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Samenvatting TAB 3.2 Advanced Life Support
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TAB 3.2 Gespecialiseerde verpleegkundigezorgverlening
Advanced life support
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1 Overzicht............................................................................................................. 2
2 ALS – cyclus 1...................................................................................................... 3
3 Ritme beoordeling............................................................................................... 3
3.1 Polsloze ventrikeltachycardie........................................................................4
3.2 Ventrikelfibrillatie.......................................................................................... 4
3.3 Return Of Spontaneous Circulation (ROSC)...................................................6
3.4 Asystolie........................................................................................................ 6
3.5 Pulsloze elektrische activiteit (PEA)...............................................................6
3.6 Mogelijke reversibele oorzaken.....................................................................7
4 ALS Medicatie...................................................................................................... 7
1
, 1 Overzicht
Eén persoon begint met de borstcompressies terwijl anderen ervoor zorgen
dat het correcte materiaal gehaald wordt (reanimatiekar en defibrillator)
Geef 30 borstcompressies, gevolgd door 2 beademingen
o Druk de borstkas ongeveer 5cm, maar niet meer dan 6cm in
o Geef borstcompressies met een frequentie van 100-120/minuut
o Laat de thorax altijd volledig terug naar boven komen
Blijf dit doen tot de defibrillator (met zelfklevende pads) aangekomen is
Eén zelfklevende pad moet rechts van het sternum en onder de clavicula,
de andere pad wordt links naast de tepel, onder de oksel geplaatst
(standaard positie)
2
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