What should we pay attention to in the safe care of patients with rectal cancer

What should we pay attention to in the safe care of patients with rectal cancer

Rectal cancer is a common malignant tumor of the digestive tract, ranking second among digestive tract cancers. At present, the incidence rate has been increasing year by year. Surgical treatment is the main method of radical cure. The classic surgical procedures include abdominoperineal combined rectal cancer radical resection (Miles operation) and abdominal rectal cancer resection (DNon operation). What should be paid attention to in the safe care of rectal cancer patients? Let's take a look.

The postoperative nursing task of this disease is heavy, and nurses are required to strictly ensure the quality of nursing. Close monitoring of vital signs after surgery: Before waking up from anesthesia, the patient should be asked to lie flat without a pillow for 6 hours, with the head tilted to one side, and continuous ECG monitoring, ECG monitoring and blood oxygen saturation measurement. Pay attention to observe the patient's respiratory heart rate and blood oxygen saturation, keep the airway open, and prevent respiratory complications.

Check the blood flow of the stoma, the suitability of the wound dressing and the abdominal band, etc. At the same time, observe and record the amount and properties of the drainage fluid, and keep the anterior drainage tube, gastric tube, urinary catheter, and infusion tube unobstructed. If there is a lot of bleeding from the wound, and the patient is thirsty, irritable, has a rapid pulse, pale complexion, a small pulse pressure difference, a decrease in urine volume, and a decrease in blood pressure, be alert to internal bleeding and shock, and report to the doctor in time. After general anesthesia and awakening, the vital signs are stable, and the patient is given a semi-recumbent position to relieve abdominal tension and promote wound drainage.

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