 Wysłany: Nie 10:11, 27 Mar 2011 Temat postu: Femoral neck fracture patient care before and afte |
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| Femoral neck fracture patient care before and after surgery
And make a record in a stable condition after the observation period may be extended , the patient should also be observed the state of consciousness . 4.3 Note that incision and drainage tube care situations : situations attention to the wound bleeding , oozing a small amount of pressure bandage . Bleeding for a long time doctors report . Maintain the drainage tube patency , and negative pressure , to observe the drainage of fluid color , nature and volume changes. And recorded , moving the patient as smooth as possible , to prevent pipe slippage. Aseptic operation, prevent pollution , to prevent drainage of fluid back. Daily drainage is less than 5Oral, can pull out the drainage tube . 4.4 reduce the negative stimulus . Prevention of complications: body to keep warm and avoid cold stimulation surgical site vasospasm or thrombosis . To keep beds clean, dry and smooth. Keep the skin clean and dry , turn over 1 time every 2 hours . Regular massage pressure areas . If not easy to cough up thick sputum . Available expectorants or inhalation , to prevent pulmonary complications. Appropriate choice of analgesics to relieve pain stimulation due to cardiovascular and cerebrovascular accident. Catheterization who replace the catheter 1 a week , every day drainage tube and drainage bag replacement , cleaning the perineum I ~ 2 times,tory burch flats, to prevent urinary tract infection. 4.5 Instruct patient functional exercises : After 1 to 2 to encourage patients to do activities of quadriceps contraction and toe . 3 patients after internal fixation can sit up activities after 2 weeks to do stretching exercises in bed , instruct patient to ensure that no cross-legged , do not squat , do not side affected side . Limb 4 to 6 weeks without weight-bearing ambulation Zhu crutches . According to fracture healing, 8 to 12 weeks weight-bearing walking. (/ |
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