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Samenvatting Medicatielijst de zieke mens
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Medicatielijst – De Zieke MensInhoud
Anesthesie.............................................................................................................................................................................................................. 2
............................................................................................................................................................................................................................... 2
Hart- en vaatziektes................................................................................................................................................................................................ 3
Boezemfibrilleren................................................................................................................................................................................................ 3
Angina pectoris................................................................................................................................................................................................... 6
Hartinfarct........................................................................................................................................................................................................... 8
Hartfalen............................................................................................................................................................................................................. 9
Diabetes............................................................................................................................................................................................................... 12
Cholesterolverlagers......................................................................................................................................................................................... 20
Bloedstolling......................................................................................................................................................................................................... 23
Primaire hemostaseremmers............................................................................................................................................................................ 23
Secundaire hemostaseremmers........................................................................................................................................................................ 26
Longziekten.......................................................................................................................................................................................................... 29
,Anesthesie
Werking:
- Remming natriuminflux in zenuwen
- Actiepotentiaal bereikt de drempelwaarde niet
- Zenuw geeft geen (pijn)signaal door
, Hart- en vaatziektes
Boezemfibrilleren
Behandeldoelen:
1. Voorkomen dat stolselvorming plaatsvindt in atria.
Bij ChadsVasc score > 1 komt iemand in aanmerking voor antistollingsmedicijnen.
a. DOACs
b. Vitamine K-antagonisten
c. (heparines/LMWH)
2. Tegengaan van klachten die optreden door onregelmatige hartslag. Bijv. ervaren hartkloppingen of pompkrachtverlies (kan bijv. trap
niet meer op). Je kunt 2 dingen doen:
- Rhythm-control: boezemfibrilleren herstellen naar normale sinusritme. Kan op verschillende manieren:
o Elektrische shock
o Antiaritimica.
- Rate-control: accepteren dat boezemfibrilleren bestaat, maar voorkomen dat AV knoop stroompjes doorgeeft.
o Bètablokkers
o Non-dihydropyridines
o Digoxine
Bètablokkers
Soorten Metoprolol, propranolol, atenolol
Werking Selectief: antagoneren voornamelijk B1-receptoren
Non-selectief: antagoneren B1- en B2-receptoren
Indicatie Hypertensie
Bijwerking Verminderde inspanningstolerantie, orthostatische
hypotensie
Astmatische klachten, koude acra* en
doorbloedingsstoornissen
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