Leerdoelen Vitaal Bedreigd
,Inhoudsopgave
Week 1 - Airway............................................................................................................................... 4
1.1 CWK letsel........................................................................................................................................... 4
1.2 Intubatie en definitieve luchtweg................................................................................................ 5
1.3 Wanneer is de luchtweg bedreigd?............................................................................................. 5
1.4 Oorzaken luchtwegbedreiging..................................................................................................... 5
1.5 Hoe wordt de luchtweg bij een ONBEWUSTE patiënt beoordeeld?...................................5
1.6 Hoe wordt de luchtweg bij een BEWUSTE patiënt beoordeeld?.........................................6
1.7 Verslikkingsprotocol....................................................................................................................... 6
1.8 Stappenplan Airway......................................................................................................................... 6
1.9 Aanvullende informatie; Triage................................................................................................... 6
1.10 Aanvullende informatie; redeneerstappen volgens model van Proactive Nursing...7
1.11 Aanvullende informatie; Redeneerhulpen SBAR, AMPLE, EWS.......................................8
Week 2 - Breathing......................................................................................................................... 9
2.1 Opname van zuurstof in het lichaam; ventilatie, diffusie, perfusie...................................9
2.2 Gaswisselingstoornissen................................................................................................................ 9
2.3 pH regulatiesysteem in het lichaam......................................................................................... 10
2.4 Aansturing ademhaling................................................................................................................ 10
2.5 Dyspneu............................................................................................................................................ 11
2.6 Ademhalingsgeluiden................................................................................................................... 11
2.7 Respiratoire insufficientie.......................................................................................................... 12
2.8 Pneumonie....................................................................................................................................... 12
2.9 Thoraxletsel..................................................................................................................................... 13
2.10 Astma............................................................................................................................................... 14
2.11 COPD................................................................................................................................................ 14
2.12 Longembolie.................................................................................................................................. 15
2.13 Koolmonoxide intoxicatie......................................................................................................... 16
2.14 Acuut longoedeem....................................................................................................................... 17
2.15 Asthma cardiale........................................................................................................................... 17
2.16 Stappenplan in de B.................................................................................................................... 17
2.17 Aanvullend; Toedieningswijze O2.......................................................................................... 18
2.18 Aanvullend; Arterieel bloedgaswaardes.............................................................................. 19
.................................................................................................................................................................... 19
Week 3 – Circulation 1................................................................................................................ 20
3.1 Prikkelgeleiding in het hart........................................................................................................ 20
3.2 Aandoeningen van de prikkelgeleiding.................................................................................. 21
3.3 Het ECG.............................................................................................................................................. 23
.................................................................................................................................................................... 23
Week 4 – Circulation 2................................................................................................................ 24
4.1 Shock.................................................................................................................................................. 24
4.2 Cardiogene shock........................................................................................................................... 24
4.3 Hypovolemische shock................................................................................................................. 25
4.4 Distributieve shock....................................................................................................................... 25
4.5 Obstructieve shock........................................................................................................................ 26
4.6 Symptomen shock.......................................................................................................................... 27
.................................................................................................................................................................... 27
.................................................................................................................................................................... 27
Week 5 – Circulation 3................................................................................................................ 28
5.1 Acuut coronair syndroom(ACS)................................................................................................. 28
, Week 6/7 – Disability.................................................................................................................. 29
6.1 Hypo- en hyperglykemie.............................................................................................................. 29
6.2 Alcoholintoxicatie.......................................................................................................................... 29
6.3 CO2-intoxicatie............................................................................................................................... 29
6.4 Verhoging van de intracraniële druk(hersendruk)............................................................30
6.5 Insulten & epilepsie....................................................................................................................... 30
6.6 CVA(cerebrovasculair accident)................................................................................................ 30
6.7 Encefalitis en meningitis.............................................................................................................. 33
6.8 Hersendoorbloeding..................................................................................................................... 33
6.9 Glasgow Coma Scale, Eye Motor Verbal................................................................................... 33
6.10 Schedelfracturen.......................................................................................................................... 34
6.11 Contusies en intracerebrale hematomen............................................................................. 34
6.12 Stupor en coma............................................................................................................................. 34
6.13 Wernicke encephalopathie....................................................................................................... 34
6.14 Hepatische encephalopathie.................................................................................................... 34
6.15 Stappenplan in D.......................................................................................................................... 35
Week 8 – Exposure/environment........................................................................................... 36
8.1 Hypothermie.................................................................................................................................... 36
8.2 Hyperthermie.................................................................................................................................. 36
8.3 Pijn...................................................................................................................................................... 36
8.4 Secondary survey........................................................................................................................... 36
8.5 Aanvullende informatie; Sepsis................................................................................................. 36
,Inhoudsopgave
Week 1 - Airway............................................................................................................................... 4
1.1 CWK letsel........................................................................................................................................... 4
1.2 Intubatie en definitieve luchtweg................................................................................................ 5
1.3 Wanneer is de luchtweg bedreigd?............................................................................................. 5
1.4 Oorzaken luchtwegbedreiging..................................................................................................... 5
1.5 Hoe wordt de luchtweg bij een ONBEWUSTE patiënt beoordeeld?...................................5
1.6 Hoe wordt de luchtweg bij een BEWUSTE patiënt beoordeeld?.........................................6
1.7 Verslikkingsprotocol....................................................................................................................... 6
1.8 Stappenplan Airway......................................................................................................................... 6
1.9 Aanvullende informatie; Triage................................................................................................... 6
1.10 Aanvullende informatie; redeneerstappen volgens model van Proactive Nursing...7
1.11 Aanvullende informatie; Redeneerhulpen SBAR, AMPLE, EWS.......................................8
Week 2 - Breathing......................................................................................................................... 9
2.1 Opname van zuurstof in het lichaam; ventilatie, diffusie, perfusie...................................9
2.2 Gaswisselingstoornissen................................................................................................................ 9
2.3 pH regulatiesysteem in het lichaam......................................................................................... 10
2.4 Aansturing ademhaling................................................................................................................ 10
2.5 Dyspneu............................................................................................................................................ 11
2.6 Ademhalingsgeluiden................................................................................................................... 11
2.7 Respiratoire insufficientie.......................................................................................................... 12
2.8 Pneumonie....................................................................................................................................... 12
2.9 Thoraxletsel..................................................................................................................................... 13
2.10 Astma............................................................................................................................................... 14
2.11 COPD................................................................................................................................................ 14
2.12 Longembolie.................................................................................................................................. 15
2.13 Koolmonoxide intoxicatie......................................................................................................... 16
2.14 Acuut longoedeem....................................................................................................................... 17
2.15 Asthma cardiale........................................................................................................................... 17
2.16 Stappenplan in de B.................................................................................................................... 17
2.17 Aanvullend; Toedieningswijze O2.......................................................................................... 18
2.18 Aanvullend; Arterieel bloedgaswaardes.............................................................................. 19
.................................................................................................................................................................... 19
Week 3 – Circulation 1................................................................................................................ 20
3.1 Prikkelgeleiding in het hart........................................................................................................ 20
3.2 Aandoeningen van de prikkelgeleiding.................................................................................. 21
3.3 Het ECG.............................................................................................................................................. 23
.................................................................................................................................................................... 23
Week 4 – Circulation 2................................................................................................................ 24
4.1 Shock.................................................................................................................................................. 24
4.2 Cardiogene shock........................................................................................................................... 24
4.3 Hypovolemische shock................................................................................................................. 25
4.4 Distributieve shock....................................................................................................................... 25
4.5 Obstructieve shock........................................................................................................................ 26
4.6 Symptomen shock.......................................................................................................................... 27
.................................................................................................................................................................... 27
.................................................................................................................................................................... 27
Week 5 – Circulation 3................................................................................................................ 28
5.1 Acuut coronair syndroom(ACS)................................................................................................. 28
, Week 6/7 – Disability.................................................................................................................. 29
6.1 Hypo- en hyperglykemie.............................................................................................................. 29
6.2 Alcoholintoxicatie.......................................................................................................................... 29
6.3 CO2-intoxicatie............................................................................................................................... 29
6.4 Verhoging van de intracraniële druk(hersendruk)............................................................30
6.5 Insulten & epilepsie....................................................................................................................... 30
6.6 CVA(cerebrovasculair accident)................................................................................................ 30
6.7 Encefalitis en meningitis.............................................................................................................. 33
6.8 Hersendoorbloeding..................................................................................................................... 33
6.9 Glasgow Coma Scale, Eye Motor Verbal................................................................................... 33
6.10 Schedelfracturen.......................................................................................................................... 34
6.11 Contusies en intracerebrale hematomen............................................................................. 34
6.12 Stupor en coma............................................................................................................................. 34
6.13 Wernicke encephalopathie....................................................................................................... 34
6.14 Hepatische encephalopathie.................................................................................................... 34
6.15 Stappenplan in D.......................................................................................................................... 35
Week 8 – Exposure/environment........................................................................................... 36
8.1 Hypothermie.................................................................................................................................... 36
8.2 Hyperthermie.................................................................................................................................. 36
8.3 Pijn...................................................................................................................................................... 36
8.4 Secondary survey........................................................................................................................... 36
8.5 Aanvullende informatie; Sepsis................................................................................................. 36
