Intramurale Zorg Fysiotherapie aantekeningen compleet jaar 2, inclusief extra oefeningen +casuïstiek per hoofdstuk.
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Course
Hoorcolleges Intramurale Zorg (GIBSIZ)
Institution
Hogeschool Utrecht (HU)
Hoorcolleges Intramurale Zorg
hart-pathofysiologie, dynamiek bloed, longaandoeningen + dyspnoe, inspanningsfysiologie, cognitieve functies, hartfalen + revalidatie en dementie.
In totaal 13 hoofdstukken inclusief extra oefeningen bij elk hoofdstuk (al ingevuld zodat je het na kan kijken). Inclu...
Inhoud
HC1.........................................................................................................................................................3
Slagvolume: omhoog..........................................................................................................................3
Fasen van de hartcyclus:.....................................................................................................................4
HC 2 Hart Pathofysiologie.......................................................................................................................8
Pijn op de borst:.................................................................................................................................8
Anamnese:..........................................................................................................................................8
Angina pectoris:..................................................................................................................................8
Therapie AP........................................................................................................................................9
Behandeling......................................................................................................................................10
Verwerking.......................................................................................................................................11
HC 3 pathofysiologie en herstel............................................................................................................13
CVA:..................................................................................................................................................13
Cirkel van Willis................................................................................................................................13
Verwerking.......................................................................................................................................15
HC 4 Samenstelling en dynamiek van bloed.........................................................................................16
EPO (Erytropoëtine)..........................................................................................................................16
Plasma..............................................................................................................................................18
Lever:................................................................................................................................................19
Verwerking.......................................................................................................................................20
HC5 Longaandoeningen........................................................................................................................23
HC 6 ernstige dyspnoe..........................................................................................................................24
Oorzaken dyspnoe:...........................................................................................................................24
Verwerking.......................................................................................................................................26
HC7 dypsnoe en sputumretentie..........................................................................................................28
Mucus...............................................................................................................................................28
Anamnese voor mucus.....................................................................................................................29
Verwerking.......................................................................................................................................30
HC8 Klinische inspanningsfysiologie.....................................................................................................31
De 4 fysiologische beperkende factoren:.........................................................................................31
Leerdoelen........................................................................................................................................32
HC9 Cognitieve functie.........................................................................................................................33
Linker hemisfeer...............................................................................................................................33
, Rechter hemisfeer:...........................................................................................................................34
Leerdoelen........................................................................................................................................35
HC10 Hartfalen en Klepafwijkingen......................................................................................................37
Pathofysiologie:................................................................................................................................38
Linksfalen:.........................................................................................................................................38
Verwerking.......................................................................................................................................39
HC11 Hartrevalidatie............................................................................................................................40
Max inspanningstest:........................................................................................................................40
Anamnese:........................................................................................................................................41
Vragenlijsten.....................................................................................................................................41
Trainingsschema:..............................................................................................................................41
HC 12 technologie in de revalidatie......................................................................................................43
Geen aantekeningen nodig...............................................................................................................43
HC 13 Dementie....................................................................................................................................44
Leerdoelen:.......................................................................................................................................45
,HC1
Arteria pulmonalis, O2 arm bloed, rechterventrikel.
Systole: Ventrikels trekken samen, bloed wordt weggepompt.
Ejectiefase = uitstroming bloed richting lichaam
Isovolumetrische contractiefase
Diastole:
Ventrikels ontspannen, bloed stroomt naar binnen
Via Sinus Coronarius: (verzamelt bloed)
koppelt bloed terug naar rechter atrium
slagvolume in rust bijv. 80 ml.,
einddiastolisch volume 120 ml.
dan ejectiefractie = 80/120= 67 %
Slagvolume: omhoog
Grotere ventrikels
Sterkere hartspieren
Zenuwstelsel - Sympathicus – groter Slagvolume (inspanning)
Frank-Starling principe: (grotere vulling in het hart, geeft een krachterige pomp slagvolume
omhoog.)
Prikkel ontstaat in de Sinusknoop (SA-knoop)
Intrisieke HF – eigen frequentie hart. Rond de 100/110 per minuut.
HF Sinustritme normaal gesproken:
Rust: 50-80 slagen/min,
Maximaal: 220-leeftijd
Invloed van o.a. inspanning, stress en ontspanning.
Sinusknoop ontladingen:
, Directe prikkeloverdracht: tussen myocardcellen (hartcellen) via nexus-verbindingen.
Geleidingssysteem hart:
SA knoop
AV knoop
Vertraging (zodat het atria kunnen vullen) Pacemaker = sinusknoop
Pacemaker (30-40 actiepotentialen per min.)
Bundel van His
Snelle impulsgeleiding
Pacemaker
Purkinjevezels
Ventrikelspiervezels
P = depolarisatie atria
QRS = depolarisatie ventrikels
T = repolarisatie ventrikels
Fasen van de hartcyclus:
Atriumcontractie (hoort bij diastole)
Ventrikelcontractie – Systole
Isovolumetrische contractiefase
Ejectiefase
Diastole:
Isovolumetrische relaxatie
Vullingsfase
Volgende Atriumcontractie
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