planetazuzu
15e1110498
🔧 CORRECCIONES CRÍTICAS DE ORGANIZACIÓN
### Renumeración Bloque 2 → 4 (Soporte Vital Básico)
- Resuelto conflicto crítico: dos bloques compartían numeración 'Bloque 2'
- Renumerados 9 archivos de BLOQUE_02_* → BLOQUE_04_*
- Actualizados títulos internos: 2.0-2.8 → 4.0-4.8
- Actualizadas referencias cruzadas en múltiples capítulos
### Resolución de Duplicidades
- Glucómetro: Convertido 3.11 a redirect hacia 1.7 (ubicación definitiva)
- Actualizadas referencias a Glucómetro (3.11, 1.5 → 1.7)
### Documentación
- Generado DIAGNOSTICO_ORGANIZACIONAL_CRITICO.md
- Generado PLAN_RENUMERACION_COMPLETO.md
- Generado INFORME_RENUMERACION_BLOQUE_2_4.md
### Archivos Afectados
- 9 archivos renumerados (03_SOPORTE_VITAL_BASICO/)
- 10+ archivos con referencias actualizadas
- 1 archivo convertido a redirect (BLOQUE_03_11_GLUCOMETRO.md)
Fixes: Conflictos de numeración detectados en auditoría organizacional
234 lines
9.8 KiB
TypeScript
234 lines
9.8 KiB
TypeScript
export interface GlasgowOption {
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label: string;
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value: number;
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}
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export interface GlasgowCategory {
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name: string;
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options: GlasgowOption[];
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}
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export const glasgowScale: GlasgowCategory[] = [
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{
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name: 'Apertura Ocular',
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options: [
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{ label: 'Espontánea', value: 4 },
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{ label: 'A la orden verbal', value: 3 },
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{ label: 'Al dolor', value: 2 },
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{ label: 'No abre', value: 1 },
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],
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},
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{
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name: 'Respuesta Verbal',
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options: [
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{ label: 'Orientado', value: 5 },
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{ label: 'Confuso', value: 4 },
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{ label: 'Palabras inapropiadas', value: 3 },
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{ label: 'Sonidos incomprensibles', value: 2 },
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{ label: 'Sin respuesta', value: 1 },
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],
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},
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{
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name: 'Respuesta Motora',
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options: [
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{ label: 'Obedece órdenes', value: 6 },
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{ label: 'Localiza el dolor', value: 5 },
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{ label: 'Retirada al dolor', value: 4 },
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{ label: 'Flexión anormal (decorticación)', value: 3 },
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{ label: 'Extensión anormal (descerebración)', value: 2 },
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{ label: 'Sin respuesta', value: 1 },
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],
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},
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];
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export const getGlasgowInterpretation = (score: number): { severity: string; color: string } => {
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if (score <= 8) return { severity: 'TCE Grave - IOT', color: 'critical' };
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if (score <= 12) return { severity: 'TCE Moderado', color: 'high' };
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return { severity: 'TCE Leve', color: 'low' };
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};
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export interface InfusionRow {
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weight: number;
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doses: { [key: string]: string };
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}
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export interface InfusionTable {
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id: string;
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name: string;
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drugName: string;
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preparation: string;
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unit: string;
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doseRange: string;
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columns: string[];
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rows: InfusionRow[];
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}
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export const infusionTables: InfusionTable[] = [
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{
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id: 'dopamina',
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name: 'Perfusión Dopamina',
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drugName: 'Dopamina',
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preparation: '200mg en 100ml SG5% = 2000 mcg/ml',
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unit: 'ml/h',
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doseRange: '2-20 mcg/kg/min',
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columns: ['5 mcg/kg/min', '10 mcg/kg/min', '15 mcg/kg/min', '20 mcg/kg/min'],
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rows: [
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{ weight: 50, doses: { '5 mcg/kg/min': '7.5', '10 mcg/kg/min': '15', '15 mcg/kg/min': '22.5', '20 mcg/kg/min': '30' } },
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{ weight: 60, doses: { '5 mcg/kg/min': '9', '10 mcg/kg/min': '18', '15 mcg/kg/min': '27', '20 mcg/kg/min': '36' } },
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{ weight: 70, doses: { '5 mcg/kg/min': '10.5', '10 mcg/kg/min': '21', '15 mcg/kg/min': '31.5', '20 mcg/kg/min': '42' } },
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{ weight: 80, doses: { '5 mcg/kg/min': '12', '10 mcg/kg/min': '24', '15 mcg/kg/min': '36', '20 mcg/kg/min': '48' } },
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{ weight: 90, doses: { '5 mcg/kg/min': '13.5', '10 mcg/kg/min': '27', '15 mcg/kg/min': '40.5', '20 mcg/kg/min': '54' } },
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{ weight: 100, doses: { '5 mcg/kg/min': '15', '10 mcg/kg/min': '30', '15 mcg/kg/min': '45', '20 mcg/kg/min': '60' } },
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],
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},
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{
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id: 'noradrenalina',
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name: 'Perfusión Noradrenalina',
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drugName: 'Noradrenalina',
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preparation: '8mg en 100ml SG5% = 80 mcg/ml',
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unit: 'ml/h',
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doseRange: '0.05-1 mcg/kg/min',
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columns: ['0.1 mcg/kg/min', '0.2 mcg/kg/min', '0.3 mcg/kg/min', '0.5 mcg/kg/min'],
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rows: [
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{ weight: 50, doses: { '0.1 mcg/kg/min': '3.75', '0.2 mcg/kg/min': '7.5', '0.3 mcg/kg/min': '11.25', '0.5 mcg/kg/min': '18.75' } },
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{ weight: 60, doses: { '0.1 mcg/kg/min': '4.5', '0.2 mcg/kg/min': '9', '0.3 mcg/kg/min': '13.5', '0.5 mcg/kg/min': '22.5' } },
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{ weight: 70, doses: { '0.1 mcg/kg/min': '5.25', '0.2 mcg/kg/min': '10.5', '0.3 mcg/kg/min': '15.75', '0.5 mcg/kg/min': '26.25' } },
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{ weight: 80, doses: { '0.1 mcg/kg/min': '6', '0.2 mcg/kg/min': '12', '0.3 mcg/kg/min': '18', '0.5 mcg/kg/min': '30' } },
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{ weight: 90, doses: { '0.1 mcg/kg/min': '6.75', '0.2 mcg/kg/min': '13.5', '0.3 mcg/kg/min': '20.25', '0.5 mcg/kg/min': '33.75' } },
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{ weight: 100, doses: { '0.1 mcg/kg/min': '7.5', '0.2 mcg/kg/min': '15', '0.3 mcg/kg/min': '22.5', '0.5 mcg/kg/min': '37.5' } },
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],
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},
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{
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id: 'adrenalina',
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name: 'Perfusión Adrenalina',
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drugName: 'Adrenalina',
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preparation: '1mg en 100ml SG5% = 10 mcg/ml',
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unit: 'ml/h',
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doseRange: '0.05-0.5 mcg/kg/min',
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columns: ['0.1 mcg/kg/min', '0.2 mcg/kg/min', '0.3 mcg/kg/min', '0.5 mcg/kg/min'],
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rows: [
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{ weight: 50, doses: { '0.1 mcg/kg/min': '30', '0.2 mcg/kg/min': '60', '0.3 mcg/kg/min': '90', '0.5 mcg/kg/min': '150' } },
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{ weight: 60, doses: { '0.1 mcg/kg/min': '36', '0.2 mcg/kg/min': '72', '0.3 mcg/kg/min': '108', '0.5 mcg/kg/min': '180' } },
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{ weight: 70, doses: { '0.1 mcg/kg/min': '42', '0.2 mcg/kg/min': '84', '0.3 mcg/kg/min': '126', '0.5 mcg/kg/min': '210' } },
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{ weight: 80, doses: { '0.1 mcg/kg/min': '48', '0.2 mcg/kg/min': '96', '0.3 mcg/kg/min': '144', '0.5 mcg/kg/min': '240' } },
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{ weight: 90, doses: { '0.1 mcg/kg/min': '54', '0.2 mcg/kg/min': '108', '0.3 mcg/kg/min': '162', '0.5 mcg/kg/min': '270' } },
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{ weight: 100, doses: { '0.1 mcg/kg/min': '60', '0.2 mcg/kg/min': '120', '0.3 mcg/kg/min': '180', '0.5 mcg/kg/min': '300' } },
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],
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},
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{
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id: 'dobutamina',
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name: 'Perfusión Dobutamina',
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drugName: 'Dobutamina',
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preparation: '250mg en 250ml SG5% = 1000 mcg/ml',
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unit: 'ml/h',
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doseRange: '2.5-15 mcg/kg/min',
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columns: ['5 mcg/kg/min', '10 mcg/kg/min', '15 mcg/kg/min'],
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rows: [
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{ weight: 50, doses: { '5 mcg/kg/min': '15', '10 mcg/kg/min': '30', '15 mcg/kg/min': '45' } },
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{ weight: 60, doses: { '5 mcg/kg/min': '18', '10 mcg/kg/min': '36', '15 mcg/kg/min': '54' } },
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{ weight: 70, doses: { '5 mcg/kg/min': '21', '10 mcg/kg/min': '42', '15 mcg/kg/min': '63' } },
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{ weight: 80, doses: { '5 mcg/kg/min': '24', '10 mcg/kg/min': '48', '15 mcg/kg/min': '72' } },
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{ weight: 90, doses: { '5 mcg/kg/min': '27', '10 mcg/kg/min': '54', '15 mcg/kg/min': '81' } },
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{ weight: 100, doses: { '5 mcg/kg/min': '30', '10 mcg/kg/min': '60', '15 mcg/kg/min': '90' } },
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],
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},
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{
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id: 'nitroglicerina',
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name: 'Perfusión Nitroglicerina',
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drugName: 'Nitroglicerina',
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preparation: '50mg en 250ml SG5% = 200 mcg/ml',
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unit: 'ml/h',
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doseRange: '0.1-0.5 mcg/kg/min',
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columns: ['0.1 mcg/kg/min', '0.2 mcg/kg/min', '0.3 mcg/kg/min', '0.5 mcg/kg/min'],
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rows: [
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{ weight: 50, doses: { '0.1 mcg/kg/min': '15', '0.2 mcg/kg/min': '30', '0.3 mcg/kg/min': '45', '0.5 mcg/kg/min': '75' } },
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{ weight: 60, doses: { '0.1 mcg/kg/min': '18', '0.2 mcg/kg/min': '36', '0.3 mcg/kg/min': '54', '0.5 mcg/kg/min': '90' } },
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{ weight: 70, doses: { '0.1 mcg/kg/min': '21', '0.2 mcg/kg/min': '42', '0.3 mcg/kg/min': '63', '0.5 mcg/kg/min': '105' } },
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{ weight: 80, doses: { '0.1 mcg/kg/min': '24', '0.2 mcg/kg/min': '48', '0.3 mcg/kg/min': '72', '0.5 mcg/kg/min': '120' } },
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{ weight: 90, doses: { '0.1 mcg/kg/min': '27', '0.2 mcg/kg/min': '54', '0.3 mcg/kg/min': '81', '0.5 mcg/kg/min': '135' } },
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{ weight: 100, doses: { '0.1 mcg/kg/min': '30', '0.2 mcg/kg/min': '60', '0.3 mcg/kg/min': '90', '0.5 mcg/kg/min': '150' } },
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],
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},
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{
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id: 'furosemida',
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name: 'Perfusión Furosemida',
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drugName: 'Furosemida',
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preparation: '250mg en 250ml SG5% = 1000 mcg/ml (1 mg/ml)',
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unit: 'ml/h',
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doseRange: '0.1-0.4 mg/kg/h',
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columns: ['0.1 mg/kg/h', '0.2 mg/kg/h', '0.3 mg/kg/h', '0.4 mg/kg/h'],
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rows: [
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{ weight: 50, doses: { '0.1 mg/kg/h': '5', '0.2 mg/kg/h': '10', '0.3 mg/kg/h': '15', '0.4 mg/kg/h': '20' } },
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{ weight: 60, doses: { '0.1 mg/kg/h': '6', '0.2 mg/kg/h': '12', '0.3 mg/kg/h': '18', '0.4 mg/kg/h': '24' } },
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{ weight: 70, doses: { '0.1 mg/kg/h': '7', '0.2 mg/kg/h': '14', '0.3 mg/kg/h': '21', '0.4 mg/kg/h': '28' } },
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{ weight: 80, doses: { '0.1 mg/kg/h': '8', '0.2 mg/kg/h': '16', '0.3 mg/kg/h': '24', '0.4 mg/kg/h': '32' } },
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{ weight: 90, doses: { '0.1 mg/kg/h': '9', '0.2 mg/kg/h': '18', '0.3 mg/kg/h': '27', '0.4 mg/kg/h': '36' } },
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{ weight: 100, doses: { '0.1 mg/kg/h': '10', '0.2 mg/kg/h': '20', '0.3 mg/kg/h': '30', '0.4 mg/kg/h': '40' } },
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],
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},
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];
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/**
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* Calcula la reposición de líquidos según la Fórmula de Parkland para quemaduras
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* @param weight Peso del paciente en kg
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* @param burnPercentage Porcentaje de superficie corporal quemada (0-100)
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* @param hoursSinceBurn Horas transcurridas desde la quemadura
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* @returns Objeto con los cálculos de líquidos
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*/
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export const calculateParkland = (
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weight: number,
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burnPercentage: number,
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hoursSinceBurn: number = 0
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): {
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total24h: number;
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total24hLiters: number;
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first8h: number;
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next16h: number;
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rateFirst8h: number;
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rateNext16h: number;
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remaining24h: number;
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maintenance: number;
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} => {
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// Fórmula de Parkland: 4 ml × peso (kg) × % SCQ
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const total24h = 4 * weight * burnPercentage;
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const total24hLiters = total24h / 1000;
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// Distribución: 50% en primeras 8h, 50% en siguientes 16h
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const first8h = total24h * 0.5;
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const next16h = total24h * 0.5;
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// Velocidades de infusión
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const rateFirst8h = first8h / 8; // ml/h
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const rateNext16h = next16h / 16; // ml/h
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// Calcular líquidos restantes si ya pasaron horas
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let remaining24h = total24h;
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if (hoursSinceBurn < 8) {
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// Aún en primeras 8h
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const alreadyGiven = (hoursSinceBurn / 8) * first8h;
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remaining24h = total24h - alreadyGiven;
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} else if (hoursSinceBurn < 24) {
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// Pasadas primeras 8h, calcular restante
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const remainingHours = 24 - hoursSinceBurn;
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remaining24h = (remainingHours / 16) * next16h;
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} else {
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// Pasadas 24h, solo mantenimiento
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remaining24h = 0;
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}
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// Mantenimiento después de 24h: ~2000-2500 ml/día + pérdidas por evaporación
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// Estimación conservadora: 30-50 ml/kg/día para quemaduras extensas
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const maintenance = weight * 40; // ml/día
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return {
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total24h: Math.round(total24h),
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total24hLiters: total24hLiters,
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first8h: Math.round(first8h),
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next16h: Math.round(next16h),
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rateFirst8h,
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rateNext16h,
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remaining24h: Math.round(remaining24h),
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maintenance: Math.round(maintenance),
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};
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};
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