Summary
volledige samenvatting cursus VRHv6 (kritieke patiënt) + notities
Wenst u een gestructureerde samenvatting over de module VRHv6 / kritieke patiënt + notities uit de les.
Met deze samenvatting van 124 pagina's, vanuit een cursus van 800+ pagina's, spaart u enorm veel tijd uit bij het leren voor het examen.
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Uploaded on
April 1, 2021
Number of pages
124
Written in
2019/2020
Type
Summary
vrhv6
verpleegkunde
kritieke patiënt
samenvatting
artevelde
Institution
Arteveldehogeschool (Artevelde)
Education
Bachelor Verpleegkunde
Course
VRHv6
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INHOUDSTABEL
LEERPAD AB : OPERATIEKWARTIER ........................................................................................................................................ 8
1. INLEIDING........................................................................................................................................................................... 8
2. INTUBATIE .......................................................................................................................................................................... 9
2.1. MATERIAAL ............................................................................................................................................................... 9
2.2. MEDICATIE ................................................................................................................................................................. 9
2.3. PROCEDURE INTUBATIE (= nuchtere pt)............................................................................................................ 9
2.4. PROCEDURE CRUSH INDUCTIE (= niet nuchtere pt) ...................................................................................... 9
2.5. MATERIALEN OM LUCHTWEG VRIJ TE HOUDEN............................................................................................ 10
3. BLOEDPRODUCTEN ....................................................................................................................................................... 10
4. ANESTHESIE ..................................................................................................................................................................... 11
4.1. TEMPERATUURREGULATIE ................................................................................................................................. 11
4.2. SOORTEN ANESTHESIE ........................................................................................................................................ 11
4.3. POSITIONERING ......................................................................................................................................................12
5. DIATHERMIE TOESTEL ...................................................................................................................................................12
6. BLOEDLEEGTE APPARAAT/ GARROT / BAND VAN MARTELL OF ESMARCK .................................................12
7. RADIOPROTECTIE ............................................................................................................................................................13
8. CSA / CENTRALE STERILISATIE AFDELING .............................................................................................................13
9. EXTUBATIE.........................................................................................................................................................................13
10. POSTOPERATIEVE ZORGEN .................................................................................................................................... 14
LEERPAD AB: RESPIRATOIRE INSUFFICIËNTIE .................................................................................................................. 15
1. INLEIDING......................................................................................................................................................................... 15
1.1. BEGRIPPEN ............................................................................................................................................................. 15
1.2. RESPIRATIE ............................................................................................................................................................. 15
1.3. RESPIRATOIRE INSUFFICIËNTIE ........................................................................................................................16
1.4. VENTILATIE – PERFUSIE (VQ) VERHOUDING ..................................................................................................16
1.5. KRITIEKE SITUATIE .................................................................................................................................................16
2. BEADEMING / MECHANISCHE VENTILATIE..............................................................................................................17
3. BEADEMINGSMETHODEN / MODI ...............................................................................................................................17
3.1. NIET INVASIEVE BEADEMINGSVORMEN / NIV ...............................................................................................17
3.2. PARTERIËLE BEADEMINGSVORMEN : VOLUME (VS) OF DRUK (PS) ONDERSTEUNING .....................17
3.3. COMBINATIE VOLLEDIGE EN PARTERIËLE BEADEMINGSVORM ..............................................................17
3.4. VOLLEDIGE BEADEMINGSVORMEN : GECONTROLEERDE VOLUME / DRUK ......................................... 18
3.5. LAATSTE HULPMIDDELEN / OPTIES................................................................................................................. 18
4. WEANING ...........................................................................................................................................................................19
5. ZUUR BASE VERHOUDING ...........................................................................................................................................20
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,LEERPAD AB: ABDOMINALE HEELKUNDE............................................................................................................................21
1. INCISIES .............................................................................................................................................................................21
1.1. ABDOMINALE REGIO’S EXAMENVRAAG!!! .......................................................................................................21
1.2. LAPAROTOMIE VS LAPAROSCOPIE ...................................................................................................................21
1.3. ROBOT, SILS, NOTES, TEM, TaTME ..................................................................................................................... 22
1.4. TYPE HECHTING...................................................................................................................................................... 22
1.5. WONDCOMPLICATIES........................................................................................................................................... 22
2. DRAINS.............................................................................................................................................................................. 23
2.1. SOORTEN DRAINS (lezen) ................................................................................................................................... 23
3. HERNIA’S .......................................................................................................................................................................... 23
3.1. INLEIDING ................................................................................................................................................................ 23
3.2. VERSCHILLENDE PRIMAIRE HERNIA’S........................................................................................................... 23
3.3. LITTEKENHERNIA / HERNIA CICATRICALIS ...................................................................................................24
4. ABDOMINOPLASTIE .......................................................................................................................................................24
5. MAAG EN BARIATRIE ..................................................................................................................................................... 25
5.1. REFLUXPATHOLOGIE ........................................................................................................................................... 25
5.2. HIATALE HERNIA / MAAGBREUK ...................................................................................................................... 25
5.3. PEPTISCH ULCUS / MAAGZWEER ..................................................................................................................... 25
5.4. RESECTIE VD MAAG .............................................................................................................................................. 25
5.5. VERSCHIL GASTROSTOMIE / JEJUNOSTOMIE ............................................................................................... 26
5.6. BIATRIE / BIATRISCHE HEELKUNDE ................................................................................................................ 26
...................................................................................................................................................................................................... 27
6. GALWEGEN ...................................................................................................................................................................... 27
6.1. INLEIDING ................................................................................................................................................................ 27
6.2. GALBLAASSTENEN / CHOLECYSTOLITHIASIS .............................................................................................. 27
LEERPAD C: CIRCULAIRE PROBLEMEN ................................................................................................................................28
1. ANATOMIE ........................................................................................................................................................................28
2. CARDIALE CYCLUS ........................................................................................................................................................30
2.1. ELEKTRISCHE GELEIDING ..................................................................................................................................30
2.2. MECHANISCHE ACTIVITEIT ..................................................................................................................................31
2.3. TAAK ELEKTROLYTEN BIJ ACTIEPOTENTIALEN............................................................................................ 32
2.4. ECG ............................................................................................................................................................................ 33
3. BLOEDDRUK ................................................................................................................................................................... 34
3.1. BLOEDDRUKREGULATIE .................................................................................................................................... 34
3.2. INGRIJPEN OP VERKEERDE BLOEDDRUKREGULATIE .............................................................................. 34
3.3. BLOEDDRUKFORMULES EN DE VERSCHILLENDE VARIABELEN !!!! .......................................................35
4. RITMESTOORNISSEN .................................................................................................................................................... 37
4.1. WAT HEEFT GROTE INVLOED OP HART ............................................................................................................ 37
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, 4.2. INTERPRETEREN ECG .......................................................................................................................................... 37
4.3. SUPRAVENTRICULAIRE STOORNISSEN .........................................................................................................38
4.4. VENTRICULAIRE STOORNISSEN ...................................................................................................................... 40
4.5. GELEIDINGSSTOORNIS ........................................................................................................................................ 41
4.6. AFWIJKENDE ARTERIËLE CURVEN ..................................................................................................................42
5. SHOCK .............................................................................................................................................................................. 43
5.1. INLEIDING ............................................................................................................................................................... 43
5.2. HEMODYNAMISCHE MEDICATIE ....................................................................................................................... 43
5.3. SOORTEN SHOCK .................................................................................................................................................. 44
6. MONITORING ....................................................................................................................................................................47
6.1. NIET INVASIEVE MONITORING ...........................................................................................................................47
6.2. INVASIEVE MONITORING .....................................................................................................................................49
LEERPAD C: VAATHEELKUNDE ............................................................................................................................................... 52
1. VENEUS CIRCULATIE .................................................................................................................................................... 52
1.1. WERKING VENEN ................................................................................................................................................... 52
1.2. OPPERVLAKKIGE EN DIEPE VENEZE INSUFFICIËNTIE ............................................................................... 52
2. ARTERIËLE CIRCULATIE ...............................................................................................................................................53
2.1. INLEIDING ................................................................................................................................................................53
2.2. STENOSEREND VAATLIJDEN ............................................................................................................................ 54
2.3. ANEURYSMATISCH VAATLIJDEN ...................................................................................................................... 57
2.4. VAATDISSECTIES .................................................................................................................................................. 58
LEERPAD DE: NEFROLOGISCHE PROBLEMEN ................................................................................................................... 59
1. ANATOMIE EN PATHOLOGIE ........................................................................................................................................60
2. VPK HANDELEN EN REDENEREN BIJ PT MET NEUROLOGISCHE PROBLEMEN VOLGENS ABCDE ........ 62
2.1. AIRWAY AND BREATHING ................................................................................................................................... 62
2.2. CIRCULATION.......................................................................................................................................................... 62
2.3. DISABILITY = belangrijkste bij pt met neurologische problemen ............................................................. 63
2.4. ENVIROMENT EXPOSURE .................................................................................................................................... 65
3. VERPLEEGKUNDIG HANDELEN EN REDENEREN BIJ PTN MET DWARSLESIE ............................................. 66
3.1. PRIMAIRE STOORNIS ............................................................................................................................................ 66
3.2. SECUNDAIRE STOORNISSEN ............................................................................................................................. 66
3.3. RESPIRATOIRE STOONISSEN............................................................................................................................. 66
3.4. CIRCULATIESTOORNISSEN ................................................................................................................................ 67
3.5. TEMPERATUURSTOORNISSEN .......................................................................................................................... 67
3.6. STOLLINGSSTOORNISSEN ................................................................................................................................. 67
3.7. UROLOGISCHE PROBLEMEN ............................................................................................................................. 67
3.8. GASTRO-INTESTINALE STOONISSEN ..............................................................................................................68
3.9. GENITALE STOORNISSEN ...................................................................................................................................68
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, 3.10. SPACTICITEIT EN CONTRACTUREN .................................................................................................................68
3.11. DECUBITIS ...............................................................................................................................................................68
3.12. PIJN ...........................................................................................................................................................................68
LEERPAD DE: NEUROCHIRURGIE ........................................................................................................................................... 69
1. SCHEDELTRAUMA ......................................................................................................................................................... 69
1.1. INLEIDING ................................................................................................................................................................ 69
1.2. SCHEDELLETSEL : FRACTUREN ........................................................................................................................ 69
1.3. HERSENLETSELS .................................................................................................................................................. 70
1.4. TRAUMATISCHE HEMATOMEN ............................................................................................................................71
1.5. EVOLUTIE VAN SCHEDELTRAUMA’S ................................................................................................................ 72
2. SPONTANE INTRACRANIËLE BLOEDINGEN ........................................................................................................... 73
2.1. SPONTAAN INTRACEREBRAAL HEMATOOM (ICH) ....................................................................................... 73
2.2. SUBARACHNOÏDAE BLOEDING / HEMORRHAGIE (SAH) ............................................................................ 73
2.3. ARTERIOVENEUZE MISVORMING (AVM : ANGIOMA) ....................................................................................74
3. INTRACRANIËLE TUMOREN........................................................................................................................................74
3.1. SYMPTOMEN ...........................................................................................................................................................74
3.2. AARD VD TUMOR / NEUROPATHOLOGISCHE CLASSIFICATIE VOLGENS GRAAD ................................74
4. HYDROCEFALUS ............................................................................................................................................................. 75
5. FUNTIONELE NEUROCHIRURGIE ............................................................................................................................... 76
5.1. BEWEGINGSSTOORNISSEN -> ZIEKTE VAN PARKINSON .......................................................................... 76
5.2. SPASTICITEIT .......................................................................................................................................................... 76
5.3. PIJN -> TRIGEMINUS-NEURALGIE .................................................................................................................. 76
5.4. EPILEPSIE................................................................................................................................................................ 76
5.5. WAKKERE NEUROCHIRURGIE (asleep-awake-asleep) EXAMENVRAAG............................................. 76
6. SPINALE CHIRURGIE ..................................................................................................................................................... 77
6.1. SPINAAL TRAUMA ................................................................................................................................................. 77
6.2. SPINALE DEGENERATIEVE AANDOENINGEN ...............................................................................................78
LEERPAD DE: SPOEDGEVALLEN ............................................................................................................................................ 79
1. DRINGENDE GENEESKUNDIGE HULPVERLENING / DGH – KETEN ................................................................. 79
1.1. DE 3 PIJLERS BINNEN DE IN DE DGH ............................................................................................................... 79
1.2. SPOEDGEVALLENZORG IN BELGIË ................................................................................................................. 80
2. NOOD EN INTERVENTIEPLAN (NIP) .......................................................................................................................... 80
2.1. STRUCTUUR............................................................................................................................................................ 80
2.2. FASERING ............................................................................................................................................................... 80
2.3. VERSCHILLENDE DISCIPLINES......................................................................................................................... 81
2.4. COÖRDINATIE .........................................................................................................................................................82
2.5. INTERVENTIETERREIN .........................................................................................................................................82
2.6. MEDISCHE INTERVENTIEPLAN (MIP)...............................................................................................................83
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