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Exam (elaborations)

casussen en mogelijke bijvragen

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Dit zijn alle casussen dus vragen van het examen met mogelijke bijvragen en de checklisten die de docenten gebruiken op het examen.

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Klinische fundamenten
Voorbereiding
Handeling zelf
nazorg
Casus 1: blaassondage man
Dhr Lippens komt voor een cystografie. Hiervoor dient de blaas gevult te worden met
contrast (NaCl 90%)
Mijnheer is zeer zenuwachtig en gespannen.
Het herrinert hem aan zijn onderzoeken voor prostaatkanker.

Radiologische vraagstelling: Blaascarcinoom?

Voer een éénmalige blaassondage uit en vul de blaas met contrast.
Wat zijn de extra aandachtspunten?

Blaassondage man:
Materiaal:
 Sondage kit
 Blaassonde man
 Steriele handschoenen
 Niet-steriele handschoenen
 Instila gel
 NaCl 90%
 Infuusleiding
 Tussenstukje
 Steriel nierbekken
 Niet-steriel nierbekken
 Niet-steriel nierbekken
 Stukje plakband voor fixatie

Wat doe je:
1. Handenwassen
2. Handen ontsmetten
3. Werkvlak afkuisen
4. Nodige materiaal klaar leggen
5. Infuus klaar maken
6. Verpakking openen
7. Steriel veld leggen
8. Resterende verpakkingen openen en op het veld plaatsen
9. Niet-steriele handschoenen aandoen
10. Reinigen van de penis van boven naar beneden en eindigen op de eikel
11. Instila gel inspuiten (volledig)  verdovende werking + gleidende werking
12. Enkele minuten wachten
13. Steriele handschoenen aandoen
14. Sonde plaatsen

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Uploaded on
December 26, 2017
Number of pages
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Written in
2017/2018
Type
Exam (elaborations)
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