What are the key points to pay attention to when caring for patients with laryngeal cancer

The incidence of laryngeal cancer is mainly related to long-term excessive smoking and contact with harmful chemicals. Patients generally need to take timely treatment after the onset of the disease and strengthen the care of laryngeal cancer patients.

1. Observe whether the patient's cervical duct is unobstructed, whether there is subcutaneous emphysema or hematoma, and the nature, quantity, and color of the secretions.

2. The room should be kept clean and ventilated frequently. A single layer of wet gauze can be used to cover the cannula opening to keep the inhaled gas moist and prevent dry scab from clogging the cannula.

3. Observe the negative pressure drainage and gastrointestinal decompression, pay attention to the changes in the color, properties, and quantity of the drainage fluid, and whether the drainage tube is unobstructed.

4. Nasogastric feeding care ① The patient takes a semi-recumbent position; ② Before feeding, check whether the gastric tube is in the stomach; ③ The amount of nasogastric feeding should not be too much at one time, 200-250ml each time, slowly push; ④ After the nasogastric feeding is completed, ask the patient not to lie down immediately, keep a semi-recumbent position or help the patient get out of bed to move around, to help digestion and absorption.

5. Suction secretions at any time and observe whether the cannula is unobstructed and the nature of the secretions. If the secretions are viscous, you can increase the amount of drugs injected into the cannula or inhale them through the cannula to dilute the sputum; if there is dry scab in the trachea, the inner tube should be removed in time, cleaned and disinfected, and then reinserted.

6. Clean and disinfect the inner tube according to the doctor's instructions, usually twice a day. If the secretion is thick and heavy, the inner tube can be cleaned at any time. Change the gauze pad 1 to 2 times a day.

7. Pay attention to adjusting the tightness of the sleeve strap. The tightness should be such that a person's finger can be placed between the strap and the neck.

8. If the tracheal tube is accidentally dislocated, the original tube should be inserted into the trachea accurately and the doctor should be notified to handle it. At the same time, the cause of the tube dislocation should be identified, corrected and prevented to prevent the tube from being dislocated again.