13. MORDEDURAS Y PICADURAS

MORDEDURAS Y PICADURAS

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DEFINICION 



Las mordeduras y picaduras son heridas punzantes por las cuales penetra al organismo una sustancia altamente tóxica o infecciosa. Son varios los animales e insectos

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GENERALIDADES 



Las mordeduras y picaduras se consideran lesiones que afectan inicialmente al tejido blando Pero que según la evolución y la respuesta orgánica de cada individuo puede comprometer todos los sistemas,

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MORDEDURA 

La lesión cutánea es originada por los apéndices localizados en la región cefálica (dientes,quelícero de las arañas) y que normalmente son utilizados con fines agresivos.

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PICADURAS 

Introducción en la piel de un apéndice de un animal, generalmente localizado en la parte distal del abdomen cuyo fin es fundamentalmente defensivo (aguijón de abejas, avispas o alacrán).

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CLASIFICACION 1.-MORDEDURAS Animales 

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MORDEDURAS DE ANIMALES Y HUMANAS

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MORDEDURAS 

Puede ocasionar ruptura de la piel, hematoma o herida por punción.

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MORDEDURAS 

Mordeduras de animales domésticos Mordeduras

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Animales domesticos 

Las mascotas son la causa más

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Signos y síntomas

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Mordeduras

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Mordedura y arañazo de

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Mordeduras humanas

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Rabia

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Signos y síntomas FASE 1 o PRODROMICA 1.-Período inicial con síntomas vagos que duran de 2 a 10 días: Fiebre Cefalea Malestar General   

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2.- En el sitio de la herida:     

Dolor Prurito (comezón) Edema Tumefacción Hormigueo

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FASE 2 o ENCEFALICA      

Dificultad para tragar incluso saliva Inquietud, Agitación Desorientación, confusión Alucinaciones, delirio Agresividad Espasmos musculares

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Esquema de vacunación Cinco Dosis.

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TETANO El tétano es una enfermedad infecciosa

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

El ingreso del gérmen al huesped se produce a través de heridas profundas

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Tetanos  

El período de incubación es de 3 a 21 días Se caracteriza por contracciones musculares dolorosas que comienzan en el

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Pautas de actuación en caso de

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INFECCION

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Mordedura de araña

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Atención de urgencia TRATAMIENTO LOCAL:   

Extracción del aguijón, sin remover Aplicación de hielo local Indicación médica de antiinflamatorios y antihistamínicos

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Extracción del aguijón

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TRATAMIENTO DE LAS REACCIONES ANAFILACTICAS: Manejo de la vía aérea: intubación, cricotiroidostomía Oxigenoterapia Colocación de vías venosas Administración de soluciones cristaloides y coloides 

  

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PICADURAS POR ANIMALES MARINOS  



La picadura más común es de medusa Las medusas viven en colonias y tienen tentáculos que se extienden a varios metro en la superficie del agua Habitan en mares de agua tibia y poco profundos.

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Picadura de Medusa Los tentáculos al entrar en contacto con la piel humana se adhieren secretando un líquido venenoso que causa dolor con sensación de ardor quemante, erupción y ronchas en la piel.

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

En lesiones severas se puede presentar:

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Tratamiento de la picadura  

NO frotar la zona afectada Lavar solamente con agua salada o

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

Indicación médica de analgésicos y antiinflamatorios

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FIN