Perioperative nursing newborn.doc

 PAGE \* MERGEFORMAT 10 Perioperative nursing newborn [Keywords:] perioperative nursing newborn Understanding of the development of neonatal signs, and postoperative complications may occur, good perioperative nursing newborns, infants survive the surgery to surgical difficulties and to avoid the complications of great significance. I Section 200 of the 15 cases of neonatal surgery for perioperative nursing, are as follows. 1 Clinical data Children in this group 15 patients, 10 males and 5 females, age birth 12h ~ 20d. Hirschsprung’s disease in 8 cases, 2 cases of intestinal perforation, intussusception in 1 case, 1 case of congenital anal atresia, congenital esophageal atresia in 1 case, congenital sacrococcygeal meningocele huge brain in 1 case, 1 case of congenital hypertrophic pyloric .7 cases of children with severe malnutrition, anemia, dehydration, electrolyte imbalance, etc., 3 cases of pneumonia, 5 cases with two or more serious complications. the longest operation time 4h, the shortest 2.5h. 2 Care 2.1 Preoperative Care 2.1.1 comprehensive examination: prior to surgery to do a comprehensive understanding of children, such as nutritional status, hemoglobin, and heart, lung, liver and kidney functions. The general history and physical examination can make the correct estimate of the disease than weight may be required to implement more complex operations should be carried out the necessary laboratory tests. malnutrition, anemia, nutrition and anemia should be improved, then surgery. 2.1.2 Preoperative fasting: the baby’s metabolism, over a long period of fasting before surgery, not only in children can cause hunger and unnecessary noise, and can reduce the carbohydrates. Therefore, in addition to fasting is necessary In addition, infant feeding should remain an every 4h. the last time the food should be fed at 4h before surgery because the baby’s stomach peristalsis strong, generally within 4h is able to completely empty the cont