What is the nursing routine after laparoscopic cholecystectomy

summary

Recently, I feel very uncomfortable. I don't know what's going on. I always feel indigestion, and I don't have any appetite. I went to the hospital and said that there was a very serious problem with the gallbladder and it needs to be removed. Now let me talk about the routine nursing after laparoscopic cholecystectomy.

What is the nursing routine after laparoscopic cholecystectomy

First: the nursing of vital signs: after the patients return to the ward after operation, they should lie flat on their pillows before anesthesia and lean their head to one side. They should pay attention to keep the respiratory tract unobstructed. Once the patients vomit, they should remove vomit in time to prevent the occurrence of asphyxia or aspiration pneumonia caused by aspiration of respiratory tract. On the first day after operation, routine ECG monitoring was carried out. Blood oxygen saturation, pulse (P), respiration (R) and blood pressure (BP) were measured once every 2 hours. After 4 times of continuous measurement, it was changed to once every 4 hours. At the same time, routine oxygen inhalation was used to correct hypoxemia caused by carbon dioxide pneumoperitoneum. Oxygen inhalation and monitoring can be stopped on the second day after operation.

Second: due to the short operation time of LC, it has little effect on the gastrointestinal tract, and the gastrointestinal function of the patients recovered quickly after operation. Generally, after 24 hours of fasting, the gastric tube was removed, and there was no gastrointestinal symptoms, the low-fat and high protein fluid or semi fluid began. The wound pain after laparoscopic operation is lighter than that of open operation. There are different degrees of incision pain, abdominal discomfort and lower limb pain after operation. Exhausting carbon dioxide in abdominal cavity can reduce the incidence of postoperative pain.

Third: postoperative pain can be relieved by giving psychological comfort or taking comfortable position. When severe abdominal pain occurs, the nature of pain should be observed. After excluding complications such as abdominal bile leakage, gastrointestinal injury and bleeding, medication should be given according to the doctor's advice. Do local disinfection every day, pay attention to aseptic operation when changing drainage bag to prevent retrograde infection, and pay attention to observe the amount and color of drainage fluid, and record its changes in detail for dynamic observation and comparison. If there is no abnormality, it can be pulled out 48 hours after operation according to the doctor's advice.  

matters needing attention

To make laparoscopic cholecystectomy can recover better, patients should be in accordance with the above nursing routine care, so as to make their body better recovery, for patients, postoperative should stay in bed rest, do not eat spicy food.