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1、Perioperative care of hepatic surgery Yuan Haiying Treatments vSugerymosteffctivehepatectomyvRadiotherapyvChemotherapy Perioperative care vPreoperativenursingvIntraoperativenursingvPostoperativenursing Preoperative nursing vPreoperativevisit1.personaldata(name,gender,age,AD,allkindsoftestresults)2.p
2、asthistory(hypertension,diabetes,allergy)3.physicalcondition(mental,skin)4.informnotice:donteatordrinkafter8pmdontwearaccessoriesorvaluableswearpatientdresswithoutunderwear5.Psychologicalnursinga)introduceenvironmentwithphotosb)answerpatientsquestions Intraoperative nursing vPreparationa)checksuctio
3、ndeviceandoxygensystemb)preparearticlesinstrumentsdressingsdisposablegoodsc)adjusttemperature 2024vReceivingpatienta)checkpatientsinformationpatientidentificationwristbandmedicalrecordsoperationnoticeb)receivemedicine,CTpictures,abdominalbandage,gastrictubevAssistinanestheiavCatheterizationforfemale
4、vAssistdoctortoinsertgastrictubevPositionsupinepositionwithapillowatthebackvPastezincplateattheplacewheremuscleaboundsvHelpsurgeontowearsterilegownvCountinstrumentsanddressingbeforetheoperationbeforeclosingtheabdominalcavitybeforesuturingtheincisionandfillinnursingnotesvCloselyobservetheoperationpro
5、gressadjustlighttimelysupplyofneededgoodsvAseptictechniquestrictlyimplementedvAftertheoperationassistdoctortoboundthewoundremovethebloodaroundthewoundwaitforextubationvAfterextubation,sendthepatienttotherecoveryroomwithanesthestistvDealwithrubbishandtidyuptheroom Postoperative nursing vPostoperativevisitthirddaysaftersurgerya)woundhealingb)evaluationonthequalityofnursingcarec)opinionsandsuggestionsThankyou