Epidural and ventricular drainage care.docVIP

 PAGE \* MERGEFORMAT 3 Epidural and ventricular drainage care [Keywords:] Epidural ventricular drainage care In patients after neurosurgery for the removal of epidural hematoma, adjust the intracranial pressure, usually placed epidural or intraventricular drainage devices in the drainage process, the nursing care plays an important role. An epidural drainage Brain drain care and observation of epidural main content includes: the amount of fluid drainage bag, character; bleeding and more frequent need to replace the drainage bag; neurological symptoms and signs (such as posture, pupil, etc.). In order to prevent the shedding of drainage tubes, which penetrate the site of the scalp is usually a fixed line. If there is off, to observe the site whether bleeding, oozing, if necessary, in part to needle piercing the scalp, but also check whether the drainage tube end of the fracture. Under normal circumstances, mostly in the first 2 days after CT examination, to unplug the drain. Two ventricles of the brain drain ① to observe the vital signs of the nervous system changes. ② Note that the fluctuation in surface drainage circuit, fluctuations disappear, no improvement after gently squeezing, timely reporting of doctors for processing. ③ To observe the characteristics of cerebrospinal fluid has been discharged, 24h drainage, such as found in muddy, can be suspected infection. ④ removed device is generally set first, gradually increasing pressure, observed 24h cited traffic, piercing parts of cerebrospinal fluid leak and whether the changes in the nervous system, such as the unchanged device can be removed if they can do CT check-up without ventricular expansion of the phenomenon even better. ⑤ timely replacement drainage bag, to prevent the overflow bag from happening. 3 nursing focus 3.1 prevention of infection (1) line of CT examination or when handling patients, to drain the interim clamping circuit to prevent back flow of cerebrospinal fluid. (2) The