心智圖資源庫 ERCP術後護理
ERC P概念,適應症、禁忌症,ENBD的概念,ERCP術後護理,ENBD護理,結構清晰,層次分明,便於醫護人員快速掌握ERCP手術後的護理要點和注意事項。
編輯於2024-11-25 13:14:54This template shows the structure and function of the reproductive system in the form of a mind map. It introduces the various components of the internal and external genitals, and sorts out the knowledge clearly to help you become familiar with the key points of knowledge.
This is a mind map about the interpretation and summary of the relationship field e-book, Main content: Overview of the essence interpretation and overview of the relationship field e-book. "Relationship field" refers to the complex interpersonal network in which an individual influences others through specific behaviors and attitudes.
This is a mind map about accounting books and accounting records. The main contents include: the focus of this chapter, reflecting the business results process of the enterprise, the loan and credit accounting method, and the original book of the person.
This template shows the structure and function of the reproductive system in the form of a mind map. It introduces the various components of the internal and external genitals, and sorts out the knowledge clearly to help you become familiar with the key points of knowledge.
This is a mind map about the interpretation and summary of the relationship field e-book, Main content: Overview of the essence interpretation and overview of the relationship field e-book. "Relationship field" refers to the complex interpersonal network in which an individual influences others through specific behaviors and attitudes.
This is a mind map about accounting books and accounting records. The main contents include: the focus of this chapter, reflecting the business results process of the enterprise, the loan and credit accounting method, and the original book of the person.
ERCP術後護理
術後監測
生命徵象觀察
定時測量體溫、脈搏、呼吸和血壓
注意有無發熱、心搏過速等異常徵兆
觀察引流狀況
檢查膽管引流管是否通暢
觀察引流液的顏色、量和性質
觀察腹部狀況
注意腹部有無疼痛、腫脹或壓痛
監測腸鳴音是否正常
疼痛管理
評估疼痛程度
使用疼痛評分量表評估患者疼痛
詢問患者疼痛感受
疼痛控制
根據醫囑給予止痛藥物
觀察止痛效果和患者反應
飲食指導
術後禁食
術後初期禁食,以減輕消化道負擔
根據患者恢復情況逐步恢復飲食
飲食調整
術後恢復期提供易消化食物
避免油膩、辛辣等刺激性食物
藥物治療
預防性抗生素使用
遵醫囑給予抗生素預防感染
觀察有無藥物過敏反應
膽道系統用藥
給予膽道擴張藥物以緩解膽管痙攣
使用膽汁酸製劑促進膽汁流動
活動指導
早期活動
鼓勵患者術後早期下床活動
防止深部靜脈血栓形成
活動限制
根據患者恢復狀況調整活動量
避免劇烈運動導致引流管移位
引流管護理
引流管固定
確保引流管妥善固定,避免脫落
定期檢查引流管位置及固定狀況
引流管維護
保持引流管通暢,避免折扣或阻塞
定期更換引流袋,保持無菌操作
併發症預防與觀察
感染預防
保持傷口清潔乾燥
觀察有無感染跡象,如紅腫、發熱
出血觀察
注意引流液中是否有血液成分
觀察患者有無嘔血、黑便等出血症狀
胰臟炎預防
避免高脂飲食,減少胰臟負擔
觀察有無胰臟炎相關症狀,如腹痛、發燒
出院指導
生活方式調整
建議患者改變不良生活習慣
提供健康飲食和運動建議
定期複查
告知患者定期複查的重要性
安排複查時間表和相關檢查項目
應對緊急情況
教育患者識別術後併發症的徵兆
提供緊急聯繫醫生的指導和訊息
心理支持
情緒觀察
關注患者術後情緒變化
提供心理支持和安慰
家屬教育
向家屬解釋術後照護要點
指導家屬如何協助病人康復
教育與培訓
病患教育
向病人解釋ERCP手術的目的和過程
教育病人關於術後照護和注意事項
護理人員培訓
定期對護理人員進行ERCP術後護理培訓
更新護理人員關於術後併發症的最新知識