How to care for nephrectomy

summary

Some time ago, I just finished the nephrectomy, and after several weeks of observation in the hospital, I can finally go home for recuperation. Nephrectomy is still a major operation, so I have to be very strict in all aspects. Now let me talk about how to care for nephrectomy.

How to care for nephrectomy

First: routine nursing after urology surgery and routine nursing after anesthesia. Closely observe the blood pressure, pulse, respiration and incision bleeding, collect the information from the medical education network of the drainger, keep the drainage unobstructed, and pay attention to the color quality and quantity of the drainage fluid. Pay attention to the observation of urination, hematuria, accurate record of 24h water.

Second, patients with total nephrectomy can be encouraged to get up 24 hours after operation. Patients with partial nephrectomy should stay in bed for five weeks to prevent bleeding and nephroptosis. If you have abdominal distension, you can apply mirabilite to the navel or exhaust through the anal canal. After nephrectomy, the patient should lie on his back for 2-3 days, and get out of bed after no complications. Cigarette drainage is usually removed 48 hours after operation.

Third, if the amount of food consumed is small, intravenous rehydration is needed; if there is abdominal distension, gastrointestinal decompression, anal exhaust or acupuncture treatment can be used (acupuncture points Zusanli and Qihai, or moxibustion volume hanging moxibustion needle que); or oral Chinese medicine Tongchang decoction. Attention should be paid to urination. If the urine volume is less than 500ml within 24 hours, dehydration or renal failure should be avoided. According to the clinical situation and laboratory examination results, non protein nitrogen increase, acidosis, water and electrolyte disorder should be prevented, and anti infection treatment should be carried out.

matters needing attention

After nephrectomy, patients need to rest for a period of time. For patients, after nephrectomy, they can't do too heavy physical labor. Patients should pay attention to rest as much as possible, don't let themselves too tired, and take more care of their families after operation.