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Agudelo-Jaramillo,J.Gómez-Davila, J.Zuleta-Tabón. Código Rojo: Guía para el manejo de la Hemorragia Obstétrica. Revista Colombiana de Obstetricia y Ginecología Vol 60 N° 1 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una oxigenación adecuada"}}],"shapemaskId":"","xPos":0,"yPos":0,"tabIndex":43,"tabEnabled":true,"xOffset":0,"yOffset":0,"rotateXPos":171,"rotateYPos":107,"scaleX":100,"scaleY":100,"alpha":100,"depth":2,"scrolling":true,"shuffleLock":false,"data":{"hotlinkId":"","accState":0,"vectorData":{"left":0,"top":0,"right":342,"bottom":214,"altText":"Mantener una oxigenación adecuada","pngfb":false,"pr":{"l":"Lib","i":1001}},"html5data":{"xPos":0,"yPos":0,"width":342,"height":214,"strokewidth":0}},"width":342,"height":214,"resume":false,"useHandCursor":true,"id":"txt_5g9CNXmvupF_66oqQmfUZCv"},{"kind":"vectorshape","rotation":0,"accType":"text","cliptobounds":true,"defaultAction":"","textLib":[{"kind":"textdata","uniqueId":"txt_5g9CNXmvupF_5dpspnkt8p4","id":"01","linkId":"txt_5g9CNXmvupF_5dpspnkt8p4","type":"vectortext","xPos":0,"yPos":0,"width":0,"height":0,"shadowIndex":-1,"vectortext":{"left":0,"top":0,"right":636,"bottom":199,"pngfb":false,"pr":{"l":"Lib","i":1004},"text":"Mediante uso de máscara de oxígeno o catéter nasal. Eventualmente puede requerir asistencia ventilatoria. De ser posible se debe monitorizar la saturación de O2 con oxímetro de pulso manteniendo la misma por encima de 92 a 94%. La oxigenación dependerá de la ventilación, la perfusión periférica y el grado de anemia. En caso de insuficiencia respiratoria aporte oxígeno con máscara de flujo libre o catéter nasal a 6 lt/min. En casos de shock séptico intubación orotraqueal y asistencia ventilatoria. (2)"}}],"shapemaskId":"","xPos":342,"yPos":0,"tabIndex":44,"tabEnabled":true,"xOffset":0,"yOffset":0,"rotateXPos":323,"rotateYPos":107,"scaleX":100,"scaleY":100,"alpha":100,"depth":3,"scrolling":true,"shuffleLock":false,"data":{"hotlinkId":"","accState":0,"vectorData":{"left":0,"top":0,"right":646,"bottom":214,"altText":"Mediante uso de máscara de oxígeno o catéter nasal. Eventualmente puede requerir asistencia ventilatoria. De ser posible se debe monitorizar la saturación de O2 con oxímetro de pulso manteniendo la misma por encima de 92 a 94^%^. La oxigenación dependerá de la ventilación, la perfusión periférica y el grado de anemia. En caso de insuficiencia respiratoria aporte oxígeno con máscara de flujo libre o catéter nasal a 6 lt/min. En casos de shock séptico intubación orotraqueal y asistencia ventilatoria. (2)","pngfb":false,"pr":{"l":"Lib","i":1003}},"html5data":{"xPos":0,"yPos":0,"width":646,"height":214,"strokewidth":0}},"width":646,"height":214,"resume":false,"useHandCursor":true,"id":"txt_5g9CNXmvupF_5dpspnkt8p4"},{"kind":"vectorshape","rotation":0,"accType":"text","cliptobounds":true,"defaultAction":"","textLib":[{"kind":"textdata","uniqueId":"txt_5g9CNXmvupF_663c6LkkIeU","id":"01","linkId":"txt_5g9CNXmvupF_663c6LkkIeU","type":"vectortext","xPos":0,"yPos":0,"width":0,"height":0,"shadowIndex":-1,"vectortext":{"left":0,"top":0,"right":313,"bottom":38,"pngfb":false,"pr":{"l":"Lib","i":1006},"text":"Mantener una adecuada volemia"}}],"shapemaskId":"","xPos":0,"yPos":214,"tabIndex":47,"tabEnabled":true,"xOffset":0,"yOffset":0,"rotateXPos":171,"rotateYPos":164.5,"scaleX":100,"scaleY":100,"alpha":100,"depth":4,"scrolling":true,"shuffleLock":false,"data":{"hotlinkId":"","accState":0,"vectorData":{"left":0,"top":0,"right":342,"bottom":329,"altText":"Mantener una adecuada volemia","pngfb":false,"pr":{"l":"Lib","i":1005}},"html5data":{"xPos":0,"yPos":0,"width":342,"height":329,"strokewidth":0}},"width":342,"height":329,"resume":false,"useHandCursor":true,"id":"txt_5g9CNXmvupF_663c6LkkIeU"},{"kind":"vectorshape","rotation":0,"accType":"text","cliptobounds":true,"defaultAction":"","textLib":[{"kind":"textdata","uniqueId":"txt_5g9CNXmvupF_60gJIiTgpSP","id":"01","linkId":"txt_5g9CNXmvupF_60gJIiTgpSP","type":"vectortext","xPos":0,"yPos":0,"width":0,"height":0,"shadowIndex":-1,"vectortext":{"left":0,"top":0,"right":636,"bottom":291,"pngfb":false,"pr":{"l":"Lib","i":1008},"text":"Instalar 2 vías venosa periféricas de grueso calibre (catéter calibre 16 o 18). Permite el aporte de medicación y fluidos. En caso de agravación el colapso venoso puede dificultar su realización, por lo cual contar con un acceso vascular adecuado es de gran importancia.\\nMantener una adecuada volemia mediante la reposición con\\ncristaloides: Suero Ringer – Lactato o fisiológico a razón de 1 lt/ cada 4 horas. Se valorará la reposición tratando de mantener la presión arterial sistólica por encima de 90 mmHg y una perfusión periférica normal y la diuresis en más de 30 ml/h. A posteriori, se valorará la necesidad de coloides y aportes de derivados sanguíneos. Debe ser corregida la anemia a la brevedad, debiendo recurrirse a la transfusión sanguínea (2)"}}],"shapemaskId":"","xPos":342,"yPos":214,"tabIndex":48,"tabEnabled":true,"xOffset":0,"yOffset":0,"rotateXPos":323,"rotateYPos":164.5,"scaleX":100,"scaleY":100,"alpha":100,"depth":5,"scrolling":true,"shuffleLock":false,"data":{"hotlinkId":"","accState":0,"vectorData":{"left":0,"top":0,"right":646,"bottom":329,"altText":"Instalar 2 vías venosa periféricas de grueso calibre (catéter calibre 16 o 18). Permite el aporte de medicación y fluidos. En caso de agravación el colapso venoso puede dificultar su realización, por lo cual contar con un acceso vascular adecuado es de gran importancia.\\nMantener una adecuada volemia mediante la reposición con\\ncristaloides: Suero Ringer – Lactato o fisiológico a razón de 1 lt/ cada 4 horas. Se valorará la reposición tratando de mantener la presión arterial sistólica por encima de 90 mmHg y una perfusión periférica normal y la diuresis en más de 30 ml/h. A posteriori, se valorará la necesidad de coloides y aportes de derivados sanguíneos. Debe ser corregida la anemia a la brevedad, debiendo recurrirse a la transfusión sanguínea (2)","pngfb":false,"pr":{"l":"Lib","i":1007}},"html5data":{"xPos":0,"yPos":0,"width":646,"height":329,"strokewidth":0}},"width":646,"height":329,"resume":false,"useHandCursor":true,"id":"txt_5g9CNXmvupF_60gJIiTgpSP"},{"kind":"vectorshape","rotation":0,"accType":"text","cliptobounds":true,"defaultAction":"","textLib":[{"kind":"textdata","uniqueId":"txt_5g9CNXmvupF_5iGBevn7KCz","id":"01","linkId":"txt_5g9CNXmvupF_5iGBevn7KCz","type":"vectortext","xPos":0,"yPos":0,"width":0,"height":0,"shadowIndex":-1,"vectortext":{"left":0,"top":0,"right":332,"bottom":61,"pngfb":false,"pr":{"l":"Lib","i":1010},"text":"La medición de la presión venosa central"}}],"shapemaskId":"","xPos":0,"yPos":543,"tabIndex":49,"tabEnabled":true,"xOffset":0,"yOffset":0,"rotateXPos":171,"rotateYPos":38,"scaleX":100,"scaleY":100,"alpha":100,"depth":6,"scrolling":true,"shuffleLock":false,"data":{"hotlinkId":"","accState":0,"vectorData":{"left":0,"top":0,"right":342,"bottom":76,"altText":"La medición de la presión venosa central","pngfb":false,"pr":{"l":"Lib","i":1009}},"html5data":{"xPos":0,"yPos":0,"width":342,"height":76,"strokewidth":0}},"width":342,"height":76,"resume":false,"useHandCursor":true,"id":"txt_5g9CNXmvupF_5iGBevn7KCz"},{"kind":"vectorshape","rotation":0,"accType":"text","cliptobounds":true,"defaultAction":"","textLib":[{"kind":"textdata","uniqueId":"txt_5g9CNXmvupF_5Z1alXNM2iS","id":"01","linkId":"txt_5g9CNXmvupF_5Z1alXNM2iS","type":"vectortext","xPos":0,"yPos":0,"width":0,"height":0,"shadowIndex":-1,"vectortext":{"left":0,"top":0,"right":636,"bottom":61,"pngfb":false,"pr":{"l":"Lib","i":1012},"text":"Está indicada. 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