Care after surgery for gallstones

In the modern society, there are still many patients with gallstones, for patients with this disease, if the stones can not be discharged on their own, we can only take surgery for treatment, but what kind of nursing measures we should give patients after treatment is also very important, and the specific what we should care for patients with gallstones is summarized as follows:

1. Postoperative position: when you are not awake under general anesthesia, you can lie flat on the pillow with your head tilted to one side, and you can be in a semi-recumbent position after 6 hours after surgery after the vital signs are stable, which reduces abdominal tension and is conducive to incision healing.

2. Oxygen inhalation: low-flow oxygen inhalation is routinely given after surgery to maintain the patency of the respiratory tract and effective ventilation of the lungs.

3. Observation of vital signs and abdominal signs: If there are symptoms such as abdominal muscle tension, tenderness, rebound tenderness, increased drainage, bright red or bile color, increased body temperature and blood pressure after surgery, you should report to the doctor in time.

4. Postoperative incision observation: observe whether the incorporate is bleeding and exudate, and apply antibiotics to prevent incision infection.

5. Observation of "T" type drainage tube:

1) Properly fix it to prevent it from falling out due to pulling when turning over, moving, or moving.

2) Keep the drainage flow smooth: avoid twisting, folding and squeezing the pipe, and regularly squeeze from the proximal end to the distal end of the drainage pipe to keep the drainage flow smooth.

3) OBSERVE AND RECORD THE COLOR, AMOUNT AND CHARACTER OF THE DRAINAGE FLUID: THE DAILY BILE SECRETION OF NORMAL ADULTS IS 800---1200ML, YELLOW OR LIGHT GREEN, CLEAR AND NO SEDIMENT. THE DRAINAGE VOLUME IS ABOUT 100---200ML WITHIN 24 HOURS AFTER SURGERY, AND IT CAN BE INCREASED TO 600---700ML AFTER RESUMING DIET, AND THEN GRADUALLY REDUCED TO ABOUT 200ML PER DAY.If there is a sudden decrease in bile or no bile outflow, there may be pressure, twisting, folding, blockage, or prolapse, and the doctor should be informed for treatment.

4) EXTUBATION: GENERALLY WITHIN 2 WEEKS AFTER SURGERY, THERE IS NO ABDOMINAL PAIN, FEVER, JAUNDICE SUBSIDES, BLOOD PICTURE AND SERUM JAUNDICE INDEX ARE NORMAL, AND BILE DRAINAGE IS REDUCED TO 200ML AND CLEAR. T ductography or cholangioscopy confirms that the bile duct is free of strictures, stones, foreign bodies, biliary tract patency, and the catheter clamping test is not uncomfortable, and the tube can be extubated according to the doctor's instructions.

Diet: After surgery, the patient should not eat or drink. After the intestinal function is restored (anal gas), the dietary guidance should be given according to the doctor's instructions. If you feel dry, rinse your mouth with warm water to moisten and clean your mouth.

For patients with gallstones, we have summarized so many knowledge points above, but patients with gallstones should be given certain care and related knowledge elaboration at the beginning of the disease, but patients with gallstones should also pay attention to observe the drainage of patients, because patients with this disease will prolong the treatment time of patients once they have infection, in addition to increasing the physical burden of patients.