How to care for patients undergoing internal carotid endarterectomy

summary

There are many people who don't know what kind of operation internal carotid endarterectomy is. Naturally, they don't know what its function is. So we need to know some basic knowledge. Let's talk about how to care for internal carotid endarterectomy.

How to care for patients undergoing internal carotid endarterectomy

First, the patient was operated under general anesthesia, exposing the common carotid artery, internal carotid artery and external carotid artery. After heparinization, the above-mentioned arteries were blocked in turn. According to the angiographic findings, the common carotid artery and / or internal carotid artery were cut, the intima of the artery was stripped, and then the blood vessels were sutured again. Transcranial Doppler was used to monitor cerebral blood flow during operation, and subcutaneous drainage tube was placed after operation.

Second: life care includes understanding the patient's age, past history, self-care ability, and observing the occurrence of cerebral ischemia symptoms (frequency, duration, symptoms). To provide patients with life care, strengthen protective measures, to provide a quiet and comfortable environment. According to the patients with various diseases to give the corresponding diet guidance.

Third: for those with a history of hypertension, their blood pressure changes should be routinely observed and treated with drugs to control their blood pressure above or slightly higher than the normal value; for those with a history of diabetes, their fasting and 2 h postprandial blood glucose should be monitored and treated with drugs, and their blood glucose should be adjusted within the normal range or slightly higher to meet the requirements of preoperative blood pressure and blood glucose.

matters needing attention

The above introduction is about the nursing work after internal carotid endarterectomy. The patient's family members must do a good job in the following work, because the success of the operation is not only the most critical element, but also the maintenance work after the operation, which is also very important.