Nursing of children with intussusception.doc

 PAGE \* MERGEFORMAT 7 Nursing of children with intussusception [Keywords:] intussusception; Nursing Intussusception is the part of the intestine into its associated set of intestinal cavity, is the infant of one of the most common acute abdomen is caused by obstruction of the common causes of infant, occurs in two years of age, especially 6 8 months old boy as the most, mainly for abdominal pain, vomiting, bloody stool, abdominal mass .80% of the ileal intussusception was set into the colon, together with the together with the attached set into the mesenteric, mesenteric vascular pressure to sets into the intestine vulnerable to strangulation, strangulation, intestinal necrosis can be too long. I Division in April 20, 2009 1 case of intussusception in children with barium enema is not reset, and then discharged for surgery , now nursing reported as follows. A nursing 1.1 Preoperative Care [1] (1) line of barium enema nursing: reset to the children before the doctor injected the right amount of sedatives and antispasmodic agents, spare oxygen bag and the first aid supplies; line barium enema, after the success of intestinal reset to observe the discharge of barium that has the entire complex of intussusception; such as barium enema, the children still crying and upset, vomiting or bloody stools shall promptly notify the physician; close observation of abdominal signs, if there is breath and pulse speed, pale, bloating, and abdominal tension should be suspected intestinal perforation, shall promptly notify the physician, and actively making preoperative preparation, line emergency surgery. (2) psychological care: in plain language to explain to parents before surgery , after the notes, get the trust of parents, to eliminate the fear of surgery. (3) fasting patients before surgery Well water, parallel decompression to relieve abdominal distention and prevent vomiting. (4) early establishment of intravenous access should be to correct dehydration a