What are the nursing points after splenectomy

summary

My brother was seriously injured in the car accident a few days ago, which led to the rupture of the spleen. He needed surgical treatment, and the spleen was resected. So what are the nursing points after splenectomy?

What are the nursing points after splenectomy

Postoperative nursing 1. After the splenectomy, we should carefully care, closely observe BP, P, R, pupil and abdomen, turn over regularly to prevent the occurrence of bedsore. All kinds of indwelling catheters should be well protected to prevent falling off, folding and infection. The amount of indwelling catheters should be carefully recorded and any abnormality should be reported to the doctor in time.

Postoperative nursing 2. Psychological nursing should be carried out in time after anesthesia. Patients are not prepared for sudden accidental injury and are difficult to accept this kind of stimulation and attack. Easy to produce anxiety, impatience, fear and a series of psychological reactions, emotional fluctuations. In nursing, we should be good at talking with patients, use communication skills to conduct psychological counseling, improve coping ability and patient's tolerance, so that patients have been in the best state of treatment.

Postoperative nursing 3. Nursing of drainage tube All patients after splenectomy have various drainage tubes, which should be properly fixed to prevent falling off. Routine nursing care: the drainage tube should be connected with aseptic drainage bag, and the ipsilateral drainage tube should be connected to the ipsilateral side to keep the drainage tube unobstructed. The drainage tube should be often squeezed to prevent clots from blocking the drainage tube. The color and drainage flow of drainage fluid of various drainage tubes should be closely observed in the early stage after operation, and the 24-hour drainage should be recorded timely and accurately Quantity. If the peritoneal drainage is bloody liquid, the color is bright red and progressive increase, it is highly suspected that the abdominal bleeding again, and the doctor should be informed immediately for timely rescue.

matters needing attention

After splenectomy, we should stay in bed for half a month to avoid unnecessary activities. Therefore, patients should be patient to explain: intense activities can affect wound healing, and even lead to massive bleeding. And help patients turn over slightly in bed, pat back, cough, expectoration.