The tumor nursing-Yi 12 bowel tumors round a surgical operation period

Prepare before the Shu
One mental nursing
Yi 12 bowel tumor sufferer the mental appearance before the Shu than other tumors the mindset still have to be bad before the Shu.In addition to the surgical operation brings sufferer fearing of different degree worried, because of multifarious vomit, the abdominal distension, stomachache and skin Sao Yang, make the sufferer's emotion been placed in highly nervous appearance, the nursing personnel clearly gives an account to do surgical operations toward patient's family members of necessity, may obtain of complications and Shu of risk, possible occurrence of effect, surgical operation behind recover the regulation of process to obtain the trust of patient and family members, also make them have certain thought preparation in the meantime.
2 nourishments support
Adding the energy is one of successful surgical operation keys, the above 90% patients all have the jaundice, Ning blood of different degree the function is bad, the surgical operation is greatly dangerous for the sake of raise the surgical operation bear to be subjected to dint and decrease complications, 1.Want to carry on before the Shu the full preparation to include to add blood capacity for a week?Chronic dehydrate, rectifying of low potassium, input the human body white egg white, fresh blood plasma and stomach and intestines to outside add the vitamin K1 with improvement Ning blood mechanism, rectify low egg white blood disease, take orally the Dan salt eases an endotoxin blood disease, if is anemic, then give a blood transfusion.2.The usage amino acids of the patient who resolves a metabolism to the high depletion and 20% fat milks.3.Yi 12 incidence rates of the bowel tumor patient's diabetes than common crowd must much, once check confirmation, should use an insulin control the blood sugar is in the 7.2~8.9 mmolsL, wet sugar(+)~(-)inside the scope, avoid insulin surfeit because the low blood sugar is more dangerous than high blood sugar larger.
3 of preparation
Yi 12 bowel tumors the lung department complications contain many opportunities after the Shu, should adopt prevention measure before the Shu.Strictly avoiding smoking had better for more than 2 weeks, the church patient carries on a chest type the breath toughens and contributes to prevent°froming after the Shu Ge Wei to sink, lung department infection and low nitrogen blood disease.My section 54 sufferers have already smoked cigarette history 32, before the Shu, the Shu juniors go deep breathing to toughen, after the Shu the lung department complications incidence rate is 0.The medical science educates a net collection sorting
After the Shu nursing
The sufferer takes after returning the sickroom even lie, the state of mind is clear to take half to lie.24 hour heart electricity serve as guardian, supervision blood pressure, pulse, keep various to lead to flow to take care of effective attraction, promise the vein is lucid and record for 24 hours, amount of discrepancies and notice mouth cavity and skin nursing and also need to work well a following nursing in addition:
Observation and processing of one belly cavity internal bleeding
Yi 12 bowels cures for good Shu, because the surgical operation scope is much big and fits together and appears belly cavity internal bleeding most easily.The earlier period should closely observe belly cavity to lead the property and quantity of flowing the liquid, shoulding notice belly cavity internal bleeding usually can not lead to flow a performance to come out through a belly cavity, is also say not ability complete dependence the belly cavity lead to flow.My section 22 contains complications occurrence, the issue of blood has 12, 6 among those examples belly cavity's bleeding has already had a lot, while the belly cavity lead discharge few, even have no.So have to combine the patient's whole body circumstance carries on analysis, once should considering first when the sufferer appears fidgety, thirsty, quick vein and low blood and loses blood shock to express after Shu belly cavity bleed of possibility.Once definitely diagnose, stop bleeding medicine, such as:Sign to stop bleeding the 2~4 u vein intravenous drop, add anti- shock treatments, such as blood capacity and blood transfusion...etc. and closely observe a life body to advertise for, when it's necessary immediately the surgical operation probe, stop bleeding.
2 meet an emergency sex ulcer observation and processing
Yi 12 bowels cure for good after the Shu for 5~7 days and appear complications most easily is meet an emergency sex ulcer.Emergence and surgical operation wound that meet an emergency sex ulcer more big, the patient meets an emergency degree lower, the hormone inside the body secretes increment relevant, therefore, the occurrence that meets an emergency sex ulcer for the decrease, should make the patient work well before surgical operation full prepare to should arouse by reducing spirit, as far as possible shrink short time in the Shu, Shu after give the metabolism of nourishment support and necessity to adjust a reason, since low should arouse degree and increment to organize repair ability.Give thunder Ni 0.15+ NS20 ml Bids are for the D intravenous injection or the letter method D 40-60 mgs+the NS20 ml Bid the intravenous injection waits sour medicine, and give to repress the hormones, such as stomach and intestines way and Yi Dan...etc. secretes and agree with stomach bowel way growth that glue a film to have a protection function suppress a vegetable.My section occurrence should arouse sex to ulcerate 7 and all get satisfaction effect after above method controls.
3 Yi Lous observe and nursing
The Yi Lou are serious complications that 12 Yi bowels cure for good Shu, is the main reason that cures for good after the Shu earlier period to die.Because the Yi fits together a technical exaltation, the incidence rate of Yi Lou consumedly lowers.My section 54 Yis 12 bowels cure for good Shu and only a Yi Lou happen.The Yi Lou not only has relation with the operation function of sufferer whole body circumstance, doctor, but also has relation with infection.The infection can increase the occurrence of Yi Lou, Yi Lou also with increment infection of degree relevant.Once Yi Lou happen, should keep a Yi liquid to lead to flow lucid in early days, can use kind must settle the 0.2 mg q 8 h subcutaneous injection, or use he rather 3000 us+5% GS500 mls maintained for 24 hours, and give the bowel outside high energy vein nourishment to wait to support therapy, reasonable usage effectively anti-virus vegetable.
Observation and nursing that be infected inside 4 belly cavities
Be infected mainly and is a germ because of stomach and intestines, Dan way in Shu inside the belly cavity infection to.Moreover the patient's resistibility to the germ weakens and there is also certain factor.Such as:Hot, nourishment obstacle, low egg white blood disease etc., past in addition to working well to prepare before the Shu, surgical operation doctor have no germ insulate, keep infection sorrow from pass importance.After the Shu nursing personnel's various operations all want to press have no germ operation technical ability completion.Canning prevent°from sex applied before the Shu is antibiotic, the half an hour starts vein inputing an anti-virus vegetable to an hour before anaesthetizing surgical operation, Shu after give the amount of foot reasonable anti-virus vegetable to prevent°from a treatment infection.
Yi 12 bowels cure for good Shu future trouble spend danger to expect to get into convalescent period smoothly, the nursing personnel works well food instruction and health care instruction equal importance and encourages sufferer's bed up appropriate activity, the food should with the high vitamin, high egg white, low fat and easily digest a food, much aer little amount meal to once avoid satisfied make belly unwell, the Shu is behind on the tenth day ability basic in the bed surrounding activity.