What should we pay attention to after ventriculoperitoneal shunt

summary

Recently, a colleague had headache, nausea and vomiting. Later, he found that he had hydrocephalus and was treated by ventriculoperitoneal shunt. What should we pay attention to after ventriculoperitoneal shunt?

What should we pay attention to after ventriculoperitoneal shunt

Note 1: bed rest nursing: 24 hours after operation, the patient should lie on his back, the head should be tilted to the healthy side, do not raise, and avoid severe head activity and neck hyperextension and hyperflexion, so as to avoid low intracranial pressure caused by excessive cerebrospinal fluid drainage. After recovery of consciousness and stable vital signs, the patient should raise the head of the bed by 15 ° to 30 ° to facilitate cerebrospinal fluid drainage to abdominal cavity. It is absolutely good for patients to stay in bed 72 hours after operation.

Note 2: when the cerebrospinal fluid drainage is too much and too fast, the patient has low intracranial pressure, which is manifested as normal or low blood pressure, headache and vomiting. At this time, the head of the bed should be lowered to make the patient lie flat, and the lower limbs should be raised, and the infusion volume and colloid liquid should be increased. At the same time, the patient's condition should be closely observed to prevent intracranial hemorrhage caused by excessive drainage.

Third, close observation, accurate nursing, early postoperative functional exercise, but a small number of shunt patients will still appear shunt tube blockage, infection, secondary intracranial hemorrhage and other complications. Therefore, close observation of intracranial pressure changes after operation, timely adjustment of body position, regular pressing of shunt pump, keeping shunt tube unobstructed and preventing shunt tube blockage can reduce complications and improve the success rate of operation.

matters needing attention

The nursing after ventriculoperitoneal shunt is particularly important, especially in the postoperative to watch the patient's physical changes, if there is any abnormal situation, to inform the doctor in time, after the situation is improved, life and diet conditioning is particularly critical.