Esophageal chest three neck incision perioperative nursing


In July 2008, Volume 09, Issue 7 3.1 gastric tube care must be firmly fixed, regular washing, to keep them open, so that effective decompression, the patient as soon as possible to restore peristalsis, reduce intra-abdominal pressure, to prevent anastomotic leakage. 4 ~ 6h after gastric tube may have a small amount of dark red old blood, usually no more than 200ml, interval 2 ~ 4h with warm normal saline tube 1,mbt schuhe, regular measurement of the length of the tube to stay outside, to prevent loss. Close observation of the color of the stomach fluid drainage to prevent anastomotic bleeding. If it leads to greater amount of fresh blood and timely reporting to emergency medical treatment. 3.2 duodenum duodenal feeding tube feeding tube care is to ensure adequate nutrition of patients, especially frail elderly should not be too much fluid, and to prevent an important means of anastomotic leakage. Usually began after 24h infusion of glucose, vitamin C, B, etc., must continue uniform, constant temperature was maintained at 24h infusion, without discomfort, the first two days will continue to drip rice soup, milk, soy milk,moncler outlet, broth, fruit juices, etc. . First, second and fourth quarter drip feeding tube can be placed in the hot water bottle to ensure constant temperature, but will also prevent clogging pipes freezing cold broth. 7d is generally placed around the feeding tube. Administered early nutrition can restore intestinal function, and reduce the financial burden of patients. 3.3 chest lead chest tube care and lead pipe to the length of the fixed signs to stay outside, to ensure that negative pressure. 4h 30min before the day after squeezes every pipe 1, 4h after 2 ~ 3h Jinie 1, to prevent blood clots blocking the pipeline,canada goose jackets, and close observation of drainage and color, at any time make a detailed record. If the drainage bottle 1h blood flow l0l out more than 200ml, continued for more than 3h, the patient restless, active bleeding should be considered immediately with the doctor for emergency treatment. 3.4 catheter catheter care should pay attention to aseptic technique, close observation of hourly urine output, timing check urine, measured as the proportion of transfusion reference. Regular bladder irrigation with normal saline, the patient awake after restoration of spontaneous voiding,moncler pas cher, timely removal of the catheter to avoid infection. 3.5 post-operative care to strengthen inhalation, shot back,nike free run, instruct the patient to effectively cough, sputum, lung infection and prevention of empyema. Strict control of fluid volume and infusion rate, fasting during the infusion of as much as possible to promote a balanced 24h to prevent pulmonary edema L2J. Sometimes patients fear pain and cough due to the wound, use of analgesics in half an hour later with the right index finger pressure supraclavicular fossa trachea, irritation in the trachea to help patients with end-inspiratory cough. Strengthen psychological care and dietary guidance, encourage patients to establish confidence, through the surgery as soon as Jl ~ rJ off a speedy recovery. [
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