Summary
Samenvatting - Kritieke zorg: infuusmanagement
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Samenvatting van de cursus, notities uit de les en de powerpoint.
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justinevanderstraeten11
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InfuusmanagementWat is infuusmanagement?
“Alles op 1 lijn?!”
- Niet altijd zwart/wit
- Meerderde mogelijkheden
- Zo logisch mogelijk werken
Soorten access?
Access
Intra ossale a. Veneuze a. Arteriële a.
* *
Perifeer Centraal
1 à 7 dagen 2 weken <4 weken 4w à 6 maand >4 maand
Kort perifeer Midline CVC PICC
Continue Intermittent
* = niet-irriterend
* = irriterend (pH <5 of >9 of >500 mmol/L)
Hickman Poortkatheter
Intra-ossale catheter Arteriële catheter
- Moeilijke vasculaire toegang - Meten arteriële druk
- Urgente toediening vloeistoffen - Bloedgas analyse
- Toegang via:
Distale femur
Prorximale humerus
Proximale- en distale tibia
Veneuze access
Kort perifere catheter Midline catheter CVC (= centraal veneuze catheter)
= Perifere toegang via distale vene = Perifeer ingebracht via: v. brachialis en = Centraal veneuze toegang via:
- Therapieduur: 1-7 dagen eindigt in: v. axilaris Vena jugularis
- Therapieduur: +- 2 weken (max 4 Vena subclavia
weken) Vena femoralis
Eindigt in: vena cava superior
onder echogeleiding + RX controle - Therapieduur: <4 weken
Seldingertechniek
niet getunneld
vastgehecht
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