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Summary Overzicht CAT 2 minor comprehensive care and anatomy
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Bachelorjaar 3 CAT 2 overzicht minor comprehensive care and anatomy
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By: confuciuss • 8 months ago
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AandoeningenAcuut Coronair
Syndroom (ACS)
- Term wordt gebruikt bij patiënten
bij verdenking of bevestiging van
acuut myocardiaal ischemie of
infarct
Soorten:
- NSTEMI
- STEMI
- Unstable AP
Diagnostiek:
- ECG
- Biomarkers
Behandeling:
- Percutaneous transluminal coronary angioplasty (PTCA)
- Coronary Artery Bypass Graft (CABG)
Aneurysma cordis Diagnostiek:
- ECG
- ST-elevatie
Acute Respiratory = a lung condition that causes blood flow. Fluid builds up inside the tiny air sacs of
Distress Syndrome the lungs, and surfactant breaks down.
(ARDS) Oorzaken:
- Sepsis
- Pneumonia
- Major trauma and blood transfusion
- Inhalatietrauma
Atriumfibrilleren - Meest voorkomende supra ventriculaire ritme
- Altijd onregelmatig
- Tachycardie (>100/min) vaker dan bradycardie (<60/min)
Oorzaken:
- Diabetes
- Hoge bloeddruk
- Hyperthyreoïdie
- Leeftijd
- Hartaandoening
- Hartfalen
Behandeling:
- Rate control → betablokkers, calcium-antagonisten
Overzicht CCAA CAT 2 - Sofia Rabbanizadah p.1
, - Anticoagulantia
Atriumflutter - Frequentie altijd 300/min
- Regelmatig of onregelmatig
AV blok - Te lang PR-interval
- AV-knoop functioneert niet
AV node re-entry - Frequentie = 180-250/min
tachycardia (AVNRT) - R-R in V1
- Vaak jonge patiënten
- Komt en gaat
Behandeling:
- Hoesten
- Valsalva
- Carotic massage
- Adenosine
Bradyarrhythmia Second degree Mobitz ll + third degree AV block
Behandeling:
- External pacing
- Chronotropic medication
Overzicht CCAA CAT 2 - Sofia Rabbanizadah p.2
, Bundeltakblok - Te lange QRS
(LBTB/RBTB)
Congestief hartfalen - 70 jaar > 10%
- Diastolische dysfunctie
Voor operatie:
- Echografie
- Vena cava diameter
- Ejectiefractie
- Bloeddruk stabiliseren
- Bij pas gediagnosticeerde patiënt, nog 3 maanden verplaatsen om nieuwe
farmacotherapie toe te laten.
- Doorgaan met bètablokkers, ACE-remmers, diuretica
Tijdens operatie:
- Fluid management
Diastolisch hartfalen Kenmerken:
- Hard en dikke kamers → hart kan niet vullen
Behandeling:
- NO inotropic agents
- Administer fluids
- Increase vascular resistance
- SLOW DOWN
Ischemie - Vergroot risico op myocardinfarct of hartstilstand
- Hangt af van:
- Type operatie
- Risicofactoren
- Stabiliteit van hartaandoening
Diagnostiek:
- ECG
- ST-elevatie
Behandeling:
- Medicatie → bètablokkers, aspirine, nitraten
- Revascularisatie
Linker Ventriculair Oorzaak:
Hypertrofie (LVH) - Aorta stenose
- Hypertensie
Diagnostiek:
- ECG
Overzicht CCAA CAT 2 - Sofia Rabbanizadah p.3
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