
ndo mtoo inflamado e edemaciado-ATB e AINE-DECADRON (dexametasona) 4mg/ml
2,5 ml
(equivale a 1 amp) IM dose nicaGlicocorticide, d inflamatria crnica, autoimune,oncolgi
ca, dermatolgica e hematolgica. Por VO preferir tomar com alimentos p reduzir a ir

ritaogstrica.Doses venosas acima de 10mg deve ser diluda emSGI ou SF e correr em 30m
inDoses menores: bolo em 1 a 5 min-HEXOMEDINE SPRAY (Isetionato de hexamidina ec
loridrato de tetracana) Aplicar 03 nebulizaes ate de4 em 4 horas. Deve-se aplicar a
s nebulizaes nacavidade bucal direcionando o aplicador para aorofaringe. Usar por
no maximo 05 dias pois o uso prologando pode resultar no desequilbrio da flora ba
cteriana normal presente na cavidade oral, com riscode proliferao bacteriana ou fu
ngica.Aao anestsica e antisseptica local
Amigdalite em grvida
- CEFALEXINA 500mg, 01 cp, 8/8h, 07d
AnasarcaALDACTONE 25mg VO de 12/12h- FUROSEMIDA 01 amp EV de 12/12 h
AnemiaCOMBIRON, tomar 01 cp, 2 vezes ao dia (almooe jantar)- SULFATO FERROSO 300 mg, 01
cp, antes do almooe jantar - ACIDO FLICO 5mg, 01 vez ao dia pela manha- Transfusa
o sanguinea HMT <21 e HGB < 701 bolsa de sangue aumenta em 3,5 a 5 a HGB- ERITRO
POETINA 5000 UI (hemax) SC de 12/12h,OBS: pct com anemia e IRC no adianta fazer S
ulfatoferroso e ac folico
Asma:
NEBULIZAAO, fazer 3x com intervalo de 20 - ATROVENT 16 gotas (Brometo de ipatropio
) (ate 30gotas)Anticolinergico por inibio competitiva nos receptores.- BEROTEC 8 g
otas (Fenoterol) (ate 10g) B2 agonistade ao curta til na crise de broncoespasmo e n
a profilaxia da crise induzida por exerccioEC: tremores finos so relativamente fre
qentes etendem a desaparecer com o uso- AGUA DESTILADA 5 ml
Asma grave:
- CORTIZOL 500mg/Kg (Hidrocortisona) , 1 amp(100 e 500mg), diluido em SORO FISIO
LOGICO,IV- AMINOFILINA (Aminofilina), 1 amp (10ml
24mg/ml), EVXantina similar a
teofilina com a vantagem de usovenoso.Doses teraputicas prximas as doses txicas.CI:
gastrite, ulcera e arritmia no controladaOBS: Em pct jovens pedir um Rx pois pod
e ter uma pneumonia associada- ADRENALINA 0,3 ml SC (ate 0,7)-PC: METICORTEN 20m
g (Prednisona)01 cp 01 vez ao dia pela manha por 5 dias01/2 cp 01 vez ao dia pel
a manha por 3dOu01 cp, 03d, 12-12h01/2 cp, 03d, 24-24h01/4 cp, 03d, 24-24h
Asma grvida
- NBZ sem Berotec e Adrenalina- outros igual
Atestado de obito
Pct deu entrada j cadaver, em PCR, feito manobra deRCP sem exito. Pulso periferic
o e central ausente. AR eACV inaudiveis. Pupilas midriaticas e nofotorreagentes.
Reflexo crneo palpebral ausente.Ausencia de reflexo crneo palpebral. ECG semderivaa
o. Obito as X horas.Quando o pct estiver internado tem que colocar a causado bito
No atestato: autorizo o sepultamento em 24h