How to care for patients undergoing endoscopic sinus surgery

Update Date: 2022-03-31 Source: Network

summary

I believe everyone should have heard of sinusitis, because it is also a common disease, so we must know more about this knowledge, in case of emergency, let's talk about the nursing of endoscopic sinus surgery.

How to care for patients undergoing endoscopic sinus surgery

First, after general anesthesia patients returned to the ward, they were given pillow free supine position for 6h, with the head on the back side, and oral secretions were removed in time; after waking up, they were given semi supine position, and asked to spit out oral secretions gently. When necessary, ECG monitoring, BP, P, SpO2, closely observe the changes of vital signs, local anesthesia and surface anesthesia patients returned to the ward, blood pressure, pulse, breathing were measured.

Second: observe the bleeding and exudation of the wound: observe whether the patient has frequent swallowing action, whether there is blood or blood clot flowing out of the mouth, or whether there is continuous blood flow out of the anterior nostril. In case of active bleeding, immediately report to the doctor for hemostasis. At the same time, give psychological counseling. If there is any water sample flowing out from the nasal cavity, it is cerebrospinal fluid rhinorrhea, and it should be reported to the doctor immediately.

Third: nasal care, told patients to blow their nose within 24 hours after surgery, do not cough. If you want to sneeze, you should take a deep breath or use the tip of the tongue against the palate to prevent the hemostatic sponge and vaseline gauze packing in the nasal cavity from loosening and falling off, causing bleeding. Because most patients have bilateral nostrils packed after surgery, the patients can only open their mouth to breathe, so oral care is particularly important.

matters needing attention

For patients who have undergone endoscopic sinus surgery, the recovery is very important, so we must pay special attention to it in peacetime. For example, in terms of diet, it is best to give priority to light, do not smoke, drink, eat spicy food.