How to care for after appendicitis operation

Although appendicitis is a small operation, but if not pay attention to postoperative care, is in for trouble. Let's have the specific brief to do something after appendectomy nursing care:

1 According to the different anesthesia, select the appropriate horizontal position, such as spinal anesthesia should be 6 to 12 hours supine pillow to prevent cerebrospinal fluid leakage caused by headache. Continuous epidural anesthesia can be a low pillow supine.

2 observed vital signs every hour measurement of blood pressure, pulse time, continuous measurement three times to smooth. Such as blood pressure and pulse speed up or down, then consider a bleeding wound should be observed in time to take the necessary measures.

3 simple appendicitis, postoperative 12 hours, or gangrenous or perforated appendicitis excision, if equipped with a drainage tube, to be stable blood pressure should be changed after the semi-supine posture Banwo or low, in order to facilitate drainage and prevent the inflammatory effusion into the abdominal cavity.

4 Diet: Fasting the day of surgery, postoperative first day of the liquid, the next day into the soft diet, in normal circumstances, 3 to 4 days into the normal diet.

5 after 3 to 5 days to disable strong laxative and irritating strong soapy water enema, so as not to increase peristalsis, Er Shi appendix stump off or suture ligature wound dehiscence, postoperative constipation can be taken orally as a laxative.

6 after 24 hours, up activities to promote recovery of bowel movement and prevent intestinal adhesion, at the same time promote blood circulation, accelerate wound healing.

7 elderly patients after surgery to keep warm, often making the back to help cough, to prevent hypostatic pneumonia.

(Postoperative complications and nursing care)

An incision infections due to contaminated surgical operation, gangrenous or perforated appendicitis in particular prone. 3 to 5 days after the body temperature continues to rise or fall after the rise again, the patient felt pain, swelling and tenderness, skin around the incision, then suggest a wound infection.

2 abdominal bleeding arterial bleeding are due to appendectomy appendectomy mesangial ligature off, patients showed pale, with abdominal pain, bloating, rapid pulse, cold sweats, there is decreased blood pressure and other symptoms of shock, immediate supine, sedation, oxygen inhalation, intravenous infusion, while blood for blood grouping and cross matching in preparation for surgery to stop bleeding.

3 patients showed postoperative abdominal abscess continued high fever, abdominal pain, bloating, with tenesmus sense, then symptoms occur. Semi-supine position should be attention to the drainage, so that secretions or pus into the pelvic cavity, to reduce toxicity while enhancing antibiotics. Not improved by the proposed drainage surgery done.

4 fecal fistula appendix stump ligature off or intestinal surgery and other accidental injury, can lead to fecal fistula. Colonic fistula fecal fistula is usually formed when the infection is generally restricted in the cecum around without the threat of diffuse peritonitis, body temperature is not high, nutrient deficiency is not serious, antibiotic treatment can largely self-healing.

(Post-operative dietary taboos)

1. Appendicitis after the operation, only food for one day, the next day to the flow of food can be, the third day of semi-liquid food, the fifth day can be given soft food, this time, the liquid should be light and nutritious, and to warm clothing, avoid rough slag into the liquid food intake. Less semi-liquid diet to use Java, the Jishi with chicken, ham and various vegetables, soups, even when these foods have been cooked sucks, have to wait until 10 days after surgery to as appropriate. Restricted diet with crude fiber foods such as celery, cabbage, parsley, garlic, leeks, Chinese toon, bamboo shoots, bamboo shoots, pineapple, etc., in order to reduce stool frequency and undigested crude fiber friction on the wound

2. Avoid oily food. Even 10 days after surgery, the body can withstand the soft food, they eat too early into the greasy food.

3. Bogey-fat thing. Two weeks after surgery, despite a good recovery, but also has stitches, but this time the body resistance is weak, the risk of inflammation still exists, it must be made taboo thing.