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Samenvatting VHO TOETS HPP/Shock stappenplan $7.60   Add to cart

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Samenvatting VHO TOETS HPP/Shock stappenplan

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Hierbij een geheel stappenplan van vaardigheidsonderwijs HPP/shock. Het klaar maken van al jouw benodigdheden en wat je daarna moet doen. Werkt heel fijn voor voorbereiding voor de VHO toetsen in jaar 3 en jaar 4 de POET-week Geschreven op basis van de richtlijnen/studieboeken/colleges/vaardigh...

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  • June 4, 2024
  • 1
  • 2022/2023
  • Summary
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HPP/Shock
Definitie HPP
Hemorrhagia post partum (HPP): >1000 ml vaginaal bloedverlies à in NL, >500 ml vaginaal
bloedverlies à internationaal.

Oorzaken
4 T’s
1. Tone (uterusatonie, 70%)
2. Trauma (20% trauma ruptuur/epi)
3. Tissue (10% placentarest)
4. Thrombin (1% stollingsstoornissen)

Risicofactoren
 HPP ia door atonie
 Langdurige uitdrijving
 Rupturen/epi
 Verticale baring

Classificaties ernst hypovolemische shock
Klasse 1 Klasse 2 Klasse 3 Klasse 4
Bloedverlies niet- Tot 750 750-1500 1500-2000 >2000
zwanger
Bloedverlies <1000 1000-2000 2000-2700 >2700
zwanger
Pols, polsdruk <100, normaal of >100, verminderd >120, verminderd >140, verminderd
toegenomen
druk
Systolische RR >100 >100 60-100 <60
AH 14-20 20-30 30-40 >35
Mentaal Iets angstig Toenemende Angstig & Verward &
angst verward lethargisch/suf


Handelingen
 2x 10 IE syntocynon met 15 min tussenpoos
 Geplast? à blaaskatheterisatie CAD
 Uterusmassage, placenta compleet?
 Ambu rond 750 ml vbv à advies tranexaminezuur/methergine als placenta is geboren! geven
 Bed plat client in rugligging
 O2 15 L/min geven
 Infuus prikken à ringerlactaat
 ABCDEFG!!!!

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