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Samenvatting intensieve zorgen keuzevak 4V
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Volledige samenvatting van het keuzevak intensieve zorgen 4V, jaar De samenvatting bevat het deel: medisch technisch, ethiek - recht, psychosociaal aspect
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By: rachelielevitsky • 3 year ago
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Inhoud: Medisch technisch
Ethiek recht
Psychosociaal
INTENSIEV
E ZORGEN
4V
2019 - 2020
Charlotte Rumes
, MEDISCHE-
TECHNISCHE
Inhoud
Cardiologie.................................................................................................................................................... 4
Casus Leopold........................................................................................................................................... 4
MYOCARDINFARCT....................................................................................................................................... 5
Inleiding.................................................................................................................................................... 5
Afleidingen............................................................................................................................................ 5
Definitie.................................................................................................................................................... 6
Kenmerken ritmestoornis of hartinfarct................................................................................................... 7
Hartinfarcten per regio............................................................................................................................. 8
Post reanimatiezorg.................................................................................................................................. 9
Post cardiac arrest syndroom................................................................................................................ 9
Targeted temperature management................................................................................................... 10
Overige verpleegkundige interventies................................................................................................. 10
Medicamenteuze ondersteuning............................................................................................................ 10
VAD......................................................................................................................................................... 12
ECMO/ECLS............................................................................................................................................. 12
respiratoir................................................................................................................................................... 13
Casus Clara en herhaling......................................................................................................................... 13
Respiratoire ondersteuning..................................................................................................................... 13
Verpleegkundige aandachtspunten..................................................................................................... 13
Ventilatie................................................................................................................................................ 14
Samengevat............................................................................................................................................ 15
Verpleegkundige aandachtspunten......................................................................................................... 16
VAP preventie..................................................................................................................................... 16
Weaning.............................................................................................................................................. 16
Open long ventilatie................................................................................................................................ 16
Buiklig..................................................................................................................................................... 17
, NO beademing........................................................................................................................................ 18
ECMO...................................................................................................................................................... 19
CVVH........................................................................................................................................................... 20
Acute nierinsufficiëntie........................................................................................................................... 20
Dialyse.................................................................................................................................................... 20
CRRT....................................................................................................................................................... 21
CVVH....................................................................................................................................................... 21
Katheter.............................................................................................................................................. 22
Prismaflex........................................................................................................................................... 22
Antistolling.......................................................................................................................................... 23
Heparine............................................................................................................................................. 24
Citraat................................................................................................................................................. 24
verpleegkundige aandachtspunten..................................................................................................... 24
sepsis.......................................................................................................................................................... 25
campagne............................................................................................................................................... 25
Klinische symptomen.............................................................................................................................. 26
pijn.............................................................................................................................................................. 26
Pijnmedicatie......................................................................................................................................... 26
anesthetica............................................................................................................................................. 26
pijnschalen gesedeerde/comateuze patiënten.......................................................................................27
Alternatieven.......................................................................................................................................... 28
glas gow coma schaal.................................................................................................................................. 28
Intracraniële druk ICP................................................................................................................................. 29
externe ventrikeldrainage EVD................................................................................................................ 30
verpleegkundige aandachtspunten......................................................................................................... 30
CPP.......................................................................................................................................................... 30
Verhoogde ICP........................................................................................................................................ 31
hersenbloedingen................................................................................................................................... 31
Interventies INZO.................................................................................................................................... 32
Bio ethiek.................................................................................................................................................... 36
Emancipatie patiënten............................................................................................................................ 36
Nieuwe medische technologie................................................................................................................ 37
Geneeskunde en maatschappij............................................................................................................... 38
, Uitdagingen ethiek...................................................................................................................................... 38
Principe ethiek – medisch ethiek................................................................................................................ 38
Weldoen................................................................................................................................................. 38
Niet schaden........................................................................................................................................... 38
Autonomie.............................................................................................................................................. 38
Rechtvaardigheid.................................................................................................................................... 39
Complex/conflicten................................................................................................................................. 39
Rechten van de patiënt............................................................................................................................... 39
Algemene bepaling................................................................................................................................. 39
Rechten van een patiënt........................................................................................................................ 40
Kwaliteitsvolle dienstverstrekking....................................................................................................... 40
Vrije keuze beroepsoefenaar.............................................................................................................. 41
Informatie nodig voor inzicht in gezondheidstoestand en evolutie.....................................................41
Vrij om toe te stemmen...................................................................................................................... 41
Weigeren of intrekken........................................................................................................................ 42
Spoedhulp........................................................................................................................................... 42
Informatie beroepsoefenaar............................................................................................................... 42
Zorgvuldig bijhouden patiëntendossier............................................................................................... 42
Levenssfeer en intimiteit..................................................................................................................... 43
Ombudsfunctie................................................................................................................................... 43
Verzachting pijn.................................................................................................................................. 43
Vertegenwoordiging patiënt............................................................................................................... 43
Psychosociale problemen op intensieve..................................................................................................... 47
Slaapbeleving op intensieve zorgen............................................................................................................ 47
Inleiding.................................................................................................................................................. 47
Problemen op de intensieve zorgen........................................................................................................ 50
Delier op INZO............................................................................................................................................ 51
Voorkomen............................................................................................................................................. 51
definitie delier......................................................................................................................................... 51
Communicatie............................................................................................................................................. 53
Inleiding.................................................................................................................................................. 53
Monitor versus blunter coping stijl..................................................................................................... 53
verminderde mogelijkheden communicatie........................................................................................ 54
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