Vaardigheden: communicatie en klinische technieken – MA2
STATIONSPROEVEN
, INHOUDSTAFEL
ACUTE WONDZORG & WONDHECHTING.................................................................5
Brandwonde.....................................................................................................6
Stelpen bloedingen...........................................................................................6
Verbanden.......................................................................................................6
Hechten........................................................................................................... 6
ABDOMINAAL ONDERZOEK...................................................................................7
Inspectie..........................................................................................................8
Auscultatie.......................................................................................................8
Percussie.........................................................................................................9
Palpatie........................................................................................................... 9
Speciale testen...............................................................................................10
ARTERIËLE PUNCTIE...........................................................................................10
Voorbereiding.................................................................................................11
Contra-indicaties............................................................................................11
Materiaal........................................................................................................11
Procedure......................................................................................................11
Interpretatie...................................................................................................12
CARDIOVASCULAIR ONDERZOEK.........................................................................13
Bloeddrukmeting............................................................................................14
Onderzoek bloedvaten....................................................................................14
Onderzoek van het hart...................................................................................15
EKG................................................................................................................16
COMMUNICATIE.................................................................................................17
Intake............................................................................................................ 17
Anamnese......................................................................................................18
Uitleg, advies & planning................................................................................18
Doelgerichte zorg...........................................................................................19
Psychosociaal consult.....................................................................................20
EHBO................................................................................................................ 21
BLS met AED bij volwassenen..........................................................................22
BLS met AED bij kinderen (tot 12 jaar).............................................................22
BLS met AED bij baby (tot 1 jaar).....................................................................22
DEATH: ALS....................................................................................................22
ALIVE: ABCDE.................................................................................................23
Verstikking/verslikking....................................................................................26
Stabiele zijlig..................................................................................................27
Zuurstoftekort................................................................................................27
2
, Epipen............................................................................................................28
GYNAECOLOGISCH ONDERZOEK EN VERLOSKUNDE..............................................28
Inleiding.........................................................................................................28
Communicatie.................................................................................................29
Aandachtspunten............................................................................................29
Vaginaal onderzoek.........................................................................................29
Onderzoek van de borst..................................................................................39
Verloskundige vaardigheden...........................................................................41
HEMATOLOGISCH ONDERZOEK............................................................................42
Onderzoek slijmvliezen...................................................................................42
Evaluatie lymfeklieren....................................................................................42
Onderzoek op organomegalie..........................................................................43
Infuusbeleid......................................................................................................44
Voorbereiding.................................................................................................44
Indicaties.......................................................................................................45
Contra-indicaties............................................................................................45
Keuze punctieplaats........................................................................................45
Inbrengen katheder........................................................................................46
Medicatie toedienen via infuuszak...................................................................47
Bolusinjectie...................................................................................................47
Zij-infuus........................................................................................................48
Combinatie bloedafname – infuus....................................................................48
Verwijderen infuus..........................................................................................48
Complicaties...................................................................................................49
INJECTIES..........................................................................................................49
Vloeibaar geneesmiddel..................................................................................50
Soorten injecties.............................................................................................51
Anti-coagulantie inspuiting.............................................................................54
Capillaire bloedafname...................................................................................55
LOCOMOTORISCH ONDERZOEK...........................................................................56
Overzicht aandoeningen..................................................................................56
Schouder........................................................................................................57
Elleboog.........................................................................................................58
Pols & hand....................................................................................................59
Bekkengordel & heup......................................................................................61
Knie............................................................................................................... 63
Enkel & voet...................................................................................................65
WZ cervicaal...................................................................................................67
WZ thoracaal..................................................................................................68
3
, WZ lumbaal....................................................................................................68
NEUROLOGISCH ONDERZOEK..............................................................................70
Materiaal........................................................................................................70
BAG (bewustzijn, adequaat, georiënteerd).......................................................71
Hogere corticale functies................................................................................71
Hals- en nekstreek..........................................................................................71
Craniale zenuwen...........................................................................................71
Motoriek........................................................................................................75
Sensibiliteit....................................................................................................75
Reflexen.........................................................................................................76
Onderzoek coördinatie....................................................................................77
Gang, stand, evenwicht...................................................................................77
NKO.................................................................................................................. 79
Onderzoek van de hals....................................................................................79
Onderzoek van het oor....................................................................................80
Onderzoek van de neus...................................................................................81
Onderzoek van mond- en keelholte..................................................................83
Onderzoek van het evenwicht..........................................................................85
OFtalmologie.....................................................................................................86
Onderzoek van visuele functie.........................................................................87
Onderzoek oogstand en oogmotiliteit..............................................................88
Onderzoek van pupilreflexen...........................................................................89
Benadering en verzorging oogtrauma..............................................................91
OPPERVLAKTE ANATOMIE...................................................................................93
Cardio, ademhaling, nier en urinewegen..........................................................93
GI-stelsel........................................................................................................95
piekstroommeting en inhalatie...........................................................................97
Piekstroommeting..........................................................................................97
Inhalatietherapie............................................................................................98
Inhalatietechnieken........................................................................................99
RESPIRATOIR ONDERZOEK................................................................................103
Inspectie......................................................................................................103
Inspectie longziekten....................................................................................104
Palpatie........................................................................................................104
Auscultatie...................................................................................................104
Percussie......................................................................................................106
Aanvullend onderzoek...................................................................................106
Psychiatrisch onderzoek..................................................................................107
Status mentalis = 4 pijlers.............................................................................107
4
STATIONSPROEVEN
, INHOUDSTAFEL
ACUTE WONDZORG & WONDHECHTING.................................................................5
Brandwonde.....................................................................................................6
Stelpen bloedingen...........................................................................................6
Verbanden.......................................................................................................6
Hechten........................................................................................................... 6
ABDOMINAAL ONDERZOEK...................................................................................7
Inspectie..........................................................................................................8
Auscultatie.......................................................................................................8
Percussie.........................................................................................................9
Palpatie........................................................................................................... 9
Speciale testen...............................................................................................10
ARTERIËLE PUNCTIE...........................................................................................10
Voorbereiding.................................................................................................11
Contra-indicaties............................................................................................11
Materiaal........................................................................................................11
Procedure......................................................................................................11
Interpretatie...................................................................................................12
CARDIOVASCULAIR ONDERZOEK.........................................................................13
Bloeddrukmeting............................................................................................14
Onderzoek bloedvaten....................................................................................14
Onderzoek van het hart...................................................................................15
EKG................................................................................................................16
COMMUNICATIE.................................................................................................17
Intake............................................................................................................ 17
Anamnese......................................................................................................18
Uitleg, advies & planning................................................................................18
Doelgerichte zorg...........................................................................................19
Psychosociaal consult.....................................................................................20
EHBO................................................................................................................ 21
BLS met AED bij volwassenen..........................................................................22
BLS met AED bij kinderen (tot 12 jaar).............................................................22
BLS met AED bij baby (tot 1 jaar).....................................................................22
DEATH: ALS....................................................................................................22
ALIVE: ABCDE.................................................................................................23
Verstikking/verslikking....................................................................................26
Stabiele zijlig..................................................................................................27
Zuurstoftekort................................................................................................27
2
, Epipen............................................................................................................28
GYNAECOLOGISCH ONDERZOEK EN VERLOSKUNDE..............................................28
Inleiding.........................................................................................................28
Communicatie.................................................................................................29
Aandachtspunten............................................................................................29
Vaginaal onderzoek.........................................................................................29
Onderzoek van de borst..................................................................................39
Verloskundige vaardigheden...........................................................................41
HEMATOLOGISCH ONDERZOEK............................................................................42
Onderzoek slijmvliezen...................................................................................42
Evaluatie lymfeklieren....................................................................................42
Onderzoek op organomegalie..........................................................................43
Infuusbeleid......................................................................................................44
Voorbereiding.................................................................................................44
Indicaties.......................................................................................................45
Contra-indicaties............................................................................................45
Keuze punctieplaats........................................................................................45
Inbrengen katheder........................................................................................46
Medicatie toedienen via infuuszak...................................................................47
Bolusinjectie...................................................................................................47
Zij-infuus........................................................................................................48
Combinatie bloedafname – infuus....................................................................48
Verwijderen infuus..........................................................................................48
Complicaties...................................................................................................49
INJECTIES..........................................................................................................49
Vloeibaar geneesmiddel..................................................................................50
Soorten injecties.............................................................................................51
Anti-coagulantie inspuiting.............................................................................54
Capillaire bloedafname...................................................................................55
LOCOMOTORISCH ONDERZOEK...........................................................................56
Overzicht aandoeningen..................................................................................56
Schouder........................................................................................................57
Elleboog.........................................................................................................58
Pols & hand....................................................................................................59
Bekkengordel & heup......................................................................................61
Knie............................................................................................................... 63
Enkel & voet...................................................................................................65
WZ cervicaal...................................................................................................67
WZ thoracaal..................................................................................................68
3
, WZ lumbaal....................................................................................................68
NEUROLOGISCH ONDERZOEK..............................................................................70
Materiaal........................................................................................................70
BAG (bewustzijn, adequaat, georiënteerd).......................................................71
Hogere corticale functies................................................................................71
Hals- en nekstreek..........................................................................................71
Craniale zenuwen...........................................................................................71
Motoriek........................................................................................................75
Sensibiliteit....................................................................................................75
Reflexen.........................................................................................................76
Onderzoek coördinatie....................................................................................77
Gang, stand, evenwicht...................................................................................77
NKO.................................................................................................................. 79
Onderzoek van de hals....................................................................................79
Onderzoek van het oor....................................................................................80
Onderzoek van de neus...................................................................................81
Onderzoek van mond- en keelholte..................................................................83
Onderzoek van het evenwicht..........................................................................85
OFtalmologie.....................................................................................................86
Onderzoek van visuele functie.........................................................................87
Onderzoek oogstand en oogmotiliteit..............................................................88
Onderzoek van pupilreflexen...........................................................................89
Benadering en verzorging oogtrauma..............................................................91
OPPERVLAKTE ANATOMIE...................................................................................93
Cardio, ademhaling, nier en urinewegen..........................................................93
GI-stelsel........................................................................................................95
piekstroommeting en inhalatie...........................................................................97
Piekstroommeting..........................................................................................97
Inhalatietherapie............................................................................................98
Inhalatietechnieken........................................................................................99
RESPIRATOIR ONDERZOEK................................................................................103
Inspectie......................................................................................................103
Inspectie longziekten....................................................................................104
Palpatie........................................................................................................104
Auscultatie...................................................................................................104
Percussie......................................................................................................106
Aanvullend onderzoek...................................................................................106
Psychiatrisch onderzoek..................................................................................107
Status mentalis = 4 pijlers.............................................................................107
4
