How to nurse after ventriculoperitoneal shunt

Update Date: 2025-12-30 Source: Network

summary

During this period of time, I often go to the gym with my friends for running, but there is always nausea, vomiting and blurred vision when I run. It is found that there is hydrocephalus, so ventriculoperitoneal shunt should be performed. Let's talk about the nursing after ventriculoperitoneal shunt.

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.

In patients with hydrocephalus, the expansion of the second ventricle leads to rapid absorption of cerebrospinal fluid. Through V-P shunt, the hydrocephalus was drained to abdominal cavity for absorption, so as to reduce intracranial pressure and relieve the symptoms of patients. Therefore, the intracranial pressure should be closely observed after operation.

Third: 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.

matters needing attention

Patients with hydrocephalus can be treated by ventriculoperitoneal shunt. But in the preoperative examination must be done to see if they are suitable for the operation, of course, if after the operation, surgical care is also crucial.