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Samenvatting V-lijn leerpaden + PPT

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 171 views  6 purchases
  • Course
  • V-lijn
  • Institution
  • Universiteit Gent (UGent)

Dit document omvat alle leerpaden van vlijn BA1 tot MA2. Ik raad je wel aan om de leerpaden en de video's zelfstandig te overlopen aangezien de beschrijving anders redelijk abstract zijn. Maar dit vormt een goede basis! Communicatie en klinisch consult zijn hierin niet opgenomen. Als je tight bu...

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Document information

  • January 13, 2022
  • January 19, 2022
  • 46
  • 2021/2022
  • Summary

Subjects

  • wondzorg
  • abdominaal oderzoek
  • ecg
  • ehbo
  • hematologie
  • infuus
  • injecties
  • orthopedisch onderzoek
  • locomotorisch onderzoek
  • neurologisch onderzoek
  • onderzoek man
  • nko
  • neus keel oor
  • oog
  • ophtalmologisch onderzoek
  • i

Written for

  • Universiteit Gent (UGent)
  • Geneeskunde
  • V-lijn
All documents for this subject (18)

1  review

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By: catherinaakporherhe • 1 year ago

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V-lijn: vaardigheden
1. Wondverzorging .............................................................................................................................. 4
2. Asepsis ............................................................................................................................................. 5
3. Abdominaal onderzoek ................................................................................................................... 5
4. Cardiovasculair ................................................................................................................................ 7
4.1 Bloeddruk ................................................................................................................................ 7
4.2 Bloedvaten............................................................................................................................... 7
4.3 Palpatie hart icterus/puntstoot ............................................................................................... 8
4.4 Hartauscultatie ........................................................................................................................ 8
5. Consultvoering en communicatie.................................................................................................... 8
6. ECG .................................................................................................................................................. 8
6.1 Het ECG: algemeen .................................................................................................................. 8
6.2 Positionering electroden: EXAMEN ......................................................................................... 9
6.3 Optimale vr optimale ECG-registratie ................................................................................... 10
7. EHBO .............................................................................................................................................. 10
7.1 Algemeen............................................................................................................................... 10
7.2 ABCDE principe ...................................................................................................................... 12
7.2.1 Algemeen....................................................................................................................... 12
7.2.2 Airway ............................................................................................................................ 13
7.2.3 Breathing ....................................................................................................................... 13
7.2.4 Circulation ..................................................................................................................... 14
7.2.5 Disability ........................................................................................................................ 14
7.2.6 Exposure/environment.................................................................................................. 15
7.3 Paniekaanval.......................................................................................................................... 15
8. Hemato .......................................................................................................................................... 15
9. Infuus ............................................................................................................................................. 16
9.1 Klaarmaken infuus ................................................................................................................. 16
9.2 Aanprikken infuus / verwijderen ........................................................................................... 17
9.3 Geven van medicatie via infuuszak ....................................................................................... 17
9.4 Geven van medicatie dmv bolusinjectie (snelle toediening medicatie) ............................... 17
10. Injecties ..................................................................................................................................... 18
10.1 Klaarmaken vd injectie .......................................................................................................... 18
10.2 Soorten injecties .................................................................................................................... 18
11. Orthopedisch onderzoek ........................................................................................................... 19

1

, 11.1 Algemeen............................................................................................................................... 19
11.2 Bovenste lidmaat ................................................................................................................... 19
11.2.1 Schouder ........................................................................................................................ 19
A. Palpatie schouder .............................................................................................................. 19
B. Actief en passief ................................................................................................................ 19
C. Weerstandtesten schouder ............................................................................................... 19
D. Specifieke testen schouder ............................................................................................... 20
E. Functionele testen schouder ............................................................................................. 20
F. Instabiliteitstesten ............................................................................................................. 20
11.2.2 Ellenboog ....................................................................................................................... 21
A. Inspectie en palpatie ......................................................................................................... 21
B. Weerstandstesten ............................................................................................................. 21
C. Specifieke testen ............................................................................................................... 21
11.2.3 Pols en hand .................................................................................................................. 21
A. Pols .................................................................................................................................... 21
B. Duim en vingers ................................................................................................................. 21
C. Specifieke testen ............................................................................................................... 21
11.3 Onderste lidmaat................................................................................................................... 22
11.3.1 Bekken en heup ............................................................................................................. 22
11.3.2 Knie ................................................................................................................................ 22
A. Specifieke testen: patellofemoraal strekapparaat ............................................................ 23
B. Specifieke testen: kniegewricht ........................................................................................ 23
C. Specifieke testen: stabiliteitstesten knie ........................................................................... 23
11.3.3 Enkel en voet ................................................................................................................. 23
A. Inspectie en bewegingsonderzoek .................................................................................... 23
B. Specifieke testen ............................................................................................................... 24
11.4 Wervelzuil .............................................................................................................................. 25
11.4.1 Cervicaal ........................................................................................................................ 25
11.4.2 Thoracaal ....................................................................................................................... 25
11.4.3 Lumbaal ......................................................................................................................... 26
12. Onderzoek man ......................................................................................................................... 26
12.1 Penis en scrotum ................................................................................................................... 26
12.2 Prostaat: rectaal toucher....................................................................................................... 27
13. Neurologisch onderzoek............................................................................................................ 27
13.1 Hogere corticale functies en onderzoek hals-nek ................................................................. 27
13.2 Craniale zenuwen .................................................................................................................. 28
2

, 13.3 Motoriek ................................................................................................................................ 30
13.4 Sensibiliteit ............................................................................................................................ 30
13.5 Reflexen ................................................................................................................................. 31
13.6 Coördinatie, gang, stand en evenwicht ................................................................................. 31
13.7 Ziektebeelden ........................................................................................................................ 32
14. NKO............................................................................................................................................ 32
14.1 Onderzoek hals ...................................................................................................................... 32
14.2 Onderzoek oor ....................................................................................................................... 32
14.3 Onderzoek neus..................................................................................................................... 33
14.4 Onderzoek mond en keel ...................................................................................................... 33
14.5 Verdere onderzoeken: evenwicht, nystagmus ...................................................................... 34
14.6 Leerdoelen NKO..................................................................................................................... 34
15. Oog ............................................................................................................................................ 34
15.1 Inspectie ................................................................................................................................ 34
15.2 Onderzoek visuele functie ..................................................................................................... 35
15.3 Onderzoek vd oogstand en oogmotiliteit.............................................................................. 35
15.4 Onderzoek van de pupilreflexen ........................................................................................... 36
15.5 Benaderingen en verzorging ve oogtrauma .......................................................................... 36
16. Inhalatietherapie en PEF ........................................................................................................... 37
16.1 Inhalatie systemen: voor en nadelen .................................................................................... 37
16.2 Specifieke voorbeelden ......................................................................................................... 38
17. Thorax ........................................................................................................................................ 41
17.1 Inspectie ................................................................................................................................ 41
17.2 Auscultatie ............................................................................................................................. 41
17.3 Percussie ................................................................................................................................ 41
17.4 Stemfrenitus .......................................................................................................................... 41
18. Taping ........................................................................................................................................ 41
19. Urinaire katheterisatie .............................................................................................................. 42
19.1 Mannelijke ptn ...................................................................................................................... 43
19.2 Vrouwelijke ptn ..................................................................................................................... 43
20. Verloskundige vaardigheden ..................................................................................................... 43
21. Vrouw onderzoek ...................................................................................................................... 43
22. Venenpunctie ............................................................................................................................ 44
23. Wondhechting ........................................................................................................................... 45
24. Urine sediment .......................................................................................................................... 45


3

, 1. Wondverzorging
• Handhygiëne
o Wassen, ontsmetten, handschoenen
o Alcohol 30sec laten opdrogen
• Amputatie afgerukte vinger
o Vinger in plastiek zakje en in zakdoek → in ijswater leggen
o NIET in mond steken (wel bij uitgekatapulteerde tanden)
• Bloedingen
o Veneus: drukverband, lidmaat in hoogte
o Arterieel: rechtstreekse druk met vuist → stevige + langdurige compressie
▪ Knevel: proximaal, max 60min
• Ontsmetten
o Alcohol: op intacte huid (isopronanolol)
o Chloorhexidine: gram+
▪ Hibidil: waterige oplossing
▪ Hibitane: alcoholpreparaat
o Chloorverbindingen: geur werend
o Jodiumverbindingen: breed spectrum
o Waterstofperoxide: zeer vuile wonden zuiveren
o GEEN eosine of ether
• Antigif: 070/245.245
• Verbanden
o Zwachtel/spiraal/circulair: fixatie, immobilisatie → oog, arm, vinger, been
o Kruis/korenaar: steun en druk → onderarm, hand, vinger, vingertop, schouder
o Scharnier: ondersteuning + enige beweging → knie, ellenboog
o Driehoek/mitella: hand, voet, ellenboog, hoofd
Brandwonden
• Brandwonde: stromend water 20min, niet op wonde zelf
o Graad 1: epiderm, pijn, geen blaren → 3-4d
o Graad 2 opp: boven talgklier, pijn, blaren → 2-3w, zonder litteken
o Graad 2 diep: onder talgklieren, blaar, weinig pijn → 3w, met litteken
o Graad 3: lederachtig, geen pijn → maanden, met litteken → ziekenhuisopname
• Evaluatie brandwonde
o Steeds opname: luchtwegen, gezicht, handen/voeten, genitalia
o Opname: >15% diepe 2e of >2/3% 3e




• Chemische brandwonden: antigif centrum




4

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