tag:blogger.com,1999:blog-187720012011-04-21T15:31:01.626-07:00Generalidades sobre elementos básicos de cirugia inherentes al paciente propiamente dicho.itzam tagame alarconnoreply@blogger.comBlogger11100tag:blogger.com,1999:blog-18772001.post-1131481435081034042006-12-01T00:59:00.000-08:002006-03-21T11:22:27.186-08:00<a href="http://photos1.blogger.com/blogger/1855/1845/1600/portfolio6.jpg"><img style="FLOAT: right; MARGIN: 0px 0px 10px 10px; CURSOR: hand" alt="" src="http://photos1.blogger.com/blogger/1855/1845/400/portfolio6.jpg" border="0" /></a><br /><br /></strong>Resumen 1 Cirugia General.</strong></span></span><a onmouseover="'fsS(" href="javascript:edit("></a><span style="font-family:arial;"><span style="font-size:180%;"></strong><br /><br /></strong></span><span style="font-size:130%;"><strong>A- Riesgo quirurgico </strong></span></span><br /><strong><div align="left"><br /></strong></div></strong><span style="font-family:arial;"><strong>1-</strong> Consideraciones generales </span><div align="left"><br /><span style="font-family:arial;"><strong>2-</strong> Consideraciones especificas<br /><br /></strong><span style="font-size:130%;"><strong>B- Preoperatorio</strong></span></strong></span></div><div align="left"><span style="font-family:arial;"></span></div><div align="left"><span style="font-family:arial;"><strong>( puede ser mediato o inmediato segun la urgensia de la<br />intervencion quirurgica y la agresividad del tratamiento.)<br /><br /></strong>1- Preparacion empatica</strong></strong><br /><br /><strong>2- Preparacion general del paciente<br /></strong><br /></strong><strong>a-</strong></strong> principios basicos </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>b-</strong> </strong>tiempo de preparacion </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> velocidad de preparacion </span></div><div align="left"><span style="font-family:arial;"><br /></strong><strong>3- Preparacion psicologica sobre:<br /></strong><br /></strong>a-</strong></strong> posibilidades futuras de incorporacion a la sociedad. </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>b-</strong></strong> pasos a seguir durante tratamiento quirurgico. </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> imprecion respecto entrada al quirofano y periodo de recuperacion anestesia. </span></div><div align="left"><br /><span style="font-family:arial;"><strong>d-</strong> posibles molestias de la recuperacion. </span></div><div align="left"><br /><span style="font-family:arial;"><strong>e-</strong> posible necesidad de uso de sondas y drenes. </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>f-</strong></strong> posibles factores esteticos y secuelas desagradables.</span></div><span style="font-family:Arial;"></span><div align="left"><br /><span style="font-family:arial;"></strong><strong>g-</strong></strong> posibles caracteristicas del postoperatorio</span></div><div align="left"><span style="font-family:Arial;"></span></div><div align="left"><span style="font-family:arial;"><strong>4- Preparacion fisiologica:<br /></strong><br /></strong>a-</strong></strong> manejo de liquidos y volumen </span></div><div align="left"><br /><span style="font-family:arial;"><strong>b-</strong> reposicion del deficit de calorias </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> prevencion de infecciones </span><br /><br /><span style="font-size:130%;"></strong><strong>C- Postoperatorio</strong></strong></span><strong><br /></strong><br /></strong><strong>a-</strong></strong> Mediato<br /><br /></strong><strong>b-</strong></strong> Inmediato<br /><br /></strong><strong>c-</strong></strong> Tardio </div><span style="font-family:arial;"><div align="left"><br /><span style="font-size:130%;"></strong><strong>D- Asepsia - antisepsia de la herida quirurgica</strong><br /></strong><br /></span></strong><strong>1- Consideraciones preoperatorias</strong> </strong></span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>a-</strong></strong> aislar </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>b-</strong></strong> rasurar </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> desinfectar </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>d-</strong></strong> antibioticoterapia<br /><br /></span></strong><span style="font-family:arial;"><strong>e-</strong> Considerar factores generales de riesgo para el desarrollo de sepsis.</span></strong><strong><span style="font-family:arial;"> </span></strong><strong><span style="font-family:arial;"><br /></div></span></strong><div align="left"><span style="font-family:arial;"><strong>f-</strong> Consideraciones en la transicion al quirofano<br /><br /></strong><strong>g-</strong> </strong>Consideraciones en el quirofano<br /><br /></strong><strong>h-</strong></strong> Consideraciones </strong><strong>TRANSOPERATORIO</strong> </strong>considerar factores locales predisponentes al desarrollo de sepsis de la herida quirurgica durante el proceso de cicatrizacion.<br /><br /></strong>i-</strong> Consideraciones postoperatorio<br /><br /></span><span style="font-family:arial;"><strong><span style="font-size:130%;">E- Cicatrizacion<br /></span></strong><br /></strong><strong>1- </strong></strong>Clasificacion </strong></strong></span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>a-</strong></strong> por primera intencion</span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>b-</strong></strong> por primera intencion tardia o </span></div><div align="left"><br /><span style="font-family:arial;">por primera intencion secundariamente cicatrizada </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> por segunda intencion </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>d-</strong></strong> por tercera intencion termino que autores consideran en desuso y que consiste en el uso de ijertos de tejido.<br /><br /></strong><strong>2- Reparacion tisular</strong><br /></strong><br /></strong><strong>2.1-</strong> Proceso homeostatico<br /><br /><strong>2.2-</strong> Morfostasia</strong> </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>2.2.1</strong>- Renovacion fisiologica </strong></span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>a-</strong></strong> celulas labiles </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>b-</strong></strong> celulas estables </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> celulas permanentes<br /><br /></strong><strong>2.2.2-</strong> Regeneracion parenquimatosa </strong></span></div><div align="left"><br /><span style="font-family:arial;"><strong>a-</strong> normal </span></div><div align="left"><br /><span style="font-family:arial;"><strong>b-</strong> anormal por exceso<br /><br /></strong><strong>c-</strong></strong> por defecto<br /><br /></strong><strong>2.2.3-</strong> Cicatrizacion</strong> </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>a-</strong></strong> inflamacion </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>b-</strong></strong> actividad celular </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> neoformacion vascular </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>d-</strong></strong> deposito de substansias </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>e-</strong></strong> maduracion de la cicatriz<br /><br /></strong><strong>2.2.4-</strong> Contraccion</strong><br /><br /></strong><strong>2.2.5-</strong> Cicatrizacion imperfecta ( puede haber )<br /></strong><br /></span><span style="font-family:arial;"></strong><strong>IMPORTANTE:</strong> Sintesis de colageno. Papel de la Vitamina C .<br /></strong><br /></strong><strong>1-</strong></strong> Sintesis de protocolageno precursor.<br /><br /></strong><strong>2-</strong></strong> Hidrolizacion. </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>a-</strong></strong> Enzima hidrolasa de protocolageno. </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>b-</strong></strong> Fe++ cofactor. </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>c-</strong></strong> Alfa cetoglutarato substrato. </span></div><div align="left"><br /><span style="font-family:arial;"></strong><strong>d-</strong></strong> Vitamina C donador de electrones. </span></div><div align="left"><br /><span style="font-family:arial;"><strong>e-</strong> Participacion de oxigeno molecular.<br /><br /></span></strong><span style="font-family:arial;"><strong><span style="font-size:130%;">Autor : Lopez Alarcon itzam<br />Titulo : Reumen 1 Cirugia General</span>.<br /></strong></span></strong></div><a onmouseover="'fsS(" href="javascript:edit("></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/18772001-113148143508103404?l=elchama1.blogspot.com' alt='' /></div>itzam tagame alarconnoreply@blogger.com1