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Samenvatting Circulatie VMV2 volledig met foto's

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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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  • April 12, 2023
  • 40
  • 2022/2023
  • Summary
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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

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, 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)



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