Postoperative care issues for colorectal cancer

Intestinal cancer is a malignant tumor with a relatively high mortality rate. There are many patients suffering from intestinal cancer in my country. Clinically, patients with intestinal cancer may experience pain after surgery, and their breathing and heartbeat may change to varying degrees. Therefore, key points should be paid attention to in nursing. The following is an introduction to nursing issues after intestinal cancer surgery.

1. Patients should fast after surgery and then eat gradually. Patients can follow the doctor's advice to drip deep intravenous high-nutrient solution and pay attention to the balance of water and electrolytes. The gastric tube can be removed after the anus is exhausted. Patients can drink a small amount of water first, and then eat liquid food after no adverse reactions, and gradually transition to semi-liquid food. It is suitable to eat high-nutrition, easy-to-digest, and low-residue food. There should be grains, lean meat, fish, eggs, milk, various vegetables and soy products every day, but the amount of each food should not be too much, so as to supplement the various nutrients needed by the body.

2. Strengthen cardiopulmonary function monitoring: Due to trauma, anesthesia, pain and other factors, patients are prone to changes in vital signs after surgery, especially the elderly who have impaired organ function. Oxygen inhalation can be performed during surgery, and electrocardiogram and blood oxygen saturation monitoring should be performed, and arterial blood gas analysis and blood sugar should be monitored regularly.

3. Analgesia: For patients with pain, pay attention to the location, nature and accompanying symptoms of the pain. An analgesic pump can be used to relieve pain after surgery. Patients who cannot get relief can receive intramuscular injection of analgesics.

4. Posture care: After returning to the ward, the patient should lie flat without a pillow, with the head tilted to one side. After waking up and the condition is stable, the patient can lie half-lying, which can alleviate breathing difficulties, help drain the abdominal and pelvic cavities, limit inflammation, and reduce the tension at the incision suture, which helps the incision heal.

5. Care of drainage tubes: Patients will have various drainage tubes after surgery. When caring for them, you must first properly fix the various drainage tubes to prevent twisting, folding, compression, and dislocation. Observe the patency of the tubes at any time. If any abnormality is found, report it to the doctor in time.

6. Urinary care: The clamp can be opened every 1.5-2 hours or when the patient feels like urinating to train the bladder contraction function and promote the patient's automatic urination. After removing the catheter, observe the patient's urination to see if there is bladder paralysis or urine retention, and reinsert the catheter if necessary.

7. Early activity: Generally, patients can get out of bed and move around on the first day of surgery to prevent venous thrombosis and postoperative tissue adhesion. Patients should turn over and take deep breaths more often to prevent sputum accumulation.