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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
1/19
ANALGSICOS
ANTIINFLAMATORIOSPARA ENFERMERA
Prof. Luis Magaldi M
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
2/19
CONCEPTOS BSICOS
- TIPOS DE DOLOR:AGUDO Y CRNICO
- SUPERFICIAL- PROFUNDO- REFERIDO- VISCERAL
-DOLOR: SENSACIN DESAGRADABLE QUEINDICA DAO REAL O POTENCIAL DE UNTEJIDO
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
3/19
VAS DEL DOLOR
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
4/19
CONCEPTOS
.RUBOR
.TUMOR.CALOR
.DOLOR
.PRDIDA DE FUNCIN
INFLAMACIN: REACCIN DELORGANISMO CONTRA UN AGENTE
IRRITANTE O INFECCIOSO Y SECARACTERIZA POR
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
5/19
INFLAMACIN AGUDA YCRNICA
Estmulo
Respuesta inmune innata Inflamacin aguda
Respuesta inmnune adaptativa
Estmulo no eliminado
Inflamacin crnica
Amplificacin
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
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FIEBRE
TEMPERATURA CORPORAL
> 37,8 C ORAL O 38,2 C RECTAL
Estmulo Pirognico
Leucocitos, Monocitos, Macrfagos
Hipotlamo APOIL -1
Fiebre
Prostaglandinas
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
7/19
MEDIADORES DEL DOLOR, LAFIEBRE Y LA INFLAMACIN
- PROSTAGLANDINAS
- BRADIQUININAS- HISTAMINA- SEROTONINA
- CIDO LCTICO- SUSTANCIA P- PAF
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
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ANALGSICOSANTIINFLAMATORIOS NOESTEROIDEOS (AINES
)- SON UN GRUPO DE FRMACOS
CON ESTRUCTURA QUMICA
DIFERENTE PERO CON EFECTOSFARMACOLGICOS COMUNES
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
9/19
CLASIFICACINQUMICA DE LOS AINES
- SALICLICOS- ENLICOS:. PIRAZOLONAS. OXICANOS
- ACTICOS:. INDOLACTICO. PIRROLACTICO
. FENILACTCO
I- DERIVADOS CIDOS
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
10/19
CLASIFICACINQUMICA DE LOS AINES(2)
- PROPINICO
- ANTRANLICOII- DERIVADOS NO CIDOS
- SULFOANILAMIDAS- PARAAMINOFENOLES
- BENCENOSULFONAMIDAS
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
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FARMACOCINTICA DELOS AINES
BIODISPONIB. 54 100 %
Vd. 0,15 2 L/KgB.H.E TODOS
U.P.P 49 99,9 %
METABOLISM. INTENSO-CEHt 1/2 0,5 48 H
EXCRECIN RENAL Y HB
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
12/19
FARMACODINAMIA DELOS AINES
FOSFOLPIDOS DE LAS MEMBRANAS
CIDO ARAQUIDNICO
FOSFOLIPASA A2
PROSTAGLANDINAS (PgI2-TxA2)
COX1, COX2, COX3
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
13/19
SELECTIVIDAD DE LOSAINES A LAS COXs
- COX1 - CONSTITUTIVA
- COX2 INDUCIDA
- COX3 CEREBRAL ?
- AINES NO SELECTIVOS (COX1,2)
- AINES SELECTIVOS (COX2,COX1)
- AINES ESPECFICOS (COX2)
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
14/19
REACCIONES ADVERSAS
. GASTRITIS
. LCERA
. DOLOR GSTRICO
. DIARREA
. ESTREIMIENTO
. DISPEPSIA
GASTROINTESTINALES
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REACCIONES ADVERSAS(2)
. AGRANULOCITOSIS. TROMBOCITOPENIA
. ANEMIA HEMOLTICA
- HEMATOLGICAS
- RENALES- OLIGURIA
. NEFROPATA
ANALGSICA
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
16/19
REACCIONES ADVERSAS(3)
. RINITIS ALRGICA
. EDEMA ANGIONEURTICO
. ERUPCIONES
MACULOPAPULARES
. URTICARIA
. SHOCK ANAFILCTICO
- HIPERSENSIBILIDAD
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
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INTERACCIONESFARMACOLGICAS
- < ACCIN DIURTICA
- < ACCIN ANTIHIPERTENSIVA
- < ACCIN DE LAXANTES- > LA REABSORCIN DE Li
- DESPLAZAN FARM. UPP
- > GASTROLESIVIDAD+ALCOHOL
- > ACCIN ANTICOAGULANTE
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7/31/2019 ANALGSICOS ANTIINFLAMATORIOS PARA ENFERMERA
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USOS TERAPUTICOS
- FIEBRE
-DOLOR
-INFLAMACIN
-ANTIAGREGANTE
PLAQUETARIO (IM)
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ACCIONES DEENFERMERA
1- LOS 5 CORRECTOS2- PAC. CON ANTECEDENTES
DE LCERA GSTRICA3- PAC. ANTICOAGULADOS4- PREVENIR INTERACCIONES5- CONTROL DE RAMs
6- PAC. CON I.R Y/O I.H7- POR VA IV DILUIR LOS AINES8- CONTRAINDICACIONES DEL AAS
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