Summary
Samenvatting VZOM Zorgthema 3 Wondzorg
- Course
- Institution
Samenvatting van 42 pagina's voor het vak VZOM Zorgthema 3 Wondzorg aan de KdG
[Show more]
Seller
Followchelseysluyts
Reviews received
Content preview
1 De huid................................................................................................................................................52 Definitie wonde...................................................................................................................................5
3 Wondgenezingsproces.........................................................................................................................5
3.1 Ontstekingsfase (0 tot 6 d)............................................................................................................6
3.1.1 Opruimfase............................................................................................................................6
3.1.2 Klinische tekens ontstekingsfase...........................................................................................6
3.2 Proliferatie of granulatiefase (3 tot 24 d).....................................................................................6
3.3 Maturatiefase (tot 6 mnd)............................................................................................................7
3.4 Littekenvorming............................................................................................................................7
3.4.1 Stoornissen in littekenvorming..............................................................................................7
4 Types wondgenezing...........................................................................................................................7
4.1 Genezing pet primam...................................................................................................................7
4.2 Genezing per secundam...............................................................................................................8
4.3 Regeneratieve wondgenezing van een oppervlakkige wonde......................................................8
5 Indeling van wonden...........................................................................................................................8
5.1 Uitzicht en vorm...........................................................................................................................8
5.2 Oorzaak.........................................................................................................................................8
5.2.1 Traumatische wonden...........................................................................................................8
5.2.1.1 EHBO – Mechanische wonden: Algemeen......................................................................9
5.2.1.2 EHBO – Thermale wonden – Algemeen........................................................................10
5.2.1.3 EHBO – Chemische wonden..........................................................................................10
5.2.1.4 EHBO – Stralingswonden..............................................................................................10
5.2.2 Iatrogene wonden...............................................................................................................10
5.2.3 Chronische wonden.............................................................................................................10
5.2.4 Ulcera...................................................................................................................................11
5.3 Infectiegraad...............................................................................................................................11
5.3.1 Besmette of gecontamineerde wonde.................................................................................11
5.3.2 Gekoloniseerde wonde........................................................................................................11
5.3.3 Kritisch gekoloniseerde wonde............................................................................................12
5.3.4 Geïnfecteerde wonden........................................................................................................12
5.3.5 Grens tussen kolonisatie en infectie....................................................................................13
5.3.6 Een goede wondverzorging.................................................................................................13
5.4 Kleur, exsudaat (vochtig of droog) en diepte..............................................................................13
5.4.1 Principes van TIME-Concept................................................................................................14
6 Wondgenezing...................................................................................................................................15
6.1 Beïnvloedende factoren.............................................................................................................15
1
, 6.1.1 Factoren eigen aan de wonde..............................................................................................15
6.1.2 Factoren eigen aan de patiënt.............................................................................................15
7 Diagnostiek van de wonde.................................................................................................................16
7.1 Wondbeeld.................................................................................................................................16
7.2 Patiëntbeeld...............................................................................................................................16
8 Wondverzorging................................................................................................................................17
8.1 Doel............................................................................................................................................17
9 Materiaalkennis.................................................................................................................................17
9.1 Verbandmaterialen.....................................................................................................................17
9.1.1 Actief/passief verband.........................................................................................................17
9.1.2 Passieve verbandmiddelen..................................................................................................18
9.1.2.1 Gaaskompres................................................................................................................18
9.1.2.2 Absorberend verband...................................................................................................19
9.1.2.3 Kant en klaar verband...................................................................................................19
9.1.2.4 Geïmpregneerd verband zonder medicinale toevoeging..............................................20
9.1.3 Secundair verband en/of fixatiemateriaal...........................................................................20
10 Wondhechting.................................................................................................................................20
10.1 Doel..........................................................................................................................................20
10.2 Hechtingsmateriaal...................................................................................................................21
10.2.1 Indeling..............................................................................................................................21
10.2.1.1 Haken of agraven........................................................................................................21
10.2.2 Hechtingsdraad..................................................................................................................22
10.2.2.1 Oppervlakkige of primaire hechtingen........................................................................22
10.2.2.2 Diepliggende of secundaire hecthing of steunhechtingen..........................................23
10.2.2.3 Wondlijm....................................................................................................................23
10.2.2.4 Zelfklevende sluitstrips...............................................................................................23
10.2.2.5 Externe fixator............................................................................................................24
10.2.2.5.1 Wondzorg............................................................................................................24
11 Wonddrainages...............................................................................................................................24
11.1 Definitie....................................................................................................................................24
11.2 Doel..........................................................................................................................................25
11.3 Soorten drainage......................................................................................................................26
11.3.1 Passieve drainage..............................................................................................................26
11.3.1.1 Tubulaire drain = open systeem..................................................................................26
11.3.1.2 Penrose of capillaire drain..........................................................................................27
11.3.1.3 Lamel..........................................................................................................................27
2
, 11.3.1.4 Tubulaire karteldrain..................................................................................................27
11.3.1.5 Drain van Kehr of T-drain............................................................................................28
11.3.1.6 Wieken........................................................................................................................29
11.3.2 Actieve drainage................................................................................................................29
11.3.2.1 Redondrainage............................................................................................................29
11.3.2.2 Jackson-Pratt...............................................................................................................31
11.4 Fixatiemogelijkheden drain......................................................................................................31
11.5 Aandachtspunten drain............................................................................................................31
11.6 Verzorging drain.......................................................................................................................31
12 Productkennis..................................................................................................................................32
12.1 Ontsmettingsmiddelen.............................................................................................................32
12.1.1 Wanneer is het zinvol de wonde te ontsmetten?..............................................................32
12.1.2 Keuze van het ontsmettingsmiddel....................................................................................32
12.1.3 Aanwijzingen bij het gebruik van alcoholische en waterachtige oplossingen....................33
12.1.4 Productkennis - Ontsmettingsmiddelen.............................................................................33
12.1.4.1 Alcoholen....................................................................................................................33
12.1.4.2 Chloorhexidine............................................................................................................34
12.1.4.3 Chloorverbindingen....................................................................................................34
12.1.4.4 Jodium en jodiumverbindingen..................................................................................34
12.1.4.5 HAC.............................................................................................................................35
12.1.4.6 Eosine.........................................................................................................................35
12.1.4.7 Azijnzuur.....................................................................................................................36
12.1.5 Besluit................................................................................................................................36
13 Wondspoeling..................................................................................................................................36
13.1 Soorten spoelvocht...................................................................................................................36
13.1.1 Chloramine-T 0.5% in waterige oplossing (Dakin-oplossing).............................................36
13.1.2 Hibidil®................................................................................................................................37
13.1.3 Iso-betadine® dermicum.....................................................................................................37
13.1.4 Azijnzuur 2%......................................................................................................................37
13.1.5 NaCl 0.9% of fysiologische oplossing.................................................................................37
13.1.6 Antibiotica..........................................................................................................................38
13.2 Gevaren en moeilijkheden bij het spoelen...............................................................................38
13.3 Soorten wondspoeling..............................................................................................................38
13.3.1 Onderbroken- of gefractioneerde wondspoeling..............................................................38
13.3.2 Semi-onderbroken spoeling...............................................................................................38
13.3.3 Ononderbroken- of permanente spoeling.........................................................................38
3
, 14 Staalname........................................................................................................................................39
14.1 belangrijk stadia........................................................................................................................39
14.2 Techniekbeschrijving................................................................................................................39
14.2.1 Wisser................................................................................................................................39
14.2.2 Aspiraat..............................................................................................................................39
14.3 Cultuur......................................................................................................................................40
14.4 Gramkleuring............................................................................................................................40
14.5 Antibiogram..............................................................................................................................40
15 Postoperatieve wondinfecties.........................................................................................................41
15.1 Infectiegebied...........................................................................................................................41
15.2 Soorten.....................................................................................................................................41
15.2.1 Oppervlakkige incisionele wondinfecties...........................................................................41
15.2.2 Diepe incisionele wondinfecties........................................................................................41
15.2.3 Postoperatieve infectie van een orgaan of lichaamsholte.................................................41
15.3 Bepaling van infectierisico........................................................................................................41
15.4 Preventie postoperatieve wondinfecties..................................................................................42
15.5 Reglement operatiekamer........................................................................................................42
Wondzorg
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 chelseysluyts. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $5.90. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53340 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now