What should we pay attention to when we are concerned about lung cancer? Nursing measures for closed chest drainage after lung cancer surgery

Closed chest drainage is generally performed after lung cancer surgery. However, in the early stages of caring for patients undergoing lung cancer surgery, we need to pay attention not only to the speed and amount of drainage, but also to what we need to pay attention to about lung cancer. Furthermore, patients undergoing lung cancer surgery are not allowed to eat or drink water for a certain period of time, so we should also take good care of dietary elements. However, today the expert only explains how to care for patients undergoing closed chest drainage.

1. Purpose

(1) Fully drain or aspirate residual blood, fluid and postoperative exudate in the abdominal cavity to prevent intra-abdominal infection, and observe internal bleeding and complications such as intestinal fistula, bile fistula, etc.

(ii) Observe postoperative oozing and bleeding. If there is a small amount of oozing after surgery, the drainage volume can be gradually reduced. If there is bright red bleeding, internal bleeding should be suspected to facilitate early diagnosis and timely treatment.

(III) Observe and treat postoperative complications such as anastomotic fistula, bile fistula, and intestinal fistula.

(iv) Reduce stress.

2. Nursing

(1) Explain the purpose and precautions of catheterization to the patient and obtain cooperation.

(ii) The drainage tube should be properly fixed to prevent twisting, compression, and folding. When treating or turning the patient, be sure to protect the drainage tube to prevent it from falling out.

(III) Pay attention to observe and record the drainage volume and properties of various drainage tubes and keep good records.

(IV) Note that when all drainage tubes are working properly, the bloody fluid discharged should decrease from more to less, and from thick to thin. If the drainage fluid changes from thin to thick, or increases suddenly, you should pay attention to the occurrence of internal bleeding.

(V) Keep the drainage tube open and replace the drainage bag daily, and perform bacterial culture when necessary.

(VI) If there are multiple drainage tubes, the location of each tube in the abdominal cavity should be clearly identified, and labels should be written and attached to the tube wall for easy observation.

(VII) Keep the skin around the drainage tube clean and dry. If there is exudation, change the dressing in time and apply zinc oxide ointment for protection if necessary.

(VIII) During the catheterization period, the patient's abdomen and general condition should also be observed to see whether symptoms have been alleviated and whether the body temperature is normal.

Above we have summarized so many nursing factors related to the disease of closed chest drainage for lung cancer. However, we must prevent the tube from slipping during the patient's intubation. Once it comes out, there will be some problems with the tube, affecting the patient's normal breathing, and thus the patient's life safety will also be affected. For this reason, we should take good care of patients with closed chest drainage for lung cancer at all times.