How to care for ileal bladder replacement
summary
As for the routine nursing of bladder and ileum, I just learned that my family and I wanted to visit her for a while after the operation.
How to care for ileal bladder replacement
First, ileal bladder replacement involves urinary system and digestive system, which is traumatic and leads to permanent urinary diversion. Therefore, it is very important to carry out holistic nursing for ileal bladder replacement. Close observation of vital signs and disease changes, postoperative pillow supine 6 hours, to prevent aspiration. ECG monitoring was used to measure vital signs every 10 minutes and every 2 hours after stabilization. Inhale oxygen and inform the doctor immediately if any abnormality is found.
Second: tube care, postoperative drainage tube more, general ureteral stent tube 2, three cavity balloon catheter 1, new bladder impotence tube, stomach tube and pelvic drainage tube, properly fixed the drainage tube, prevent folding, distortion, prolapse, keep the tube unobstructed, and do a good job in all kinds of pipe identification, observe the nature, color and quantity of drainage, prevent blockage, alkalization of urine, prevent high chlorine Chronic acidosis.
Third: basic nursing, oral nursing twice a day during indwelling gastric tube, cleaning and disinfection of urethral orifice twice a day, guiding patients to cough and expectorate effectively and preventing pulmonary infection. Do a good job in morning and evening care, keep the sheets clean and smooth, regularly help patients turn over, and lie on air cushion bed for the elderly and the weak to prevent the occurrence of pressure sores.
matters needing attention
For some high-risk operations, the first thing we should do is to do a good job in patients' psychological adjustment, to avoid patients' failure due to excessive tension, and postoperative nursing should pay more attention to diet nursing, especially for this kind of intestinal surgery, diet must first consult the doctor.
