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Bezoek a/d IC

Dutch - ErasmusMC- 4.4.1 - HC1

Criteria voor opname op de IC -patient moet er baat bij hebben -dreigende of manifeste stoornissen v/d vitale functies
2 belangrijkende alarmsyptomen voor naderende falende vitale functies - verwardheid (vaak teken v sepsis) - tachypneu
Beademing; functie teugvolume x frequentie
Beademing; effecten gaswisseling en afname v O2-behoefte (ademhalingspieren hoeven minder O2 te gebruiken
Beademing; bewaking -drukken -bloedgassen
Circulatie; functies -slagvolume x frequentie -druk --> RR -veneuze terugbloed in RV
Circulatie; effecten -cardiac output -O2aanbod en -afvoer v afvalstoffen
Circulatie; RR - slagvolume - frequentie - weerstand -norm art. RR; 60 mmHg
Circulatie; bewaking - RR meten via catheter in slagader (ook bloedafn. mogelijk) -HMV meten
Rotatietherapie bij longcontusie om pneumonie te voorkomen in stilstaand gekneusd weefsel
Electromechanische dissociatie - ECG: wel elektr. activ. - Geen druk generatie in bloedvaten;dus geen circulatie
Overlijdenskansen v patientengroepen op IC - Beenmergtransplantatie: >90% - reanimatie op de afdeling: 80-90% - septische shock: 50 - 70% - neurotrauma/ intracraniele bloeding: 30%
Created by: SavageMD