Bachelor verpleegkunde OLF 2
VMV 3:
hoofdstuk 3: Lange termijn centraal veneuze katheters
VMV 3: centrale veneuze katheter 1
, Bachelor verpleegkunde OLF 2
Inhoudsopgave
Hoofdstuk 1: centraal veneuze katheters ........................................................................................................... 4
3 categorieën katheters: ........................................................................................................................................................... 4
Totaal implementeerbaar intraveneus systeem of poortkatheter......................................................................................... 4
Wat? ....................................................................................................................................................................................... 4
Soorten poortkatheters ....................................................................................................................................................... 4
Indicaties voor plaatsen van een poortkatheter ............................................................................................................ 5
5 contra-indicaties voor het plaatsen van een poortkatheter ..................................................................................... 5
Voor- en nadelen van een poortkatheter ....................................................................................................................... 5
Plaatsing ................................................................................................................................................................................ 5
aandachtspunten (kennen!) ....................................................................................................................................................... 6
Aseptische werkwijze........................................................................................................................................................... 6
Loodrecht aanprikken met aangepaste naaldlengte ................................................................................................... 6
Spoelen én afsluiten met NaCl 0,9% ............................................................................................................................... 6
Observatie (postoperatieve) complicaties ...................................................................................................................... 6
Spoelen met NaCl 0,9% gebeurt met pulserende bewegingen (= start-stop of push-pause methode) ............ 6
Positieve druk techniek bij afsluiten .................................................................................................................................. 6
Enkel aanprikken met huberpuntnaalden = niet-perforerende naald ...................................................................... 6
Bij doorspoelen steeds een spuit gebruiken van minimum 10 ml ................................................................................ 6
Geen abnormale druk uitoefenen .................................................................................................................................... 6
Eerste bloed verwijderen bij bloedafname .................................................................................................................... 6
Onderhoud ............................................................................................................................................................................ 6
................................................................................................................................................................................................. 6
verwijdering .......................................................................................................................................................................... 6
Getunnelde centraal veneuze katheter .................................................................................................................................... 7
wat? ........................................................................................................................................................................................ 7
soorten ......................................................................................................................................................................................... 7
Broviac/ Hickman katheter è uitwendige klem & open uiteinde ............................................................................. 7
Groshong è ingebouwd klepsysteem & afgesloten uiteinde .................................................................................... 7
Hohn è ingebouwd klepsysteem & open uiteinde ....................................................................................................... 7
indicaties ...................................................................................................................................................................................... 8
plaatsing ...................................................................................................................................................................................... 8
voordelen .................................................................................................................................................................................... 8
contra-indicaties ......................................................................................................................................................................... 8
Nadelen ....................................................................................................................................................................................... 8
Plaatsing ...................................................................................................................................................................................... 8
zorg en onderhoud .................................................................................................................................................................... 8
Onderhoud ............................................................................................................................................................................ 8
verwijdering ................................................................................................................................................................................ 9
Perifeer ingebrachte centrale katheter= PICC ..................................................................................................... 9
wat?.............................................................................................................................................................................................. 9
Soorten PICC .............................................................................................................................................................................. 9
open einde PICC .................................................................................................................................................................. 9
PICC met distale klep .......................................................................................................................................................... 9
Dubbellumen PICC ............................................................................................................................................................... 9
indicaties ...................................................................................................................................................................................... 9
plaatsing PICC ......................................................................................................................................................................... 10
VMV 3: centrale veneuze katheter 2
VMV 3:
hoofdstuk 3: Lange termijn centraal veneuze katheters
VMV 3: centrale veneuze katheter 1
, Bachelor verpleegkunde OLF 2
Inhoudsopgave
Hoofdstuk 1: centraal veneuze katheters ........................................................................................................... 4
3 categorieën katheters: ........................................................................................................................................................... 4
Totaal implementeerbaar intraveneus systeem of poortkatheter......................................................................................... 4
Wat? ....................................................................................................................................................................................... 4
Soorten poortkatheters ....................................................................................................................................................... 4
Indicaties voor plaatsen van een poortkatheter ............................................................................................................ 5
5 contra-indicaties voor het plaatsen van een poortkatheter ..................................................................................... 5
Voor- en nadelen van een poortkatheter ....................................................................................................................... 5
Plaatsing ................................................................................................................................................................................ 5
aandachtspunten (kennen!) ....................................................................................................................................................... 6
Aseptische werkwijze........................................................................................................................................................... 6
Loodrecht aanprikken met aangepaste naaldlengte ................................................................................................... 6
Spoelen én afsluiten met NaCl 0,9% ............................................................................................................................... 6
Observatie (postoperatieve) complicaties ...................................................................................................................... 6
Spoelen met NaCl 0,9% gebeurt met pulserende bewegingen (= start-stop of push-pause methode) ............ 6
Positieve druk techniek bij afsluiten .................................................................................................................................. 6
Enkel aanprikken met huberpuntnaalden = niet-perforerende naald ...................................................................... 6
Bij doorspoelen steeds een spuit gebruiken van minimum 10 ml ................................................................................ 6
Geen abnormale druk uitoefenen .................................................................................................................................... 6
Eerste bloed verwijderen bij bloedafname .................................................................................................................... 6
Onderhoud ............................................................................................................................................................................ 6
................................................................................................................................................................................................. 6
verwijdering .......................................................................................................................................................................... 6
Getunnelde centraal veneuze katheter .................................................................................................................................... 7
wat? ........................................................................................................................................................................................ 7
soorten ......................................................................................................................................................................................... 7
Broviac/ Hickman katheter è uitwendige klem & open uiteinde ............................................................................. 7
Groshong è ingebouwd klepsysteem & afgesloten uiteinde .................................................................................... 7
Hohn è ingebouwd klepsysteem & open uiteinde ....................................................................................................... 7
indicaties ...................................................................................................................................................................................... 8
plaatsing ...................................................................................................................................................................................... 8
voordelen .................................................................................................................................................................................... 8
contra-indicaties ......................................................................................................................................................................... 8
Nadelen ....................................................................................................................................................................................... 8
Plaatsing ...................................................................................................................................................................................... 8
zorg en onderhoud .................................................................................................................................................................... 8
Onderhoud ............................................................................................................................................................................ 8
verwijdering ................................................................................................................................................................................ 9
Perifeer ingebrachte centrale katheter= PICC ..................................................................................................... 9
wat?.............................................................................................................................................................................................. 9
Soorten PICC .............................................................................................................................................................................. 9
open einde PICC .................................................................................................................................................................. 9
PICC met distale klep .......................................................................................................................................................... 9
Dubbellumen PICC ............................................................................................................................................................... 9
indicaties ...................................................................................................................................................................................... 9
plaatsing PICC ......................................................................................................................................................................... 10
VMV 3: centrale veneuze katheter 2
