Dit is een samenvatting van het deel urologie binnen het OPO: Nier en urinewegen (eerste master Geneeskunde).
Het is een samenvatting van het boek en de lessen gegeven door prof Van der Aa en Everaerts.
De pathologieën die aanbod komen in de cursus/ les zijn schematisch samengevat in handige k...
Drainage lagere urinewegen
Drainage van de blaas:
● Verblijfsonde:
○ Aseptische techniek
○ > 3 dagen: siliconen
○ Latex: meer allergische reacties
○ Oorzaak nosocomiale infecties: tijdig verwijderen bij complicaties
○ Kolonisatie na 48 uur, GEEN antibiotica bij kolonisatie
● Intermittente (zelf) sondage:
○ Meerdere keren per dag
○ Minder complicaties
Drainage hogere urinewegen
● Dubbel J (DJ) stent:
○ Endoscopische hydrofiele katheter
○ Urine stroomt langsheen de obstructie
○ Onder algemene anesthesie
● Nefrostomie:
○ Percutane punctie nierbekken
○ Echo/ CT geleid
○ Onder lokale verdoving
Kriekemans Kristiaan 4
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