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Samenvatting ProActive Nursing: klinische problematiek inzichtelijk, ISBN: 9789058758620 Neurologische controles
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Samenvatting Neurologische controles
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Neurologische controlesHet doel van neurologische controles is het signaleren van neurologische achteruitgang.
Daarbij kijk je naar het bewustzijnsniveau en geeft het een eventueel beeld van de ernst van
de situatie met name bij verhoogde hersendruk /inklemming.
Bewustzijn
Onder bewustzijn verstaan we een aantal dingen, namelijk
- Waarneming
- Gedachten
- Gevoelens
- Intenties waar men zich van bewust is
Emoties
-
Anatomie bewustzijn
Reticulaire formatie
Activeert cortext via ascenderende banen op verschillende subcortiale gebieden.
Thalamus
Schakelstation en filtert binennkomende informatie.
Cerebrale cortex
Verantwoordelijk voor inhoud van bewustzijn. Regelt cognitieve functie.
Inklemming
Verschuiving van hersenmassa
Tentorieel
Mesencephalon komt in de knel
Bewustzijn, ademhaling en pupilreactie
Tonsillair
Cerebellum duwt omhoog richting achterhoofdsgat.
Ademhalingsveranderingen
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