On perioperative care of intestinal obstruction.docVIP

On perioperative care of intestinal obstruction [Keywords:] intestinal obstruction perioperative nursing Obstruction is not the normal operation of intestinal contents, which can not pass the intestinal tract. By a variety of diseases, one of the most common acute abdomen. Bowel obstruction can cause not only their own changes on the anatomy and function, and cause systemic physiological disorders, disease progression and changes rapidly, the need for timely observation and treatment. (A) of the preoperative care 1. Take the low semi-supine position, will help reduce abdominal tension, reduce bloating, improve breathing and circulation, shock the patient into a supine position should be, and will head to one side to prevent aspiration and choking or aspiration pneumonia . 2. Fasting forbidden to drink more than is absolutely required fasting, water deprivation, 12 hours after the obstruction to lift a small amount of liquid (without sugar and milk), 48 hours after the test into the semi-liquid diet. 3. Decompression chamber generally use the single short tube. Low small bowel obstruction, MA can be applied to long double-lumen tube, the lower end of the film with gas injection capsule can, by promoting the balloon catheter into the bowel site of obstruction. Note that the fixed tube, to maintain smooth, continuous suction. daily tube is inserted with a dropper to drip a few drops in the nostrils paraffin oil to reduce the gastric tube to the nasal mucosa stimulation. as from the gastric tube into soybean oil, etc., you can only inject about 100ml to avoid vomiting. 4. Spasm pain can be by subcutaneous injection of atropine simple obstruction to relieve abdominal pain, analgesic morphine is disabled, so as not to cover up the disease. May be given acupuncture. 5. Recorded the number and characteristics of liquid out include vomit, gastric decompression and drain material, urine and enter the amount of liquid.