Surgical drainage tube care
3.4 to prevent infection measures
3.4.1 keep a good ward of air, goods, beds disinfection and isolation work
3.4.2 Placement of the dressing to keep clean and dry
3.4.3 at any time to observe the catheter site with or without redness, swelling and other anomalies
3.4.4 at any time to observe the water seal in the liquid surface fluctuations
3.4.5 Strict implementation of the provisions of aseptic operation, regular replacement of drainage bags and drainage tube
3.5 to explain the family members of the patient guidance
Timely to the patient and the patient's family to explain the purpose of drainage device and drainage fluid color, quantity, quality, etc., found abnormal and promptly notify the doctor, do a good job of wound healing care, while family members with medical staff for diet, diet Regular, quantitative, light, rich in protein, vitamins, add systemic nutrition, adequate rest, to help medical staff to carry out life care, increase patient comfort, establish a patient with active treatment of confidence,
3.6 timely extubation, according to doctor's advice and the condition improved in time extubation, drainage fluid gradually reduced or clear content without leakage 20-50CC / 24H, the doctor prescribed by the doctor to remove the drainage tube.
3 nursing measures
3.1 active treatment of primary disease, strict implementation of doctor's advice, the rational use of antibiotics
According to drug susceptibility test results choose effective antibiotics, caution with broad-spectrum antibiotics. Doctors must master the rational use of medication knowledge, according to the half-life of the drug to determine the time of administration, consciously according to the provisions of time medication, and actively observe the effect, in a timely manner to the doctor to provide withdrawal and dressing basis, to maximize the use of antibiotics.
3.2 Keep the drainage tube open
Keep the drainage pipe pipe smooth, always pay attention to observation, do not press and twist, folded into angle, so as not to affect the drainage. Also pay attention to the drainage tube fixed, to avoid displacement, prolapse. Often squeeze the drainage tube after surgery, under normal circumstances, every 30min squeeze 1, so that the mouth is blocked by blood clots, and always keep the drainage tube smooth, so accurate and timely reflection of the disease, in order to provide a smooth rescue Reliable basis.
3.3 close observation of the amount of drainage fluid, color, nature
3.3.1 Application of drainage tube, it should be noted that the location of the drainage bottle can not be higher than the patient's mouth of the mouth. Move the patient, should first clamp the drainage tube; drainage fluid more than half of the bottle, that should be dumped to prevent the high surface caused by countercurrent pollution.
3.3.2 pay attention to maintain a variety of drainage tube and wound or mucosal contact parts of the clean, to prevent infection.
3.3.3 do a good job drainage color, traits and the amount of records, and timely report to the doctor.
2.1 The purpose of surgical drainage
The purpose of surgical drainage is for the accumulation of fluid, including blood, pus, inflammatory exudate, bile, secretion, etc., in the body cavity, in the joint, organ or tissue, from the original site and excreted to prevent the body cavity or Surgical field accumulation, secondary compression symptoms, infection or tissue damage. By observing the drainage situation can also early detection of changes in condition. Through the drainage, you can achieve the purpose of reducing stress, relieve pain, reduce inflammation, prevent the spread of inflammation, is conducive to the purpose of inflammation subsided. Blood, exudate and tissue secretion, etc., through the drainage, you can achieve to reduce local pressure, reduce the damage to the surrounding tissue, reduce the possibility of infection, is conducive to wound healing and other purposes.
2.2 Notes on drainage tube care
After surgery to achieve the exclusion of exudate, observe whether the bleeding, to prevent the accumulation of digestive juice, reduce the anastomotic tension and other purposes, often need to place a variety of drainage tube. Generally have a tube, catheter; placed in the body cavity with chest, abdominal drainage tube or drainage.
① must be familiar with the role of various drainage tube and lead, not wrong
② fixed properly, so as not to fall off or slide into the body cavity
③ observe, record the color of drainage fluid, traits and the amount
④ avoid oppression or distort the drainage tube, to keep the drainage smooth, if necessary, use negative pressure to attract
⑤ maintain the sterile state of the drainage device to prevent contamination, drainage tube skin outlet must be sterile technology dressing, daily replacement drainage bag
⑥ master all kinds of drainage tube extubation indications, extubation time and extubation method
