Cardiovasculair stelsel ademhaling nier en urinewegen
Summary
Samenvatting - cardio nier: stoornissen in de waterhuishouding
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Course
Cardiovasculair stelsel ademhaling nier en urinewegen
Institution
Universiteit Gent (UGent)
Samenvatting van de elektrolyt/volumestoornissen in de waterhuishouding van de nier (Na, K, V, acidose, alkalose): de oorzaken en bijhorende klinische presentaties.
1. Hyperosmotische deshydratatie R/ 0,9%NaCl IV of 5% glucose
verlies van zuiver water (diabetes insipidus, zweten) of hypotoon vocht
2. Iso-osmotische deshydratatie
Verlies van isotoon vocht (bloeding, braken, diarree)
3. Hypo-osmotische deshydratatie
Renaal Na verlies, verlies van hypertoon vocht
R/ waterrestrictie > dilutionele hyponatriëmie Niet te snel owv osmotische
Na toediening > Vdepletie - oraal demyelinisatie thv axonen vd pons
- hypertoon NaCl 3% IV (genormaliseerde osm als
hyperosmolair ervaren)
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