How to nurse after pneumonectomy

summary

Because of the tuberculosis cavity, had to take a pneumonectomy treatment, postoperative body is weak, good nursing measures are very important. Let's take a look at how to care after pneumonectomy.

How to nurse after pneumonectomy

First of all: to keep the respiratory tract unobstructed, postoperative patients should be encouraged to take deep breath, cough and expectorate effectively. Given ultrasonic atomization inhalation (4 h interval) to humidify the airway, atomization medication with 0.45% NaCl solution 40 mi + 0.25 mg of butaline and 0.45% NaCI Solution 40 mi + 15 mg of Mucosolvan alternately, the treatment effect will be strengthened, mainly because terbutaline can dilate the bronchus, Mucosolvan can dilute the sputum.

Secondly, if expectoration is still obstructed after inhalation, it is effective to use chest wall vibrator to vibrate the front and back walls of the contralateral chest for 5-10 minutes before expectoration. For patients with weak expectoration, sputum should be aspirated in time, and fiberoptic bronchoscope should be used when necessary.

Finally, active pain relief from chest incision can reduce chest movement, dare not breathe deeply and cough hard, resulting in reduced gas exchange and * retention of trachea and bronchial secretions. The incidence rate of atelectasis and pneumonia increased, and hypoxemia was induced.

matters needing attention

After pneumonectomy, the patients were bedridden for more than one week, and the activities in bed were mainly in high slope sitting position or low slope lying position. The patient's breathing should be slow and steady, and should not pant as much as possible.