, Wondinfecties (na 5 à 10 dagen) Tekort asepsis peroperatief Koorts Wonde openen (zuiveren,
Verhoging pols + AH draineren, spoelen, enz.)
Wondgebied: tekenen lokale Medicatie
infectie Afkoeling
Eventueel hemoculturen
Wonddehiscentie (Uiteenwijken van Wondinfecties Arts
de wondranden) Paralytische ileus Wonde steriel afdekken
Sepsis Voorbereiden preoperatief
Hoge druk in het abdomen sluiten
Slechte wondheling ZV niet alleen laten
Wondevisceratie (Uiteenwijken van Idem wond dehiscentie Idem wond dehiscentie
de wondranden en Inhoud niet in het abdomen
organen puilen uit) duwen (afdekken met steriele
doeken)
Obstructie ademhalingswegen Braken, slijmen, achterover Cyanose Aspireren
vallen tong Dyspnoe/apneu Mondpijpje eventueel
Anesthesieproducten Angst beademenen
Spasmen/oedeem larynx of Snelle hartslag Anesthesist bij larynxspasmen
bronchus Onvoldoende zuurstofsaturatie Medicatie en intubatie voorzien
en zuurstof
Bloedingen Loskomen/beschadiging Bleek, angstig, onrustig Arts verwittigen
bloedvat Hypotensie, snelle zwakke pols, Bloedtransfusie
Stollingsstoornissen snelle ademhaling Hemostatica, stollingsfactoren
Hypertensie Syncopale neigingen IJs, druk, zuigkracht drain
Te sterke zuigkracht drain Opgezet litteken, bloed braken, verminderen
anaal bloedverlies, via drain, Eventueel platleggen (shock)
wondnaad… Observatie
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