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Spoed > Coma patient > Flashcards

Coma patient Flashcards

1
Q

Rostrale raphne kernen

A

Stemming en emotie

Slaap waak

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2
Q

Caudale raphne kernen

A

Pijn
Ademhaling
Temperatuur

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3
Q

Locus ceruleus

A

Waakzaamheid
Aandacht richten
Pijn en angst modulatie

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4
Q

Respiratoire groep pons

A

Frequentie en diepte teugen

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5
Q

Atactische ademhaling

A

Beschadiging pons

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6
Q

Dorsale groep medulla

A

Inspiratie

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7
Q

Ventrale groep medulla

A

Expiratie

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8
Q

Cheyne-stokes

A

Hyperventilatie en apneu’s

Bilaterale thalamus uitval

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9
Q

Centrale hyperventilatie

A

Probleem hoog in mesencephalon

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10
Q

Apneutische ademhaling

A

Lange, diepe ademhaling

Overgang mesencephalon pons

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11
Q

Apneu

A

Geen ademdrive

Probleem medulla

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12
Q

Decerebratie

A

Pathologisch strekken en buigen pols

Geen verbinding cerebrum en lichaam

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13
Q

Decorticatie

A

Pathologsich buigen en strekken handen

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14
Q

Zeer wijde pupillen

A

Onderbreking parasympaticus mesencephalon door uncale hernatie

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15
Q

Dolls eye fenomeen

A

Nervus oculomotirius en abducens aangedaan

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16
Q

Wurgreflex

A

Nervus glossofaryngeus en vagus

17
Q

Bloedverlies >750 cc

A

Tachycardie

18
Q

Bloedverlies 750-1000 cc

A

Vasoconstricite, nauwe pols

19
Q

Bloedverlies 1500-3000 cc

A

CO, MAP, vermidnerde urineproductie

20
Q

Bloedverlies >3000 cc

A

Bewustzijnsverlies

21
Q

GCS < 8

A

Bedreigde ademweg, comateus, intubatie veriest

22
Q

GCS <11

A

CT-scan

23
Q

Beademing

A

Zuurstof
CO2 rond 35mmHG max
BP > 90 mmHg systolisch

24
Q

Te hoge CO2 spanning

A

Vasodilatatie > oedeem

25
Q

Te lage CO2 spanning

A

Vasoconstrictie > ischemie

26
Q

Trial of death

A

Hypothermie
Acidose
Coagulopathie

Spoed (26 decks)

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