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Klinisch redeneren en Geneeskunde samenvatting

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Klinisch redeneren en Geneeskunde samenvatting

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  • February 13, 2024
  • 48
  • 2021/2022
  • Summary
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SAMENVATTIN
G KENNISTOETS Manique Ruijter


1.1
KLINISCH REDENEREN, GENEESKUNDE

,Inhoud
Organisatieniveau’s:..............................................................................................................................9
Orgaanstelsels:......................................................................................................................................9
Homeostase.........................................................................................................................................11
Cellen...................................................................................................................................................11
Eiwitten................................................................................................................................................14
Mitose..................................................................................................................................................14
Weefseltypen.......................................................................................................................................16
Zenuwcellen.........................................................................................................................................17
Begrippen ziekten................................................................................................................................17
Afweersysteem....................................................................................................................................18
Ontsteking...........................................................................................................................................18
Gewrichten..........................................................................................................................................19
Spieren.................................................................................................................................................19
Botten..................................................................................................................................................20
Reumatoide artritis, artrosis deformans, osteoporose........................................................................23
Veroudering bij ouderen......................................................................................................................25
2 soorten duizeligheid.........................................................................................................................26
Pijn en analgetica.................................................................................................................................26
Toepassingsmogelijkheden en toedingsvormen van geneesmiddelen................................................27
Farmacokinetiek..................................................................................................................................28
Hoofd en bijwerkingen geneesmiddelen.............................................................................................31
Luchtwegen.........................................................................................................................................33
Gaswisseling........................................................................................................................................35
Regulatie ademhaling..........................................................................................................................35
Klachten luchtwegen...........................................................................................................................36
Afwijkende ademhalingstypen............................................................................................................37
Cyanose...............................................................................................................................................37
Zuur-base evenwicht...........................................................................................................................38
Acidose................................................................................................................................................38
Alkalose...............................................................................................................................................39
Kanker..................................................................................................................................................39
Bronchuscarcinoom.............................................................................................................................41

1

,Meniscusletsel, kniebandletsel, frozen shoulder.................................................................................43
Operaties.............................................................................................................................................44
Anesthesie...........................................................................................................................................45
Astma, COPD & infectie luchtwegen....................................................................................................45




2

, Verpleegkundige zorg:
De 6 fasen van het verpleegkundig proces
1. Anamnese (gezondheidspatronen Gordon)
2. (verpleegkundige) Diagnose stellen
3. Doel opstellen in overleg met de patiënt
4. Plannen van de zorg (interventies) (carpenito)
5. Uitvoering van de zorg
6. Evalueren

Gezondheidspatronen van Gordon:
1. Gezondheidsbeleving en instandhouding
- Hoe denkt de patiënt over zijn/haar gezondheid?
2. Voeding en stofwisseling
- Toestand van huid, haar, nagels, slijmvliezen, gebit,
lichaamstemperatuur, lengte en gewicht.
- Eet- en drinkgewoonten. Soort eten, eettijden, wat drinkt hij/zij etc
- Gebruik voedings- en vitaminesuplementen
3. Uitscheiding
- Uitscheidingsfunctie darmen, blaas en huid
- Regelmaat van de uitscheiding, eventueel gebruik van laxantia of
andere middelen om de ontlasting op te wekken.
- Eventuele veranderingen of problemen wat tijd, wijze, kwaliteit en/of
kwantiteit van uitscheiding betreft.
4. Activiteiten
- Lichaamsbeweging, activiteiten, vrijetijdsbesteding en ontspanning
- Denk ook aan dagelijkse bezigheden
- Ook oorzaken belemmering activiteiten zoals neuromusculaire functie-
stoornissen, benauwdheid, pijn op de borst of spierkrampen bij inspan-
ning.
5. Slaap en rust
- Slaap, rust en ontspanning
- Slaappillen of andere slaapgewoontes
6. Waarneming en denken
- Zintuigelijke waarneming en denkpatroon
- Kwaliteit organen die waarneming vormen
- Pijnbeleving, taalvermogen, oordeelvermogen, besluitvorming etc
- Zien, kijken, horen, luisteren, denken, proeven, voelen, ruiken etc
7. Zelfbeleving
- Hoe de patiënt de ziekte beleeft en zichzelf ziet
- Emotie, lichaamshouding, oogcontact, motoriek spraak en stem
8. Rol en relatie
- Verantwoordelijkheden m.b.t familie, gezin, werk, sociale relaties etc
9. Seksualiteit en voortplanting
- Seksuele relaties, belevingen, het voortplantingspatroon, de mate van
tevredenheid en de problemen die de patiënt ervaart.
- Vruchtbaarheid, menstruatie, menopauze, overgang etc
10.Stressverwerking


3

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