How do I care after appendectomy
Saturday, Nov 07,2009, 3:17:42 PM Click:
1, depending on anesthesia, select the appropriate supine, such as spinal anesthesia patients should go to pillow Horizontal 6 ~ 12 hours to prevent cerebrospinal fluid leakage caused by headaches. Continuous epidural anesthesia can be a low pillow Horizontal.
2, observe vital signs, every hour measurement of blood pressure, pulse time, continuous measurement three times, until smooth. Such as blood pressure, pulse up or down, then consider a bleeding wound to be observed in time to take the necessary measures.
3, simple appendicitis removed after 12 hours, or gangrenous or perforated appendicitis resection, as equipped with drainage pipes, to be stable blood pressure and should be replaced after the semi-supine posture Banwo or low in order to facilitate drainage and prevent inflammation exudative fluid into the abdominal cavity.
4, diet: surgery the day of fasting, after the first day of liquid, the next day into the soft food, under normal circumstances, the first 3 to 4 days into the S & P food.
5, after 3 to 5 days to disable strong laxative and irritating strong soapy water enema, so as not to increase the peristalsis, leaving off the appendix stump ligature or suture wound dehiscence, postoperative constipation can be taken orally as a laxative .
6, after 24 hours to get up and activities to promote peristalsis recovery, to prevent the adhesion occurs at the same time can improve blood circulation, accelerate wound healing.
7, after elderly patients to keep warm, often shoot back to help cough, to prevent hypostatic pneumonia.
Postoperative complications and nursing
An incision infection, usually caused by surgical operation, pollution, gangrene, or perforated appendicitis particularly prone. 3 to 5 days after the body temperature continues to rise or fall after the rise again, the patient felt wound pain, skin redness and swelling around the incision tenderness, then prompted a wound infection.
2, abdominal hemorrhage due to appendicular appendicular artery bleeding were mesangial ligature off, the patient performance of pale, with abdominal pain, abdominal distention, rapid pulse, cold sweats, there is decreased blood pressure, shock and other symptoms, must be immediately lie horizontally, sedation, oxygen inhalation, intravenous infusion, while blood for blood grouping and cross matching of blood in preparation for surgery to stop bleeding.
3, abdominal residual abscess patient's postoperative continuous high fever, feeling of abdominal pain, abdominal distention, with tenesmus flu, and then symptoms of poisoning. Should pay attention to half-supine postural drainage, so that secretions or pus into the pelvic cavity to reduce poisoning, while enhancing antibiotics. Was suggested to do no better drainage surgery.
4, fecal fistula ligation of appendiceal stump off-line when the accidental injury or surgery such as bowel, can lead to fecal fistula. Fecal fistula is usually colonic fistula formation around the infected usually confined to the cecum, without the threat of diffuse peritonitis, body temperature is not high, nutrient deficiency is not serious and after antibiotic treatment is applied mostly to self-healing.
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