Summary
Samenvatting vitale parameters (M.De Winter)
- Course
- Institution
Duidelijke, uitgebreide samenvatting van de cursus: Verpleegkundig redeneren en handelen over het onderdeel vitale parameters.
[Show more]
Seller
Follow
mariekevandereecken
Reviews received
Content preview
Vitale parametersINHOUDSOPGAVE
VITALE FUNCTIES EN VITALE PARAMETERS
1. Vitale functies............................................................................................................................................ 7
Levensreddend handelen.................................................................................................................................7
Klinische situatie...............................................................................................................................................7
2. Vitale parameters...................................................................................................................................... 7
2.1 Soorten............................................................................................................................................................7
2.2 Belang.............................................................................................................................................................7
2.3 B-1 handeling..................................................................................................................................................8
1. Kern en schil.............................................................................................................................................. 9
Homiotherm.....................................................................................................................................................9
2. Thermoregulatiesysteem........................................................................................................................... 9
Daling lichaamstemperatuur..............................................................................................................................10
Stijging lichaamstemperatuur............................................................................................................................10
3. Meten v.d. lichaamstemperatuur............................................................................................................. 11
Rectale meting....................................................................................................................................................11
Orale meting.......................................................................................................................................................11
Axillaire meting...................................................................................................................................................11
Tympanische meting...........................................................................................................................................11
Slaaptemperatuurmeting....................................................................................................................................12
4. Normaalwaarden..................................................................................................................................... 12
Kinderen..............................................................................................................................................................12
Ouderen...............................................................................................................................................................13
5. Koorts...................................................................................................................................................... 13
Koortsaanval.......................................................................................................................................................13
3 stadia...........................................................................................................................................................13
6. Koortspatronen........................................................................................................................................ 14
Intermitterende koorts........................................................................................................................................14
Aanvalsgewijze koorts........................................................................................................................................14
Relapsing koorts..................................................................................................................................................14
Continue koorts...................................................................................................................................................14
1
,Vitale parameters
Symptomen van koorts.......................................................................................................................................15
Meest voorkomend.............................................................................................................................................15
7. Behandeling............................................................................................................................................. 15
Complicaties........................................................................................................................................................15
8. Hypothermie............................................................................................................................................ 16
Interventies: directe oorzaken wegnemen..........................................................................................................16
9. Hyperthermie........................................................................................................................................... 17
Complicaties........................................................................................................................................................17
Hyperthermie ≠ koorts........................................................................................................................................17
Interventies.........................................................................................................................................................17
10. Verpleegkundige interventies bij afwijkende temperatuur.....................................................................17
Interventies.........................................................................................................................................................17
1. Circulatie.................................................................................................................................................. 19
2. Begrippen................................................................................................................................................ 19
3. Meten v.d. pols........................................................................................................................................ 19
3.1 Locatie...........................................................................................................................................................19
3.2 Polskwaliteiten.........................................................................................................................................20
Polsfrequentie................................................................................................................................................20
Regelmaat v.d. pols........................................................................................................................................20
Kracht v.d. pols...............................................................................................................................................20
Gelijkmatigheid v.d. pols................................................................................................................................21
4. Normale en afwijkende waarden.............................................................................................................. 21
5. Aandachtspunten bij het meten v.d. pols.................................................................................................. 22
6. Verpleegkundige interventies bij een afwijkende pols..............................................................................22
6.1 Afwezigheid v.d. pols....................................................................................................................................22
6.2 Afwezige perifere pols...................................................................................................................................22
6.3 Tachycardie (HF > 100sl./min)......................................................................................................................22
6.4 Bradycardie (HF < 60sl./min)........................................................................................................................22
1. Begrippen................................................................................................................................................ 23
1.1 Druksysteem binnen de circulatie.................................................................................................................23
1.2 Systolische en diastolische druk....................................................................................................................23
Systolische druk..............................................................................................................................................23
Diastolische druk............................................................................................................................................23
2
,Vitale parameters
2. Normale en afwijkende bloeddrukwaarden.............................................................................................. 24
Volwassenen...................................................................................................................................................24
Ouderen..........................................................................................................................................................24
Kinderen.........................................................................................................................................................24
2.1 Afwijkende bloeddrukwaarden.....................................................................................................................24
Hypotensie......................................................................................................................................................24
Vasovagale syncope........................................................................................................................................25
Orthostatische hypotensie.............................................................................................................................25
Hypertensie....................................................................................................................................................25
Geïsoleerde hoge bloeddruk..........................................................................................................................25
Essentiële hypertensie....................................................................................................................................25
Pseudohypertensie.........................................................................................................................................25
3. Methoden van bloeddrukmeting.............................................................................................................. 26
3.1 Non-invasieve methode................................................................................................................................26
Manueel ausculatoire methode.....................................................................................................................26
Palpatiemethode............................................................................................................................................26
Automatische (oscillatoire) digitale bloeddrukmeter....................................................................................26
3.2 Invasieve methode........................................................................................................................................26
4. Korotkovtonen......................................................................................................................................... 26
Systolische druk..............................................................................................................................................27
Diastolische druk............................................................................................................................................27
5. Beïnvloedende factoren........................................................................................................................... 27
5.1 Hartminuutvolume (HMV) of de cardiac output (CO)...................................................................................27
Contractiliteit v.d. hartspier...........................................................................................................................27
Bloedvolume...................................................................................................................................................27
5.2 De vasculaire weerstand...............................................................................................................................27
Diameter.........................................................................................................................................................27
Mate van uitzetten en elasticiteit...................................................................................................................28
Viscositeit (stroperigheid) v.h. bloed.............................................................................................................28
5.3 Overige factoren...........................................................................................................................................28
Hormonen.......................................................................................................................................................28
Baro- en chemosensoren...............................................................................................................................28
Leefstijl............................................................................................................................................................28
Biologische factoren.......................................................................................................................................29
6. Aandachtspunten tijdens manuele meting................................................................................................ 29
6.1 Materiaal......................................................................................................................................................29
6.2 Plaats v.d. meting.........................................................................................................................................29
6.3 Installatie v.d. zorgvrager.............................................................................................................................29
6.4 Evidence based practice................................................................................................................................30
Bloeddruk bij kinderen...................................................................................................................................30
3
, Vitale parameters
Armhoogte......................................................................................................................................................30
Lig, zit of stand................................................................................................................................................30
Gekruiste benen.............................................................................................................................................30
Foute manchetmaat.......................................................................................................................................30
Praten tijdens de meting................................................................................................................................30
Mastectomie of lumpectomie........................................................................................................................31
Bloeddruk kan niet worden gemeten aan de bovenarmen...........................................................................31
Bloeddruk kan niet worden gemeten aan de armen.....................................................................................31
Korotkovtonen niet hoorbaar........................................................................................................................31
Links of rechts?...............................................................................................................................................31
Foutmelding elektronische bloeddrukmeting................................................................................................31
7. Verpleegkundige interventies bij afwijkende bloeddrukwaarden..............................................................32
7.1 Hypotensie....................................................................................................................................................32
Hypertensie.........................................................................................................................................................32
1. Gasuitwisseling........................................................................................................................................ 33
1.1 Diffusie..........................................................................................................................................................33
1.2 Homeostase..................................................................................................................................................33
2. In- en uitademen...................................................................................................................................... 33
2.1 Regeling v.d. ademhaling..............................................................................................................................33
2.2 De (ab)normale ademhaling.........................................................................................................................33
3. Meten v.d. ademhaling............................................................................................................................ 34
3.1 Frequentie.....................................................................................................................................................34
3.2 Regelmaat.....................................................................................................................................................35
3.3 Diepte............................................................................................................................................................35
Afwijkingen.....................................................................................................................................................35
3.4 Symmetrie.....................................................................................................................................................36
3.5 Hulpademhalingsspieren..............................................................................................................................36
3.6 Geluid............................................................................................................................................................36
3.7 Geur...............................................................................................................................................................36
3.8 Kleur v.d. huid...............................................................................................................................................36
4. Zuurstofsaturatie..................................................................................................................................... 36
4.1 Saturatiewaarden.........................................................................................................................................37
5. Meten van zuurstofsaturatie.................................................................................................................... 37
5.1 Pulse-oxymeter..............................................................................................................................................37
5.2 Aandachtspunten..........................................................................................................................................38
5.3 Indicatie.........................................................................................................................................................38
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 mariekevandereecken. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.34. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
60904 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now