When people hear about cancer, they are terrified and feel that their lives are coming to an end. In fact, this is not the case. Many cancers can be cured as long as they actively receive treatment and receive reasonable care, such as tongue cancer. Today we will talk about the general care methods for tongue cancer. 1. Lie flat without pillow, tilt the head to the healthy side, and apply brake to the neck to prevent pulling the vascular pedicle of the pectoralis major muscle. 24 hours after surgery, the patient can be placed in a semi-sitting position, pat the back, and turn over frequently to prevent the occurrence of hypostatic pneumonia and bedsores, and keep the room temperature at 22-25 degrees Celsius. 2. Closely observe the changes in vital signs, especially breathing, and keep the airway open. If there is a tracheotomy, pay attention to timely suction of sputum to prevent obstruction and suffocation. Take good care of the tracheal cuff and give α-chymotrypsin + chloramphenicol eye drops cannula q2h. Ultrasonic atomization inhalation therapy and back patting are conducive to expectoration of sputum, and guide patients to expectorate effectively. 3. Observe whether the drainage tube is unobstructed to prevent it from falling off, twisting, or leaking. Record the color, quality, and quantity of the drainage fluid, and report any abnormality to the doctor immediately. 4. Observe the survival of the flap after surgery and measure the temperature with a skin thermometer. If the flap is pale and the skin temperature is lower than 2-3 degrees 72 hours after surgery, it means insufficient arterial blood supply. If the flap is dark red and the skin temperature is lower than 3-5 degrees, it is mostly venous reflux obstruction. Report to the doctor and give 500ml of low molecular weight dextran or compound danshen solution intravenously to dilate blood vessels and improve blood supply to the flap. 5. Take good care of your oral cavity. Use 100% hydrogen peroxide + saline or furazolidone solution to rinse the wound alternately twice a day, and place the irrigation tube on the healthy side to prevent the wound from bursting. The nursing work for patients with tongue cancer should be arranged from all aspects of their lives. I hope these will be helpful to you. |
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