Samenvatting BAZ 2
AMSTELACADEMIE 2022
,Inhoudsopgave
CPAP..................................................................................................................................................4
PEEP/NIV........................................................................................................................................4
VENTURISYSTEMEN.....................................................................................................................................5
BOUSSIGNAC..............................................................................................................................................5
OPTIFLOW.................................................................................................................................................6
ACS....................................................................................................................................................7
ANGINA PECTORIS...............................................................................................................................7
STEMI.............................................................................................................................................7
WINTERSE T-TOPPEN..................................................................................................................................7
WELLENS SYNDROOM..................................................................................................................................7
PREHOSPITALE SCREENING.....................................................................................................................8
NSTEMI..........................................................................................................................................8
ISCHEMIE..........................................................................................................................................8
TYPE 1.....................................................................................................................................................8
TYPE 2.....................................................................................................................................................8
TYPE 3, 4, 5.............................................................................................................................................8
MINOCA.................................................................................................................................................8
DIAGNOSTIEK ACS..............................................................................................................................9
ECG........................................................................................................................................................9
LABORATORIUMONDERZOEK.........................................................................................................................9
ECHOCARDIOGRAFIE.....................................................................................................................................9
INSPANNINGSTESTEN EN CT CORONAIREN/CALCIUMSCORE.................................................................................9
LOKALISATIE VAN HET MYOCARDINFARCT................................................................................................10
INITIËLE MEDICAMENTEUZE BEHANDELING................................................................................................10
PREHOSPITALE FASE..................................................................................................................................10
LANGE TERMIJN MEDICAMENTEUZE BEHANDELING..........................................................................................10
NIET-MEDICAMENTEUZE BEHANDELING...................................................................................................11
REVASCULARISATIE...................................................................................................................................11
MECHANISCHE ONDERSTEUNING.................................................................................................................12
COMPLICATIES VAN ISCHEMISCHE HARTZIEKTEN........................................................................................12
MYOCARDIALE DYSFUNCTIE........................................................................................................................12
ACUUT HARTFALEN...................................................................................................................................13
RITMESTOORNISSEN..................................................................................................................................13
MECHANISCHE COMPLICATIES.....................................................................................................................13
PERICARDITIS...........................................................................................................................................13
PACEMAKERS – ICD.........................................................................................................................14
INDICATIES INWENDIGE PACEMAKER – ICD..............................................................................................14
PACEMAKER............................................................................................................................................14
ICD........................................................................................................................................................14
,CODERINGEN PACEMAKERS – ICD..........................................................................................................15
BRADY-TACHYCARDIE......................................................................................................................16
TACHYCARDIE...................................................................................................................................16
TACHY-ARTIMIEËN.............................................................................................................................16
VENTRIKELFIBRILLEREN..............................................................................................................................16
VENTRICULAIRE TACHYCARDIE.....................................................................................................................16
AVNRT..................................................................................................................................................17
ATRIALE TACHYCARDIE...............................................................................................................................17
ATRIUMFIBRILLEREN .................................................................................................................................17
ATRIUMFLUTTER.......................................................................................................................................18
BEHANDELING TACHYCARDIE................................................................................................................19
AMIODARON...........................................................................................................................................19
ADENOSINE.............................................................................................................................................19
VAGALE MANOUVRES................................................................................................................................19
BRADY-ARITMIEËN.............................................................................................................................19
DYING HEART..........................................................................................................................................19
ESCAPECOMPLEXEN...................................................................................................................................20
JUNCTIONAAL RITME.................................................................................................................................20
VENTRICULAIR ESCAPERITME (AIVR)............................................................................................................20
AV-BLOK................................................................................................................................................20
BEHANDELING BRADYCARDIE...............................................................................................................21
ATROPINE...............................................................................................................................................21
ISOPRENALINE..........................................................................................................................................22
ELEKTRISCHE CARDIOVERSIE...........................................................................................................22
SOORTEN CARDIOVERSIE.....................................................................................................................22
SHOCK.............................................................................................................................................22
SYNCHRONISATIE..............................................................................................................................23
JOULE.............................................................................................................................................23
INTERVENTIES....................................................................................................................................23
ELECTIEVE ELEKTRISCHE CARDIOVERSIE..........................................................................................................23
ELECTIEVE CHEMISCHE CARDIOVERSIE...........................................................................................................24
SHOCK.............................................................................................................................................25
FASEN SHOCK:...................................................................................................................................25
HYPOVOLEMISCHE SHOCK....................................................................................................................26
CARDIOGENE SHOCK..........................................................................................................................27
OBSTRUCTIEVE SHOCK.........................................................................................................................28
DISTRIBUTIEVE SHOCK.........................................................................................................................29
SEPSIS..............................................................................................................................................31
SIRS/QSOFA..................................................................................................................................31
SEPSIS EN SEPTISCHE SHOCK.................................................................................................................31
PATHOFYSIOLOGIE.....................................................................................................................................32
, FASEN VAN EEN SEPSIS..............................................................................................................................33
BEHANDELING..........................................................................................................................................33
MULTI-ORGAANFALEN (MOF).............................................................................................................33
PATHOFYSIOLOGIE....................................................................................................................................34
ILS....................................................................................................................................................35
OPSTARTEN.....................................................................................................................................35
CIRCULATIESTILSTAND BIJ SCHOKBARE EN NIET-SCHOKBARE RITMES...............................................................35
CIRCULATIESTILSTAND MET VF/VT (SCHOKBAAR RITME)..................................................................................35
CIRCULATIESTILSTAND MET PEA/ASYSTOLIE (NIET-SCHOKBAAR RITME)...............................................................36
4 H’S EN 4 T’S.................................................................................................................................37
HYPOXIE.................................................................................................................................................37
HYPOVOLEMIE.........................................................................................................................................37
HYPO-/HYPERKALIËMIE EN ANDERE ELEKTROLYTENSTOORNISSEN........................................................................37
HYPOTHERMIE.........................................................................................................................................38
SPANNINGSPNEUMOTHORAX (T).................................................................................................................38
TAMPONADE...........................................................................................................................................38
TOXINES.................................................................................................................................................38
TROMBO-EMBOLIE....................................................................................................................................38
MEDICATIE TIJDENS DE BEHANDELING VAN EEN CIRCULATIESTILSTAND...........................................................38
VASOPRESSOREN.......................................................................................................................................38
ANTI-ARTIMICA........................................................................................................................................39
LUCHTWEGMANAGEMENT...................................................................................................................40
BASALE LUCHTWEGEMANAGEMENT..............................................................................................................40
VENTILATIE..............................................................................................................................................40
POST-REANIMATIEZORG.......................................................................................................................42
POST-CIRCULATIESTILSTAND SYNDROOM.......................................................................................................42
POST-ANOXISCHE ENCEFALOPATHIE..............................................................................................................42
MYOCARDIALE DYSFUNCTIE.........................................................................................................................42
BEADEMING............................................................................................................................................42
CIRCULATIE.............................................................................................................................................43
TEMPERATUUR.........................................................................................................................................43
BEHANDELING..........................................................................................................................................44
ORGAANDONATIE...........................................................................................................................45
DONATIEPROCEDURE..................................................................................................................................45
ORGAANDONATIE......................................................................................................................................45
WEEFSELDONATIE.....................................................................................................................................46
ONNATUURLIJKE DOOD..............................................................................................................................46
PATIËNTENZORG.......................................................................................................................................46
AMSTELACADEMIE 2022
,Inhoudsopgave
CPAP..................................................................................................................................................4
PEEP/NIV........................................................................................................................................4
VENTURISYSTEMEN.....................................................................................................................................5
BOUSSIGNAC..............................................................................................................................................5
OPTIFLOW.................................................................................................................................................6
ACS....................................................................................................................................................7
ANGINA PECTORIS...............................................................................................................................7
STEMI.............................................................................................................................................7
WINTERSE T-TOPPEN..................................................................................................................................7
WELLENS SYNDROOM..................................................................................................................................7
PREHOSPITALE SCREENING.....................................................................................................................8
NSTEMI..........................................................................................................................................8
ISCHEMIE..........................................................................................................................................8
TYPE 1.....................................................................................................................................................8
TYPE 2.....................................................................................................................................................8
TYPE 3, 4, 5.............................................................................................................................................8
MINOCA.................................................................................................................................................8
DIAGNOSTIEK ACS..............................................................................................................................9
ECG........................................................................................................................................................9
LABORATORIUMONDERZOEK.........................................................................................................................9
ECHOCARDIOGRAFIE.....................................................................................................................................9
INSPANNINGSTESTEN EN CT CORONAIREN/CALCIUMSCORE.................................................................................9
LOKALISATIE VAN HET MYOCARDINFARCT................................................................................................10
INITIËLE MEDICAMENTEUZE BEHANDELING................................................................................................10
PREHOSPITALE FASE..................................................................................................................................10
LANGE TERMIJN MEDICAMENTEUZE BEHANDELING..........................................................................................10
NIET-MEDICAMENTEUZE BEHANDELING...................................................................................................11
REVASCULARISATIE...................................................................................................................................11
MECHANISCHE ONDERSTEUNING.................................................................................................................12
COMPLICATIES VAN ISCHEMISCHE HARTZIEKTEN........................................................................................12
MYOCARDIALE DYSFUNCTIE........................................................................................................................12
ACUUT HARTFALEN...................................................................................................................................13
RITMESTOORNISSEN..................................................................................................................................13
MECHANISCHE COMPLICATIES.....................................................................................................................13
PERICARDITIS...........................................................................................................................................13
PACEMAKERS – ICD.........................................................................................................................14
INDICATIES INWENDIGE PACEMAKER – ICD..............................................................................................14
PACEMAKER............................................................................................................................................14
ICD........................................................................................................................................................14
,CODERINGEN PACEMAKERS – ICD..........................................................................................................15
BRADY-TACHYCARDIE......................................................................................................................16
TACHYCARDIE...................................................................................................................................16
TACHY-ARTIMIEËN.............................................................................................................................16
VENTRIKELFIBRILLEREN..............................................................................................................................16
VENTRICULAIRE TACHYCARDIE.....................................................................................................................16
AVNRT..................................................................................................................................................17
ATRIALE TACHYCARDIE...............................................................................................................................17
ATRIUMFIBRILLEREN .................................................................................................................................17
ATRIUMFLUTTER.......................................................................................................................................18
BEHANDELING TACHYCARDIE................................................................................................................19
AMIODARON...........................................................................................................................................19
ADENOSINE.............................................................................................................................................19
VAGALE MANOUVRES................................................................................................................................19
BRADY-ARITMIEËN.............................................................................................................................19
DYING HEART..........................................................................................................................................19
ESCAPECOMPLEXEN...................................................................................................................................20
JUNCTIONAAL RITME.................................................................................................................................20
VENTRICULAIR ESCAPERITME (AIVR)............................................................................................................20
AV-BLOK................................................................................................................................................20
BEHANDELING BRADYCARDIE...............................................................................................................21
ATROPINE...............................................................................................................................................21
ISOPRENALINE..........................................................................................................................................22
ELEKTRISCHE CARDIOVERSIE...........................................................................................................22
SOORTEN CARDIOVERSIE.....................................................................................................................22
SHOCK.............................................................................................................................................22
SYNCHRONISATIE..............................................................................................................................23
JOULE.............................................................................................................................................23
INTERVENTIES....................................................................................................................................23
ELECTIEVE ELEKTRISCHE CARDIOVERSIE..........................................................................................................23
ELECTIEVE CHEMISCHE CARDIOVERSIE...........................................................................................................24
SHOCK.............................................................................................................................................25
FASEN SHOCK:...................................................................................................................................25
HYPOVOLEMISCHE SHOCK....................................................................................................................26
CARDIOGENE SHOCK..........................................................................................................................27
OBSTRUCTIEVE SHOCK.........................................................................................................................28
DISTRIBUTIEVE SHOCK.........................................................................................................................29
SEPSIS..............................................................................................................................................31
SIRS/QSOFA..................................................................................................................................31
SEPSIS EN SEPTISCHE SHOCK.................................................................................................................31
PATHOFYSIOLOGIE.....................................................................................................................................32
, FASEN VAN EEN SEPSIS..............................................................................................................................33
BEHANDELING..........................................................................................................................................33
MULTI-ORGAANFALEN (MOF).............................................................................................................33
PATHOFYSIOLOGIE....................................................................................................................................34
ILS....................................................................................................................................................35
OPSTARTEN.....................................................................................................................................35
CIRCULATIESTILSTAND BIJ SCHOKBARE EN NIET-SCHOKBARE RITMES...............................................................35
CIRCULATIESTILSTAND MET VF/VT (SCHOKBAAR RITME)..................................................................................35
CIRCULATIESTILSTAND MET PEA/ASYSTOLIE (NIET-SCHOKBAAR RITME)...............................................................36
4 H’S EN 4 T’S.................................................................................................................................37
HYPOXIE.................................................................................................................................................37
HYPOVOLEMIE.........................................................................................................................................37
HYPO-/HYPERKALIËMIE EN ANDERE ELEKTROLYTENSTOORNISSEN........................................................................37
HYPOTHERMIE.........................................................................................................................................38
SPANNINGSPNEUMOTHORAX (T).................................................................................................................38
TAMPONADE...........................................................................................................................................38
TOXINES.................................................................................................................................................38
TROMBO-EMBOLIE....................................................................................................................................38
MEDICATIE TIJDENS DE BEHANDELING VAN EEN CIRCULATIESTILSTAND...........................................................38
VASOPRESSOREN.......................................................................................................................................38
ANTI-ARTIMICA........................................................................................................................................39
LUCHTWEGMANAGEMENT...................................................................................................................40
BASALE LUCHTWEGEMANAGEMENT..............................................................................................................40
VENTILATIE..............................................................................................................................................40
POST-REANIMATIEZORG.......................................................................................................................42
POST-CIRCULATIESTILSTAND SYNDROOM.......................................................................................................42
POST-ANOXISCHE ENCEFALOPATHIE..............................................................................................................42
MYOCARDIALE DYSFUNCTIE.........................................................................................................................42
BEADEMING............................................................................................................................................42
CIRCULATIE.............................................................................................................................................43
TEMPERATUUR.........................................................................................................................................43
BEHANDELING..........................................................................................................................................44
ORGAANDONATIE...........................................................................................................................45
DONATIEPROCEDURE..................................................................................................................................45
ORGAANDONATIE......................................................................................................................................45
WEEFSELDONATIE.....................................................................................................................................46
ONNATUURLIJKE DOOD..............................................................................................................................46
PATIËNTENZORG.......................................................................................................................................46
