Postoperative nursing diagnosis of cervical cancer

The issue of nursing diagnosis for cervical cancer must be taken seriously. Cervical cancer is one of the common malignant tumors in women. The cause of the disease is still unclear. Women who marry early, have children early, have multiple births, and have sexual disorders have a higher incidence rate. There are no symptoms in the early stage, but abnormal vaginal bleeding may occur in the later stage. The current treatment options are mainly surgery and radiotherapy.

1. Follow the routine gynecological postoperative care and closely observe changes in vital signs.

2. After epidural spinal anesthesia, lie flat without pillow and tilt your head to one side for 68 hours to prevent headache, vomiting and aspiration after spinal anesthesia. After 12 hours, you can take a semi-recumbent position to prevent incision pain and intestinal adhesion.

3. Do not eat or drink for 6 hours, monitor ECG, blood oxygen, pulse and other parameters for 6 hours, and provide low-flow oxygen if necessary.

4. Press the sandbag on the abdomen for 68 hours, observe the leakage of the abdominal dressing, remove the sandbag and apply pressure bandage with an abdominal belt, keep the incision clean and dry, and give painkillers if necessary.

5. Observe and record the color and amount of drainage from the abdominal drainage tube, keep the drainage unobstructed, do not twist or fold it, prevent the drainage tube from falling out, avoid placing the drainage bag higher than the abdomen, and prevent retrograde infection of the drainage fluid.

6. Before the patient passes gas, he can eat rice soup or vegetable juice soup with appropriate amount of salt to prevent hyponatremia and ion disorder. He should follow the doctor's advice to replenish fluids. After the patient passes gas, he can eat soft food such as egg custard, noodles and rice porridge.

7. Pay attention to vaginal secretions and bleeding, and perform perineal care twice a day.

8. Abdominal physiotherapy can be performed after 48 hours to facilitate wound healing and avoid intestinal adhesions

9. Assist patients to turn over frequently to prevent abdominal distension, exercise lower limbs, and prevent lower limb venous thrombosis

10. Indwelling catheterization should be performed for 5-7 days. According to routine care for indwelling catheterization, the patient should be advised to drink plenty of water and avoid placing the urine bag above the abdomen to prevent retrograde infection of urine.

11. Follow the doctor's instructions and receive routine chemotherapy care.