文档介绍：Perioperative care of hepatic surgery Yuan Haiying Treatments ? Sugery —— most effctive hepatectomy ? Radiotherapy ? Chemotherapy Perioperative care ? Preoperative nursing ? Intraoperative nursing ? Postoperative nursing Preoperative nursing ? Preoperative visit data (name,gender,age,AD,all kinds of test results) history (hypertension,diabetes,allergy) condition (mental,skin) notice: —— don ’ t eat or drink after 8pm —— don ’ t wear accessories or valuables —— wear patient dress without underwear nursing a) introduce environment with photos b) answer patient ’ s questions Intraoperative nursing ? Preparation a) check suction device and oxygen system b) prepare articles —— instruments —— dressings —— disposable goods c)adjust temperature 20 ~ 24 ℃? Receiving patient a) check patient ’ s information —— patient —— identification wristband —— medical records —— operation notice b)receive medicine,CT pictures,abdominal bandage ,gastric tube ? Assist in anestheia ? Catheterization for female ? Assist doctor to insert gastric tube ? Position supine position with a pillow at the back ? Paste zinc plate at the place where muscle abounds ? Help surgeon to wear sterile gown ? Count instruments and dressing —— before the operation —— before closing the abdominal cavity —— before suturing the incision and fill in nursing notes