Summary
Samenvatting Circulatie VMV2 volledig met foto's
een volledige samenvatting van het onderdeel 'circulatie' van het vak 'verpleegkundige methodiek en vaardigheden 2' van de Vives Brugge PBA Verpleegkunde. Volledig samengevat met verwijzingen naar het boek en met bijhorende afbeeldingen en tekeningen om het visueel makkelijker te maken!
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Uploaded on
April 12, 2023
Number of pages
40
Written in
2022/2023
Type
Summary
verpleegkunde
circulatie
bloedafname
Institution
Katholieke Hogeschool VIVES (VIVES)
Education
Bachelor Verpleegkunde
Course
Verpleegkundige Methodiek En Vaardigheden 2 (B5D700)
All documents for this subject (21)
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CIRCULATIE
Inhoud
Samenstelling van het bloed.................................................................................... 4
Inleiding......................................................................................................... 4
Vaste bloedbestanddelen....................................................................................4
Hematopoëse................................................................................................ 4
Erytrocyten................................................................................................... 5
Leukocyten................................................................................................... 5
Trombocyten................................................................................................ 6
bloedplasma..................................................................................................... 7
stollingsstoornissen.............................................................................................. 7
bloeding.......................................................................................................... 7
trombocytopenie............................................................................................ 7
Hemofilie A en B............................................................................................ 8
Ziekte van Von Willebrand............................................................................... 8
Trombocytose................................................................................................... 9
Anemie.............................................................................................................. 9
Anemie ten gevolge van gestoorde aanmaak............................................................9
Beenmerg- en stamcelafwijkingen.....................................................................9
Tekort aan productiefactoren..........................................................................10
Anemie ten gevolge van een gestoorde afbraak........................................................11
Intracellulaire factoren................................................................................... 11
Extracellulaire factoren.................................................................................. 11
Anemie ten gevolge van verhoogd bloedverlies.......................................................12
Immuniteit........................................................................................................ 12
1
, Niet-specifieke immuniteit................................................................................ 12
Specifieke immuniteit....................................................................................... 14
Perifere bloedafname........................................................................................... 14
Capillaire bloedafname..................................................................................14
Arteriële bloedafname.................................................................................... 15
Perifere veneuze bloedafname.........................................................................15
Pre-analytische variabelen.................................................................................16
Het bloedafnamesysteem................................................................................... 16
Zuigtangsysteem.......................................................................................... 16
Vacuümsysteem........................................................................................... 16
Vleugelnaald................................................................................................ 17
Veiligheidssysteem........................................................................................ 17
Bloedtubes..................................................................................................... 18
Serum........................................................................................................ 18
Citraat........................................................................................................ 18
Lithium-Heparine........................................................................................ 18
EDTA......................................................................................................... 18
Natriumfluoride........................................................................................... 18
Stollingsactivatoren...................................................................................... 18
Hemoculturen.............................................................................................. 18
Volume bloed tube........................................................................................ 19
Volgorde tubes vullen....................................................................................19
Geschikte plaatsbepaling...................................................................................19
Eigenschappen van een vene die in aanmerking komt...........................................19
Te vermijden punctieplaatsen.........................................................................20
Basisprincipes bij bloedafname..........................................................................20
Hygiëne en asepsis....................................................................................... 20
2
, Veiligheid................................................................................................... 20
Beleving...................................................................................................... 21
Comfort...................................................................................................... 21
Zelfzorg en inspraak...................................................................................... 21
Ergonomie.................................................................................................. 21
Economie.................................................................................................... 21
Ecologie...................................................................................................... 21
Procedure....................................................................................................... 21
Aandachtspunten............................................................................................ 22
Kort stuwen................................................................................................ 22
Vene zichtbaar of voelbaar maken....................................................................22
Huid ontsmetten.......................................................................................... 22
Mengen bloedstalen met additief.....................................................................22
Hemoculturen............................................................................................. 22
Mogelijke problemen........................................................................................ 23
Wat bij een prikaccident?................................................................................... 23
Interpretatie labowaarden.................................................................................... 23
Medisch belang van bloedanalyses.......................................................................23
soorten bloedanalyses....................................................................................... 24
Referentiewaarden.......................................................................................... 24
Maateenheden................................................................................................ 24
Analysegroepen............................................................................................... 25
Hematologie............................................................................................... 25
Biochemie................................................................................................... 31
Lipiden....................................................................................................... 36
Eiwitten..................................................................................................... 37
Serologie.................................................................................................... 38
3
, Endocrinologie............................................................................................ 38
Drugmonitoring........................................................................................... 38
Toxicologie................................................................................................. 38
Microbiologie.............................................................................................. 38
Overzicht analysegroepen, referentiewaarden en tubes...............................................38
CIRCULATIE
Samenstelling van het bloed
Inleiding
Vrouwen: 4-5l
Mannen: 5-6l
7-8% lichaamsgewicht = 1/13
45% vaste bestanddelen en 55% bloedplasma
Vaste bloedbestanddelen
Hematopoëse
Vorming rode bloedcellen in rode beenmerg
o In wervels, borstbeen, ribben, schouderbladen, bekken en proximale delen
beenderen ledematen (platte beenderen van het lichaam)
Proces:
Voorlopercel: pluripotente stamcel
Verdere rijping in beenmerg of thymus (T-lymfocyten)
Mogelijk door proliferatie en differentiatie vd stamcellen
Gereguleerd door groei- en differentiatiefactoren
o Colony stimulating factors (CSF)
4