


             
           
    
        

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


              

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
               
    
               
           

              

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
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
  
  
  
  
  
  
  
  
  
  

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
   
   
   


   
   


   
   
 
   
   




 








      
            


          







181
            
 
  
 
         
 
              
             
   

 


    

  
 







   

  
  

 
            
           
  

     

 
 

 


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 


             
         
          


- 

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
-              


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
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


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

 
 
 

 


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18


 


 

 
 

 

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            

 


 



 
 




 




 
 
 










            


18
 
 
 
 
 
 
 





















 
 
 


 
 



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Historia y Exploración
física sugestiva

Valorar criterios de ingreso:

Menor de 2 meses
Cianosis
Apneas
Saturación de oxígeno < 94%
Intolerancia a vía oral
Patología subyacente de base
Deshidratación de moderadaa
severa
Compromiso hemodinámico < 2 m es es: F R >60
2a 12 mes es : FR > 50
Dificultad respiratoria
1a 5 años: FR > 40
Insuficiencia Respiratoria > 5 año s: F R > 20
Fallo de antibióticos ambulatorios
Riesgo social

NO Presentes

SI

èAlimentación segúnestadoclínico
En n eumon ía atípic a usa r (patr ón res piratorio)
Mac rólidos èRe spaldo a 30°
Mejoria èOxi met ría de puls o
Alta y seguimiento èO2 para mantener una Saturación
Según gr upo SI de
O xígeno > 94%
dispensarial NO èLIV (fórmula de Holliday y Segar)
según estado clínico. Hall azgos clí nic os
ambi guos
èAc etam inof én s i Tem perat ura
Neu monía
>38.5°C
prolongada o
NO è Leucograma
resp uesta
èRadiografía de torax
inadec uada AT B
è ATB según grupo etario
Sos pecha de
complic ac iones
Exc lus ión d e
otros diagnós ti cos

PRE SENT A
CR ITER IO S D E
REF ER EN CI A NO Mejoría
A 3E R. NI VEL
AME RITA
VEN TILACI ÓN
ASI STIDA
SI NO

SI

ALTA

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