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HC Sepsis
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Collegedictaat van 1 pagina's voor het vak Minor High Care aan de HAN (HC sepsis)
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Sepsis 10-02-2017Definitie:
Sepsis is een levensbedriegende complicatie van een infectie
Bacterien circuleren in de bloedbaan
Shock:
gevolg van een sepsis
Septische shock: sepsis+cardiovasculair falen (hypotensie, orgaanfalen)
Toxische shock syndroom (TTS) = specifiek sepsis syndroom door exotoxinen
Tekenen van shock
Tachycardie, tachypneu
Koude handen en voeten
Huidskleur (bleek, gemarmerd)
Verlengde capillaire refill borstbeen
Oligurie
Verlaagd bewustzijn, milde agitatie
Metabole acidose
Hypotensie (laat teken)
Normaal waarden
Volwassenen Neonaat
AH: <20 30-60/min
HF <90/min 110-150/min
Temp 36-38 36,5-37,5
Tensie 111-129 (syst) capillaire refill <3
Normale neonaat:
Ah: snel en oppervlakkig
Kleur: grauw, blauw of bleek (masker)
Tonus: slap, overstrekken
Alert: kreunen, prikkelbaar, suf
Drinken: niet of spugen
Urineren: weinig / niet
Temperatuur: koorts of ondertemperatuur (temp van 35 ook teken van
infectie/sepsis!)
Behandeling sepsis:
Opsporen infectiebron
Venapunctie, bloedkweken, urinekweek, vaginakweek
Start ab eerst breedspectrum, daarnaast specifiek. Altijd IV.
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