asics shoes online Hepatic artery chemoembolizatio

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Hepatic artery chemoembolization and external biliary drainage and stent 1 patient care

Set correctly, fixed drainage tube, the drainage tube connected to a drainage bag, the successful completion of internal and external drainage 【lJ. 2.2.3 percutaneous biliary stenting in routine disinfection of local puncture, drainage tube inserted along the guide wire, x-ray machine at the prompt, confirm the guide wire into the duodenum, the fixed guide wire, the slow removal of drainage tube along the guide wire into the bile duct stent delivery system, make it completely through the stenosis. After repeated and accurate imaging to determine the location, counterclockwise conveyor safety lock release, in perspective, the evacuation conveyor outer sheath, the release of stent, contrast agent shows the last frame in the desired location, expansion well into the duodenal smooth contrast agent , bile duct patency the end of surgery. 3 patients in the care given to psychological comfort, to enable patients to relax and communicate more with patients in order to keep abreast of the patients complained of discomfort. Pay close attention to patient awareness, breathing,[link widoczny dla zalogowanych], looking,[link widoczny dla zalogowanych], skin temperature, humidity, without iodine allergy, especially in the injection of chemotherapy drugs, patients prone to pain, nausea, vomiting and other adverse reactions, when the irregularities should be promptly reported to the doctor. To have heart disease, high blood pressure history, and even more should pay close attention to changes in condition. Ready for all kinds of catheters, and familiar with its performance,[link widoczny dla zalogowanych], according to operative procedure, do a good job with the surgery. 4 post-operative care of surgery patients to single rooms, and maintain indoor quiet, clean, well-ventilated, well lit, temperature 18 ~ 22 ℃, humidity 50% ~ 60% of the observed state of consciousness. Continue to ECG, blood pressure, heart rate and rhythm, with or without premature. Discharged as soon as possible contrast agents to prevent contrast induced nephropathy, prescribed input liquid volume of 3000ml, to supplement the blood volume,[link widoczny dla zalogowanych], increased effective renal perfusion, increased glomerular filtration rate, reduced renal toxicity. And application of liver medicine, energy mixture, 50% glucose injection. Hepatic artery chemoembolization 4.1 4.1.1 to help patients take care supine position, to maintain a comfortable posture, limb braking operation to prevent limb flexion, keep warm, observe whether the bleeding puncture part, with 2 bags of salt oppression 4h, occlusive dressings bandages removed after 24h. Step up inspections, touch the tension around the puncture site to observe the operation side of the dorsalis pedis artery pulse case, toe temperature, color, sensation, numbness or without ischemic performance. Not used for supine patients, intraoperative morphine, combined with bandage bondage, urination difficulties, we will head up 30o, encourage patients to relax the smooth urination. 4.1.2 Cisplatin belongs to heavy metal platinum chemotherapy drugs, excreted by the kidneys, retention of drugs caused irreversible damage to the kidneys, doctor rehydration, hydration 3d, liquid maintained 15h ~ 16h, uniform drops. Encourage patients to drink more water, to ensure continuous renal perfusion, urine output in 3000ml or more per day to reduce the toxicity of chemotherapy drugs round. 4.1.3 Timing body temperature, measured every 4 Et, watch for fever, chills performance, reflect the situation to the doctor in time to observe the nausea, vomiting, degree of abdominal pain,[link widoczny dla zalogowanych], regular laboratory tests of blood, urine, liver and kidney function early detection of side effects of chemotherapy. 4.2 The external percutaneous biliary drainage and stent placement to maintain drainage tube patency care 4.2.1 to prevent distortion, compression, record each Et drainage fluid nature, quantity, color, to assess the wounds, drainage fluid tests per week, with infection sensitive to local application of antibiotics. Fasten with a butterfly clamp, the drainage bag effective pin fixed at the bedside, to prevent the operation or patient care as a result of traction caused by drainage tube prolapse stand. Strengthen the skin care, maintenance of local skin clean and dry, there are local exudation, the timely replacement of film dressings. 4.2.2 whether the bleeding complications observed vigilance, muscle tension, tenderness, rebound and other manifestations of bile peritonitis, with or without fever infection. Zhu Huanzhe and their families after better nutrition, more food rich in vitamins, high protein, high calorie foods. 5 Summary by arterial chemoembolization can block the blood supply to tumor cells and inhibit tumor growth, internal and external biliary drainage and stenting, the loss of the surgical decompression of bile duct obstruction, and patients may play a relieve symptoms and help functional recovery of liver cells, after careful planning nurses, the implementation of nursing care, so that patients are satisfied with the results. And surgical trauma, less complications, is indeed a treatment for malignant biliary obstruction is safe and effective palliative treatment.
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