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\author{FERNANDO DESJARDINES (FERDES)}
\pdfinfo{
  /Title (neonatologia.pdf)
  /Creator (Cheatography)
  /Author (FERNANDO DESJARDINES (FERDES))
  /Subject (NEONATOLOGÍA Cheat Sheet)
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{NEONATOLOGÍA Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{FERNANDO DESJARDINES (FERDES)} via \textcolor{DarkBackground}{\uline{cheatography.com/33925/cs/19537/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}FERNANDO DESJARDINES (FERDES) \\
  \uline{cheatography.com/ferdes} \\
  \end{tabulary}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 19th October, 2021.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{CONSTANTES VITALES}}  \tn
% Row 0
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FC & 120-160 lpm \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
FR & 40-60 \tn 
% Row Count 2 (+ 1)
% Row 2
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T° Rectal & 36.5-37.5°C \tn 
% Row Count 3 (+ 1)
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\mymulticolumn{2}{x{5.377cm}}{Engorn, B, Flerlage, J. Manual Harriet Lane de Pediatría. (20 ed.). España SLU: Elsevier; c2015.}  \tn 
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\begin{tabularx}{5.377cm}{x{2.33919 cm} x{2.63781 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{CARDIOLOGÍA}}  \tn
% Row 0
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FCF (0-7 días) & 95-160 (125) \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Presión arterial (Percentil 10-90) & PAS: 84-89 \{\{nl\}\}PAD: 39-41 \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Presión diferencial & PAS-PAD\{\{nl\}\}40-25 mmHg \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
PAM\{\{nl\}\}RN o Lactante prematuro & PAD+(presión diferencial/3) ó\{\{nl\}\}Edad gestacional en semanas +5 \tn 
% Row Count 9 (+ 4)
% Row 4
\SetRowColor{LightBackground}
S1 & BEII \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
S2 & BESI \tn 
% Row Count 11 (+ 1)
% Row 6
\SetRowColor{LightBackground}
S3 & punta o BEII \tn 
% Row Count 12 (+ 1)
% Row 7
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S4 & punta \tn 
% Row Count 13 (+ 1)
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\begin{tabularx}{5.377cm}{x{4.23045 cm} p{0.74655 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{PESO}}  \tn
% Row 0
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Peso extremadamente bajo al nacer (PEBN) & \textless{}1 000g \tn 
% Row Count 2 (+ 2)
% Row 1
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Peso muy bajo al nacimiento & \textless{}1 500g \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Peso bajo al nacimiento & \textless{}2 500g \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Pequeño para edad gestacional & \textless{}10 \% \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Grande para edad gestacional & \textgreater{}90 \% \tn 
% Row Count 8 (+ 1)
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\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{PUNTUACIONES APGAR}}  \tn
% Row 0
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\seqsplit{Puntuación} & 0 & 1 & 2 \tn 
% Row Count 2 (+ 2)
% Row 1
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FC & \seqsplit{Ausente} & \textless{}100 lpm & \textgreater{}100 lpm \tn 
% Row Count 4 (+ 2)
% Row 2
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Esfuerzo \seqsplit{respiratorio} & Apnea & Irregular, superficial o boqueadas & Vigoroso, llanto \tn 
% Row Count 7 (+ 3)
% Row 3
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Tono muscular & \seqsplit{Ausente} & Débil, tono pasivo & \seqsplit{Movimientos} activos \tn 
% Row Count 10 (+ 3)
% Row 4
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\seqsplit{Irritabilidad} refleja & \seqsplit{Ausente} & Gestos & Llora, tos o \seqsplit{estornudo} \tn 
% Row Count 13 (+ 3)
% Row 5
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Color & Azul, \seqsplit{pálido} & Acrocianosis & \seqsplit{Sonrosado} \tn 
% Row Count 16 (+ 3)
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\mymulticolumn{4}{x{5.377cm}}{Anesth Analg. 1953}  \tn 
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{ABSTINENCIA DE OPIÁCEOS}}  \tn
% Row 0
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W & Estado de vigilia: Wakefulness \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
I & Irritabilidad e insomnio \tn 
% Row Count 2 (+ 1)
% Row 2
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T & Temblores, cambios de T°, taquipnea, espasmos musculares (nerviosismo) \tn 
% Row Count 4 (+ 2)
% Row 3
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H & Hiperactividad, llanto agudo, hipo, hiperreflexia, hipertonía \tn 
% Row Count 6 (+ 2)
% Row 4
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D & Diarrea explosiva, diaforesis, succión desorganizada \tn 
% Row Count 8 (+ 2)
% Row 5
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R & Marcas de roce, dificultad respiratoria, rinorrea, regurggitación \tn 
% Row Count 10 (+ 2)
% Row 6
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A & Apnea, disfunción autonoma \tn 
% Row Count 11 (+ 1)
% Row 7
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W & Pérdida de peso: Weight los \tn 
% Row Count 12 (+ 1)
% Row 8
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A & Alcalosis respiratoria \tn 
% Row Count 13 (+ 1)
% Row 9
\SetRowColor{white}
L & Lagrimeo (fotofobia), letargo \tn 
% Row Count 14 (+ 1)
% Row 10
\SetRowColor{LightBackground}
S & Crisis convulsivas (Seizures), estornudos, moqueo nasal, sudoraciónm succión no productiva \tn 
% Row Count 17 (+ 3)
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Lesión de plexo & Nivel espinal afectado & Cuadro clínico \tn 
% Row Count 3 (+ 3)
% Row 1
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Parálisis de Erb-Duchenne (90\%) & C5-C6, en \seqsplit{ocasiones} C4 & Aducción y rot. int. del brazo \tn 
% Row Count 6 (+ 3)
% Row 2
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Paralisis total (8-9\%) & C5-D1, en \seqsplit{ocasiones} C4 & Afecta zona proximal del brazo, al antebrazo y a la mano\{\{nl\}\}Sd Horner si afecta D1 (ptosis, anhidrosis y miosis)) \tn 
% Row Count 13 (+ 7)
% Row 3
\SetRowColor{white}
Paralisis de Klumpke (2\textless{}\%) & C7-D1 & Mano flácida con escaso control. Sd de Horner si afecta D1 \tn 
% Row Count 17 (+ 4)
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\begin{tabularx}{5.377cm}{x{3.13551 cm} x{1.84149 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{CLASIFICACIÓN DEL RN SEGÚN PESO}}  \tn
% Row 0
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Término & 2500 - \textless{}4000 g \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Macrosómico & 4000g \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Bajo peso & \textless{}2500g \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Muy bajo peso & \textless{}1500g \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Extramadamente bajo peso & \textless{}1000g \tn 
% Row Count 6 (+ 1)
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Recto & 36.1-37.2°C \tn 
% Row Count 1 (+ 1)
% Row 1
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Bucal & 36.8-37°C \tn 
% Row Count 2 (+ 1)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{PERIMETRO CEFÁLICO}}  \tn
% Row 0
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Al nacer & 35cm +- 2cm \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Al primer año aumenta 12cm} \tn 
% Row Count 2 (+ 1)
% Row 2
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Tres primeros meses & Aumenta 2 cm/mes \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
4-6 meses & Amenta 1 cm/mes \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
6-12 meses & aumenta 0.5 cm/mes \tn 
% Row Count 5 (+ 1)
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\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{AUMENTO DURANTE EL PRIMER AÑO}}  \tn
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% Row Count 0 (+ 0)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{REFLEJOS}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{REFLEJO DE FIJACIÓN VISUAL} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{2}{x{5.377cm}}{REFLEJO DE SEGUIMIENTO VISUAL} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{2}{x{5.377cm}}{REFLEJO DE ORIENTACIÓN AUDITIVA} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{2}{x{5.377cm}}{REFLEJO DE BÚSQUEDA} \tn 
% Row Count 4 (+ 1)
% Row 4
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\mymulticolumn{2}{x{5.377cm}}{REFLEJO DE SUCCIÓN} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{REFLEJO DE DEGLUCIÓN} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{REFLEJO TÓNICO CERVICAL ASIMÉTRICO} \tn 
% Row Count 7 (+ 1)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{CÁLCULO DE LA PA EN NÑOS}}  \tn
% Row 0
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PAS & Número de años x 2 + 85\{\{nl\}\} peso en kg x 2 +90 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
PAD & (Número de años x 2 + 85 + 10)/2\{\{nl\}\} (peso en kg x 2 + 90 + 10)/2 \tn 
% Row Count 4 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{AUMENTO DE PESO POR DÍA DURANTE PRIMER AÑO}}  \tn
% Row 0
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{\bf{Trimestre}} & {\bf{g/día}} & {\bf{g/mes}} & {\bf{Promedio en g}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Primero & 25-30 & \seqsplit{750-900} & 800 \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Segundo & 20-25 & \seqsplit{600-750} & 600 \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Tercero & 15 & 450 & 500 \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Cuarto & 10 & 300 & 3000 \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\SetRowColor{LightBackground}
\mymulticolumn{4}{x{5.377cm}}{Al nacer, RN pesa 3000-3300g}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}----}
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\begin{tabularx}{5.377cm}{x{2.58804 cm} x{2.38896 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{REGLAS PARA CÁLCLO DE PESO IDEAL SEGÚN EDAD}}  \tn
% Row 0
\SetRowColor{LightBackground}
A partir del segundo año kd & Año de vida EDAD x 2 + 10 \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
De 3-12 meses kd & Edad en meses x 0.5 + 4.5 \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
De 1-5 años kg & Edad en años x 2 +8.5 \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
De 6-12 años kg & Edad en años x 3 + 3 \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{El peso al año de vida se DUPLICA a los 5 años y TRIPLICA A LOS 8 años~} \tn 
% Row Count 10 (+ 2)
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\begin{tabularx}{5.377cm}{x{2.14011 cm} x{2.83689 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{REGLA PARA OBTENER LA TALLA IDEAL EN NIÑOS}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{El promedio del RN es de 50 cm~} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Primeros 3 meses & aumenta 3cm/mes \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Cuarto y quinto mes & aumenta 2 cm/mes \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
Sexto al duodécimo & aumenta 1 cm/mes \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Al año tendrá entre 70-75 cm~} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Talla de nacimiento la DUPLICA al año y TRIPLICA a los 12 años~} \tn 
% Row Count 9 (+ 2)
% Row 6
\SetRowColor{LightBackground}
TALLA & Edad x 6 + 80\{\{nl\}\}Edad x 6 + 77 \tn 
% Row Count 11 (+ 2)
% Row 7
\SetRowColor{white}
Primer año & aumenta 25 cm \tn 
% Row Count 12 (+ 1)
% Row 8
\SetRowColor{LightBackground}
Segundo año & 12.5 cm \tn 
% Row Count 13 (+ 1)
% Row 9
\SetRowColor{white}
Tercer año & 8-10 cm \tn 
% Row Count 14 (+ 1)
% Row 10
\SetRowColor{LightBackground}
Cuarto año & 1 m \tn 
% Row Count 15 (+ 1)
% Row 11
\SetRowColor{white}
A partir del quinto año & 5cm/año \tn 
% Row Count 17 (+ 2)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{PERIMETRO CEFÁLICO}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{EDAD}} (meses) & {\bf{PC}} (cm) \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Nacimiento & 30 - 35 \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
3 & 40.4 \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
6 & 43.4 \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
12 & 46.0 \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
18 & 47.4 \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
24 & 49.0 \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
36 & 50.0 \tn 
% Row Count 8 (+ 1)
% Row 8
\SetRowColor{LightBackground}
48 & 50.5 \tn 
% Row Count 9 (+ 1)
% Row 9
\SetRowColor{white}
60 & 50.8 \tn 
% Row Count 10 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{MÉTODO CAPURRO PARA EDAD GESTACIONAL DEL RN}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/ferdes_1558054210_CAPURRO.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{PESO PARA LA EDAD GESTACIONAL}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/ferdes_1558054268_PESO PARA EDAD GESTACIONAL.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.37841 cm} p{0.66832 cm} x{1.16956 cm} x{0.96071 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{TEST DE SILVERMAN ANDERSON}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Signos clínicos}} & {\bf{0 Puntos}} & {\bf{1 punto}} & {\bf{2 Puntos}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Aleteo nasal & \seqsplit{Ausente} & Mínimo & Marcado \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Quejido espiratorio & \seqsplit{Ausente} & Audible con el \seqsplit{estetoscopio} & Audible \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
Tiraje intercostal & \seqsplit{Ausente} & Apenas visible & Marcado \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Retracción esternal (xifoides) & Sin \seqsplit{retracción} & Apenas visible & Marcado \tn 
% Row Count 12 (+ 3)
% Row 5
\SetRowColor{white}
Disociación \seqsplit{toracoabdominal} & \seqsplit{Sincronizado} & Retraso en la \seqsplit{inspiración} & Bamboleo \seqsplit{(paradójico)} \tn 
% Row Count 15 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\SetRowColor{LightBackground}
\mymulticolumn{4}{x{5.377cm}}{Evalúa dificultad respiratoria en el RN.  \newline  \newline 0 = sin dificultad respiratoria \newline 1-3 =  leve \newline 4-5 = dificultad moderada \newline 6-10 = grave}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.04425 cm} x{1.42018 cm} p{0.66832 cm} x{1.04425 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{ESCALA DE TAUSSIG}}  \tn
% Row 0
\SetRowColor{LightBackground}
 & 1 & 2 & 3 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Estridor & Leve & \seqsplit{Moderado} & \seqsplit{Intenso/ausente} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Entrada de aire & Leve disminución & \seqsplit{Disminuida} & Muy \seqsplit{disminuida} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
Color & Normal & \seqsplit{Normal} & Cianosis \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Retracciones} & Escasas & \seqsplit{Moderadas} & Intensas \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
\seqsplit{Conciencia} & Agitado si se molesta & \seqsplit{Ansioso} & Letargia \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\SetRowColor{LightBackground}
\mymulticolumn{4}{x{5.377cm}}{Valor 0 si "no" o "normal" \newline  \newline Leve: \textless{}5 \newline Leve-Moderado: 5-7 \newline Moderado: 7-8 \newline Grave: \textgreater{}8}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.08602 cm} p{0.4177 cm} x{1.37841 cm} x{1.29487 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{ESCALA DE WOODS-DOWNES}}  \tn
% Row 0
\SetRowColor{LightBackground}
 & 0 & 1 & 2 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Cianosis & No & Cianosis en aire ambiental & PO2\textless{}40 \% con puntas nasales \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
PaO2 & \seqsplit{70-100} & \textless{}70 mmHg (con aire) & \textless{}70 mmHg (con O2 al 40\%) \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Murmullo \seqsplit{inspiratorio} & \seqsplit{Normal} & Desigual & Disminuido o ausente \tn 
% Row Count 9 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Sibilancias} & No & Moderadas & Intensas (o ausentes) \tn 
% Row Count 11 (+ 2)
% Row 5
\SetRowColor{white}
Tiraje & No & Moderado & Marcado \tn 
% Row Count 12 (+ 1)
% Row 6
\SetRowColor{LightBackground}
Nivel de \seqsplit{consciencia} & \seqsplit{Normal} & Agitado & Estuporoso o en coma \tn 
% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\SetRowColor{LightBackground}
\mymulticolumn{4}{x{5.377cm}}{Asma, bronquiolitis, cuerpo extraño \newline  \newline Crisis leve: 0-3 \newline Crisis moderada: 4-5 \newline Crisis grave: \textgreater{}6}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{ESCALA DE WOOD-DOWNES-FERRES}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/ferdes_1558320657_Wood Downes Ferres Modificada.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Leve: 1-3 \newline Moderada: 4-7 \newline Severa: 8-14 \newline  \newline Para bronquiolitis \newline  \newline Si severa Ingresar a Críticos}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}