Summary
Samenvatting infuusmanagement
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Samenvatting van de les infuusmanagement met oefeningen opgelost bij
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nelhofman
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INFUUSMANAGEMENTWAT IS INFUUSMANAGEMENT
NIET alles op één lijn!
Niet altijd zwart/wit
Meerdere mogelijkheden
Zo logisch mogelijk werken
VENEUZE ACCESS
1 – 7 dagen 2 weken
Hickman
Arteriële catheter
Meten arteriële druk
Bloedgasanalyse
Intra ossale katheter
Moeilijke vasculaire toegang
Urgente toediening van vloeistoffen
Toegang via:
o Distale femur
o Proximale humerus
o Proximale en distale tibia
Kort perifere katheter
Perifere toegang via distale vene
Therapieduur 1 – 7 dagen
1
, Midline katheter
Perifeer ingebracht via v. brachialis
Eindigd in v. axilaris
Therapieduur +- 2 weken (max 4 weken)
Onder echogeleiding + RX-controle
Seldingertechniek
CVC: Centraal Veneuze Catheter
Centrale toegang via
o Vena jugularis
o Vena subclavia
o Vena femoralis
Niet getunneld
Vastgehecht
Therapieduur < 4 weken
Eindigd in vena cava superior
PICC
Perifeer ingebracht via
o V. brachialis
o V. Cephalica
o V. Basilica
Therapieduur 4 weken – 6 maanden
Eindigd in vena cava superior
Hickman
Ingebracht via v. subclavia
Eindigd in vena cava superior
Getunneld
Manchet/cuff
Insteekopening thv hals gehecht
Localisatie onder echo
Poortkatheter
Onderhuidse aanprikpoort
Therapieduur: intermittente toediening (>4 maand)
Eindigd in vena cava superior
2
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