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klinisch redeneren
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kort en krachtig. Wat is klinisch redeneren, SBAR.
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Klinisch redeneren.ABCDE methodiek.
A, airway. luchtwegen, zijn deze vrij?
B, breathing. ademhaling frequentie en saturatie.
C, circulatie. capillaire refill. Pols en tensie.
D, disability. ogen open, handen knijpen, vraag stellen.
E, exposure. huid controleren, temperatuur.
Capillaire refill.
zegt wat over de kwaliteit van de circulatie.
druk 5 seconden stevig op de sternum (= borstbeen ) of vingertop, laat
dan los. Tussen 2 a 3 seconden moet de plek waar je drukte van wit naar
normaal gaan.
SBAR.
Situatie.
om wat voor zv gaat het.
wat is de ABCDE.
evt. bijzondere situaties.
benoem het evt. probleem.
vitale functies.
Background.
opname diagnose.
A, allergieën.
M, medicatie gebruik.
P, past, voorgeschiedenis.
L, last meal.
E, event, de huidige activiteit van de zv en laatste bezigheid.
Analyse.
spreekt vermoedde uit.
evt. aanvullend onderzoek dat je hebt gedaan.
Response. / reccomandetion.
je beoordeling van de situatie.
wat wil je.
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