Uitwerking van de onderdeel Breathing van de ABCDE methodiek. Uitwerking van het hoorcollege, toegevoegde informatie en uitwerking van medicatie en ziektebeelden. Onderwerpen uit de toetsmatrijs komen in dit document naar voren.
50 interview questions you can ask any nurse about their work
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Hogeschool Utrecht (HU)
Medische Hulpverlening
Keuzecursus vitaal bedreigd
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B - Breathing
Primary survey
snel en accuraat vaststellen conditie patiënt
resuscitatie op basis van prioriteiten
treat first what kills first
treat first ask later/do no further harm
golden hour
tijdwinst is winst van kwaliteit van leven
Problemen breathing
- Stoornissen in aansturing ademhaling
- Mechanische belemmering thorax
ventilatie – ruimte lucht inlaten en uitlaten
diffusie – gaswisseling (O2 in, Co2 uit)
perfusie – doorbloeding van de longen
- Postalveolaire oorzaken
- stoornis in O2-transport
Kijk/Luister/Voel:
Bewegingen borst en buik
Ademhaling: frequentie, diepte, symmetrie, regelmaat
Hulpademhalingsspieren
Geluiden (piepen/wheezing, rhonchi)
- Inspiratoir geluid stridor, meestal obstructie in hoge luchtwegen
- Expiratoir geluid wheezing, bijvoorbeeld bij COPD
Kleur van de huid (cyanose)
, Meten:
- SpO2 (zuurstofsaturatie)
- EtCO2 (end tidal CO2) alleen op IC,
meten van hoeveelheid Co2 die iemand
uitademt.
pH <7,35 of >7,45 heeft het lichaam last van, zorgt voor problemen:
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