What are the nursing points after partial cystectomy

summary

A colleague got the disease of bladder cancer, which was discovered not long ago. Later, he went to the hospital for partial cystectomy. What are the nursing points after partial cystectomy? Let's talk about it.

What are the nursing points after partial cystectomy

Key points of nursing: 1. After cystectomy, there may be more bleeding due to large surgical wound. The vital signs should be strictly observed to ensure the unobstructed blood transfusion and infusion. The color of bladder irrigation and drainage fluid should be closely observed for 1-3 days after cystectomy. According to the color change of drainage fluid, the flushing speed should be adjusted in time to prevent blood clots from blocking the catheter.

Key points of nursing 2. 6 hours after cystectomy, the patient can eat, mainly rich in nutrition, crude fiber diet, avoid spicy stimulating food, prevent constipation, should continue gastrointestinal decompression, closely observe the nature, color and quantity of gastric juice, and make records, should closely observe the blood supply of urostomy, timely find the complications of stoma. Keep wound and stoma dressing clean and dry.

The third key point of nursing is to prevent infection, which should be paid special attention to. Regularly measure the body temperature and the changes of white blood cells, and observe whether there is infection. Keep the skin around the stoma clean and dry, turn over regularly, knock on the back, expectoration, if the sputum is thick, atomization inhalation, appropriate activities and other measures can prevent the occurrence of infection, if there is abnormal situation, timely medical treatment for symptomatic treatment.

matters needing attention

Partial cystectomy is a major operation. After the operation, the patients should be nursed strictly according to the regulations. The routine urine examination and cystoscopy should be reexamined 3 months and half a year after the operation to exclude or detect the recurrence as soon as possible.