手术室 围手术期护理ppt课件

1、Perioperative care of hepatic surgery Yuan Haiying Treatments vSugerymost effctivev hepatectomyvRadiotherapyvChemotherapy v Perioperative care vPreoperative nursingvIntraoperative nursingvPostoperative nursing Preoperative nursing vPreoperative visit v 1.personal data (name,gender,age,AD,all kinds o

2、f test results)v 2.past history (hypertension,diabetes,allergy)v 3.physical condition (mental,skin)v 4.inform notice:v dont eat or drink after 8pmv dont wear accessories or valuablesv wear patient dress without underwear 5.Psychological nursing introduce environment with photos answer patients quest

3、ions Intraoperative nursing vPreparationvcheck suction device and oxygen system vprepare articles v instrumentsv dressingsv disposable goodsvc)adjust temperature v 2024v v v vReceiving patient vcheck patients informationv patient v identification wristbandv medical recordsv operation noticevb)receiv

4、e medicine,CT pictures,abdominal bandage ,gastric tube v vAssist in anestheiavCatheterization for female vAssist doctor to insert gastric tube vPosition v supine position with a pillow at the back vPaste zinc plate at the place where muscle aboundsvHelp surgeon to wear sterile gownvCount instruments

5、 and dressingv before the operationv before closing the abdominal cavityv before suturing the incisionv and fill in nursing notesvClosely observe the operation progressv adjust light v timely supply of needed goodsvAseptic technique strictly implementedvAfter the operationv assist doctor to bound the wound v remove the blood around the woundv 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 surger