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Samenvatting Bloedparameters
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Samenvatting van bloedparameters, les gegeven in 1e jaar verpleegkunde vives
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BloedparametersPreanalytische variabelen (= factoren die voor, tijdens en na de afname een rol spelen)
1. Fysiologische veranderingen
- Populatie en representatieve referentiewaarden (ras, leeftijd en geslacht)
- Voeding (invloed van voeding suikerspiegel & vetten/ vasten)
- Ritmische veranderingen (tijdens de dag, menstruele cycli, jaarlijkse schommeling)
- Zwangerschap (verhoogd bloedvolume, daling v. ureum & creatinine)
- Geneesmiddelen (antistollingsmedicatie)
- Roken
2. Veranderingen tijdens de staalafname
- Verkeerde identificatie
- De oorsprong van het staal
- Het effect van de garrot (max 1 min.)
- Effect van pompen of knijpen met de vuist (enkel vuist vormen)
- Intraveneuze vloeistoffen
- Hemolyse
- Volgorde tubes
- Voldoende vullen van de bloedtubes
- Zwenken van de bloedtubes
- Voldoende laten opdrogen van ontsmettingsmiddel
3. Verandering na staalafname en voor staalanalyse
- Pocketsyndroom
- Conditionering en transport van het staal
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