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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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  • January 6, 2020
  • 64
  • 2019/2020
  • Summary

1  review

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By: rachelielevitsky • 2 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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