Summary
Samenvatting Taken als TMB bij interventies
- Course
- Institution
Samenvatting Taken als TMB bij interventies
[Show more]
Seller
Follow
mariebraspennincx
Content preview
Taken als TMB bij interventies1. Inleiding ........................................................................................................................................... 5
1.1 Histologie – anatomopathologie ............................................................................................. 5
1.2 Patiëntgebonden noodsituatie................................................................................................ 5
1.3 Procedures............................................................................................................................... 5
1.4 Ter herhaling ........................................................................................................................... 6
1.5 Taken – algemeen ................................................................................................................... 6
1.6 bloedwaarden afhankelijk van laboratorium .......................................................................... 7
2. Zonder geleide beeldvorming ......................................................................................................... 8
2.1 Centraal-veneuze-catheter...................................................................................................... 8
2.1.1 Reden van CVK................................................................................................................. 8
2.1.2 Complicaties .................................................................................................................... 8
2.1.3 Verloop plaatsen CVK ...................................................................................................... 8
3. Bij US-geleide interventies .............................................................................................................. 8
3.1 Taken bij US-geleide interventie ............................................................................................. 8
3.1.1 Toestelgebonden voorbereidingen ................................................................................. 8
3.1.2 Uitvoering & afronding .................................................................................................... 8
3.1.3 Patiënt verzorgen na interventie..................................................................................... 9
3.2 Thoraxdrainage........................................................................................................................ 9
3.2.1 Indicaties ......................................................................................................................... 9
3.2.2 Types drainages ............................................................................................................... 9
3.2.3 positionering patiënt ....................................................................................................... 9
3.2.4 Types abces ..................................................................................................................... 9
3.2.5 indicaties en contraindicaties thoraxpunctie ................................................................ 10
3.2.5.1 Indicaties ................................................................................................................... 10
3.2.5.2 Contraindicaties......................................................................................................... 10
3.2.6 Complicaties .................................................................................................................. 10
3.2.7 Steriele tafel .................................................................................................................. 10
3.2.8 procedure Thoraxdrainage ............................................................................................ 11
3.2.9 Drainagespecifiek materiaal .......................................................................................... 11
3.2.10 Post-interventie ............................................................................................................. 11
3.2.11 Drain verwijderen .......................................................................................................... 11
3.3 Biopsie ................................................................................................................................... 12
3.3.1 Indicaties ....................................................................................................................... 12
3.3.2 Positionering patiënt ..................................................................................................... 12
3.3.3 Steriele tafel .................................................................................................................. 12
3.3.4 Biopsiespecifiek materiaal ............................................................................................. 12
1
, 3.3.5 Post-interventie ............................................................................................................. 12
3.4 Acites-/ pleurapunctie ........................................................................................................... 12
3.4.1 Positionering patiënt ..................................................................................................... 12
3.4.2 Indicaties en Contraindicaties ....................................................................................... 13
3.4.2.1 Indicaties ................................................................................................................... 13
3.4.2.2 Contraindicaties......................................................................................................... 13
3.4.3 Complicaties .................................................................................................................. 13
3.4.4 Steriele tafel .................................................................................................................. 13
3.4.5 Punctiespecifiek materiaal ............................................................................................ 13
3.4.6 Procedure ...................................................................................................................... 14
3.4.7 Post-interventie ............................................................................................................. 14
3.5 Clipmarkering ........................................................................................................................ 14
3.5.1 Positionering patiënt ..................................................................................................... 14
3.5.2 Steriele tafel .................................................................................................................. 14
3.5.3 Punctiespecifiek materiaal ............................................................................................ 15
3.5.4 Post-interventie ............................................................................................................. 15
4. Bij CT-geleide interventies ............................................................................................................. 15
4.1 Patiëntengegevens pre-operatief (/interventie) ................................................................... 15
4.2 CT-toestel bedienen .............................................................................................................. 15
4.3 Voorbereiding patiënt ........................................................................................................... 15
4.4 Wortelinfiltratie ..................................................................................................................... 16
4.4.1 Positionering patiënt ..................................................................................................... 16
4.4.2 Steriele tafel .................................................................................................................. 16
4.4.3 CT toestel bedienen....................................................................................................... 16
4.4.4 Post-interventie ............................................................................................................. 16
4.5 Drainage ................................................................................................................................ 16
4.5.1 Positionering patiënt ..................................................................................................... 16
4.5.2 Steriele tafel .................................................................................................................. 16
4.5.3 Drainagespecifiek materiaal .......................................................................................... 17
4.5.4 Post-interventie ............................................................................................................. 17
4.6 Biopsie ................................................................................................................................... 17
4.6.1 Positionering patiënt ..................................................................................................... 17
4.6.2 Steriele tafel .................................................................................................................. 17
4.6.3 Biopsiespecifiek materiaal ............................................................................................. 17
4.6.4 Post-interventie ............................................................................................................. 17
5. Bij MR-geleide interventie (exotisch) ............................................................................................ 18
5.1 Prostaatbiopsie...................................................................................................................... 18
5.1.1 Patiëntengegevens pre-operatief (/interventie) ........................................................... 18
2
, 5.1.2 MR-toestel bedienen – Profylactisch antibioticum ....................................................... 18
5.1.3 Voorbereiding patiënt ................................................................................................... 18
5.1.4 Tafelopbouw.................................................................................................................. 19
5.1.5 Positionering patiënt op MRI onderzoekstafel.............................................................. 19
5.1.6 Materiaal ....................................................................................................................... 19
5.1.7 Biopsieweefselcassetten ............................................................................................... 20
5.1.8 Needle-guide houder neutrale instelling 0° - start........................................................ 20
5.1.9 Post interventie ............................................................................................................. 20
6. Bij interventionele angiografie ...................................................................................................... 21
6.1 Onderzoeksspectrum ............................................................................................................ 21
6.2 Toestelgebonden voorschriften ............................................................................................ 21
6.3 Mogelijkheden toestel........................................................................................................... 21
6.4 stralenbescherming volgens firma toestel ............................................................................ 21
6.5 Patiëntengegevens pre-operatief (/interventie) ................................................................... 22
6.6 Positionering patiënt ............................................................................................................. 22
6.7 Voorbereiden Contrasinjector............................................................................................... 22
6.8 Medicatie ............................................................................................................................... 22
6.9 Steriele instrumententafel dekken........................................................................................ 23
6.10 Materiaal bevochtigen – flushen........................................................................................... 23
6.11 instellingen Rö-toestel........................................................................................................... 24
6.12 TMB – instrumenteren .......................................................................................................... 24
6.12.1 S Kledijvoorschriften...................................................................................................... 24
6.12.2 Voor de procedure ........................................................................................................ 24
6.12.3 Tijdens procedure .......................................................................................................... 24
6.12.4 Na de procedure ............................................................................................................ 24
6.13 Verzorging punctieplaats....................................................................................................... 24
6.14 TMB – assisterende – NS ....................................................................................................... 25
6.14.1 Tijdens de procedure ..................................................................................................... 25
6.14.2 Na de procedure (01) .................................................................................................... 25
6.14.3 Na de procedure (02) .................................................................................................... 25
6.15 Na verwerking van de beelden .............................................................................................. 25
6.16 Stralenbescherming patiënt .................................................................................................. 26
6.17 Startpunctie ........................................................................................................................... 26
6.17.1 A. femoralis communis (AFC) ........................................................................................ 26
6.18 CO²-angiografie ..................................................................................................................... 26
7. Specifiek angiografisch onderzoek ................................................................................................ 26
7.1 Thrombolyse .......................................................................................................................... 26
7.1.1 Specificaties lyse ............................................................................................................ 26
3
, 7.1.2 Lysemedicament............................................................................................................ 26
7.1.3 Verloop lyseprocedure .................................................................................................. 27
7.2 Thrombectomie ..................................................................................................................... 27
7.2.1 Specificaties ................................................................................................................... 27
7.2.2 Speciale gebruiksregels ................................................................................................. 27
7.3 Chemoembolisatie van de lever ............................................................................................ 27
7.3.1 Specificatie Leverembolisatie (TACE) ............................................................................ 27
7.3.2 Specifiek materiaal ........................................................................................................ 28
7.3.3 Extra bescherming ......................................................................................................... 28
7.3.4 Specifiek medicament ................................................................................................... 28
7.3.5 Cytostaticum.................................................................................................................. 28
7.3.5.1 Doxorubicin ............................................................................................................... 28
7.3.6 Specifieke voorbereiding ............................................................................................... 28
7.3.7 Verloop TACE-procedure ............................................................................................... 29
7.3.8 Werking ......................................................................................................................... 29
7.3.9 Direxion and Direxion HI-FLO Torqueable Microcatheters ........................................... 29
7.4 PTCD ...................................................................................................................................... 30
7.4.1 Specifieke materialen .................................................................................................... 30
8. Beeldproductie en -verwerking ..................................................................................................... 30
8.1 Bediening toestel ................................................................................................................... 30
8.1.1 Arcadis Varic C-boog Siemens ....................................................................................... 30
8.1.1.1 Collimatie................................................................................................................... 31
8.2 Beelden verwerken................................................................................................................ 32
8.2.1 Subtractie ...................................................................................................................... 32
8.2.2 Standaard onderste ledematen..................................................................................... 32
8.2.3 Documentatie ................................................................................................................ 32
8.2.4 Vergroting gebruiken – meer detail zichtbaar .............................................................. 33
8.2.5 Vergroting gebruiken meer detail zichtbaar ................................................................. 34
8.3 Zaalinrichting ......................................................................................................................... 36
8.3.1 Angiografiezaal .............................................................................................................. 36
8.3.2 Voorbeeld Angiografie-inrichting Gö-Hei ...................................................................... 36
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mariebraspennincx. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $6.97. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52510 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now