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Samenvatting ProActive Nursing: klinische problematiek inzichtelijk, ISBN: 9789058758620 Neurologische controles

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Samenvatting Neurologische controles

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Hoofdstuk 11
Uploaded on
November 23, 2021
Number of pages
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Written in
2021/2022
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Neurologische controles

Het doel van neurologische controles is het signaleren van neurologische achteruitgang.
Daarbij kijk je naar het bewustzijnsniveau en geeft het een eventueel beeld van de ernst van
de situatie met name bij verhoogde hersendruk /inklemming.



Bewustzijn


Onder bewustzijn verstaan we een aantal dingen, namelijk
- Waarneming
- Gedachten
- Gevoelens
- Intenties waar men zich van bewust is
Emoties
-

Anatomie bewustzijn
Reticulaire formatie
Activeert cortext via ascenderende banen op verschillende subcortiale gebieden.

Thalamus
Schakelstation en filtert binennkomende informatie.

Cerebrale cortex
Verantwoordelijk voor inhoud van bewustzijn. Regelt cognitieve functie.



Inklemming


Verschuiving van hersenmassa

 Tentorieel
Mesencephalon komt in de knel
Bewustzijn, ademhaling en pupilreactie

 Tonsillair
Cerebellum duwt omhoog richting achterhoofdsgat.
Ademhalingsveranderingen
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