How to nurse after ventriculoperitoneal shunt

summary

I know that everyone is afraid of getting sick for surgery. In fact, I've been in poor health since I was a child. However, the physical examination in the unit said that there was a problem. The doctor said that ventriculoperitoneal shunt should be performed, but I don't know how to deal with it after the operation.

How to nurse after ventriculoperitoneal shunt

First: bed rest nursing: 24 hours after operation, the patient should lie on his back, the head should be tilted to the healthy side, and the head should not be raised, and severe head activity and neck hyperflexion should be avoided, so as to avoid low intracranial pressure caused by excessive cerebrospinal fluid drainage. After the patient's consciousness is restored and vital signs are stable, the head of the bed should be raised 15 ° to 30 ° to facilitate cerebrospinal fluid drainage to the abdominal cavity. It is absolutely good for patients to stay in bed 72 hours after operation.

Second: when the cerebrospinal fluid drainage is too much and too fast, the patient has low intracranial pressure, which is manifested as normal or low blood pressure, headache and vomiting. At this time, the head of the bed should be lowered to make the patient lie flat, and the lower limbs should be raised, and the infusion volume and colloidal liquid should be increased. At the same time, the patient's condition should be closely observed to prevent intracranial hemorrhage caused by excessive drainage.

Third: through the V-P shunt, the hydrocephalus was drained to the abdominal cavity for absorption, so as to reduce the intracranial pressure and relieve the symptoms of patients. Therefore, the intracranial pressure should be closely observed after operation. In this group, 6 patients still had headache, nausea and vomiting, indicating that the drainage was not smooth enough. After operation, the head of the bed was raised 15-30 degrees and the shunt pump was pressed regularly.

matters needing attention

The above are some aspects of postoperative nursing of ventriculoperitoneal shunt. Of course, these are only part of them. The postoperative nursing of patients must be done well. In addition to these accidents, patients in the postoperative diet and psychological aspects need to be recuperated.