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Postoperatieve complicaties, exclusief respiratoire

Postoperatieve complicaties, exclusief respiratoire

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Metabole Complicaties<br />

Respiratoire Acidemia:<br />

Metabole Acidemia<br />

Respiratoire Alkalemie<br />

Metabole Alkalemie<br />

Metabole Complicaties<br />

Hyperglycemie<br />

• Stress , glucose infuus<br />

• Matige postop hyperglycemie (150-250mg/dl) verdwijnt<br />

spontaan<br />

• > 250 mg/dl → glucosuria met osmotische diurese<br />

• Zware hyperglycemie: →↑serum osmolaliteit →<br />

hyperosmolaar coma<br />

• Diabetes mellitus → insuline deficiëntie, risico ketoacidosis<br />

Hypoglycemie<br />

• Endogene insuline secretie, of exogene insuline toediening<br />

• Therapie: 50% dextrose gevolgd door glucose infuus<br />

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