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Criterios de ingreso a Unidad de Pacientes
Críticos (UPC)
- Falla respiratoria inminente.
- Exacerbación grave.
- Requerimiento de FiO
2
mayor a 0,50, después
de 1 h de manejo.
Criterios de alta de Servicio de Urgencia
- Saturación arterial de O
2
igual o mayor a 94%
con aire ambiental, después de 2 h de observa-
ción.
- Ausencia de signos de dificultad respiratoria.
Indicaciones para el hogar
- Evitar factores desencadenantes como conta-
minantes intradomiciliarios (calefacción conta-
minante, tabaquismo), alergenos a los cuales el
niño esté sensibilizado y actividad física entre
otros.
- Si requirió corticoides sistémicos completar a
lo menos 5 días.
- Salbutamol: continuar su uso 2
puffs
cada 4 h
hasta ser controlado por su médico.
- Revisar técnica inhalatoria.
- Plan escrito para manejo precoz en domicilio
de futuras exacerbaciones.
- Control por médico especialista en enfermeda-
des respiratorias, para estudio y seguimiento.
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