What are the nursing problems of replantation of severed limbs?
summary
On site first aid and observation after replantation of amputated limb patients is an important test point in the examination. You can eat more light things, and pay attention to the on-site first aid and observation after replantation of amputated limb patients. So what are the nursing problems of replantation of severed limbs? I hope this problem can help some people.
What are the nursing problems of replantation of severed limbs?
First: hemostasis: compression bandage is better for bleeding in the proximal section of the injured limb. If the compression is invalid, tourniquet can be used to stop bleeding, but special attention should be paid to regular relaxation to avoid limb necrosis caused by too long compression.
Second: preservation of amputated limbs: the amputated limbs should not be treated aseptically on site, and it is strictly forbidden to wash, soak and apply drugs. The amputated limbs should be wrapped with aseptic or clean dressings as soon as possible, and then dried and refrigerated immediately. The method is to put the wrapped amputated limbs into a clean plastic bag, and then put them into a container with a cover, and put ice around them to keep at about 4 ℃. To avoid frostbite caused by direct contact between severed limb and ice, and to prevent tissue cell edema caused by direct contact between severed limb and ice water. If the fingers are broken, wrap them separately and mark them. If the amputated limb is still stuck in the machine, stop the machine and remove the amputated limb after disassembly. It is strictly forbidden to pull out the amputated limb or turn the machine upside down to avoid aggravating the injury of the amputated limb.
Third, rapid transit; The severed limb will be necrotic if the ischemic time is too long. Therefore, it is necessary to transport the severed limb and the patient to a qualified hospital for replantation, and strive to carry out the operation within 6 hours. During the transportation, the general condition of the patient and the cryopreservation of the severed limb were observed closely. When the amputated limb is sent to the hospital, it is quickly sent to the operating room and perfused with heparin saline. After washing, it is wrapped with sterile wet gauze and external dry gauze. It is placed in a sterile container and then refrigerated in a refrigerator at 2-4c ℃. Freezing is strictly prohibited. In the case of multi finger amputation, wrap the fingers and mark them so that they can be removed one by one according to the operation process to reduce the warm ischemia time.
matters needing attention
1. Discuss the possible causes of obesity with patients / family members. 2. Explain the basic diet knowledge, so that patients realize that long-term intake higher than consumption will lead to weight gain, has great harm to health. 3. Work with doctors and nutritionists to make diet plan and weight loss measures for patients during hospitalization, and guide patients to record daily diet within one week. 4. Guide patients to choose food, encourage patients to improve eating behavior skills, such as: limit the place, drink water before meals, develop small capacity tableware, do not eat other people's tableware in the food, fully chew, slowly swallow, etc. 5. Encourage patients to carry out weight loss behavior.
