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FCCS - cursus Exam Questions With detailed Solutions
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FCCS - Cursus
# mmHg O2 bij SaO2 van 90% - ANSWER-60 mmHg
normaalwaardes PaO2:FiO2 - ANSWER-300-500 mmHg
<300 gestoorde oxygenatie
<200 ernstige hypoxie
Streefwaarde saturatie O2 als PaO2 = 60 mmHg - ANSWER-Lichte huid = 92%
Donkere huid = 94%
pulse pressure variation - ANSWER-= verschil in s...
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FCCS - cursus Exam Questions With
detailed Solutions
# mmHg O2 bij SaO2 van 90% - ANSWER-60 mmHg
normaalwaardes PaO2:FiO2 - ANSWER-300-500 mmHg
<300 gestoorde oxygenatie
<200 ernstige hypoxie
Streefwaarde saturatie O2 als PaO2 = 60 mmHg - ANSWER-Lichte huid = 92%
Donkere huid = 94%
pulse pressure variation - ANSWER-= verschil in systolische bloeddruk bij inspiratie
- ondervulde status pt.
Normaalwaardes centraal veneuze druk - ANSWER-6-8 mmHg
Passive leg raise - ANSWER-- strekken van been boven hoofd zorgt voor verplaatsing
van 250-300 cc bloed uit benen en splanchnische vaten
- positief als >10%-15% variatie
- bolus 250-500 ml over 5-10 min
Klinisch verdacht voor tamponade - ANSWER-Pulsus paradoxus = verschil van >10
mmg in systolische bloeddruk bij inspiratie
schema blz 120 - ANSWER-..
, streef diurese pt. - ANSWER->0.5-1 ml/kg/u
complicatie hestarch colloiden - ANSWER-nierfalen
Parameters om shock op te volgen - ANSWER-pols
bloeddruk
urine output
- druk arterie pulmonalis (schwann ganz)
- veneuze saturatie
- lactaat
- normaliseren orgaanwaardes
Slechte prognose shock - ANSWER-hypotensie + lactaat >4
Behandeling hypovolemische schok - ANSWER-1. Vloeistofsubtitutie
- Kristalloïden v.s. Colloïden
- Bloedproducten
2. Vasopressie
Behandeling distributieve shock - ANSWER-Septische shock
R/ Vloeistof, antibiotica en vasopressie (noradrenaline)
Anafylactische shock
R/ Adrenaline s.c. + vocht + cortico's
Behandeling cardiogene shock - ANSWER-Hypotensie (<70 systolisch)