100% tevredenheidsgarantie Direct beschikbaar na betaling Zowel online als in PDF Je zit nergens aan vast
logo-home
Pneumologie (onderdeel module inwendige aandoeningen) samenvatting €6,00   In winkelwagen

Samenvatting

Pneumologie (onderdeel module inwendige aandoeningen) samenvatting

 0 keer bekeken  0 keer verkocht

Pneumologie, 1 van de 3 onderdelen van groter vak module inwendige aandoeningen. Samenvatting van lesnotities en lesslides.

Voorbeeld 4 van de 80  pagina's

  • 21 november 2023
  • 80
  • 2021/2022
  • Samenvatting
avatar-seller
lunagauchez
PNEUMOLOGIE
MODULE INWENDIGE AANDOENINGEN




INHOUDSOPGAVE

Semeiologie of the respiratory system ............................................................................................................. 4

1. Anamnese .................................................................................................................................................... 4
Cough .............................................................................................................................................................. 4
Haemoptysis .................................................................................................................................................... 6
Dyspnea ........................................................................................................................................................... 7
Thorax pain ..................................................................................................................................................... 8

2. Physical examination................................................................................................................................... 8

3. Complementary exams ................................................................................................................................ 9
Bronchoscopy .................................................................................................................................................. 9
Thoracoscopy .................................................................................................................................................. 9
Pleurocentesis ............................................................................................................................................... 10

Pulmonary function tests ............................................................................................................................... 11

Routine pulmonary function tests ..................................................................................................................... 11
Spirometry & flow-volume loop .................................................................................................................... 11

Pulmonary volumes → TLC, FRC, RV ................................................................................................................. 16
Pulmonary volumes....................................................................................................................................... 16

Pulmonary diffusion capacity → DLCO, KCO ..................................................................................................... 17
Pulmonary diffusion capacity (DLCO) ............................................................................................................ 17

Summary classification of lung defects ............................................................................................................. 18

Pneumologie in practice ................................................................................................................................. 19

Casus 1 .............................................................................................................................................................. 19
COPD: Chronic obstructive pulmonary disease............................................................................................. 19

CASUS 2 ............................................................................................................................................................. 25
Astma ............................................................................................................................................................ 25
Cystic fibrosis (CF) ......................................................................................................................................... 29

Casus 3 .............................................................................................................................................................. 32
Pneumonie .................................................................................................................................................... 32
Micro-organismen ......................................................................................................................................... 35
Necrotiserende pneumonie .......................................................................................................................... 36
Longabces...................................................................................................................................................... 36
Tuberculose ................................................................................................................................................... 36

, COVID-19 ....................................................................................................................................................... 37
Pleurale effusie ............................................................................................................................................. 40
Atelectase...................................................................................................................................................... 42
Hemopteu ..................................................................................................................................................... 42
Neuromusculair lijden ................................................................................................................................... 44

CONCLUSIE ........................................................................................................................................................ 44

Inhalation therapy ......................................................................................................................................... 46

The triangle of good inhalation ......................................................................................................................... 46

Drugs used for inhalation .................................................................................................................................. 46

Correct inhalation.............................................................................................................................................. 47

Incorrect inhalation ........................................................................................................................................... 47

Factors affecting deposition .............................................................................................................................. 48

Available inhalation devices .............................................................................................................................. 48

Improve the coordination problems of a pMDI ................................................................................................. 51
Spacers for pMDI: different types ................................................................................................................. 51

Nebulizers: indications for use are limited ........................................................................................................ 51

Inhalers .............................................................................................................................................................. 52

Choice of inhaler based on the patient in front of you ...................................................................................... 52
Inspiratory capactity – can my patients use DPI? In check dial..................................................................... 53

Instructions on inhalators.................................................................................................................................. 53

Acute and chronic respiratory insufficiency/failure ........................................................................................ 54

Respiratory failure ............................................................................................................................................. 54
Performing an arterial blood gass analysis ................................................................................................... 54
Normal values ............................................................................................................................................... 54

Classification of respiratory failure ................................................................................................................... 55
RIS type 2 – ventilatory (pump) failure – causes ........................................................................................... 56

Multimodaltity therapy in chronic respiratory failure .................................................................................... 57

Effects of multimodality therapy of cris ............................................................................................................ 57

Smoking cessation ............................................................................................................................................. 57

Pulmonary rehabilitation: rationale .................................................................................................................. 58
Pulmonary rehabilitation in COPD ................................................................................................................ 58

Oxygen therapy in chronic respiratory failure ................................................................................................ 59

Oxygen therapy reimbursement criteria ........................................................................................................... 59

In hospital oxygen ............................................................................................................................................. 59

At home oxygen source ..................................................................................................................................... 59

Oxygen sypply systems ...................................................................................................................................... 60
Nasal cannula ................................................................................................................................................ 60

, Nasopharyngeal oxygen catheder ................................................................................................................. 60
Oxygen mask ................................................................................................................................................. 60
Oxygen mask with bag .................................................................................................................................. 61
High flow oxygen mask ................................................................................................................................. 61
High flow nasal oxygen ‘Optiflow’ ................................................................................................................. 61

Cardiopulmonary Excercise testing (CPET) ..................................................................................................... 62

Ergospirometry .................................................................................................................................................. 62
CPET ‘machine’: cycle-ergometer or treadmill ergometer/electrocardiograph ........................................... 62

Cardiopulmonary exercise training ................................................................................................................... 62

Indications for CPET........................................................................................................................................... 63

Bio-energetic basis of work performance.......................................................................................................... 63

Measurements: breath-by-breath gas analyser/pneumotachograph/oximeter............................................... 64

Comprehensive cardiopulminary exercise testing (CPET) .................................................................................. 65
Measurements during CPET .......................................................................................................................... 65
Wich protocol, wich modality? ..................................................................................................................... 66

Physiology of Exercise ....................................................................................................................................... 66
Typical cardiopulmonary responses to exercise ........................................................................................... 67
Ventilatory response ..................................................................................................................................... 68
Cardiac responses ......................................................................................................................................... 74
Patterns of exercise responses ..................................................................................................................... 75

Take home messages ........................................................................................................................................ 80

, SEMEIOLOGIE OF THE RESPIRATORY SYSTEM

1. ANAMNESE

• Cough
o Dry
o Productive: sputum production (or expectoration)
• Haemoptysis
o = ophoesten van bloed
• Dyspnea
o = kortademigheid
• Thorax pain


COUGH

• Classification
o Acute (< 3 weeks)
o Subacute (3-8 weeks)
o Chronic (> 8 weeks)



• Epidemiology
o Up to 40 % of ambulatory consults
o 75-90 % identifiable cause
o 95 % successful treatment possible



• Dry
• Productive



• Aspect/color:
o Aquous
o Mucus of mucopurulent
▪ = etterig
o Purulent
o Blood = hemoptysis



• Smell: putrid: anaerobic: lung abscess
• Bronchorrhea (excessive sputum): bronchiectasis, lung abscess, broncho-alveolar cell carcinoma,
Cystic Fibrosis
o = MUCO

Voordelen van het kopen van samenvattingen bij Stuvia op een rij:

√  	Verzekerd van kwaliteit door reviews

√ Verzekerd van kwaliteit door reviews

Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!

Snel en makkelijk kopen

Snel en makkelijk kopen

Je betaalt supersnel en eenmalig met iDeal, Bancontact of creditcard voor de samenvatting. Zonder lidmaatschap.

Focus op de essentie

Focus op de essentie

Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper lunagauchez. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor €6,00. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews)

Afgelopen 30 dagen zijn er 80364 samenvattingen verkocht

Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen

Start met verkopen
€6,00
  • (0)
  Kopen