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					<h2 class="elementor-heading-title elementor-size-default">El shock</h2>				</div>
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									<p>El término<strong> shock</strong> se utiliza para describir una situación médica en la cual los órganos y tejidos del organismo no reciben un aporte suficiente de oxígeno y nutrientes, ello conlleva a una muerte progresiva de las células y a un fallo en la función de los diferentes órganos que puede llevar a la muerte.</p><p>Esta falta de aporte se produce básicamente debido a que la cantidad de sangre que llega a los tejidos es insuficiente por un mal funcionamiento del corazón (<strong>shock</strong> cardiogénico), por una pérdida de líquidos corporales (<a href="https://prevencionsaludproactiv.com/2021/03/27/shock-hipovolemico/">shock hipovolémico</a>) o por una infección grave (<strong>shock</strong> séptico).</p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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									<h3>Cómo se produce el shock hipovolémico</h3><p>La volemia es el porcentaje total de sangre de un individuo. A su vez la sangre se halla constituida por una porción líquida llamada plasma (55%) y otra formada por células (glóbulos rojos principalmente).</p><p>El mayor porcentaje de la volemia está representado por agua. Ante pequeñas disminuciones de volemia (<;15%) el organismo tiene mecanismos de compensación (aumento de la presión arterial y de la frecuencia cardíaca) que permiten que el corazón continúe bombeando sangre normalmente y asegurando los nutrientes adecuados.</p><p>Cuando se producen pérdidas más importantes (como una hemorragia abundante) y especialmente si se producen de forma rápida, el organismo pierde esta capacidad de compensación o ésta no es suficiente entrando en situación de <strong>shock</strong>.</p>								</div>
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									<h3>Las principales causas de shock hipovolémico son:</h3><ul><li>Pérdida importante de sangre (<a href="https://prevencionsaludproactiv.com/2021/03/27/shock-hipovolemico/"><strong>shock</strong> hemorrágico</a>).</li><li>Hemorragias externas (por ejemplo, debidas a traumatismos) o hemorragias internas (como un sangrado gástrico por una úlcera de estómago).</li><li>Pérdida de agua y<a href="https://prevencionsaludproactiv.com/2021/04/03/importancia-de-los-electrolitos/"> electrolitos</a> (<a href="https://prevencionsaludproactiv.com/2021/04/03/alteraciones-hidroelectroliticas/">sodio y potasio</a>): vómitos y diarreas importantes.</li><li>Pérdida de plasma: quemaduras.</li></ul>								</div>
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									<h3>El shock cardiogénico</h3><p>Se caracteriza por hipoperfusión global, secundaria a disminución en la contractilidad miocárdica. Clínicamente los pacientes se presentan con signos y síntomas como disnea, fatigabilidad, disminución progresiva de capacidad funcional, dolor torácico o síncope. Dado que el gasto cardiaco depende tanto de la fracción de eyección como de la frecuencia cardiaca, las bradiarritmias y taquiarritmias pueden ser causales y presentarse clínicamente como <strong>shock</strong> cardiogénico. Las causas más frecuentes de shock cardiogénico son: infarto agudo al miocardio (IAM), valvulopatías, cardiomiopatías y tóxicos.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2"><p> </p><div id="aswift_13_host" tabindex="0" title="Advertisement" aria-label="Advertisement"><iframe id="aswift_13" src="https://googleads.g.doubleclick.net/pagead/ads?client=ca-pub-4254951495333536&;output=html&;h=280&;slotname=8914402183&;adk=3509242560&;adf=1842760839&;pi=t.ma~as.8914402183&;w=861&;fwrn=4&;fwrnh=100&;lmt=1661981391&;rafmt=1&;psa=1&;format=861x280&;url=https%3A%2F%2Fprevencionsaludproactiv.com%2F2020%2F08%2F21%2Fshock%2F%3Fpreview_id%3D10559%26preview_nonce%3D9f60c5b823%26_thumbnail_id%3D10568%26preview%3Dtrue&;host=ca-host-pub-2644536267352236&;fwr=0&;fwrattr=true&;rpe=1&;resp_fmts=3&;wgl=1&;adsid=ChEI8I28mAYQ5Y3w86vA3tOvARI5AEdX6h7yDz-icTTRamLXOo4UqwJFDDt41jC2FPBkXtj6QRwr9OxzI8ljx4WiHpvUtboST9CyfY0i&;uach=WyJXaW5kb3dzIiwiMTAuMC4wIiwieDg2IiwiIiwiMTA0LjAuNTExMi4xMDIiLFtdLGZhbHNlLG51bGwsIjY0IixbWyJDaHJvbWl1bSIsIjEwNC4wLjUxMTIuMTAyIl0sWyIgTm90IEE7QnJhbmQiLCI5OS4wLjAuMCJdLFsiR29vZ2xlIENocm9tZSIsIjEwNC4wLjUxMTIuMTAyIl1dLGZhbHNlXQ..&;dt=1661981385869&;bpp=6&;bdt=1064&;idt=886&;shv=r20220825&;mjsv=m202208250101&;ptt=9&;saldr=aa&;abxe=1&;cookie=ID%3Daf496235af74c5d2-2281b92f667b000e%3AT%3D1638482630%3ART%3D1638482630%3AS%3DALNI_MY9KBOm1FmYwY34Dkn-dxfhopuciw&;gpic=UID%3D000008aef115c4c7%3AT%3D1660760138%3ART%3D1661976061%3AS%3DALNI_MYkkQ682orZX-Rip9dYbQilErearQ&;prev_fmts=0x0%2C270x225%2C270x225%2C253x600%2C253x870%2C270x225%2C253x600%2C253x870%2C881x200%2C881x280%2C881x280%2C881x573&;nras=1&;correlator=5142065360002&;frm=20&;pv=1&;ga_vid=888540545.1638482630&;ga_sid=1661981386&;ga_hid=1101445747&;ga_fc=1&;u_tz=-240&;u_his=1&;u_h=720&;u_w=1280&;u_ah=680&;u_aw=1280&;u_cd=24&;u_sd=1.5&;dmc=8&;adx=50&;ady=3166&;biw=1263&;bih=577&;scr_x=0&;scr_y=868&;eid=44759875%2C44759926%2C44759837&;oid=2&;pvsid=3809218741126604&;tmod=2001490458&;uas=0&;nvt=1&;ref=https%3A%2F%2Fprevencionsaludproactiv.com%2Fwp-admin%2Fpost.php%3Fpost%3D10559%26action%3Dedit&;eae=0&;fc=1920&;brdim=0%2C0%2C0%2C0%2C1280%2C0%2C1280%2C680%2C1280%2C577&;vis=1&;rsz=%7Cm%7CpoEebr%7Cp&;abl=XS&;pfx=0&;alvm=r20220829&;fu=128&;bc=31&;jar=2022-08-31-21&;ifi=14&;uci=a!e&;btvi=10&;fsb=1&;xpc=90Q4XA3PAN&;p=https%3A//prevencionsaludproactiv.com&;dtd=5820" name="aswift_13" width="861" height="0" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" sandbox="allow-forms allow-popups allow-popups-to-escape-sandbox allow-same-origin allow-scripts allow-top-navigation-by-user-activation" data-google-container-id="a!e" data-google-query-id="CNmj-JKD8vkCFfcBdgYd_RMGnQ" data-load-complete="true" data-mce-fragment="1"></iframe></div><p> </p></div>								</div>
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									<h3>El shock obstructivo</h3><p>Se produce por disminución brusca o exagerada en la precarga del ventrículo izquierdo o por un aumento brusco de la postcarga. Se genera secundario a procesos extracardíacos que alteran la distensibilidad cardiaca o generan disminución del volumen de fin de diástole (precarga) tanto del ventrículo derecho o izquierdo, comprimiendo vena cava superior o inferior. Ejemplos son neumotórax a tensión, tromboembolismo pulmonar (TEP) masivo y taponamiento cardiaco.</p>								</div>
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									<h3>El shock distributivo</h3><p>Se genera por una vasodilatación sistémica profunda que se asocia a disminución del volumen intravascular por extravasación del mismo hacia el intersticio. Como consecuencia de la disminución de la resistencia vascular sistémica y aumento en la capacitancia venosa se produce una disminución del volumen circulante efectivo y retorno venoso, repercutiendo directamente en disminución del gasto cardiaco.</p><p>Inicialmente la respuesta compensatoria es aumento de la frecuencia cardiaca, lo que determina un perfil hiperdinámico con aumento del gasto cardiaco, clínicamente insuficiente para la demanda metabólica sistémica. La causa más frecuente es el <strong>shock</strong> séptico. Sin embargo, también puede ser consecuencia de grandes quemaduras, pancreatitis, shock anafiláctico, intoxicaciones por monóxido de carbono, cianuro o asociado a trauma neurogénico.</p>								</div>
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									<ul><li><a href="https://prevencionsaludproactiv.com/2021/03/21/shock-anafilactico/"><strong>Shock</strong> anafiláctico</a></li></ul><div><div class="centered-text-area"><div class="centered-text"><div class="u73bd251a9f44963a5a2753725989f118-content"><span class="ctaText">Leer ahora</span> <span class="postTitle">Soporte Vital Básico y Avanzado Padiátrico 2020</span></div></div></div><div class="ctaButton"> </div></div><p>Alergias, intoxicaciones y picaduras.</p><ul><li><a href="https://prevencionsaludproactiv.com/2022/07/17/shock-septico/"><strong>Shock</strong> séptico</a></li></ul><p>Infecciones, por ejemplo heridas que se infectan.</p><ul><li><strong>Shock</strong> neurogénico</li></ul><p>Dolor, traumatismos en general, ocasionados por daño al sistema nervioso.</p><div class="code-block code-block-7"><p> </p><div id="aswift_14_host" tabindex="0" title="Advertisement" aria-label="Advertisement"><iframe id="aswift_14" src="https://googleads.g.doubleclick.net/pagead/ads?client=ca-pub-4254951495333536&;output=html&;h=280&;slotname=2381070776&;adk=988515992&;adf=3956274630&;pi=t.ma~as.2381070776&;w=861&;fwrn=4&;fwrnh=100&;lmt=1661981394&;rafmt=1&;psa=1&;format=861x280&;url=https%3A%2F%2Fprevencionsaludproactiv.com%2F2020%2F08%2F21%2Fshock%2F%3Fpreview_id%3D10559%26preview_nonce%3D9f60c5b823%26_thumbnail_id%3D10568%26preview%3Dtrue&;host=ca-host-pub-2644536267352236&;fwr=0&;fwrattr=true&;rpe=1&;resp_fmts=3&;wgl=1&;adsid=ChEI8I28mAYQ5Y3w86vA3tOvARI5AEdX6h7yDz-icTTRamLXOo4UqwJFDDt41jC2FPBkXtj6QRwr9OxzI8ljx4WiHpvUtboST9CyfY0i&;uach=WyJXaW5kb3dzIiwiMTAuMC4wIiwieDg2IiwiIiwiMTA0LjAuNTExMi4xMDIiLFtdLGZhbHNlLG51bGwsIjY0IixbWyJDaHJvbWl1bSIsIjEwNC4wLjUxMTIuMTAyIl0sWyIgTm90IEE7QnJhbmQiLCI5OS4wLjAuMCJdLFsiR29vZ2xlIENocm9tZSIsIjEwNC4wLjUxMTIuMTAyIl1dLGZhbHNlXQ..&;dt=1661981385876&;bpp=4&;bdt=1071&;idt=1008&;shv=r20220825&;mjsv=m202208250101&;ptt=9&;saldr=aa&;abxe=1&;cookie=ID%3Daf496235af74c5d2-2281b92f667b000e%3AT%3D1638482630%3ART%3D1638482630%3AS%3DALNI_MY9KBOm1FmYwY34Dkn-dxfhopuciw&;gpic=UID%3D000008aef115c4c7%3AT%3D1660760138%3ART%3D1661976061%3AS%3DALNI_MYkkQ682orZX-Rip9dYbQilErearQ&;prev_fmts=0x0%2C270x225%2C270x225%2C253x600%2C253x870%2C270x225%2C253x600%2C253x870%2C881x200%2C881x280%2C881x280%2C881x573%2C861x280%2C270x225%2C270x225%2C270x600&;nras=1&;correlator=5142065360002&;frm=20&;pv=1&;ga_vid=888540545.1638482630&;ga_sid=1661981386&;ga_hid=1101445747&;ga_fc=1&;u_tz=-240&;u_his=1&;u_h=720&;u_w=1280&;u_ah=680&;u_aw=1280&;u_cd=24&;u_sd=1.5&;dmc=8&;adx=50&;ady=5199&;biw=1263&;bih=577&;scr_x=0&;scr_y=2937&;eid=44759875%2C44759926%2C44759837&;oid=2&;pvsid=3809218741126604&;tmod=2001490458&;uas=0&;nvt=1&;ref=https%3A%2F%2Fprevencionsaludproactiv.com%2Fwp-admin%2Fpost.php%3Fpost%3D10559%26action%3Dedit&;eae=0&;fc=1920&;brdim=0%2C0%2C0%2C0%2C1280%2C0%2C1280%2C680%2C1280%2C577&;vis=1&;rsz=%7Cm%7CpoEebr%7Cp&;abl=XS&;pfx=0&;alvm=r20220829&;fu=128&;bc=31&;jar=2022-08-31-21&;ifi=15&;uci=a!f&;btvi=14&;fsb=1&;xpc=oYYp27rX3J&;p=https%3A//prevencionsaludproactiv.com&;dtd=9005" name="aswift_14" width="861" height="0" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" sandbox="allow-forms allow-popups allow-popups-to-escape-sandbox allow-same-origin allow-scripts allow-top-navigation-by-user-activation" data-google-container-id="a!f" data-google-query-id="CP60upSD8vkCFdfX5wMd8IcCyA" data-load-complete="true" data-mce-fragment="1"></iframe></div><p> </p></div>								</div>
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									<h3>Síntomas generales del shock</h3><ul><li>Piel pálida, fría y sudorosa.</li><li>Ansiedad o agitación.</li><li>Pulso rápido y débil.</li><li>Respiración rápida y superficial.</li><li>Labios y uñas azuladas (cianosis).</li><li>Presión arterial baja (hipotensión).</li><li>Alteración de la conciencia, mareos, vértigo, confusión.</li><li>Deshidratación, la persona siente sed.</li><li>Pupilas dilatadas.</li></ul>								</div>
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									<h3>Tratamiento inicial del shock</h3><ul><li><a href="https://prevencionsaludproactiv.com/2021/02/22/evaluacion-primaria-soporte-vital-en-trauma-phtls/">Evaluación primaria</a> ( soporte respiratorio y reposición de volemia).</li><li>Traslado oportuno.</li><li><a href="https://prevencionsaludproactiv.com/2021/06/27/evaluacion-secundaria-soporte-vital-prehospitalario-en-trauma-phtls/">Evaluación secundaria</a></li><li>Reevaluación.</li></ul>								</div>
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									<h3>Primeros Auxilios</h3><ul><li>Control de signos vitales.</li><li>Tratar las lesiones que lo provocan (si es posible).</li><li>Aflojar todo lo que comprima a la víctima.</li><li>Tranquilizar al herido.</li><li>Evitar pérdida de calor corporal, tapar al accidentado.</li><li>Colocar al accidentado con la cabeza más baja que los pies, <a href="https://prevencionsaludproactiv.com/2020/08/21/primeros-auxilios-en-lipotimia/">(posición de trendelenburg), elevando sus piernas</a> y siempre que sus lesiones lo permitan.</li><li>Evacuar urgentemente al centro asistencial, ya que la tendencia del shock siempre es a empeorar.</li></ul><p> </p><div class="code-block code-block-7"><ins class="adsbygoogle" data-ad-client="ca-pub-4254951495333536" data-ad-slot="2381070776" data-ad-format="auto" data-full-width-responsive="true" data-adsbygoogle-status="done" data-ad-status="unfilled"><div id="aswift_16_host" tabindex="0" title="Advertisement" aria-label="Advertisement"><iframe id="aswift_16" src="https://googleads.g.doubleclick.net/pagead/ads?client=ca-pub-4254951495333536&;output=html&;h=280&;slotname=2381070776&;adk=988515992&;adf=3993865419&;pi=t.ma~as.2381070776&;w=861&;fwrn=4&;fwrnh=100&;lmt=1661981396&;rafmt=1&;psa=1&;format=861x280&;url=https%3A%2F%2Fprevencionsaludproactiv.com%2F2020%2F08%2F21%2Fshock%2F%3Fpreview_id%3D10559%26preview_nonce%3D9f60c5b823%26_thumbnail_id%3D10568%26preview%3Dtrue&;host=ca-host-pub-2644536267352236&;fwr=0&;fwrattr=true&;rpe=1&;resp_fmts=3&;wgl=1&;adsid=ChEI8I28mAYQ5Y3w86vA3tOvARI5AEdX6h7yDz-icTTRamLXOo4UqwJFDDt41jC2FPBkXtj6QRwr9OxzI8ljx4WiHpvUtboST9CyfY0i&;uach=WyJXaW5kb3dzIiwiMTAuMC4wIiwieDg2IiwiIiwiMTA0LjAuNTExMi4xMDIiLFtdLGZhbHNlLG51bGwsIjY0IixbWyJDaHJvbWl1bSIsIjEwNC4wLjUxMTIuMTAyIl0sWyIgTm90IEE7QnJhbmQiLCI5OS4wLjAuMCJdLFsiR29vZ2xlIENocm9tZSIsIjEwNC4wLjUxMTIuMTAyIl1dLGZhbHNlXQ..&;dt=1661981385898&;bpp=2&;bdt=1093&;idt=1048&;shv=r20220825&;mjsv=m202208250101&;ptt=9&;saldr=aa&;abxe=1&;cookie=ID%3Daf496235af74c5d2-2281b92f667b000e%3AT%3D1638482630%3ART%3D1638482630%3AS%3DALNI_MY9KBOm1FmYwY34Dkn-dxfhopuciw&;gpic=UID%3D000008aef115c4c7%3AT%3D1660760138%3ART%3D1661976061%3AS%3DALNI_MYkkQ682orZX-Rip9dYbQilErearQ&;prev_fmts=0x0%2C270x225%2C270x225%2C253x600%2C253x870%2C270x225%2C253x600%2C253x870%2C881x200%2C881x280%2C881x280%2C881x573%2C861x280%2C270x225%2C270x225%2C270x600%2C861x280%2C861x200%2C270x600%2C270x225%2C270x600&;nras=1&;correlator=5142065360002&;frm=20&;pv=1&;ga_vid=888540545.1638482630&;ga_sid=1661981386&;ga_hid=1101445747&;ga_fc=1&;u_tz=-240&;u_his=1&;u_h=720&;u_w=1280&;u_ah=680&;u_aw=1280&;u_cd=24&;u_sd=1.5&;dmc=8&;adx=50&;ady=6864&;biw=1263&;bih=577&;scr_x=0&;scr_y=4583&;eid=44759875%2C44759926%2C44759837&;oid=2&;pvsid=3809218741126604&;tmod=2001490458&;uas=0&;nvt=1&;ref=https%3A%2F%2Fprevencionsaludproactiv.com%2Fwp-admin%2Fpost.php%3Fpost%3D10559%26action%3Dedit&;eae=0&;fc=1920&;brdim=0%2C0%2C0%2C0%2C1280%2C0%2C1280%2C680%2C1280%2C577&;vis=1&;rsz=%7Cm%7CpoEebr%7Cp&;abl=XS&;pfx=0&;alvm=r20220829&;fu=128&;bc=31&;jar=2022-08-31-21&;ifi=17&;uci=a!h&;btvi=19&;fsb=1&;xpc=VTNgWRRprm&;p=https%3A//prevencionsaludproactiv.com&;dtd=10973" name="aswift_16" width="861" height="0" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" sandbox="allow-forms allow-popups allow-popups-to-escape-sandbox allow-same-origin allow-scripts allow-top-navigation-by-user-activation" data-google-container-id="a!h" data-google-query-id="CLDJtZWD8vkCFWDk5wMddk4L9A" data-load-complete="true" data-mce-fragment="1"></iframe></div></ins></div>								</div>
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									<p>El <strong>shock</strong> es un síndrome clínico de muy variada etiología, cuyo denominador común es la existencia de una hipoperfusión tisular.</p><p>Es muy importante realizar una <a href="https://prevencionsaludproactiv.com/2021/02/22/evaluacion-primaria-soporte-vital-en-trauma-phtls/">evaluación primaria</a> precoz, para actuar de manera eficaz en la fase reversible del cuadro.</p><p>El diagnóstico se basa en la disfunción de órganos y mala perfusión tisular que llevará al paciente a la hipotensión.</p><p>El manejo del paciente en shock requiere una monitorización de su estado hemodinámico y metabólico, así como el aporte adecuado de oxígeno, fluidos y fármacos vasoactivos.</p>								</div>
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Paula Rojas Hormazábal</p> 
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank" target="_blank" >RCP en Tiempos de COVID-19</a></h4>
<div class="pt-cv-content">REALIZAR RCP El paro cardíaco es una alteración eléctrica del ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank" target="_blank" >Tendinitis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank" target="_blank" >Superficies de Trabajo</a></h4>
<div class="pt-cv-content">CHARLA DE 5 MINUTOS Personas que han visualizado la charla ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank" target="_blank" >Riesgo Eléctrico</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank" target="_blank" >Primeros Auxilios</a></h4>
<div class="pt-cv-content">CHARLA DE 5 MINUTOS Personas que han visualizado la charla ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/01/18/maniobra-de-heimlich-charla-de-seguridad/" class="_blank" target="_blank" >Maniobra de Heimlich</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/12/07/ley-numero-21-156-desfibriladores-dea/" class="_blank" target="_blank" >Ley N° 21.156 Desfibriladores (DEA)</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2023/05/11/cuidados-de-enfermeria-en-cateterismo-vesical/" class="_blank" target="_blank" >Cuidados de Enfermería en Cateterismo Vesical</a></h4>
<div class="pt-cv-content">El cateterismo vesical es una técnica invasiva que se utiliza para insertar una sonda en la vejiga con fines terapéuticos ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2023/05/11/cuidados-de-enfermeria-en-cateterismo-vesical/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/27/via-intravenosa/" class="_blank" target="_blank" >Vía Intravenosa</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/27/fleboclisis/" class="_blank" target="_blank" >Fleboclisis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/17/paciente-con-acv-isquemico/" class="_blank" target="_blank" >Paciente con ACV Isquémico</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/07/caso-clinico-pae/" class="_blank" target="_blank" >Caso Clínico PAE</a></h4>
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