Esophagus cancer nurses the convention
May 1st, 2008 Guage
Before the technique:
1st, psychological nursing; Strengthens with patient’s communication, according to patient’s situation, patience unblocking, cared that the patient, eliminates the dread.
2nd, nutrition support: Before the technique, should appraise the nutritional status, the water, the electrolyte unbalanced degree, instructs the patient to eat food reasonably high thermal, the high protein, the rich Vitamin fluid medium or the semiliquid food diet.
3rd, oral hygiene: Maintains the oral cavity clean, assists the patient to rinse mouth, reduces the oral bacteria.
4th, respiratory tract preparation: Refuses the patient to smoke, instructs the patient to practice to cough effectively and the abdominal type deep breathing.
5th, gastro-intestinal tract preparation: The technique preceding on evening sausage one time, the technique previous 12 hours endures the drinking water, the technique early morning retention stomach tube, before the intubation, completes the explanation work.
6th, skin preparation: (with lung Ca skin preparation).
7th, the surgery previous 1-2 dates, draw blood deliver the blood bank to perform the scissors movement experiment, should fulfil exactly the verification system.
After the technique:
1st, after general anesthesia technique nurses the convention, observes the life symptom closely the change, records critically ill to nurse the label.
2nd, maintenance chest cavity closed type drainage tube’s unobstructed, observes its character, the color, the quantity, and the record, if in the technique latter 3 hours the chest cavity closed type drainage quantity assumes in each hour 100ML bright red and has many coagula, the patient presents dry restless, the blood pressure to drop the performance which bothersomely, the urine few and so on blood volumes are insufficient to consider that is the activity hemorrhage, should report doctor promptly, takes the measure.
3rd, stomach and intestines reduced pressure nursing: Maintains the stomach tube is unobstructed, prevents to leave fixedly properly, after the stomach tube leaves, should observe the condition strictly, should not blind insert again, in order to avoid pierces kisses the heal, creates kisses the heal fistula. Strict observation drainage quantity, character, smell and record.
4th, completes oral cavity nursing: Contains rinses mouth the fluid maintains frequently the oral cavity is clean, prevents the oral mucosa erosion.
5th, diet nursing; After the technique, should endure the diet, the technique latter 3-4 days, treats the anus exhaust, after the stomach and intestines reduced pressure drainage quantity reduction, wipes out stomach tube, the stop stomach and intestines reduced pressure 24 hours later, if the non-scant of breath, in the chest the severe pain, the trouble side respiratory murmur weakens, and the high fever and so on kisses the heal fistula the symptom, only then eats food.
6th, puts the chemotherapy nursing: To the patient explained that the treatment goal, the attention mixes the diet, to whet the appetite reasonably, has, the vomit disgusting, gives the just right for the illness treatment, alleviates the symptom, pays attention to the oral hygiene, the prevention upper respiratory tract infection.
7th, after the technique, the convention gives the oxygen uptake, may the good nose drive pipe oxygen uptake or the face guard oxygen uptake, according to the actual situation adjustment oxygen flow.
8th, completes the health education: To the patient explained that active the significance and the matters needing attention, want the regular reexamination, insisted that continues to treat.
9th, complication: Kisses attention observation preventions and so on heal fistula, chylothorax.
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