Stay in the chest, abdominal drainage tube care
Nursing of closed thoracic drainage
① drainage tube properly fixed, leaving enough length and fixed on the bed edge, so as to avoid turning, pulling and so cause pain or prolapse. ② move the patient or replace the drainage bottle with two vascular clamp to the drainage tube clamp to prevent the catheter off, leak or liquid countercurrent, a day to replace the disposable pleural drainage device 1. Bedside spare 2 vascular clamp, for emergency use].
③ observe the water bottle is smooth, drainage can be seen when the drainage tube in the drainage tube with the breathing fluctuations; if there is no fluctuations, allowing patients to take a deep breath, there is no fluctuations, that drainage tube barrier, check the reasons for timely processing, Drainage tube to make it smooth, so the regular squeeze drainage tube, to prevent blood clots, fiber blocks block the pipeline.
④ observe the amount of drainage fluid, nature. If the amount of bleeding per hour> 100 mL should promptly notify the doctor, close observation of blood pressure, pulse changes, pay attention to whether the occurrence of hemorrhagic shock].
Abdominal drainage tube care:
: (1) restrictions on activities, semi-recumbent, to facilitate the drainage fluid drainage in the abdominal cavity.
(2) to inform the patient turn over, down to walk, when the toilet to pay attention to the location of the drainage tube is lower than the puncture hole, need to go out to check, advance two hemostatic forceps clamp.
(3) regularly squeeze the drainage tube to reduce the occurrence of blocking. Drainage tube drainage is not smooth, the suction and saline low pressure after the drainage to restore smooth, in the case of invalid, you can use the guide wire sparse mouth].
(4) pay attention to the amount of daily drainage, color, nature, found that the liquid was yellow, brown or yellow-green, accompanied by odor, to take into account the bile leakage, infection and so on. Such as bile leakage gradually increased, you need to re-place the drainage tube.
(5) replacement drainage bag, pay attention to aseptic operation, in the color of the summer, to replace the drainage bag in time.
(6) daily records of patients with blood, biochemical indicators, to observe whether the white blood cells, bilirubin increased skin sclera whether yellow dye
⑤ incision dressings daily replacement, puncture points and the surrounding skin daily with 0.5 povidone disinfection. If the dressings are wet or have blood contamination, they must be replaced at any time. If the body temperature, chills, chest pain increased, suggesting that the possibility of infection should be promptly reported to the doctor to give antibiotics.
⑥ patients with bullae rupture, is a spontaneous pneumothorax, should not encourage cough, so as not to induce pneumothorax attack. Encourage patients to practice deep breathing to avoid atelectasis.
⑦ extubation care. Excessive extubation will affect the efficacy, too late to cause infection, so choose the right time extubation is very important. 3 d after surgery, drainage fluid was significantly reduced, the end of the glass tube without gas discharge, confirmed by X-ray chest, pulmonary expansion
Good, 5 d after surgery to extubation
