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FCCS - cursus Exam Questions With detailed Solutions

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  • FCCS - Cursus

# mmHg O2 bij SaO2 van 90% - ANSWER-60 mmHg normaalwaardes PaO2:FiO2 - ANSWER-300-500 mmHg <300 gestoorde oxygenatie <200 ernstige hypoxie Streefwaarde saturatie O2 als PaO2 = 60 mmHg - ANSWER-Lichte huid = 92% Donkere huid = 94% pulse pressure variation - ANSWER-= verschil in s...

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  • August 21, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • FCCS - cursus
  • FCCS - cursus
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FCCS - cursus Exam Questions With
detailed Solutions
# mmHg O2 bij SaO2 van 90% - ANSWER-60 mmHg



normaalwaardes PaO2:FiO2 - ANSWER-300-500 mmHg



<300 gestoorde oxygenatie

<200 ernstige hypoxie



Streefwaarde saturatie O2 als PaO2 = 60 mmHg - ANSWER-Lichte huid = 92%

Donkere huid = 94%



pulse pressure variation - ANSWER-= verschil in systolische bloeddruk bij inspiratie



- ondervulde status pt.



Normaalwaardes centraal veneuze druk - ANSWER-6-8 mmHg



Passive leg raise - ANSWER-- strekken van been boven hoofd zorgt voor verplaatsing
van 250-300 cc bloed uit benen en splanchnische vaten



- positief als >10%-15% variatie

- bolus 250-500 ml over 5-10 min



Klinisch verdacht voor tamponade - ANSWER-Pulsus paradoxus = verschil van >10
mmg in systolische bloeddruk bij inspiratie



schema blz 120 - ANSWER-..

, streef diurese pt. - ANSWER->0.5-1 ml/kg/u



complicatie hestarch colloiden - ANSWER-nierfalen



Parameters om shock op te volgen - ANSWER-pols

bloeddruk

urine output



- druk arterie pulmonalis (schwann ganz)

- veneuze saturatie

- lactaat

- normaliseren orgaanwaardes



Slechte prognose shock - ANSWER-hypotensie + lactaat >4



Behandeling hypovolemische schok - ANSWER-1. Vloeistofsubtitutie

- Kristalloïden v.s. Colloïden

- Bloedproducten



2. Vasopressie



Behandeling distributieve shock - ANSWER-Septische shock

R/ Vloeistof, antibiotica en vasopressie (noradrenaline)



Anafylactische shock

R/ Adrenaline s.c. + vocht + cortico's



Behandeling cardiogene shock - ANSWER-Hypotensie (<70 systolisch)

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