Hoorcolleges
Inhoud
Ervaringsverhaal familie traumapatiënt ........................................................................................ 5
Pre-hospitale zorg ........................................................................................................................ 5
Prehospitale zorg, waarom nodig? ...................................................................................................... 6
Prehospitale zorg, doelstelling ............................................................................................................ 6
Prehospitale zorg, de feiten ................................................................................................................ 6
Prehospitale spoedeisende zorg, de ambulances ............................................................................... 6
Prehospitale zorg, wie werken daar? .................................................................................................. 6
Emergency Care, the HEMS staff......................................................................................................... 6
Emergency Care, LPA ........................................................................................................................... 7
A call for help! Hoe ziet de routing er uit? .......................................................................................... 7
Triage, waarom? Doel?........................................................................................................................ 8
Triage, door de meldkamercentralist .................................................................................................. 8
Triage, op de werkplek ........................................................................................................................ 9
Prioritering......................................................................................................................................... 10
Wat heb je gehoord? ......................................................................................................................... 10
Ondertussen in de ambulance .......................................................................................................... 10
Werken volgens protocol, LPA .......................................................................................................... 11
Lees het ongeval, wat is er gebeurd? ................................................................................................ 12
Take home message .......................................................................................................................... 13
ABCDE........................................................................................................................................ 13
ACLS .......................................................................................................................................... 18
SEH en fracturen ........................................................................................................................ 20
Fracturen ........................................................................................................................................... 21
Bot en fractuur .................................................................................................................................. 21
Typen fracturen ................................................................................................................................. 21
Beschrijving van fracturen ................................................................................................................. 22
Risico’s van fracturen ........................................................................................................................ 23
Classificaties ...................................................................................................................................... 24
Behandeling fractuur ......................................................................................................................... 26
Intensive care............................................................................................................................. 28
De IC patiënt ...................................................................................................................................... 28
Zorgverlener ...................................................................................................................................... 28
, Communicator ................................................................................................................................... 28
Samenwerkingspartner ..................................................................................................................... 28
Reflectieve professional .................................................................................................................... 29
Gezondheidsbevorderaar .................................................................................................................. 29
Organisator ........................................................................................................................................ 29
Professional en kwaliteitsbevorderaar.............................................................................................. 29
ICconnect.nl ....................................................................................................................................... 30
Extra informatie vanuit college: ........................................................................................................ 31
ECG ............................................................................................................................................ 32
Waarom een ECG .............................................................................................................................. 32
Het ECG deel 1 ................................................................................................................................... 32
Erica ............................................................................................................................................... 32
Ritmestrook met sinus blokkade van >3 sec ................................................................................. 33
Geleidingssysteem......................................................................................................................... 34
Beleid en verloop........................................................................................................................... 35
Tachycardie.................................................................................................................................... 36
Afsluiting deel 1 ............................................................................................................................. 36
Het ECG deel 2 ................................................................................................................................... 36
Cor ................................................................................................................................................. 36
ECG anteroseptaal infarct ............................................................................................................. 37
Extremiteiten afleidingen .............................................................................................................. 37
Borst- of voorwandafleidingen ...................................................................................................... 37
STEMI ............................................................................................................................................. 38
Infarct gebieden ............................................................................................................................ 38
Coronaire doorbloeding ................................................................................................................ 39
(non)STEMI .................................................................................................................................... 39
Afsluiting deel 2 ............................................................................................................................. 39
Het ECG deel 3 ................................................................................................................................... 40
Gerrit ............................................................................................................................................. 40
Elektrofysiologie en pompfunctie ................................................................................................. 41
Beleid ............................................................................................................................................. 41
Zelf oefenen................................................................................................................................... 43
Afsluiting deel 3 ............................................................................................................................. 43
Multi-infusie .............................................................................................................................. 43
Let’s start at the beginning................................................................................................................ 43
Nursing specialism ............................................................................................................................. 44
, Examples............................................................................................................................................ 44
Nursing Challenges ............................................................................................................................ 44
Overzicht houden .......................................................................................................................... 45
Verenigbaarheid ............................................................................................................................ 45
Interacties ...................................................................................................................................... 45
Doseringen .................................................................................................................................... 45
Snelheid ......................................................................................................................................... 45
Hoogteverschillen .......................................................................................................................... 45
Alarmen ......................................................................................................................................... 46
Kristalloïd of colloïd? ..................................................................................................................... 46
Antibiotica ................................................................................................................................. 46
Leerdoelen......................................................................................................................................... 46
Infectieziekten ................................................................................................................................... 46
Verschillen tussen bacteriën en virussen .......................................................................................... 47
Veel voorkomende pathogene bacteriën.......................................................................................... 47
Bacteriën ........................................................................................................................................... 47
Classificatie naar celwand ............................................................................................................. 47
Classificatie naar zuurstofbehoefte ............................................................................................... 48
Classificatie naar vorm .................................................................................................................. 49
Antibiotica ......................................................................................................................................... 49
Een stukje geschiedenis................................................................................................................. 49
Principes van antimicrobiële therapie........................................................................................... 49
Zwakke plekken van bacteriën .......................................................................................................... 49
Farmacodynamiek en pharmacokinetiek ...................................................................................... 49
Antibiotica ..................................................................................................................................... 50
Smal en breed................................................................................................................................ 51
Bijwerkingen ...................................................................................................................................... 51
Resistentie ......................................................................................................................................... 51
Gerichte mutaties .......................................................................................................................... 52
Resistentie ..................................................................................................................................... 52
Wat kun je doen als verpleegkundige? ......................................................................................... 52
BRMO ................................................................................................................................................ 53
Hoe resistentie voorkomen? ............................................................................................................. 53
NHG-standaard anticonceptie ........................................................................................................... 53
Labwaarden ............................................................................................................................... 53
Leerdoelen......................................................................................................................................... 53
, Wordt gebruikt om: ........................................................................................................................... 53
Veel voorkomende bloedonderzoeken ............................................................................................. 53
Top 5 testen....................................................................................................................................... 54
Bloedafname ..................................................................................................................................... 54
Normaalwaarden............................................................................................................................... 54
Volledig bloedbeeld........................................................................................................................... 55
Ontstekingswaarden ......................................................................................................................... 56
Bloedgroepen .................................................................................................................................... 57
Kruisreactie........................................................................................................................................ 57
Bloedstolling ...................................................................................................................................... 57
Mineralen .......................................................................................................................................... 58
Elektrolyten ................................................................................................................................... 58
Nierfunctie ......................................................................................................................................... 58
Leverfunctie ....................................................................................................................................... 59
Casus.................................................................................................................................................. 59
Leverfunctie ....................................................................................................................................... 59
Schildklier .......................................................................................................................................... 60
Glucose .............................................................................................................................................. 60
Cholesterol ........................................................................................................................................ 60
Bloedgas ............................................................................................................................................ 61
Bloedgas lezen: .............................................................................................................................. 61
Arteriële of capillaire bepaling? .................................................................................................... 61
Sepsis......................................................................................................................................... 61
Let’s start at the beginning................................................................................................................ 61
Sepsis, Nursing Alarmbells ................................................................................................................ 62
Definitie ............................................................................................................................................. 63
Kenmerken ........................................................................................................................................ 63
Alarmbellen ....................................................................................................................................... 63
Septische shock ................................................................................................................................. 64
Normale infectiereactie..................................................................................................................... 64
Toxinen > gifstoffen ........................................................................................................................... 64
Artikel belangrijk ............................................................................................................................... 65
Klinisch beeld..................................................................................................................................... 65
Van SIRS naar SOFA ........................................................................................................................... 65
Klinisch beloop .................................................................................................................................. 66
Microcirculatie raakt verstoord......................................................................................................... 66
Inhoud
Ervaringsverhaal familie traumapatiënt ........................................................................................ 5
Pre-hospitale zorg ........................................................................................................................ 5
Prehospitale zorg, waarom nodig? ...................................................................................................... 6
Prehospitale zorg, doelstelling ............................................................................................................ 6
Prehospitale zorg, de feiten ................................................................................................................ 6
Prehospitale spoedeisende zorg, de ambulances ............................................................................... 6
Prehospitale zorg, wie werken daar? .................................................................................................. 6
Emergency Care, the HEMS staff......................................................................................................... 6
Emergency Care, LPA ........................................................................................................................... 7
A call for help! Hoe ziet de routing er uit? .......................................................................................... 7
Triage, waarom? Doel?........................................................................................................................ 8
Triage, door de meldkamercentralist .................................................................................................. 8
Triage, op de werkplek ........................................................................................................................ 9
Prioritering......................................................................................................................................... 10
Wat heb je gehoord? ......................................................................................................................... 10
Ondertussen in de ambulance .......................................................................................................... 10
Werken volgens protocol, LPA .......................................................................................................... 11
Lees het ongeval, wat is er gebeurd? ................................................................................................ 12
Take home message .......................................................................................................................... 13
ABCDE........................................................................................................................................ 13
ACLS .......................................................................................................................................... 18
SEH en fracturen ........................................................................................................................ 20
Fracturen ........................................................................................................................................... 21
Bot en fractuur .................................................................................................................................. 21
Typen fracturen ................................................................................................................................. 21
Beschrijving van fracturen ................................................................................................................. 22
Risico’s van fracturen ........................................................................................................................ 23
Classificaties ...................................................................................................................................... 24
Behandeling fractuur ......................................................................................................................... 26
Intensive care............................................................................................................................. 28
De IC patiënt ...................................................................................................................................... 28
Zorgverlener ...................................................................................................................................... 28
, Communicator ................................................................................................................................... 28
Samenwerkingspartner ..................................................................................................................... 28
Reflectieve professional .................................................................................................................... 29
Gezondheidsbevorderaar .................................................................................................................. 29
Organisator ........................................................................................................................................ 29
Professional en kwaliteitsbevorderaar.............................................................................................. 29
ICconnect.nl ....................................................................................................................................... 30
Extra informatie vanuit college: ........................................................................................................ 31
ECG ............................................................................................................................................ 32
Waarom een ECG .............................................................................................................................. 32
Het ECG deel 1 ................................................................................................................................... 32
Erica ............................................................................................................................................... 32
Ritmestrook met sinus blokkade van >3 sec ................................................................................. 33
Geleidingssysteem......................................................................................................................... 34
Beleid en verloop........................................................................................................................... 35
Tachycardie.................................................................................................................................... 36
Afsluiting deel 1 ............................................................................................................................. 36
Het ECG deel 2 ................................................................................................................................... 36
Cor ................................................................................................................................................. 36
ECG anteroseptaal infarct ............................................................................................................. 37
Extremiteiten afleidingen .............................................................................................................. 37
Borst- of voorwandafleidingen ...................................................................................................... 37
STEMI ............................................................................................................................................. 38
Infarct gebieden ............................................................................................................................ 38
Coronaire doorbloeding ................................................................................................................ 39
(non)STEMI .................................................................................................................................... 39
Afsluiting deel 2 ............................................................................................................................. 39
Het ECG deel 3 ................................................................................................................................... 40
Gerrit ............................................................................................................................................. 40
Elektrofysiologie en pompfunctie ................................................................................................. 41
Beleid ............................................................................................................................................. 41
Zelf oefenen................................................................................................................................... 43
Afsluiting deel 3 ............................................................................................................................. 43
Multi-infusie .............................................................................................................................. 43
Let’s start at the beginning................................................................................................................ 43
Nursing specialism ............................................................................................................................. 44
, Examples............................................................................................................................................ 44
Nursing Challenges ............................................................................................................................ 44
Overzicht houden .......................................................................................................................... 45
Verenigbaarheid ............................................................................................................................ 45
Interacties ...................................................................................................................................... 45
Doseringen .................................................................................................................................... 45
Snelheid ......................................................................................................................................... 45
Hoogteverschillen .......................................................................................................................... 45
Alarmen ......................................................................................................................................... 46
Kristalloïd of colloïd? ..................................................................................................................... 46
Antibiotica ................................................................................................................................. 46
Leerdoelen......................................................................................................................................... 46
Infectieziekten ................................................................................................................................... 46
Verschillen tussen bacteriën en virussen .......................................................................................... 47
Veel voorkomende pathogene bacteriën.......................................................................................... 47
Bacteriën ........................................................................................................................................... 47
Classificatie naar celwand ............................................................................................................. 47
Classificatie naar zuurstofbehoefte ............................................................................................... 48
Classificatie naar vorm .................................................................................................................. 49
Antibiotica ......................................................................................................................................... 49
Een stukje geschiedenis................................................................................................................. 49
Principes van antimicrobiële therapie........................................................................................... 49
Zwakke plekken van bacteriën .......................................................................................................... 49
Farmacodynamiek en pharmacokinetiek ...................................................................................... 49
Antibiotica ..................................................................................................................................... 50
Smal en breed................................................................................................................................ 51
Bijwerkingen ...................................................................................................................................... 51
Resistentie ......................................................................................................................................... 51
Gerichte mutaties .......................................................................................................................... 52
Resistentie ..................................................................................................................................... 52
Wat kun je doen als verpleegkundige? ......................................................................................... 52
BRMO ................................................................................................................................................ 53
Hoe resistentie voorkomen? ............................................................................................................. 53
NHG-standaard anticonceptie ........................................................................................................... 53
Labwaarden ............................................................................................................................... 53
Leerdoelen......................................................................................................................................... 53
, Wordt gebruikt om: ........................................................................................................................... 53
Veel voorkomende bloedonderzoeken ............................................................................................. 53
Top 5 testen....................................................................................................................................... 54
Bloedafname ..................................................................................................................................... 54
Normaalwaarden............................................................................................................................... 54
Volledig bloedbeeld........................................................................................................................... 55
Ontstekingswaarden ......................................................................................................................... 56
Bloedgroepen .................................................................................................................................... 57
Kruisreactie........................................................................................................................................ 57
Bloedstolling ...................................................................................................................................... 57
Mineralen .......................................................................................................................................... 58
Elektrolyten ................................................................................................................................... 58
Nierfunctie ......................................................................................................................................... 58
Leverfunctie ....................................................................................................................................... 59
Casus.................................................................................................................................................. 59
Leverfunctie ....................................................................................................................................... 59
Schildklier .......................................................................................................................................... 60
Glucose .............................................................................................................................................. 60
Cholesterol ........................................................................................................................................ 60
Bloedgas ............................................................................................................................................ 61
Bloedgas lezen: .............................................................................................................................. 61
Arteriële of capillaire bepaling? .................................................................................................... 61
Sepsis......................................................................................................................................... 61
Let’s start at the beginning................................................................................................................ 61
Sepsis, Nursing Alarmbells ................................................................................................................ 62
Definitie ............................................................................................................................................. 63
Kenmerken ........................................................................................................................................ 63
Alarmbellen ....................................................................................................................................... 63
Septische shock ................................................................................................................................. 64
Normale infectiereactie..................................................................................................................... 64
Toxinen > gifstoffen ........................................................................................................................... 64
Artikel belangrijk ............................................................................................................................... 65
Klinisch beeld..................................................................................................................................... 65
Van SIRS naar SOFA ........................................................................................................................... 65
Klinisch beloop .................................................................................................................................. 66
Microcirculatie raakt verstoord......................................................................................................... 66
