{"id":11055,"date":"2016-05-17T20:49:11","date_gmt":"2016-05-17T17:49:11","guid":{"rendered":"https:\/\/dipicdev.ro\/criterii-de-diagnostic\/"},"modified":"2018-12-09T18:14:51","modified_gmt":"2018-12-09T16:14:51","slug":"diagnostic-criteria","status":"publish","type":"page","link":"https:\/\/dipicdev.ro\/en\/medical-activity\/sectiile-spitalului\/anesthesiology-and-intensive-care-clinic\/diagnostic-criteria\/","title":{"rendered":"Diagnostic criteria"},"content":{"rendered":"

CRITERII DE DIAGNOSTIC<\/strong><\/h3>\n
    \n
  1. Infarct miocardic acut cu complica\u021bii<\/li>\n
  2. Soc cardiogen<\/li>\n
  3. Aritmii complexe necesit\u00e2nd monitorizare continu\u0103 \u0219i interven\u021bie terapeutic\u0103 imediat\u0103<\/li>\n
  4. Insuficien\u021b\u0103 cardiac\u0103 acut\u0103 cu insuficien\u021b\u0103 respiratorie \u0219i\/sau necesit\u00e2nd suport hemodinamic<\/li>\n
  5. Urgen\u021bele hipertensive<\/li>\n
  6. Angin\u0103 instabil\u0103, \u00een mod deosebit \u00eenso\u021bit\u0103 de aritmii, instabilitate hemodinamic\u0103 sau durere toracic\u0103<\/li>\n
  7. Pacien\u021bii resuscita\u021bi dup\u0103 oprire cardiac\u0103 \u0219i care necesit\u0103 ulterior terapie intensiv\u0103<\/li>\n
  8. St\u0103ri post oprire cardiac\u0103<\/li>\n
  9. Tamponada cardiac\u0103 sau constric\u021bie cu instabilitate hemodinamic\u0103<\/li>\n
  10. Anevrisme disecante de aort\u0103<\/li>\n
  11. Bloc cardiac complet<\/li>\n
  12. Hipovolemia de orice cauz\u0103 care nu r\u0103spunde la repletia volemica de rutin\u0103, incluz\u00e2nd \u0219i s\u00e2nger\u0103rile date de coagulopatii<\/li>\n
  13. Necesitatea balonului de contrapulsa\u021bie<\/li>\n
  14. Necesitatea administr\u0103rii continue de droguri vasoactive pentru men\u021binerea tensiunii arteriale<\/li>\n
  15. Insuficien\u021ba respiratorie acut\u0103 ce necesit\u0103 suport ventilator cu intuba\u021bie traheal\u0103 sau ventila\u021bie noninvaziv\u0103<\/li>\n
  16. Embolie pulmonar\u0103 cu instabilitate hemodinamic\u0103<\/li>\n
  17. Pacien\u021bii din terapie intermediar\u0103 care prezint\u0103 deteriorarea func\u021biei respiratorii (necesit\u0103 oxigen pe masc\u0103 >50%)<\/li>\n
  18. Necesitatea de nursing\/\u00eengrijire respiratorie care nu este posibil\u0103 \u00een unitatea de terpie intermediar\u0103 sau sec\u021bia obisnuit\u0103 de spital (fizioterapie pentru eliminarea secre\u021biilor la mai pu\u021bin de 2 ore)<\/li>\n
  19. Hemoptizie masiv\u0103<\/li>\n
  20. Insuficien\u021b\u0103 respiratorie cu iminen\u021b\u0103 de intuba\u021bie (riscul de apari\u021bie a unei insuficien\u021be respiratorii care ar necesita intuba\u021bie endotraheal\u0103 \u0219i suport ventilator pentru protec\u021bia c\u0103ilor respiratorii, chiar dac\u0103 nu au alte disfunc\u021bii de organ \u0219i nu necesit\u0103 suport ventilator.)<\/li>\n
  21. Stroke acut cu alterarea st\u0103rii de con\u0219tien\u021b\u0103<\/li>\n
  22. Coma: metabolic\u0103, toxic\u0103 sau anoxic\u0103<\/li>\n
  23. Hemoragie intracranian\u0103 cu poten\u021bial de herniere<\/li>\n
  24. Hemoragie subarahnoid\u0103 acut\u0103<\/li>\n
  25. Meningita cu alterarea st\u0103rii de con\u0219tien\u021b\u0103 sau afecarea func\u021biei respiratorii<\/li>\n
  26. Suferin\u021be ale sistemului nervos central sau suferi\u021be neuromusculare cu deteriorarea func\u021biei neurologice sau pulmonare<\/li>\n
  27. Status epilecticus<\/li>\n
  28. Moartea cerebral\u0103 sau poten\u021biala moarte cerebral\u0103 pentru tratament agresiv de men\u021binere \u00een vederea donarii de organe \u0219i \u021besuturi<\/li>\n
  29. Vasospasm<\/li>\n
  30. Traumatime cerebrale severe<\/li>\n
  31. Disfunc\u021bie a sistemului nervos central, indiferent de cauza, suficien\u021ba pentru a altera reflexele de protec\u021bie \u0219i c\u0103ile respiratorii<\/li>\n
  32. Monitorizare neurological\u0103 invaziv\u0103<\/li>\n
  33. Instabilitate hemodinamic\u0103 la pacien\u021bii cu ingestie de droguri<\/li>\n
  34. Alterarea st\u0103rii de con\u0219tien\u021b\u0103 cu protec\u021bie inadecvat\u0103 a c\u0103ilor respiratorii la pacien\u021bii cu ingestie de droguri<\/li>\n
  35. Convulsii dup\u0103 ingestia de droguri<\/li>\n
  36. Tulbur\u0103ri gastrointestinale<\/li>\n
  37. S\u00e2nger\u0103ri digestive amenin\u021b\u0103toare de via\u021b\u0103, inclusiv hioptensiune, angina, s\u00e2ngerare activ\u0103 sau cu condi\u021bii de comorbiditate<\/li>\n
  38. Insuficien\u021ba hepatic\u0103 fulminant\u0103<\/li>\n
  39. Pancreatit\u0103 acut\u0103 sever\u0103<\/li>\n
  40. Perfora\u021bie esofagian\u0103 cu sau f\u0103r\u0103 mediastinit\u0103<\/li>\n
  41. Tulbur\u0103ri endocrine<\/li>\n
  42. Cetoacidoz\u0103 diabetic\u0103 complicat\u0103 cu instabilitate hemodinamic\u0103, alterarea st\u0103rii de con\u0219tien\u021b\u0103, insuficien\u021b\u0103 respiratorie sau acidoz\u0103 sever\u0103<\/li>\n
  43. Coma tiroidian\u0103 cu instabilitate hemodinamic\u0103<\/li>\n
  44. Stare hiperosmolar\u0103 cu com\u0103 \u0219i \/sau instabilitate hemodinamic\u0103<\/li>\n
  45. Crizele adrenale cu instabilitate hemodinamic\u0103<\/li>\n
  46. Hipecalcemie sever\u0103 cu alterarea st\u0103rii de con\u0219tien\u021b\u0103, necesit\u00e2nd monitorizare hemodinamic\u0103<\/li>\n
  47. Hipo sau hipernatremia cu convulsii, \u0219i\/sau alterarea st\u0103rii de con\u0219tien\u021b\u0103<\/li>\n
  48. Hipo sau hipermagneziemia cu aritmii sau afectare hemodinamic\u0103<\/li>\n
  49. Hipo sau hiperkalemia cu airitmii sau afectare muscular\u0103<\/li>\n
  50. Hipofosfatemia cu slabiciune muscular\u0103<\/li>\n
  51. Renal<\/li>\n
  52. Necesitatea terapiei de epurare extrarenal\u0103 \u2013 hemodializa, hemofiltrare, hemodiafiltrare \u00een acut<\/li>\n
  53. Pacien\u021bii \u00een postoperator care necesit\u0103 monitorizare hemodinamic\u0103\/suport ventilator sau \u00eengrijire special\u0103 la nivel de terapie intensiv\u0103.<\/li>\n
  54. Sepsis sever sau soc septic<\/li>\n
  55. Monitorizare hemodinamic\u0103 invaziv\u0103<\/li>\n
  56. Condi\u021bii clinice ce impun nivel de \u00eengrijire de terapie intensiv\u0103<\/li>\n
  57. Injurii de mediu (hipo\/hipertermia, innecul, lighting)<\/li>\n
  58. Tratamente noi\/experimentale cu poten\u021bial de complica\u021bii<\/li>\n
  59. Puls<40 sau >150 b\/minut<\/li>\n
  60. PA sistolica < 80mmHg sau 20 mmHG sub PA obisnuit\u0103 a pacientului<\/li>\n
  61. PAM < 60mmHg<\/li>\n
  62. PAD > 120mmHg<\/li>\n
  63. Stopul respirator de orice cauz\u0103<\/li>\n
  64. Frecven\u021ba respiratorie > 35 r\/minut sau < 8 r\/minut<\/li>\n
  65. Riscul de oprire respiratorie<\/li>\n
  66. Alterarea brusc\u0103 a st\u0103rii de con\u0219tien\u021b\u0103 ( CGS cu mai mult de 2)<\/li>\n
  67. Crize convulsive repetate sau prelungite<\/li>\n
  68. Na <110mEq\/L sau > 170mEq\/L<\/li>\n
  69. K < 2.0mEq\/L sau > 7.0mEq\/L<\/li>\n
  70. PaO2 <50mmHg<\/li>\n
  71. SaO2 <90 cu O2 \u2265 50%<\/li>\n
  72. Cre\u0219terea acut\u0103 a Pa CO2 cu acidoz\u0103 respiratorie<\/li>\n
  73. pH <7,1 sau >7,7<\/li>\n
  74. Glicemie > 800mg\/dl<\/li>\n
  75. Ca >15mg\/dl<\/li>\n
  76. Hemoragie vascular\u0103 cerebral\u0103, contuzie sau hemoragie subarahnoidin\u0103 cu afectarea st\u0103rii de con\u0219tien\u021b\u0103 sau semene neurologice focale<\/li>\n
  77. Rupturi de viscere, vezic\u0103 urinar\u0103, ficat, varice esofagiene sau uter cu instabilitate hemodinamic\u0103<\/li>\n
  78. Anevrism de aort\u0103 disecant<\/li>\n
  79. Infarct miocardic cu aritmii complexe, instabilitate hemodinamic\u0103 sau insuficien\u021b\u0103 cardiac\u0103 congestiv\u0103<\/li>\n
  80. Tahicardie ventricular\u0103 sus\u021binut\u0103 sau fibrila\u021bie ventricular\u0103<\/li>\n
  81. Bloc complet cu instabilitate hemodinamic\u0103<\/li>\n<\/ol>\n

    Semne fizice ap\u0103rute acut<\/strong><\/p>\n

      \n
    1. Pupile inegale la un pacient incon\u0219tient<\/li>\n
    2. Arsuri > 10% din suprafa\u021b\u0103 corporeal\u0103<\/li>\n
    3. Anurie<\/li>\n
    4. Obstruc\u021bie de c\u0103i respiratorii<\/li>\n
    5. Coma<\/li>\n
    6. Convulsii sus\u021binute<\/li>\n
    7. Cianoz\u0103<\/li>\n
    8. Tamponada cardiac\u0103<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      CRITERII DE DIAGNOSTIC Infarct miocardic acut cu complica\u021bii Soc cardiogen Aritmii complexe necesit\u00e2nd monitorizare continu\u0103 \u0219i interven\u021bie terapeutic\u0103 imediat\u0103 Insuficien\u021b\u0103 cardiac\u0103 acut\u0103 cu insuficien\u021b\u0103 respiratorie \u0219i\/sau necesit\u00e2nd suport hemodinamic Urgen\u021bele hipertensive Angin\u0103 instabil\u0103, \u00een mod deosebit \u00eenso\u021bit\u0103 de aritmii, instabilitate hemodinamic\u0103 sau durere toracic\u0103 Pacien\u021bii resuscita\u021bi dup\u0103 oprire cardiac\u0103 \u0219i care necesit\u0103 ulterior terapie intensiv\u0103 […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":11407,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-11055","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11055","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/comments?post=11055"}],"version-history":[{"count":2,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11055\/revisions"}],"predecessor-version":[{"id":12955,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11055\/revisions\/12955"}],"up":[{"embeddable":true,"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/pages\/11407"}],"wp:attachment":[{"href":"https:\/\/dipicdev.ro\/en\/wp-json\/wp\/v2\/media?parent=11055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}