Verpleegkunde Jaar 2 HCC: Ritme & Geleiding
Inhoud
Sinusknoop .............................................................................................................................................. 3
Sinus ritme........................................................................................................................................... 3
Sinus bradycardie ................................................................................................................................ 3
Sinus tachycardie................................................................................................................................. 3
Prematuur ............................................................................................................................................... 3
Premature Atrial Capture (PAC) .......................................................................................................... 3
Premature Ventriculaire Complex (PVC) ............................................................................................. 3
Oorzaken PVC: ................................................................................................................................. 3
Symptomen: .................................................................................................................................... 3
Behandeling: .................................................................................................................................... 3
Atria (hartboezems) ................................................................................................................................ 4
Atriumfibrillatie ................................................................................................................................... 4
Symptomen: .................................................................................................................................... 4
Behandeling: .................................................................................................................................... 4
Atriumflutter ....................................................................................................................................... 4
Klachten: .......................................................................................................................................... 4
Behandeling voor Atriumflutter en Atriumfibrilleren: .................................................................... 4
AV-knoop ................................................................................................................................................. 4
AV-junctional ritme ............................................................................................................................. 4
Klachten: .......................................................................................................................................... 5
AV-blok ................................................................................................................................................ 5
Oorzaak:........................................................................................................................................... 5
Verschillende vormen:..................................................................................................................... 5
Klachten: .......................................................................................................................................... 5
Behandeling: .................................................................................................................................... 6
Ventrikels (hartkamers) ........................................................................................................................... 6
Ventriculaire tachycardie .................................................................................................................... 6
Klachten: .......................................................................................................................................... 6
Behandeling: .................................................................................................................................... 6
Nieuwe aanvallen voorkomen:........................................................................................................ 6
Ventrikelflutter .................................................................................................................................... 6
Behandeling: .................................................................................................................................... 6
1
, Ventrikelfibrilleren .............................................................................................................................. 7
Oorzaken: ........................................................................................................................................ 7
Behandeling nu:............................................................................................................................... 7
Behandeling later: ........................................................................................................................... 7
Ritmestrook 5 stappen ............................................................................................................................ 8
ECG 7+2 stappenplan .............................................................................................................................. 8
Plaats (infarcering) .............................................................................................................................. 8
ECG hokjes ........................................................................................................................................... 8
Geleidingstijden................................................................................................................................... 8
PQ-tijd:............................................................................................................................................. 8
QRS- tijd: .......................................................................................................................................... 9
QT-tijd: ............................................................................................................................................. 9
Hartas .................................................................................................................................................. 9
Asdraaiing ........................................................................................................................................ 9
Kwadranten ..................................................................................................................................... 9
P-top .................................................................................................................................................... 9
QRS morfologie.................................................................................................................................... 9
Bundeltakblokken................................................................................................................................ 9
Rechterbundeltakblok (RBTB) ......................................................................................................... 9
Linkerbundeltakblok (LBTB)............................................................................................................. 9
ST morfologie ...................................................................................................................................... 9
Infarcering als: ............................................................................................................................... 10
Afleidingen ............................................................................................................................................ 10
Plaatsing ............................................................................................................................................ 10
2
Inhoud
Sinusknoop .............................................................................................................................................. 3
Sinus ritme........................................................................................................................................... 3
Sinus bradycardie ................................................................................................................................ 3
Sinus tachycardie................................................................................................................................. 3
Prematuur ............................................................................................................................................... 3
Premature Atrial Capture (PAC) .......................................................................................................... 3
Premature Ventriculaire Complex (PVC) ............................................................................................. 3
Oorzaken PVC: ................................................................................................................................. 3
Symptomen: .................................................................................................................................... 3
Behandeling: .................................................................................................................................... 3
Atria (hartboezems) ................................................................................................................................ 4
Atriumfibrillatie ................................................................................................................................... 4
Symptomen: .................................................................................................................................... 4
Behandeling: .................................................................................................................................... 4
Atriumflutter ....................................................................................................................................... 4
Klachten: .......................................................................................................................................... 4
Behandeling voor Atriumflutter en Atriumfibrilleren: .................................................................... 4
AV-knoop ................................................................................................................................................. 4
AV-junctional ritme ............................................................................................................................. 4
Klachten: .......................................................................................................................................... 5
AV-blok ................................................................................................................................................ 5
Oorzaak:........................................................................................................................................... 5
Verschillende vormen:..................................................................................................................... 5
Klachten: .......................................................................................................................................... 5
Behandeling: .................................................................................................................................... 6
Ventrikels (hartkamers) ........................................................................................................................... 6
Ventriculaire tachycardie .................................................................................................................... 6
Klachten: .......................................................................................................................................... 6
Behandeling: .................................................................................................................................... 6
Nieuwe aanvallen voorkomen:........................................................................................................ 6
Ventrikelflutter .................................................................................................................................... 6
Behandeling: .................................................................................................................................... 6
1
, Ventrikelfibrilleren .............................................................................................................................. 7
Oorzaken: ........................................................................................................................................ 7
Behandeling nu:............................................................................................................................... 7
Behandeling later: ........................................................................................................................... 7
Ritmestrook 5 stappen ............................................................................................................................ 8
ECG 7+2 stappenplan .............................................................................................................................. 8
Plaats (infarcering) .............................................................................................................................. 8
ECG hokjes ........................................................................................................................................... 8
Geleidingstijden................................................................................................................................... 8
PQ-tijd:............................................................................................................................................. 8
QRS- tijd: .......................................................................................................................................... 9
QT-tijd: ............................................................................................................................................. 9
Hartas .................................................................................................................................................. 9
Asdraaiing ........................................................................................................................................ 9
Kwadranten ..................................................................................................................................... 9
P-top .................................................................................................................................................... 9
QRS morfologie.................................................................................................................................... 9
Bundeltakblokken................................................................................................................................ 9
Rechterbundeltakblok (RBTB) ......................................................................................................... 9
Linkerbundeltakblok (LBTB)............................................................................................................. 9
ST morfologie ...................................................................................................................................... 9
Infarcering als: ............................................................................................................................... 10
Afleidingen ............................................................................................................................................ 10
Plaatsing ............................................................................................................................................ 10
2
