Quemaduras

Grupo D2
Maria Isabel García
Laura Fuentes
Maria Paula Ríos
Carlo Rincón
Rosa Vangrieken
Quemaduras
Una quemadura es una alteración de la
integridad de la piel y las capas que la
conforman.
Depende del mecanismo de lesión, del
agente, la extensión, la profundidad. Puede
ocasionar una disfuncionalidad incluso con
alteración permanente.
➔ Más del 80% de las lesiones térmicas
son prevenibles.
➔ Mortalidad alta en niños: grado de
afectación sistémica y tipo de
tratamiento.
Diferencias del niño y adulto
★ La vía aérea de los niños es más vulnerable: mayor
probabilidad de obstrucción de la vía aérea.

➔ Quemadura por combustión: intubar

➔ Lesiones a nivel de narinas o pilares amigdalinos.
➔ Compromiso de VAI: disnea progresiva.

★ Los niños son más susceptibles a la intoxicación por CO

★ Los niños tienen mayor predisposición a hipotermia, por su
mayor ASC.
★ Los niños tienen diferentes proporciones en cuanto a ASC lo
que puede afectar el cálculo de la extensión de la
quemadura.
★ La piel del niño es de menor espesor que la del adulto
(lesiones más profundas y graves)
Respuesta local a la lesión térmica
Manifestaciones

Edema
●
3 Zonas concéntricas
● Pérdida de líquidos
● Estasis circulatoria 1. Zona de coagulación:
área de mayor contacto
térmico. Coagulación de
proteínas.
2. Zona de estasis: área de
disminución de la
perfusión que rodea la
zona de coagulación.
3. Zona de hiperemia: área
externa, representa uno
de los primeros intentos
de curación.
Respuesta sistémica
 01
Name of the
section 1
Two ideas
Mercury
Mercury is the closest planet to the
Sun and the smallest one in the
Solar System—it’s only a bit larger
than the Moon. This planet’s name
has nothing to do with the liquid
metal, since Mercury was named
after the Roman messenger god
Venus
Venus has a beautiful name and is
the second planet from the Sun. It’s
terribly hot—even hotter than
Mercury—and its atmosphere is
extremely poisonous. It’s the
second-brightest natural object in
the night sky after the Moon
Manejo hospitalario
1. O2
2. Terapia hídrica → se pone cuando haya más del 15% de
afectación de la superficie. La reanimación hídrica se hará
con lactato de Ringer.
Fórmula de Carvajal modificada que se basa en:

- Primeras 24 horas: 5000 mL x ASC quemada (líquidos de

sustitución) + 2000 mL x ASC (líquidos de mantenimiento), sin
administrar potasio
- Segundo día: 4000 mL x ASC quemada (líquidos de sustitución) +
2000 mL x ASC (líquidos de mantenimiento), sin administrar Se pasa la mitad de
potasio los líquidos
- Tercer día: 3000 mL x ASC quemada (líquidos de sustitución) + calculados en las
2000 mL x ASC (líquidos de mantenimiento). Empezar la primeras 8h desde
administración de potasio: 30 mEq/ ASC/día la quemadura el
resto en 16h
Manejo hospitalario
3. Analgesia
Primera medida es elevar la extremidad por encima del corazón para disminuir
edema.
El tratamiento farmacológico se pone hasta la fase de epitelización, las opciones son:

1. Sulfato de morfina 0.1 - 0.2 mg/kg IV cada 4 a 6

horas → Quemaduras graves
2. Fentanilo 1 - 2 picograma/kg intermitente cada 1 a 2
horas o infusion continua de 1 a 5 picogramo/ kg/ hr
→ Vigilar depresion respiratoria
3. Ketorolac 0,5 mg/kg cada 6 horas
4. Ketamina para el cambio de vendaje → Vigilar
alucinaciones (disociativas) (se asocia a midazolam)
Si es una quemadura de pequeña extensión se puede iniciar con
ibuprofeno, con hidratación oral, con manejo ambulatorio
Manejo hospitalario
4. Toxoide tetánico

● Heridas no superficiales y niños no

vacunados
● Niños vacunados con última dosis >5-10
años
● Esquema incompleto (no tiene 3 dosis)
Manejo hospitalario
5. Considere coloides

Se colocan a las 24 horas y solo cuando se tiene más de

30% de ASC quemada. La dosis dependerá del ASC
quemada

- 30-50%: 0,3 mL/kg/ASC quemada/24 horas

- 50-70%: 0,4 mL/kg/ASC quemada/24 horas
- 70-100%: 0,5 mL/kg/ASC quemada/24 horas.

6. Nutricion
7. Herida → se recomienda escarectomía extensa y
temprana (24-48 post quemadura, disminuye
riesgo de infección)
8. Monitoreo
9. Adicional→ sonda vesical + gastroprotector
Six ideas

Mars Venus Neptune

Despite being red, Mars is Venus has a beautiful name and Neptune is the farthest planet
actually a cold place. It's full of is the second planet from the from the Sun. It's also the
iron oxide dust, which gives the Sun. It’s terribly hot, even fourth-largest planet by
planet its reddish cast hotter than Mercury diameter in the Solar System

Earth Saturn Jupiter

Earth is the third planet from Saturn is a gas giant and has Jupiter is a gas giant and the
the Sun and the only one that rings. It's composed mostly of biggest planet in the Solar
harbors life in the Solar System. hydrogen and helium. It’s the System. It's the fourth-brightest
We all live on this planet sixth planet from the Sun object in the night sky
 5,000
This is the number of transplants performed so far

20,000
This is the number of patients we had last month

50,000
This is the number of total visitors we had last month
 95%
Mercury is the closest planet to the Sun and
the smallest one in the Solar System—it’s
only a bit larger than the Moon
A picture is worth a
thousand words
Our statistics

Understanding the numbers

Healthcare center statistics refer to the
numerical data and metrics that provide insight
into the performance, outcomes, and patient
demographics of a healthcare facility. These
statistics are used to inform decision-making and
identify areas for improvement in the delivery of
healthcare services

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Our plans
Plan Monthly premium Deductible Copayment Coverage details

● Routine checkup
Basic plan $100 $500 $20-$50 ● Emergency room visit
● Hospitalization

● All of the above

Standard
$150 $300 $15-$40 ● Specialist coverage
plan ● Prescription drugs

● All of the above

Premium
$200 $200 $10-$30 ● Maternity coverage
plan ● Mental health coverage
Milestones reached
01 02 03
Venus Jupiter Mars
Venus is the second planet It’s the biggest planet in Despite being red, Mars is a
from the Sun the Solar System cold place

05 04
Saturn Earth
Saturn is a gas giant and Earth is the third planet
has several rings from the Sun
Photo showcase
You can replace the images on the screen with
your own work. Just right-click on any of them
and select “Replace image”
Client experience
Number of patients seen each month

Satisfaction of
90% patients
We all live on Earth

Would
40% recommend us
Neptune is an ice giant

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Testimonials

“Neptune is the fourth-largest “Mercury is the closest planet to

planet by diameter in the entire the Sun and the smallest one in
Solar System” the Solar System”

Jenna Doe, 25 John Day, 38

“Earth is the third planet from the

Sun and the only one that harbors
life in the Solar System”

Kaliyah Harris, 33
Staff

Timmy Jimmy Dr. Sarah James

You can replace the image on the screen You can replace the image on the screen
with your own with your own
Role: Administrative Director Role: Medical Director

Specialization and expertise: Specialization and expertise:

● You can enter a description here ● You can enter a description here
● You can enter a description here ● You can enter a description here
● You can enter a description here ● You can enter a description here
Thanks
Do you have any questions?
youremail@freepik.com
+91 620 421 838
yourwebsite.com

CREDITS: This presentation template was created by Slidesgo, and

includes icons by Flaticon and infographics & images by Freepik

Please keep this slide for attribution

Icon pack
Alternative resources
Here’s an assortment of alternative resources whose style fits the one of this template:
● Memphis design cover collection
Resources

Did you like the resources on this template? Get ● Medium shot male flight attendant posing
them for free at our other websites: ● Front view smiley female
Vectors
Photos
● Fashion trends facebook cover template
● Young doctor making sure a little girl is fine
● Fashion trends poster template
after vaccination
● Fashion trends landing page template
● Side view doctor checking patient
● Pediatrician holding toddler for a Icons
consultation ● Science and medical icon pack
● High angle doctor using stethoscope
● Doctor doing their work in pediatrics office
 Instructions for use
If you have a free account, in order to use this template, you must credit Slidesgo by keeping the Thanks slide. Please
refer to the next slide to read the instructions for premium users.

As a Free user, you are allowed to:

● Modify this template.
● Use it for both personal and commercial projects.

You are not allowed to:

● Sublicense, sell or rent any of Slidesgo Content (or a modified version of Slidesgo Content).
● Distribute Slidesgo Content unless it has been expressly authorized by Slidesgo.
● Include Slidesgo Content in an online or offline database or file.
● Offer Slidesgo templates (or modified versions of Slidesgo templates) for download.
● Acquire the copyright of Slidesgo Content.

For more information about editing slides, please read our FAQs or visit our blog:
https://slidesgo.com/faqs and https://slidesgo.com/slidesgo-school
 Instructions for use (premium users)
As a Premium user, you can use this template without attributing Slidesgo or keeping the Thanks slide.

You are allowed to:

● Modify this template.
● Use it for both personal and commercial purposes.
● Hide or delete the “Thanks” slide and the mention to Slidesgo in the credits.
● Share this template in an editable format with people who are not part of your team.

You are not allowed to:

● Sublicense, sell or rent this Slidesgo Template (or a modified version of this Slidesgo Template).
● Distribute this Slidesgo Template (or a modified version of this Slidesgo Template) or include it in a database or in
any other product or service that offers downloadable images, icons or presentations that may be subject to
distribution or resale.
● Use any of the elements that are part of this Slidesgo Template in an isolated and separated way from this
Template.
● Register any of the elements that are part of this template as a trademark or logo, or register it as a work in an
intellectual property registry or similar.

For more information about editing slides, please read our FAQs or visit our blog:
https://slidesgo.com/faqs and https://slidesgo.com/slidesgo-school
 Fonts & colors used
This presentation has been made using the following fonts:

Halant
(https://fonts.google.com/specimen/Halant)

Gudea
(https://fonts.google.com/specimen/Gudea)

#0f090a #f0f6ed

#46a599 #8fc3b8
 Storyset
Create your Story with our illustrated concepts. Choose the style you like the most, edit its
colors, pick the background and layers you want to show and bring them to life with the
animator panel! It will boost your presentation. Check out how it works.

Pana Amico Bro Rafiki Cuate

 Use our editable graphic resources...
You can easily resize these resources without losing quality. To change the color, just ungroup the resource and click on
the object you want to change. Then, click on the paint bucket and select the color you want. Group the resource again
when you’re done. You can also look for more infographics on Slidesgo.
 JANUARY FEBRUARY MARCH APRIL MAY JUNE

PHASE 1

Task 1

Task 2

PHASE 2

Task 1

Task 2

JANUARY FEBRUARY MARCH APRIL

PHASE 1

Task 1

Task 2
 ...and our sets of editable icons
You can resize these icons without losing quality.
You can change the stroke and fill color; just select the icon and click on the paint bucket/pen.
In Google Slides, you can also use Flaticon’s extension, allowing you to customize and add even more icons.
Educational Icons Medical Icons
Business Icons Teamwork Icons
Help & Support Icons Avatar Icons
Creative Process Icons Performing Arts Icons
Nature Icons
SEO & Marketing Icons