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Samenvatting centrale veneuze toegangswegen

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samenvatting van centrale veneuze toegangswegen, gebaseerd op de nieuwste interventies

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  • Patiënt met centrale veneuze toegangswegen
  • May 31, 2021
  • 5
  • 2020/2021
  • Summary
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Samenvatting CVC



Waarom een CVC

 Bij Infuusvloeistoffen >500mOsm/l Bijvoorbeeld: TPN
 Irriterende stoffen Bijvoorbeeld: Antibiotica
 Snellere werking medicatie
 Meten CVD ( centraal veneuze druk)
 Geen mogelijkheid perifeer infuus




Verzorging (zie canvas)



 Semi transparant polyurethaanverband - 7dagen ter plaatse

• Controle insteekplaats

• Chloorhexidine 2% in 70% alcohol (organische materiaal 30 sec ontsmetten en 30 sec drogen/
kunststof 15 sec ontsmetten en 15 sec drogen)

• Spoelen tussen verschillende medicatie

• Wisselen leidingen 3 a 4 dagen bij continue vocht ( glucose 5%, NaCi 0.9%,..) , pijn medicatie,..

bij transfusie bv bloed leiding vervangen idem bij TPN of andere lipiden ( na 24 u)

• Steeds nieuwe steriele afsluitdopjes

, Soorten CVC




De acute centraal veneuze katheter ( niet getunnelde)

Getunnelde centraal veneuze katheter


Poort katheter: aanprikken met Hubernaald ( minder beschadiging als je de gummy aanprikt
van de poortkatheter, levensduur stijgt van de poortkatheter)



Volwassen

Hubernaald

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