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Samenvatting Flowcharts Bammens

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Stappenplan enerzijds voor bepalen van oorzaak hyponatriëmie anderzijds voor casussen rond respiratoire/metabole acidose en alkalose. (altijd een vraag op het examen)

Institution
Katholieke Universiteit Leuven (KU Leuven)
Course
Ziektemechanismen








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Institution
Katholieke Universiteit Leuven (KU Leuven)
Study
Geneeskunde
Course
Ziektemechanismen
All documents for this subject (75)

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Uploaded on
November 8, 2022
Number of pages
2
Written in
2022/2023
Type
Summary

Subjects

  • ziektemechanismen
  • bammens
  • ziektemechanisme

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Visual Paradigm Online Free Edition

HYPONATRIËMIE FLOWCHART

STAP 1: MEET
PLASMA
OSMOLALITEIT




Hyperosmolair: translocatie
Iso-osmolair: Hypo-osmolair => aanwezigheid van
pseydonatremie => abnormale osmolen zorgen
geen echt probleem voor H20 reabsorptie en
(abnormale hoge dus voor Na daling
eiwitten/lipiden)



STAP 2: MEET URINAIRE OSMOLALITEIT
(doen nieren aan compensatie)




<100 mOsm/Kg => >100 mOsm/Kg => nieren
verdunnen urine falen! hoe? diuretica/ADH
zoals verwacht ter stijging/abnormale
compensatie osmose????




STAP 3: URINAIR NA+ METEN


> 30 mmol/l < 30 mmol/l



STAP 5: STAP 4:
STAP 4: DIURETICA OF
NEEN VULLINGSTOESTAND VULLINGSTOESTAND
NIERINSUFFCIENTIE
INSHATTEN INSCHATTEN



JA
Hypovolemie Hypervolemie
hypovolemische shock hardeocmpensatie
hyperosm dehydr + hypotone subst levercirrose
iso-osm dehydr + hypotone subst neurotisch syndroom
Hypovolemie Euvolemie
Renale saltwasting glucocortoicoiden daling
ziekte van Addison hypothyreoïdie of SIADH




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