How does rectum cancer complication nurse

summary

Some time ago, my father-in-law found out that he had rectal cancer. It was very difficult to swallow when he ate, and he always felt sternal pain. Yesterday, he had surgery in the hospital, and the effect was good. But the doctor said that there might be complications in the future, so he asked his family to take care of them carefully. Now let's talk about how to care for rectal cancer complications.

How does rectum cancer complication nurse

First: prevention and nursing of abdominal distension: abdominal distension occurs due to vagus paralysis and disappearance of intestinal peristalsis due to surgical anesthesia, laparotomy and intestinal tube resection. In nursing care, we should pay attention to gastrointestinal decompression and keep it unobstructed. We can draw out gastric fluid and gas appropriately to reduce abdominal distension. 12 hours after operation, patients should be assisted to turn over in bed to promote intestinal peristalsis.

Second: prevention of anemia and hypotension: due to more blood loss and fluid loss during operation, patients are prone to anemia and hypotension caused by insufficient blood volume. Therefore, blood pressure, pulse and respiration of patients should be closely monitored after operation, which can be detected every 30 minutes on average until the patient's condition is stable. Prevention of bedsore: Patients with long-term bedridden lead to local skin pressure, blood flow is not smooth, prone to bedsore, so we should keep the bed dry, flat, two hours to help patients change their position, appropriate use 50% alcohol to massage patients, promote blood circulation to prevent bedsore.

Third: postoperative pain care: within 24 hours after surgery, if the patient's condition is stable, the pain is mostly incision pain, and analgesic drugs can be given according to the patient's general state; 2-3 days after the operation, the patient's pain is mostly caused by the vibration of expectoration. At this time, the patient should be assisted in deep breathing, turning over, patting back and other activities. Those with sticky sputum and difficult to cough up should be given atomization inhalation to prevent complications. 4 days after the operation, if the patient has pain, the patient should consider whether there is a sense of incision.

matters needing attention

Patients after rectal cancer surgery may have abdominal distension, anemia, hypotension and so on because of some steps during the operation, so the patients' family members must be careful after the operation, help the patients turn over, help the patients frequently change the body position, often pat the patients on the back and so on, to help the patients prevent complications.