Uitwerking tussentoets chronische
ongecompliceerde dialyse
Inhoud
LA 2 Anatomie/fysiologie van de nier.......................................................................................................................3
Lesdoelen..............................................................................................................................................................3
Literatuur..............................................................................................................................................................3
Leerboek Dialyseverpleegkunde......................................................................................................................3
Klinische pathologie........................................................................................................................................11
LA 4 Verpleegkundige aspecten..............................................................................................................................17
Lesdoelen............................................................................................................................................................17
Literatuur............................................................................................................................................................18
Leerboek Dialyseverpleegkunde....................................................................................................................18
Op Canvas.......................................................................................................................................................22
Aanbevolen.....................................................................................................................................................23
LA 5 Basisprincipes dialyse......................................................................................................................................23
Lesdoelen............................................................................................................................................................23
Literatuur............................................................................................................................................................23
Leerboek Dialyseverpleegkunde....................................................................................................................23
Op YouTube....................................................................................................................................................28
Aanbevolen.....................................................................................................................................................28
LA 8 Behandelmethoden.........................................................................................................................................28
Leerdoelen..........................................................................................................................................................28
Literatuur............................................................................................................................................................28
Leerboek Dialyseverpleegkunde....................................................................................................................28
Op Canvas.......................................................................................................................................................32
Aanbevolen.....................................................................................................................................................33
Stuurvragen.........................................................................................................................................................33
LA9 Shuntzorg basis.................................................................................................................................................34
Lesdoelen............................................................................................................................................................34
Literatuur............................................................................................................................................................34
Leerboek Dialyseverpleegkunde....................................................................................................................34
Op Canvas.......................................................................................................................................................38
Stuurvragen.........................................................................................................................................................39
LA 10 Centrale lijnen...............................................................................................................................................39
, Lesdoelen............................................................................................................................................................39
Literatuur............................................................................................................................................................39
Leerboek Dialyseverpleegkunde....................................................................................................................39
Op internet.....................................................................................................................................................40
Stuurvragen.........................................................................................................................................................40
LA 12 Hypertensie en antihypertensiva..................................................................................................................41
Lesdoelen............................................................................................................................................................41
Literatuur............................................................................................................................................................41
Leerboek Dialyseverpleegkunde....................................................................................................................41
ProActive nursing – Klinische problematiek inzichtelijk.................................................................................45
PAN, M.Bakker KR in 6 stappen Hfd.st. 2 en 3.pdf.........................................................................................65
Klinische pathologie, Coen van Heycop ten Ham...........................................................................................66
Aanbevolen.....................................................................................................................................................67
LA 13 Chronische nierinsufficiëntie.........................................................................................................................68
Lesdoelen............................................................................................................................................................68
Literatuur............................................................................................................................................................68
Leerboek Dialyseverpleegkunde....................................................................................................................68
Op Canvas.......................................................................................................................................................81
Aanbevolen.....................................................................................................................................................81
Stuurvragen.........................................................................................................................................................81
LA15 Calciumfosfaat huishouding...........................................................................................................................81
Lesdoelen............................................................................................................................................................81
Literatuur............................................................................................................................................................82
Leerboek Dialyseverpleegkunde....................................................................................................................82
Op Canvas.......................................................................................................................................................84
Van internet....................................................................................................................................................85
Stuurvragen.........................................................................................................................................................85
LA 18 Hemo(dia)filtratie online...............................................................................................................................85
Lesdoelen............................................................................................................................................................85
Literatuur............................................................................................................................................................86
Leerboek Dialyseverpleegkunde....................................................................................................................86
Stuurvragen.........................................................................................................................................................87
LA 21 Diabetes Mellitus...........................................................................................................................................87
Lesdoelen............................................................................................................................................................87
Literatuur............................................................................................................................................................88
Leerboek dialyseverpleegkundige..................................................................................................................88
Op Canvas.......................................................................................................................................................92
2
,LA 2 ANATOMIE/FYSIOLOGIE VAN DE NIER
LESDOELEN
De anatomische opbouw van nieren en de urinewegen benoemen
De fysiologische functie van de nier benoemen
De werking van het renine-angiotensine-aldosteronsysteem benoemen
De begrippen glomerulaire filtration rate en creatinineklaring uitleggen
Aangeven wat de gevolgen kunnen zijn van de verschillende disfuncties van de nier bij (terminale)
nierinsufficiëntie.
LITERATUUR
LEERBOEK DIALYSEVERPLEEGKUNDE
HOOFDSTUK 1 ANATOMIE EN FYSIOLOGIE VAN DE NIER, ELEMENTAIRE NATUUR- EN
SCHEIKUNDE
1.1 Anatomie nier
3
, Nieren zijn 12x7 cm lang. 3-5 cm dik. 5-6 cm breed. Gewicht 150 gram. Nieren zijn bewegelijk door niervet
eromheen.
Naar wervelkolom gerichte zijdehilus hier gaan bloedvaten de nier in en uit en komt het nierbekken
(pyelum) met urineleider/ureter naar buiten.
Buitenkant nier glad, behalve bij aangeboren afwijkingen of pathologische veranderingen.
Nier opgebouwd uit schors (cortex 1,5 cm breed) en niermerg (medulla)
In schors glomeruli
In mergpiramidentubuli
Bloedvoorziening a. renalis.
Bloedafvoer vena renalis vena cava inferior
Afferente (toevoerende) arteriolen en efferente (afvoerende) arteriolen.
Elke nier 1 miljoen nefronen.
Elk nefron glomerulus met kapsel van bowman en tubulus. (glomeruli in schors en tubuli in merg)
In glomerulus worden grote moleculen geremd doorgelaten (albumine bijvoorbeeld).
Tubulus lis van henle die uitmond in verzamelbuis waar meerdere tubuli uitkomen.
Afdalende deel en opstijgende deel hebben beide een dik en dun segment.
Verzamelbuis onder invloed van ADH water vanuit lumen vd tubulus opnemen en afgeven naar interstitium
van het merg.
4
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