Esophagus cancer root governing skill nursing
May 1st, 2008 Guage
Esophagus cancer root governing skill nursing
[before the technique, prepares]
1. before pressing the thoracic surgery general technique, to nurse the convention.
2. the nutrition supplement, improves the whole body condition. Swallows the degree according to the patient to give the diet, has anemia, the dehydration, the malnutrition to use judgment to give the blood transfusion, the fluid infusion, the vein high nutrition and so on.
3. strengthens oral cavity nursing, after reducing the technique, complication; Regarding has the obvious esophagostenosis and the inflammation patient, before the technique, takes orally the intestinal tract antibiotic, reduces the inflammation and dropsy.
4. before the digestive tract preparation technique, 1d enters the few dregs diet, after 8:00 pm fasts, and uses the soapy water sausage 1 time. A colon generation of food harnesses the surgery to prepare: Before the surgery, id 1:00 pm, 2:00, 3:00, 6:00, 9:00 various clothing armor niter zuo 200mg, celebrates magnamycin 0.5g; After 4:00 pm, takes orally 10% mannitol 1000ml, a half hour takes orally; Before the technique, 3d enters the few dregs diet, before the technique, 1d enters the fluid medium, after 8:00 pm fasts, parallel soapy water clean sausage 1 time.
5. the surgery early morning sets at disinfection stomach tube 1.
[after the technique, nurses]
1. after pressing the thoracic surgery technique, after nursing the convention and the anaesthesia, conventional nursing.
2. after the technique, should key strengthen respiratory tract nursing, the essential fashionable nose drive pipe attracts the phlegm or the bronchoscope attracts the phlegm, eliminates the respiratory tract secretion, promotes pneumoectasia.
3. fasting period strengthens oral cavity nursing, maintains the oral cavity is clean.
4. stomach and intestines reduced pressure nursing according to stomach and intestines reduced pressure nursing convention.
5. chest cavity drainage’s nursing besides presses common chest cavity drainage nursing, should the special attention chest fluid nature and the quantity. If after the technique, the blood final proof chest fluid are excessively many or in the pink is accompanied by the fat drop, should be vigilant the chylothorax possibility.
6. the strict observation margin seeps out the situation, maintains partial clean, whether there is watch out for the margin infection, to split and to kiss the heal fistula the sign.
7. diet nursing
(1) fasts the period gives the vein nutrition support, maintains the solution is unobstructed, observation medicine response.
(after 2) the esophagus and rushes to the gate technique 5-7d, kisses the heal tensity, the blood according to the stomach and intestines function’s restoration and the technique to decide the feed time for the situation. Gets up from the few potable waters, fluid medium, semiliquid food diet, few many meal. After colon generation of esophagus technique, eats food the time suitable suitable detention.
(after 3) stomach generation of esophagus technique, strengthens the diet propaganda: Few many meal, before avoiding resting, lies down is eating food, after the feed, is by all means must slow, or sits well for a half hour, prevents the back-streaming not suitably, the belt is too tightly, after the feed, avoids movement which has lowers the head bends the waist.
(4) gives the high protein, the high Vitamin, the low fat, the few dregs diet, after and observes the feed, whether there is to obstruct, situations and so on ache, vomit, diarrhea. If the discovery symptom should suspend the diet.
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