Summary
Samenvatting centrale veneuze toegangswegen
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samenvatting van centrale veneuze toegangswegen, gebaseerd op de nieuwste interventies
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Samenvatting CVCWaarom 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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