Peritoneal drainage tube care indications:
1. The production of hollow organs hole or trauma rupture often occurs secondary to peritonitis;
2. peritoneum and internal organs hematoma, available catheterization or surgical drainage;
3. surgical wound big, local infiltration night, bleeding more easily when secondary infection.
Peritoneal drainage tube Nursing process:
1. good drainage pipe according to the role or name tags;
2. The records were observed and the amount of fluid drainage traits, such as drainage and flow speed or bloody, should immediately inform your doctor;
3. To maintain the drainage tube patency and prevent discounts or extrusion, slide should be replaced with new pipe is inserted;
4. The need to suction drainage should adjust negative pressure, pay attention to the maintenance of negative pressure;
5. When handling patients, the first clamping and then move to prevent backflow;
6. Observe the drain can cause complications such as compression of tissue necrosis bleeding, intestinal fistula, infection, pain or tube should be in time for extubation, treatment of complications;
7. To make the lumen flushing principle should be strictly aseptic operation.
Pancreatic drainage tube care
Objective: containing trypsin, and organizing the removal of toxic substances, so smooth drainage of pancreatic juice to prevent acute attacks, improve nutrition, adjust the pancreatic function.
Indications:
1. hemorrhagic necrotizing pancreatitis, in particular infection;
2. pancreaticoduodenectomy;
3. Acute medical treatment further worsening.
Nursing process:
1. properly fixed, regular checks of fixed conditions;
2. maintaining unobstructed drainage, avoid twisting pressure to prevent blockage;
3. Observe and record the shape, color and amount of drain;
4. Regularly check the drainage fluid amylase and bacteria;
5. When necessary, replace the drainage bag, pay attention to strict aseptic and properly handle the dirt;
6. After the vital signs stable semi-recumbent position;
7. The timing of daily blood glucose testing and urine;
8. The orders timely application of pancreatic secretion of drugs;
Complications observed:
1. pancreatic fistula: observe whether the abdominal drainage often colorless peritoneal fluid spills, high amylase content of pancreatic juice leakage caused when infection was purulent drainage;
2. infection: drainage occurs first decrease after chills, fever, drainage tube should be replaced;
3. pancreatic pseudocyst: occurred in 2-3 weeks after severe pancreatitis disease.
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