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Samenvatting AFP 1

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AFP 1 - Cellen en bloedvoorziening

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  • May 13, 2021
  • 32
  • 2019/2020
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SAMENVATTING AFP

, Inhoud
1. Les 1 Kennis maken met klinisch redeneren...................................................................3
1.1 Betekenis klinisch redeneren en methodisch handelen.............................................3
1.2 Stappen klinisch redeneren.......................................................................................3
2. Les 2 Basis parameters................................................................................................... 4
2.1 Medische terminologie.............................................................................................. 4
2.2 Parameters................................................................................................................ 5
2.3 Homeostase.............................................................................................................. 6
2.4 Redeneerhulpmiddelen............................................................................................. 6
3. Les 3 Cel- en weefselleer................................................................................................8
3.1 Transport in het algemeen........................................................................................8
3.2 Diffusie, osmose en filtratie (passief transport).........................................................8
3.3 Actief transport......................................................................................................... 9
3.4 Oedeem, COD en KOD............................................................................................. 10
3.5 Perifeer oedeem...................................................................................................... 10
4. Les 4 Cel- en weefselleer en weefseltypen...................................................................11
4.1 Epitheel................................................................................................................... 11
4.2 Bindweefsel............................................................................................................. 11

1 4.3 Spierweefsel............................................................................................................
Samenvatting AFP 12
4.4 Zenuwweefsel......................................................................................................... 12
5. Les 5 Basis parameters................................................................................................. 14
5.1 AVPU....................................................................................................................... 14
6. Les 6 Vakblad opdracht................................................................................................ 14
7. Les 7 Bloed samenstelling............................................................................................ 15
7.1 Bloedcellen en hun eigenschappen.........................................................................15
7.2 Verhouding bloedcellen en plasma/serum...............................................................15
7.3 Stollingscascade...................................................................................................... 16
7.6 Lymfevatstelsel....................................................................................................... 17
8. Les 8 Bloed pathologie.................................................................................................. 18
8.1 Diepveneuze trombose............................................................................................ 18
8.2 Bloedgroepen.......................................................................................................... 18
9. Les 9 Cardiovasculair systeem......................................................................................19
9.1 Het hart................................................................................................................... 19
9.2 De kleine en de grote bloedsomloop.......................................................................20
9.3 Pre load, afterload en contractiliteit........................................................................20
9.4 Hartcyclus............................................................................................................... 20
9.5 Achterliggende mechanismen en normaalwaarden.................................................21
10. Les 10 Elektrofysiologie van het hart..........................................................................22


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, 10.1 Het prikkelgeleidingssysteem en de cardiac output..............................................22
10.2 Het autonome zenuwstelsel..................................................................................22
11. Les 11 Zuurstofbalans myocard..................................................................................23
11.1 Respiratie.............................................................................................................. 23
11.2 Zuurstof transport................................................................................................. 23
11.3 Doorbloedingsproblemen......................................................................................24
12. Les 12 Hypertensie..................................................................................................... 25
12.1 De bloeddruk......................................................................................................... 25
12.2 Bloeddruk verhogen.............................................................................................. 25
12.3 Bloeddruk verlagen............................................................................................... 26
12.4 Behandeling van hypertensie................................................................................27
12.5 Medicatie tegen hypertensie.................................................................................27
13. Les 13 Hartfalen.......................................................................................................... 28
13.1 Decompensatio cordis........................................................................................... 28
13.2 Linksdecompensatie.............................................................................................. 28
13.3 Rechtsdecompensatie........................................................................................... 28
13.4 Aandoeningen....................................................................................................... 29
14. Les 14 Standaarden en classificaties hartfalen...........................................................31
14.1 Onderscheiding ernst hartfalen.............................................................................31

2 Samenvatting AFP




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, 1. Les 1 Kennis maken met klinisch redeneren
Leerdoelen
De student:
1. Verwoordt welke deelvaardigheden nodig zijn voor een verantwoorde klinische
redenatie.
2. Laat zien welke leermiddelen mogelijk gebruikt kunnen worden binnen de lessen AFP.
3. Benoemt de relatie tussen klinisch redeneren en methodisch handelen.
4. Is zich bewust van de relatie tussen kennis van biomedisch domein en het klinische
besluitvormingsproces.


1.1 Betekenis klinisch redeneren en methodisch handelen
Klinisch redeneren is de vaardigheid om eigen observaties en interpretaties te koppelen
aan medische kennis.
Methodisch handelen is het handelen volgens een vaste, weldoordachte manier om
daarbij op een zo effectief en efficiënt mogelijke wijze het doel te bereiken dat men voor
ogen heeft of dat nagestreefd moet worden.


1.2 Stappen klinisch redeneren
Klinisch redeneren: wat de zorggever doet om tot een beargumenteerde keuze te komen.
Je hebt de vaardigheid om eigen observaties en interpretaties te koppelen aan medische
kennis
Zes stappen:
1. Oriëntatie op situatie/klinisch beeld → Er is iets aan de hand!
2. Klinische probleemstelling → Wat is er mis met mijn patiënt?
3. Aanvullend klinisch onderzoek → Welk aanvullend onderzoek is nodig?
4. Klinisch beleid → Wat moet ik doen?
5. Klinisch verloop
3 Samenvatting AFP → Wat kan ik hiervan verwachten?
6. Nabeschouwen → Evaluatie




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