Summary
hoofdstuk 13 urologie: alle behandelingen samenvatting
- Course
- Institution
tabelvorm van alle uro urgenties met behandeling
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Aandoening BehandelingCystitis vrouw Nitrofuranen
Fosfomycine (1x)
Quinolone
Co-trimoxazole
3-5 dagen
Cystitis zwangere Amoxiclavulaanzuur
Cystitis kind Nitrofuranen
trimetoprim
amoxiclavulaanzuur
Co-trimoxazole
Pyelonefritis Matig infectieus, zonder comorbiditeiten
ambulant
- Quinolone po (14d): ciprofloxacine 500 mg 2x/d
- Antipyretica
- Controle na 10d
- Werkonbekwaam 4-6w
Ernstig infectieus, comorbiditeiten
opname
- Quinolone iv : ciprofloxacine 400 mg 2x/d
- Antipyretica
- Koorts > 38,5 °C: 3x hemoculturen
Hydronefrose
urgentie
- UroCT
- Drainage: DJ-sonde, nefrostomie
- Quinolone: ciprofloxacine iv 400 mg 2x/d
- Antipyretica
- Koorts > 38,5 °C: 3x hemoculturen
Prostatitis Matig dysuria, matig inflammatoir
ambulant
- Quinolone: Ciprofloxacine PO 500 mg 2x/d: 20 dagen
- NSAID
- Controle na 10 dagen
Ernstig dysuria, ernstig inflammatoir
opname
- Quinolone IV 400 mg 2x/d
- NSAID
- Koorts > 38,5 °C: 3x hemoculturen
- Residu: cystocath
Urethritis Ciprofoxacine 500 mg 1x + doxycycline 100 mg 2x/d 1 dag, daarna 1x/d
voor 9 dagen
Gangreen van Drainage en debirderen
Fournier Ciprofloxacine-clindamycine
, Behandeling shock
Niertrauma CT
Behandeling hemorragische shock
Bloeddrukmonitoring
Ev heelkunde en embolisatie
Blaastrauma Behandelen hemorragische shock
Extraperitoneaal:
- Blaassonde 85%
- Heelkunde 15% persisterende bloeding, perforatie, ruptuur
Intraperitoneaal:
- Heelkunde + blaassonde en/of cystocath
Urethratrauma Traumatische sondage
- Ballon aflaten
- Sonde verwijderen
- Uroloog: 2e poging of cystocath of spontane mictie
- Ciprofloxacine
Stel urethroragie
- Compressie: elastomul
- Penis op buik fixeren
- Patiënt op opgerolde handdoek laten zitten
Traumatische desondage
- ciprofloxacine
Stel nog in prostaat
- Ballon aflaten en terug in blaas schuiven
Bijna volledig uitgetrokken
- Noodzakelijk: terugplaatsen
- Niet noodzakelijk: spontane mictie afwachten
Posterieure urethratrauma: bekken trauma
- Uroloog verwittigen
- Niet sonderen!
Anterieur urethratrauma: perineum trauma
- Uroloog verwittigen
- Niet plassen!
- Zitten op opgerolde handdoek
Genitaal trauma Frenulumscheur
- Lokale compressie (eventueel verband)
- Nazorg met terra-cortil oogzalf 3x/d
- Frenulotomie
Scrotaal trauma
Normale testes
- NSAID
- Hoogstand, rust
- Nauwsluitende onderbroek
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