Nursing diagnosis of advanced pancreatic cancer complicated with intestinal obstruction

What are the nursing diagnoses for advanced pancreatic cancer with intestinal obstruction? We asked the experts to tell us that we should first observe the patient's lack of body fluids: record skin elasticity and mucosal conditions. Record urine specific gravity and color. Record vomitus and drainage volume and color. Monitor vital signs to determine whether blood volume is insufficient. Record 24-hour water intake and output. Replenish fluids during fasting, draw blood regularly for blood biochemistry, and maintain water and electrolyte balance.

In addition, if the respiratory tract is not cleared, the patient should be patiently explained the importance of coughing up respiratory secretions. Encourage the patient to cough up sputum effectively, and assist the patient to press the wound with his hands or bandage it with a belly band to prevent the wound from splitting. Ultrasonic atomization inhalation is given 2-3 times a day to reduce respiratory mucosal edema, dilute sputum, and facilitate coughing.

Comfort changes: related to abdominal distension and blocked drainage tube. Assess and record the degree of abdominal distension. Insert a gastric tube to drain gastric contents and fluids out of the body, relieve abdominal distension, and maintain effective negative pressure suction. If the obstruction is caused by abdominal surgery, hot water bags can be used for abdominal compresses and antispasmodic drugs can be injected intramuscularly. Observe the patient's condition and whether there is anal gas and defecation. If so, remove the gastric tube and give liquid diet.

Changes in oral mucosa: Explain to the patient the importance of maintaining oral hygiene. Provide oral care twice a day during bed rest. Instruct the patient or family members on how to take care of the oral mucosa. Instruct patients with dry oral mucosa to apply a moisturizer such as paraffin oil.