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Samenvatting - klinisch redeneren leerpakket 8
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Samenvatting van Klinisch redeneren KT1 LP8. Alle kennisclips zijn samengevat.
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InhoudsopgaveKT1 – WG1 – Lesweek 1..........................................................................................................................4
Kennisclip: Klinisch redeneren volgens Proactive Nursing......................................................................4
Definitie:.............................................................................................................................................4
Hoe?...................................................................................................................................................4
Klinisch redeneren in 6 stappen..........................................................................................................4
De 3 O’s..............................................................................................................................................4
Stap 1: Oriëntatie op de situatie.........................................................................................................5
Redeneerhulpen..................................................................................................................................5
ABCDE Methode.................................................................................................................................5
EWS....................................................................................................................................................6
SIRS-Criteria........................................................................................................................................6
Stap 2: Klinische problematiek............................................................................................................6
Zorgthema’s....................................................................................................................................6
Stap 3: Aanvullend onderzoek............................................................................................................7
Stap 4: Klinisch beleid.........................................................................................................................7
Stap 5: Klinisch verloop.......................................................................................................................7
Stap 6: Nabeschouwing......................................................................................................................7
Kennisclip: Decompensatio cordis..........................................................................................................8
Tensie=RR=bloeddruk.........................................................................................................................8
Standaard ECG....................................................................................................................................9
Wat is Decompensatio cordis?............................................................................................................9
Oorzaken Decompensatio cordis......................................................................................................10
Forward en backward failure............................................................................................................10
Symptomen bij rechtsdecompensatie (backward failure).................................................................10
Symptomen bij linksdecompensatie..................................................................................................11
Lesweek 2 WG3....................................................................................................................................11
Kennisclip: COPD..................................................................................................................................11
Ademhaling/AH................................................................................................................................11
Fysiologische AH...............................................................................................................................12
Respiratoire problematiek................................................................................................................12
Symptomen.......................................................................................................................................12
Diagnostiek.......................................................................................................................................13
Behandeling......................................................................................................................................13
Complicaties.....................................................................................................................................13
,Lesweek 2 – WG 4................................................................................................................................14
Kennisclip: Financiën en DBC................................................................................................................14
Opbouw van een DBC (diagnose behandel combinatie)...................................................................14
Lesweek 3 WG5....................................................................................................................................15
Kennisclip: Trauma 2............................................................................................................................15
Pneumothorax (klaplong).................................................................................................................15
Oorzaken..........................................................................................................................................15
Spontane primaire pneumothorax................................................................................................16
Spontane secundaire pneumothorax............................................................................................16
Traumatische pneumothorax........................................................................................................16
Spanningspneumothorax..............................................................................................................16
Symptomen pneumothorax..............................................................................................................16
Diagnostiek.......................................................................................................................................17
Behandeling......................................................................................................................................17
Lesweek 4 – WG 7................................................................................................................................17
Kennisclip: MS (Multiple Sclerose) deel 1.............................................................................................17
MS: ‘ziekte van de witte stof’............................................................................................................17
Kenmerken........................................................................................................................................17
Wanneer spreken we van MS?..........................................................................................................18
MS en neuritis optica (oogzenuwontsteking)....................................................................................18
Diagnose...........................................................................................................................................18
Ziektebeloop.....................................................................................................................................18
Behandeling......................................................................................................................................18
Lesweek 4 – WG 8................................................................................................................................19
Kennisclip: MS (multiple sclerose) deel 2.............................................................................................19
Stap 2: klinische problematiek..........................................................................................................19
Neurologische functies..................................................................................................................19
Verpleegkundige interventies...........................................................................................................19
Lesweek 5 – WG 9................................................................................................................................20
Kennisclip: Uterusextirpatie (baarmoederverwijdering)......................................................................20
Cervixcarcinoom...............................................................................................................................20
Bevolkingsonderzoek........................................................................................................................20
Symptomen.......................................................................................................................................20
Diagnostiek 1....................................................................................................................................20
Diagnostiek 2....................................................................................................................................20
Diagnostiek 3....................................................................................................................................20
, Behandeling......................................................................................................................................21
Prognose: 5-jaars overleving............................................................................................................21
Lesweek 6 – WG 11..............................................................................................................................22
Kennisclip: Nierinsufficiëntie................................................................................................................22
Wat is nierinsufficiëntie?..................................................................................................................22
Acute nierinsufficiëntie.....................................................................................................................22
Symptomen:..................................................................................................................................22
Behandeling:.................................................................................................................................22
Chronische nierinsufficiëntie.............................................................................................................22
Symptomen:..................................................................................................................................22
Oorzaken......................................................................................................................................22
5 stadia van chronische nierschade (CNS).........................................................................................23
Functie nieren...................................................................................................................................23
Nefron...............................................................................................................................................23
Kennisclip: Wat is diabetes precies?.....................................................................................................24
Kennisclip: glucosespiegel....................................................................................................................24
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