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Samenvatting - Kritieke zorg: infuusmanagement

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Samenvatting van de cursus, notities uit de les en de powerpoint.

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Uploaded on
May 7, 2024
Number of pages
3
Written in
2023/2024
Type
Summary

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Infuusmanagement
Wat is infuusmanagement?
“Alles op 1 lijn?!”
- Niet altijd zwart/wit
- Meerderde mogelijkheden
- Zo logisch mogelijk werken

Soorten access?
Access


Intra ossale a. Veneuze a. Arteriële a.

* *
Perifeer Centraal


1 à 7 dagen 2 weken <4 weken 4w à 6 maand >4 maand



Kort perifeer Midline CVC PICC


Continue Intermittent

* = niet-irriterend
* = irriterend (pH <5 of >9 of >500 mmol/L)
Hickman Poortkatheter




Intra-ossale catheter Arteriële catheter
- Moeilijke vasculaire toegang - Meten arteriële druk
- Urgente toediening vloeistoffen - Bloedgas analyse
- Toegang via:
 Distale femur
 Prorximale humerus
 Proximale- en distale tibia

Veneuze access
Kort perifere catheter Midline catheter CVC (= centraal veneuze catheter)
= Perifere toegang via distale vene = Perifeer ingebracht via: v. brachialis en = Centraal veneuze toegang via:
- Therapieduur: 1-7 dagen eindigt in: v. axilaris  Vena jugularis
- Therapieduur: +- 2 weken (max 4  Vena subclavia
weken)  Vena femoralis
Eindigt in: vena cava superior
 onder echogeleiding + RX controle - Therapieduur: <4 weken
 Seldingertechniek
 niet getunneld
 vastgehecht

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