pijnstilling Flashcards

1
Q
A
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2
Q

score op de schaal

A

30 a 40 tov 50

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3
Q

latente fase van pijn

A

abdominaal, lage rug, T10-L1, krampachtig, difuus

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4
Q

indaling pijn

A

L2-S1, perineum - anus - sacrum - dijen

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5
Q

bevalling zelf

A

S1S2, N pudendus, uitrekking

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6
Q

geven we beter een continue of een bolus toediening

A

beter bolus, want is verdund en verspreid beter

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7
Q

opiaat anesthetica

A

fentanyl
sufenta

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8
Q

lokale anesthetica

A
  • Bupivacaine
  • Ropivacaine
  • Levobupivacaine (minder toxisch)
  • Lidocaine
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9
Q

welke bolus volume geven we

A

0.0625 mg / ml

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10
Q

complicaties door de spinale toediening

A

Hypotensie
Foetale bradycardie
PostDuralePunctieHoofdpijn
Pruritus (jeuk)
Nausea / vomiting

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11
Q

analgesie gevolg:

A

meer instrumentele bevalling
verkorten ontlsuiting (2.1cm ipv 1)
verlenging uitdrijving (16min langer)

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12
Q

posturale punctiehoofdpijn waar

A

occipitaal

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13
Q

intra uteriene reanimatie

A

L lig
stop oxytocine
geef toxolitica
02 geven

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14
Q

bloeddruk daling wat dan

A

vasoporessoren
vocht
L lig

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15
Q

wnr gaat posturale punctiehoofdpijn weg

A

na 7 dagen (72%)
na 7 weken
kan ook jaren duren
TOCH blijft de 20ml bloedinjectie handig

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