What are the precautions after pituitary tumor surgery

We are no longer unfamiliar with the disease of pituitary tumors. It is necessary for us to understand some nursing knowledge about pituitary tumors, especially the common sense of postoperative care. After we understand it, we can make our care more scientific and reasonable, which is conducive to the patient's physical recovery. So, what are the precautions after pituitary tumor surgery? Let us listen to the experts' introduction.

Precautions after surgery for pituitary tumor:

1. Care of surgical fluid: For patients undergoing transcranial surgery, observe whether the dressing of the surgical site is intact and whether there is exudation. If there is a lot of exudation, remind the doctor to change the dressing in time. If there is a lot of bloody exudation, pay attention to monitoring the patient's blood pressure changes. All operations must be strictly sterile, and visiting is restricted to avoid cross infection. Patients undergoing transsphenoidal surgery should pay attention to the exudation in both nostrils. Generally, the nasal gauze can be removed 3 days after surgery. Pay attention to observe whether there is fluid leakage and identify whether it is cerebrospinal fluid.

2. Body position: When not awake, remove the pillow and lie flat, with the head tilted to one side, and clear oral secretions in time to prevent aspiration. If there is cerebrospinal fluid rhinorrhea, remove the pillow and lie flat for 7-15 days. If there is no cerebrospinal fluid rhinorrhea, raise the head of the bed 15°-30° to facilitate breathing and reduce intracranial pressure.

3. Close observation: Closely observe the patient's consciousness, pupils, vital signs and urine output. Keep the airway open, and assess the patient's degree of consciousness disorder from the patient's language, eye opening, and movement. Comatose patients should be cared for according to nursing routines, basic nursing should be done well, and there should be no nursing complications. The accompanying personnel should be taught to measure the patient's urine output, and the nurses should accurately record the 24-hour intake and output.

4. Keep the airway open: After the operation, the patient will return to the ward with a endotracheal tube, into which oxygen will be inserted. The oxygen flow rate will be adjusted to about 3~4L. Oral secretions and secretions in the endotracheal tube will be cleared in time to maintain a clear airway.

5. Hyperthermia care: According to the patient's eating habits, a reasonable diet should be prepared for the patient, and high-calorie, high-protein, high-vitamin, low-fat and easily digestible liquid or semi-liquid food should be given. The patient is encouraged to drink more water, and the daily intake should not be less than the output of 24 hours. Physical cooling should be given to patients with a body temperature above 39°C, using ice packs, ice caps, cold compresses, ethanol baths, ice water baths, and warm water baths. When the patient sweats a lot or has a fever, he should pay attention to keeping warm, observe whether there is collapse, and keep the indoor air fresh.

6. Pain care: Pain is one of the common clinical symptoms of postoperative patients. The cause, nature, degree and location of pain should be closely observed. To strengthen psychological care, nursing staff should first establish a good relationship with patients, gain trust, stabilize patients' emotions, eliminate their tension and fear, and introduce some methods to relieve pain for patients.

The above is the postoperative care precautions for pituitary tumors. I hope it will be helpful to the majority of pituitary tumor patients.