手术室 围手术期护理

nullPerioperative care of hepatic surgery Perioperative care of hepatic surgery Yuan Haiyingnull Treatments Treatments Sugery——most effctive hepatectomy Radiotherapy Chemotherapy Perioperative care Perioperative care Preoperative nursing Intraoperative nursing Postoperative nursing Preoperative nursing Preoperative nursing Preoperative visit 1.personal data (name,gender,age,AD,all kinds of test results) 2.past history (hypertension,diabetes,allergy) 3.physical condition (mental,skin) 4.inform notice: ——don’t eat or drink after 8pm ——don’t wear accessories or valuables ——wear patient dress without underwear null5.Psychological nursing introduce environment with photos answer patient’s questions Intraoperative nursing Intraoperative nursing Preparation check suction device and oxygen system prepare articles ——instruments ——dressings ——disposable goods c)adjust temperature 20～24℃ nullReceiving patient check patient’s information ——patient ——identification wristband ——medical records ——operation notice b)receive medicine,CT pictures,abdominal bandage ,gastric tube nullAssist in anestheia Catheterization for female Assist doctor to insert gastric tube Position supine position with a pillow at the back Paste zinc plate at the place where muscle aboundsnullHelp surgeon to wear sterile gown Count instruments and dressing ——before the operation ——before closing the abdominal cavity ——before suturing the incision and fill in nursing notesnullClosely observe the operation progress ——adjust light ——timely supply of needed goods nullAseptic technique strictly implemented After the operation ——assist doctor to bound the wound ——remove the blood around the wound ——wait for extubation After extubation, send the patient to the recovery room with  anesthestist Deal with rubbish and tidy up the room Postoperative nursing Postoperative nursing Postoperative visit—— third days after surgery wound healing evaluation on the quality of nursing care opinions and suggestions null Thank you