Summary

zorgen aan het gastro-intestinaal stelsel VMV2 volledige samenvatting met foto's

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Course
Verpleegkundige Methodiek En Vaardigheden 2 (B5D700)

Institution
Katholieke Hogeschool VIVES (VIVES)

een volledige samenvatting van het onderdeel 'zorgen aan het gastro-intestinaal stelsel' 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 ma...

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Uploaded on April 12, 2023
Number of pages 41
Written in 2022/2023
Type Summary

verpleegkunde
gastro intestinaal

Institution
Katholieke Hogeschool VIVES (VIVES)
Education
Bachelor Verpleegkunde
Course
Verpleegkundige Methodiek En Vaardigheden 2 (B5D700)

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ZORG AAN HET GI-
STELSEL
Inhoud
Toedieningswegen................................................................................................ 6

Wettelijke bepalingen............................................................................................ 6

Klinische voeding................................................................................................. 7

Enterale voeding............................................................................................... 7

Indicaties..................................................................................................... 7

Contra-indicaties........................................................................................... 7

Soorten sondevoeding..................................................................................... 7

Soorten sondes.............................................................................................. 8

Voordelen en nadelen gastrostomie en jejunostomie............................................12

Toedieningswijzen sondevoeding.....................................................................12

Regels voor het toedienen van sondevoeding.......................................................14

Complicaties................................................................................................ 15

Plaatsen van een nasogastrische sonde.....................................................................15

Wettelijke bepalingen.......................................................................................15

Indicaties....................................................................................................... 15

Contra-indicaties............................................................................................. 16

Procedure....................................................................................................... 17

Voorbereiding.............................................................................................. 17

Neus-maagsonde inbrengen............................................................................ 17

De positie controleren.................................................................................... 17

positiecontrole vd naso-enterale sondes.............................................................18

1

, overige aandachtspunten...............................................................................18

Zorg ad ZO met een gastrostomiesonde...................................................................20

Factoren met invloed op de uitscheiding..................................................................22

Voedingsgewoonten......................................................................................... 22

Spiertonus buik- en bekkenbodemspieren............................................................22

Leeftijd.......................................................................................................... 22

Lichamelijke condities...................................................................................... 22

Psychische toestand......................................................................................... 22

Sociale en culturele factoren..............................................................................22

Geneesmiddelen.............................................................................................. 22

Defecatie........................................................................................................... 23

Observaties.................................................................................................... 23

Reflex........................................................................................................ 23

Frequentie.................................................................................................. 23

Consistentie................................................................................................ 23

Hoeveelheid................................................................................................ 23

Kleur......................................................................................................... 24

Samenstelling.............................................................................................. 24

Geur.......................................................................................................... 24

Bristol Stool Chart........................................................................................ 25

Verpleegdiagnosen.......................................................................................... 26

Obstipatie................................................................................................... 26

Diarree....................................................................................................... 27

Fecale incontinentie...................................................................................... 28

Eenvoudige analyses van feces............................................................................... 28

Indicaties....................................................................................................... 28

Soorten analyses.............................................................................................. 28

2

, Aandachtspunten afname feces..........................................................................29

Concrete afname............................................................................................. 29

Bij volwassenen............................................................................................ 29

Zindelijke kinderen....................................................................................... 30

Zuigelingen en niet zindelijke kinderen.............................................................30

Fecalomen, rectale canule en lavement....................................................................30

Fecalomen..................................................................................................... 30

Manueel verwijderen..................................................................................... 30

Inbrengen van een rectale canule........................................................................30

Indicaties.................................................................................................... 31

Lavement....................................................................................................... 31

Indicaties.................................................................................................... 31

Soorten....................................................................................................... 31

Prikkelend of niet?........................................................................................ 31

Lavement bij kinderen................................................................................... 32

Mogelijke problemen en complicaties...............................................................32

Signalen om toediening stop te zetten...............................................................32

contra-indicaties.......................................................................................... 33

ZO met een intestinaal stoma................................................................................. 33

Darmfunctie................................................................................................... 33

Dunne darm................................................................................................ 33

Dikke darm................................................................................................. 33

Terminologie.................................................................................................. 33

Indeling volgens lokalisatie............................................................................. 33

Indeling naar aantal lissen.............................................................................. 34

Indeling naar duur van aanwezigheid...............................................................34

Gevolgen v/e stoma op fysiologisch vlak................................................................34

3

, Verlies sfincterfunctie...................................................................................34

Verlies reservoirfunctie.................................................................................. 34

Verlies resorptiefunctie.................................................................................. 34

Indicaties....................................................................................................... 34

Stomapatiënt… en nu?....................................................................................... 35

Charter v/d rechten v/e stomapatiënt................................................................35

Leven met een stoma..................................................................................... 35

Verpleegkundige zorg....................................................................................... 35

MD problemen............................................................................................. 35

Verpleegdiagnosen....................................................................................... 35

materialen en hulpmiddelen............................................................................... 35

eendelig opvangsysteem................................................................................. 35

Tweedelige opvangsystemen...........................................................................36

Convexe schijf/plaat...................................................................................... 36

Stomaplug/-cap........................................................................................... 36

Beschermende pasta’s.................................................................................... 36

Beschermpoeder.......................................................................................... 36

Beschermfilms............................................................................................. 36

Maatkaart................................................................................................... 36

Stomagordel................................................................................................ 36

Stomazorg..................................................................................................... 36

Onmiddellijk post-op..................................................................................... 37

tweede fase................................................................................................. 37

derde fase: stap naar zelfzorg..........................................................................37

stomaproblemen.............................................................................................. 37

Vroegtijdige problemen................................................................................. 38

Huidproblemen........................................................................................... 38

4

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