What should be paid attention to in the diet of patients with advanced lung cancer? Introduction to the nursing principles after lung cancer surgery

Nursing principles after lung cancer surgery

1. Strengthening respiratory care, preventing and treating respiratory insufficiency, clearing respiratory secretions, and maintaining gas flow are the key points of postoperative care. For patients with severe pulmonary infection, a large amount of respiratory secretions, and weak expectoration, which leads to respiratory insufficiency, they often need to inhale oxygen repeatedly for a long time and may need to use a ventilator to assist breathing at any time. At this time, tracheotomy and suction of sputum are the most convenient and safest.

2. Continuous ECG monitoring and close monitoring of vital signs - arrhythmia: (1) Mild hypoxemia occurs after surgery, manifested as blood oxygen saturation of 90% to 95% within 48 hours under continuous oxygen inhalation. Arterial oxygen partial pressure is 10 to 12 kPa. (2) ST-T changes were found in the preoperative ECG examination. Arrhythmia occurred in 6 cases. (3) Pain in the surgical area caused by surgical trauma, autonomic dysfunction caused by mental stress, etc. (4) Increased pulmonary artery pressure and increased cardiac load. The most common atrial premature beats and atrial fibrillation.

3. Control the infusion volume and infusion speed to prevent pulmonary edema. The amount of blood transfusion should be lower than the amount of blood loss. It is better to have less than more. It is better to maintain proper dehydration. Do not infuse too fast. Generally, the infusion volume should not exceed 1500-2000ml within 24 hours. The speed should not exceed 20-30 drops/min.

4. Reasonable posture, proper activities and exercises. Patients who have undergone pneumonectomy should take a functional upright position during postoperative exercise to facilitate the recovery of normal posture. It is not advisable to squat to relieve bowel movements to avoid postural hypotension. Exercise appropriately while walking on the ground. Give appropriate analgesics before exercise and help patients cough up sputum. The amount of exercise should not cause pain or fatigue. In addition, it is best to take ginsenoside Rh2 after surgery to reduce local recurrence of cancer and improve the patient's immunity.

5. Once lung cancer is discovered, it is usually in the middle or late stages and is prone to recurrence and metastasis. Therefore, it is necessary to reduce recurrence and metastasis by surgical lymph node clearance and other methods. Cell immunotherapy can effectively remove residual cancer cells and micro-lesions after lung cancer surgery, radiotherapy and chemotherapy, and prevent the recurrence and metastasis of lung cancer. For patients with advanced lung cancer who have lost the opportunity for surgery or whose cancer cells have recurred or metastasized, tumor biological immunotherapy technology can quickly relieve their clinical symptoms, and most patients experience tumor shrinkage or even disappearance. Biological immunotherapy improves the body's own defense against cancer cells and is also an important treatment for preventing recurrence and metastasis.

Lung cancer in the late stage should pay attention to the diversification of diet

What are the dietary principles for patients with advanced lung cancer? When lung cancer develops to the late stage, the pain and suffering suffered by the patient is self-evident. At this time, dietary care for the patient is often particularly important. What are the dietary principles for patients with advanced lung cancer? Let's learn about it together.

Lung cancer patients in the late stage should strictly follow the doctor's advice on diet. You should know that diet is different for different people. Not every patient should follow this. You cannot stipulate what you can and cannot eat in general. Don't be too demanding on diet or even be mysterious. You should eat more foods rich in protein. The diet should not be too strict and the diet should not be too narrow. You should focus on a high-protein, high-vitamin diet to make up for the excessive consumption of tumors and improve the body's immune function, anti-cancer ability and quality of life.

Stay away from carcinogens to avoid making lung cancer worse. Avoid eating foods containing carcinogens, such as pickled vegetables and meats containing nitrites, moldy, smoked, rotten, stale foods, foods containing food additives, and crops with serious pesticide pollution. Eat foods that are conducive to the excretion of toxins and have a detoxifying effect, such as mung bean soup (porridge), red bean soup, winter melon, watermelon, etc.

What are the dietary principles for patients with advanced lung cancer? Experts point out that for patients with advanced lung cancer, you can drink a small amount of soup to wake up the stomach before meals, or take some Chinese medicine to stimulate the appetite and invigorate the spleen. Give fruits after meals. Pay attention to diversification of diet; if you feel nauseous when eating, drop a few drops of ginger juice in your mouth before meals; or acupuncture Neiguan, or inject Weifu'an Neiguan acupoint, or take Chinese medicine to reduce nausea and vomiting. In addition, pay attention to keeping the bowels open. If the stool is constipated, the visceral qi is blocked, and the stomach qi is out of harmony, you will not want to eat. Eat more crude fiber foods such as asparagus, celery, and bananas, and give laxatives or Chinese medicine retention enema when necessary.