How to care after extracorporeal shock wave lithotripsy

Update Date: 2024-09-01 Source: Network

summary

Extracorporeal shock wave lithotripsy can not immediately remove the stones from the body, but also need to do a good job in postoperative nursing matters. I was optimistic at that time, basically discharged in a week. Let's take a look at how to care after extracorporeal shock wave lithotripsy.

How to care after extracorporeal shock wave lithotripsy

First of all: the physical strength of the patients after lithotripsy is great, so they should be rehydrated. If there is no nausea, encourage the patient to drink more water. If necessary, give diuretics, which is conducive to diuresis and stone discharge. Prepare 2-3 colorless transparent wide mouth bottles, carefully observe whether there is gravel discharge, and use gauze to filter urine when necessary.

Secondly, ECG and abdominal plain film were taken on the next day after the operation to observe the condition of stones. If there is no special case, the amount of activity can be gradually increased 2-3 days after the operation. The patients should be guided to do various activities, such as jumping with one or two feet and slow running, bumping in the chair, turning left and right in bed, supine sitting up and handstand, etc. the exercise should be decided according to the age, gender and gravel discharge of the patients The strength and manner of the test.

Finally: after lithotripsy, closely observe the urine volume and the discharge of lithotripsy. If the lithotripsy is carried out immediately, the smaller stones are easy to be discharged, but the larger stones can block the ureter, resulting in lower urethral obstruction, leading to changes in renal function. The obstruction should be removed in time, and analgesic drugs should be given to relieve the pain caused by ureteral obstruction. Therefore, it is necessary to correctly guide patients to carry out activities to avoid unnecessary trouble.

matters needing attention

Fever is often caused by uncontrolled urinary tract infection caused by gravel, or gravel accumulation caused by urinary tract obstruction, this time need appropriate antibiotic treatment, if you want to ensure the treatment effect, you can do bacterial culture, so as to determine the type of antibiotics.