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    CUIDADOS DE ENFERMERIA EN LAADMINISTRACION DE:

    HIERRO SACARATO INMUNOGLOBULINA HUMANA

     COMPLEJO PROTOMBINICO NO ACTIVADO

    ACIDO TRANEXAMICO ONCOLOGICO

    Lic. Enf. SILVIA RODRIGUEZ MACO

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    REGLAS PARA LA ADMISTRACION

    SEGURA DE MEDICAMENTOS• Admini!"#" $% m$dic#m$n!& c&""$c!&

    • Admini!"#" $% m$dic#m$n!& #% '#ci$n!$ indic#d&

    • Admini!"#" %# d&i c&""$c!#

    • Admini!"#" $% m$dic#m$n!& '&" %# ()# c&""$c!#

    • Admini!"#" $% m$dic#m$n!& # %# *&"# c&""$c!#• R$+i!"#" %& m$dic#m$n!& #dmini!"#d&

    • Inf&"m#" $ in!",i" #% '#ci$n!$ &-"$ %& m$dic#m$n!& ,$ $!#

    "$ci-i$nd&

    • C&m'"&-#" ,$ $% '#ci$n!$ n& !&m# nin+/n m$dic#m$n!& #0$n& #%

    '"$c"i!&• In($!i+#" i $% '#ci$n!$ '#d$c$ #%$"+i# 1 d$c#"!#" in!$"#cci&n$

    f#"m#c&%2+ic#

    • An!$ d$ '"$'#"#" 1 #dmini!"#" ,n m$dic#m$n!& "$#%i3#" %#(#d& d$

    m#n&

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    HIERRO SACARATO

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    M$c#nim& d$ Acci2n

    E% *i$""& $ ,n c&m'&n$n!$ $$nci#% $n %#

    f&"m#ci2n fii&%2+ic# d$ %# *$m&+%&-in#4 1 %#

    c#n!id#d$ #d$c,#d# d$ %# c,#% &n n$c$#"i#'#"# %# $"i!"&'&1$i $fic#3 1 %# c#'#cid#d

    "$,%!#n!$ d$% !"#n'&"!$ d$% &5)+$n& d$ %# #n+"$.

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    INDICACIONES

    E!# indic#d& '#"# $% !"#!#mi$n!& d$ #n$mi# '&"

    d6fici! d$ *i$""&4 $n *$m&di7%ii ind,cid# 1 $n $%

    !"#!#mi$n!& 1 '"&fi%#5i d$ #n$mi# '&" d6fici! d$

    *i$""&.

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    P&&%&+)# 1 Admini!"#ci2n

    Dosis Usual en Adultos y Adolescentes:

    Limi!$ d$ '"$c"i'ci2n U,#% $n Ad,%!&: 899m+ '#"# in1$cci2n

    D&i U,#% P$di7!"ic#: L# $+,"id#d 1 $fic#ci# n& $ *#n $!#-%$cid&.

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    Hi$""& S#c#"#!&

    •1 ampolla 100 mgr /5 ml  diluir en 100 cc de Cna

    •4 ampollas: 400 mgr diluir en 400 cc de Cna. Pasar en

    5 horas

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    P"$c#,ci&n$

    An!$: Hi'$"$ni-i%id#d #% *i$""& & # c,#%,i$" c&m'&n$n!$

    d$% ,'%$m$n!& d$ *i$""&. O!"& '"&-%$m# m6dic&4$'$ci#%m$n!$ *$m&c"&m#!&i4 *$m&+%&-in&'#!)#4

    *$m&id$"&i4 &-"$c#"+# d$ *i$""&4 &!"#

    c&ndici&n$ #n6mic#4 &!"# #n$mi# "$f"#c!#"i#4

    '&"fi"i# c,!7n$# !#"d)# & "$'$!id# !"#nf,i&n$ d$

    #n+"$.D,"#n!$: N& !&m#" ,'%$m$n!& d$ *i$""& &"#% i "$ci-$ *i$""&

    $n in1$cci2n. E(i!#" $% ,& d$ +"#nd$ c#n!id#d$ d$

    ,'%$m$n!& d$ *i$""& (#"i# ($c$ #% d)# '&" m# d$

    m$$ # m$n& ,$ $# #'"&-#d& '&" $% '"&f$i&n#%

    d$% c,id#d& d$ %# #%,d.G,#"d#" %# '"$'#"#ci&n$ d$ *i$""& f,$"# d$% #%c#nc$

    d$ ni;&. M#n!$n$" $% 0#"#-$ d$ i'$c#c,#n# f7ci%m$n!$

    di'&ni-%$ $n c#& d$ $m$"+$nci#.

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    R$#cci&n$ #d($"# m7 f"$c,$n!$

    R$#cci2n #%6"+ic# d&%&" d$ $'#%d#4 d$% c&!#d&4 d$ %# in+%$ & d&%&"

    m,c,%#"4 $c#%&f")&4

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    C&n!"#indic#ci&n$

    E5c$'!& -#0& ci"c,n!#nci# $'$ci#%$4 $!$ m$dic#m$n!& n& d$-$

    ,#"$ c,#nd& $5i!#n %& i+,i$n!$ '"&-%$m# m6dic&:

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    •S&-"$c#"+# d$ *i$""&

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    C&n!"#indic#ci&n$L# "$%#ci2n "i$+&?-$n$fici& d$-$ $" c&nid$"#d# c,#nd& $5i!#n %&

    i+,i$n!$ '"&-%$m# m6dic&:

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    Inc&m'#!i-i%id#d

    N& m$3c%#" *i$""& #c#"#!& c&n &!"& m$dic#m$n!& ni

    #+"$+,$ # %# &%,ci&n$ d n,!"ici2n '#"$n!$"#% '#"# %#

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    $5c$'ci2n d$% c%&","& d$ &di& #% 9.@ '#"# in1$cci2n.

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    INMUNOGLOBULINA HUMANA

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    D$finici2n d$% M$dic#m$n!&

    S$ &-!i$n$ # '#"!i" d$ ,n# m$3c%# d$ ,$"& n&

    $%$cci&n#d& d$ #d,%!& n&"m#%$ 1 c&n!i$n$ %&

    #n!ic,$"'& '"&c$d$n!$ d$ %# $5'$"i$nci#inm,ni!#"i# d$ %& d&n#n!$.

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    M$c#nim& d$ Acci2n

    P"&'i$d#d$ F#"m#c&din7mic#:

    •G",'& f#"m#c&!$"#'6,!ic&: ,$"& inm,n$ $ inm,n&+%&-,%in#:

    inm,n&+%&-,%in#4 *,m#n# n&"m#%4 '#"# #dmini!"#ci2n

    in!"#(#c,%#".

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    #n&"m#%m$n!$ -#0& d$ inm,n&+%&-,%in# G *#!# $% ni($% n&"m#%.

    •E% m$c#nim& d$ #cci2n $n indic#ci&n$ di!in!# # %# d$ !$"#'i# d$

    "$'&ici2n n& $!7 d$% !&d& $!#-%$cid&4 '$"& inc%,1$ $f$c!&

    inm,n&m&d,%#d&"$.

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    M$c#nim& d$ Acci2n

    P"&'i$d#d$ F#"m#c&cin6!ic#:•Inm$di#!#m$n!$ d$',6 d$ , #dmini!"#ci2n in!"#($n&#4 %#

    inm,n&+%&-,%in# $!7 c&m'%$!#m$n!$ -i&di'&ni-%$ $n %#

    ci"c,%#ci2n d$% '#ci$n!$. S$ di!"i-,1$ c&n "$%#!i(# "#'id$3 $n!"$ $%

    '%#m# 1 $% %),id& $5!"#(#c,%#"4 #%c#n37nd&$ #'"&5im#d#m$n!$

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    INDICACION DOSIS FRECUENCIA

    T"#!#mi$n!& d$ "$'&ici2n $ninm,n&d$fici$nci# '"im#"i#

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    T$"#'i# d$ "$'&ici2n $ninm,n&d$fici$nci# $c,nd#"i#

    94 # 94 ++ c#d# # $m#n# '#"#&-!$n$" ,n ni($% d$ I+G '"$?inf,i2n d$#% m$n& # +%

    Ni;& c&n Sid# 94 # 94 ++ c#d# # $m#n#.

    Inm,n&m&d,%#ci2n:P/"',"# !"&m-&ci!&'6nic#idi&'7!ic#

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    d)# $n #&ci#ci2n c&n 7cid&#c$!i%#%ci%ic&

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    INDICACION DOSIS FRECUENCIA

    T"#'%#n!$ #%&+6nic& d$m6d,%# 2$#8. T"#!#mi$n!& d$ inf$cci&n$ 1'"&fi%#5i d$ %# $nf$"m$d#d d$%in0$"!& c&n!"# $% */$'$d

    94 ++ c#d# $m#n# d$d$ $% d)# K#n!$"i&" #% !"#'%#n!$ *#!# m$$d$',6 d$% !"#'%#n!$

    . F#%!# '$"i!$n!$ d$ %#

    '"&d,cci2n d$ #n!ic,$"'&

    94 ++ c#d# m$ *#!# ,$ $% ni($% d$

    #n!ic,$"'& $# n&"m#%

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    F&"m# d$ Admini!"#ci2n

    D$-$ #dmini!"#"$ '&" ()# in!"#($n&# #

    ,n# ($%&cid#d d$ '$"f,i2n inici#% d$ 9. #

    8. m%+ d$ '$& c&"'&"#%*&"# d,"#n!$%& '"im$"& 9 min,!&. Si $% '#ci$n!$ %#

    !&%$"# -i$n4 $ ',$d$n "$#%i3#"

    inc"$m$n!& +"#d,#%$ *#!# ,n m75im&

    d$ 4 m+ d$ '$& c&"'&"#%*&"# 

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    P"$c#,ci&n$• L& '#ci$n!$ #%6"+ic& # &!"# inm,n&+%&-,%in#4 1# $#n

    in!"#m,c,%#"$4 ',$d$n $"%& !#m-i6n # %# inm,n&+%&-,%in#in!"#($n&# .

    • Em-#"#3& 1 L#c!#n!$: L# $+,"id#d d$ $!$ m$dic#m$n!&

    '#"# , ,& d,"#n!$ $% $m-#"#3& *,m#n& n& $ *#

    $!#-%$cid& $n $n#1& c%)nic& c&n!"&%#d& 1 '&" %& !#n!&

    d$-$ $" #dmini!"#d& c&n '"$c#,ci2n $n m,0$"$$m-#"#3#d# 1 m#d"$ $n '$")&d& d$ %#c!#nci#. L#

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    "$ci6n n#cid&.

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    nmuno glo!ulina humana

    • Cloroalargan 1ampolla o de"ameta#ona

    1$ mgr y panadol 1 ta!leta % hora antes.

    • 10 &rascos'100 cc( por dia durante 5 diasal mes. Cada &rasco de!e pasar entre $0

    a )0 minutos.

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    P"$c#,ci&n$Ad($"!$nci# $'$ci#%$ :

    A%+,n# "$#cci&n$ #d($"# +"#($ ',$d$n $!#" "$%#ci&n#d# c&n %#

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    R$#cci&n$ #d($"# m7 f"$c,$n!$• Oc#i&n#%m$n!$ ',$d$n '"$$n!#"$ "$#cci&n$ #d($"# !#%$

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    C&n!"#indic#ci&n$

    • *ipersensi!ilidad a algunos de los componentes

    • *ipersensi!ilidad a las inmunoglo!ulinas

    hom+logas

    • especialmente en casos muy poco &recuentes de

    de&iciencia de lgA en los ,ue el paciente tieneanticuerpos &rente a la gA

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    Vid$&

    http://---.youtu!e.com/-atchmAd2-31

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    COMPLEJO PROTOMBINICO NO ACTIVADO

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    M$c#nim& d$ Acci2nE% f#c!&" IX $ f#c!&" d$ %# c+,%#ci2n4 d$'$ndi$n!$ d$ (i!#min#

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    Indic#ci&n$

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    V)# d$ Admini!"#ci2n

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    Comple6o Protrom!inico no

    actiado• 7olente 8 lio&ili#ado

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    • 7e coloca del solente al soluto

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    • 9o agitar 

    • 2n 10 min se reconstituye• Una e# reconstituido se aspira con 6eringa

    y se administra cada 1$ horas segn dosis.

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    ACIDO TRANEXAMICO

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     Acido trane"anico

    • 1 ampolla $50 mgr diluida en 100 cc en

    Cna

    • 7e administra en 1 hora cada horas

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    GRACIAS