What is included in ophthalmic surgery care?
(1) Prepare before surgery. Do a good job of the patients before the operation, eliminate worries and serious emotions, carefully annotate the goals and results of the operation, enable the patients to work together automatically, cooperate with the completion of the operation, and declare the condition to the family members, and seek their assistance. For major surgery, local and required checks should be completed before surgery.
(2) Nursing before surgery. Preoperative patients drip antibiotic eye drops 4 times a day and eye ointment once a night to prevent surgical infection. Smoking before surgery avoids irritation of the tracheal mucosa, adding excreta, and inducing cough. If coughing is present, an antitussive agent should be given, and the patient should be instructed on antitussive methods, such as breathing by mouth or using the tip of the tongue to reach the jaw. Clean up 1 to 2 days before the operation, including shaving, washing, bathing, cutting nails, etc. Lacrimal sac surgery and internal eye surgery require routine scouring of the lacrimal duct. Before surgery, exercise the patient's eyeballs to target goals, so that the patient can share the needs of the operator, and patients who need to rest in bed after surgery should also exercise before bed to meet the living needs of the bed, such as using a urinal to avoid causing postoperative problems. Urinary retention and constipation. Eye muscle and eyeball excision surgery, children and general anesthesia patients fasted and water-free 4-6 hours before surgery, and given an anticoagulant on the night before surgery and 1 hour before surgery, blood pressure, body temperature, breathing, pulse were measured on the night of surgery To urinate before surgery and change clothes, it is appropriate to wear clothes that are tied to the chest knot. Avoid wearing pullovers to avoid touching the eyes after surgery. Long-haired women should be braided, the earrings should be removed, and the skin should be prepared and cleaned according to the requirements of the operation. The patient should be escorted into the operating room half an hour before the operation. Pick up the bed according to the type of surgery, and patients who need to be absolutely bedridden after surgery will change the pillowcases and sheets. General anesthesia and children plus middle list, rubber list, and prepare sphygmomanometer, aspirator, oxygen cylinder, tooth opener, curved plate, oxygen suction catheter, sterile gauze, etc.
(3) Postoperative care. After the operation, the patient was returned to the ward by a surgical cart. When the patient helped the bed, he was instructed to relax his head and open his mouth to breathe. Do not exert force. The person who helped the bed supported the head with both hands, and the other assisted the patient to gently move the body. Over the bed, it is not possible to shake the head. On duty, you should listen to the operating room and anesthesiologist, and advise patients not to squeeze their eyes hard and not to show violently. And according to the different species of surgery, hand over other matters to pay attention and rest the patient quietly, help the patient to live on a daily basis, tell the patient not to cough forcefully, do not force the urine, etc., after entering the semi-liquid, there is no special person can change to the popular diet. In general, analgesics can be used for pain and sorrow in the wound. If the patient reports headache, or is accompanied by nausea, and other environments, he should speak to the surgeon in time to check whether it is contagious or increased intraocular pressure. Eye protection should be added to the inner eye surgery to prevent touching the eye, and pay attention to the ocular bandages for looseness, displacement, or bleeding or exudation in the mouth. Report in time and give treatment.
After the operation, the stool and stool are unobstructed. For those who are absolutely bedridden and those who are not used to urinate on the bed after surgery, the patients should be relieved of their worries and serious emotions, and the guidance method should be adopted to help urinate, such as massage, hot compress, sound, acupuncture on Guanyuan and feet 3, Sanyinjiao, urination in the lateral position, try to avoid pollution and prevent infection. Postoperative constipation has a bad effect on wounds. For example, patients with forced stools and increased abdominal pressure can cause complications such as cracked eyes and bleeding in the eyes. Kaisailu or traditional Chinese medicine should be used to help defecation.
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