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1、Perioperative care of hepatic surgery Yuan Haiying Treatments vSugerymost effctive hepatectomyvRadiotherapyvChemotherapy Perioperative care vPreoperative nursingvIntraoperative nursingvPostoperative nursing Preoperative nursing vPreoperative visit 1.personal data (name,gender,age,AD,all kinds of tes
2、t results) 2.past history (hypertension,diabetes,allergy) 3.physical condition (mental,skin) 4.inform notice: dont eat or drink after 8pm dont wear accessories or valuables wear patient dress without underwear 5.Psychological nursing a) introduce environment with photos b) answer patients questions
3、Intraoperative nursing vPreparationa)check suction device and oxygen system b)prepare articles instruments dressings disposable goodsc)adjust temperature 20 24 vReceiving patient a)check patients information patient identification wristband medical records operation noticeb)receive medicine,CT pictu
4、res,abdominal bandage ,gastric tube vAssist in anestheiavCatheterization for female vAssist doctor to insert gastric tube vPosition supine position with a pillow at the back vPaste zinc plate at the place where muscle abounds vHelp surgeon to wear sterile gownvCount instruments and dressing before t
5、he operation before closing the abdominal cavity before suturing the incision and fill in nursing notes vClosely observe the operation progress adjust light timely supply of needed goods vAseptic technique strictly implementedvAfter the operation assist doctor to bound the wound remove the blood aro
6、und the wound wait for extubationvAfter extubation, send the patient to the recovery room with anesthestistvDeal with rubbish and tidy up the room Postoperative nursing vPostoperative visit third days after surgerya)wound healingb)evaluation on the quality of nursing carec)opinions and suggestions Thank you
手術(shù)室 圍手術(shù)期護(hù)理
