Summary
Samenvatting Laagrisico Perinatale Zorgen Deel 1 deel Neonatologie
- Course
- Institution
Samenvatting Laagrisico Perinatale Zorgen Deel 1 onderdeel Neonatologie.
[Show more]
Seller
Followstefaniepieters
Content preview
LPZ1: NeonatologieInhoudsopgave
1 De functie van de neonatale zorg...................................................................................................3
1.1 Algemene bepalingen...................................................................................................................3
1.2 Organisatorische normen.............................................................................................................3
1.3 De normale neonatale zorg..........................................................................................................3
1.4 N* - eenheid.................................................................................................................................3
1.5 Het patiëntenbestand...................................................................................................................4
1.5.1 Afwijkingen in zwangerschapsduur.......................................................................................4
1.5.2 Afwijkingen in geboortegewicht...........................................................................................6
1.5.3 Afwijkingen in gewicht/zwangerschapsduur.........................................................................6
1.6 Opname van een pasgeborene op N*...........................................................................................8
1.7 Overzicht zorgverlening................................................................................................................9
2 Zorg voor behoud van lichaamstemperatuur..................................................................................9
2.1 Inleidende begrippen....................................................................................................................9
2.2 Regeling van lichaamstemperatuur..............................................................................................9
2.2.1 Neutrale temperatuur...........................................................................................................9
2.2.2 Warmteregulatie.................................................................................................................10
2.2.3 Thermogenese of warmteproductie...................................................................................10
2.2.4 Warmteverlies.....................................................................................................................11
2.2.5 Warmtebehoud...................................................................................................................11
2.2.6 Moeilijkheden bij risicobaby’s.............................................................................................11
2.3 Observatie en registratie lichaamstemperatuur.........................................................................11
2.3.1 Centrale temperatuurmeeting............................................................................................11
2.3.2 Tympanum..........................................................................................................................12
2.3.3 Infrarood.............................................................................................................................12
2.3.4 Fopspeenthermometers.....................................................................................................12
2.3.5 Huidprobe...........................................................................................................................12
2.4 Verstoring lichaamstemperatuur...............................................................................................13
2.4.1 Hypothermie.......................................................................................................................13
2.4.2 Instabiele temperatuur.......................................................................................................13
2.4.3 Hyperthermie......................................................................................................................13
2.5 Warmte op N*............................................................................................................................14
2.5.1 Vroedkundige-interventies.................................................................................................14
2.5.2 Omgevingstemperatuur......................................................................................................14
2.5.3 Actieve opwarming.............................................................................................................14
3 Zorg voor ademhaling...................................................................................................................16
3.1 Inleidende begrippen..................................................................................................................16
3.2 Observatie en registratie ademhaling........................................................................................16
3.2.1 Observatie van de ademhaling............................................................................................16
3.2.2 Registratie van de ademhaling............................................................................................18
3.3 Verstoring van de ademhaling....................................................................................................19
3.3.1 Oorzaken AH-problemen....................................................................................................19
3.3.2 RDS......................................................................................................................................19
3.3.3 Infecties...............................................................................................................................19
3.3.4 BPD......................................................................................................................................19
3.3.5 Meconiumaspiratie.............................................................................................................19
3.3.6 Malacie................................................................................................................................19
3.4 Adem-ondersteunende therapie op N*.......................................................................................19
1
, 3.4.1 Zuurstoftoediening..............................................................................................................19
3.4.2 Nasal High Flow...................................................................................................................21
3.4.3 Nasale CPAP........................................................................................................................21
3.4.4 Complicaties bij adem-ondersteunende therapie...............................................................21
3.4.5 Aandachtspunten bij ademondersteuning..........................................................................21
4 Zorg voor uitscheiding..................................................................................................................22
4.1 Zorg voor uitscheiding van urine................................................................................................22
4.1.1 Functie van de nieren..........................................................................................................22
4.1.2 Observatie en registratie van urine.....................................................................................22
4.1.3 Frequent aangevraagde urineonderzoeken........................................................................23
4.2 Zorg voor uitscheiding van feces................................................................................................24
4.2.1 Anatomie en fysiologie........................................................................................................24
4.2.2 Evolutie van de normale ontlating......................................................................................24
4.2.3 Observatie en registratie feces...........................................................................................24
4.2.4 Verstoring van de uitscheiding van feces............................................................................24
4.2.5 Interventies.........................................................................................................................25
2
, 1 De functie van de neonatale zorg
1.1 Algemene bepalingen
N*-functie
Normale neonatale zorg
o Vb hyperbilirubinemie fototherapie (op de kamer)
N* -eenheid
o Vb Laag gg, infecties, pretermen, risicofactoren, extra
observatie
1.2 Organisatorische normen
Leiding:
Geneesheer-specialist
Hoofdvroedvrouw/VPK
o Diploma-vereiste
o Taken: vb goed beleid naar wetenschappelijk onderzoek, planning van
werknemers, beleid overlijden, beleid naar ouders
Ouders zoveel mogelijk betrekken bij de zorgen, indien ze iets kunnen doen moet je dit zeker
laten doen bij hun kind.
1.3 De normale neonatale zorg
1.4 N* - eenheid
Specifieke aanpassingsproblemen en gespecialiseerde, niet intensieve, neonatale zorg
toezicht, behandeling en verzorging
Architectonische normen:
Zelfde gebouw materniteit
Binnen of onmiddellijk aansluitend aan een erkende kraaminrichting
Voldoende plaatsen en voldoende ruimte
Aangepaste temperatuur tussen 24 en 26°C
Ingangsas (handen wassen/boxjas)
3
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller stefaniepieters. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.43. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
47561 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now
Recently viewed by you
