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Patients after pancreatoduodenectomy Nursing Clinical Nutrition

EN better ensure the effective giving. Enteral nutrition infusion line liquid or viscous substances, easy to plug the pipeline, in addition to intraoperative indwelling jejunal fistula doctors should be more than 40em, but I understand the principle of strict accordance with the method of care, the group did not lead to local infection, tube Road congestion and prolapse, etc., conducive to ensuring the EN treatment completion. The higher proportion of patients with diabetes, reaching 38.6%, and Wang Da and other reports similar to the infusion of enteral nutrition containing more carbohydrate solution is bound to significantly increase blood sugar, severe hyperglycemia can also lead to ketoacidosis and increased infection. As with PN, EN treatment of glucose monitoring is necessary. For patients with diabetes, recommended for containing sustained-release formulations of starch EN L9j, after at least every 3 to 4 hours 1 blood glucose, blood sugar steady and 6 hours after detecting a time. Blood glucose more than 12.1mmol �� L or less than 4mmol �� L should be after pancreatoduodenectomy and clinical nutrition, medical care and notify the adjustment of insulin dosage. Strengthen the psychological care of patients with pancreaticoduodenectomy organ function and mental condition had seriously affected the treatment the content of many, painful surgery weight, long hospital stay, higher medical expenses,[link widoczny dla zalogowanych], can directly affect the psychological state of patients. Treatment of patients with PN easy to accept,[link widoczny dla zalogowanych], but not for a long time applications. After pancreatoduodenectomy EN is an important part of treatment, a long time, patients need to limit ambulation with patients prone to abdominal distention (72% in this group), diarrhea (30% in this group), abdominal pain and other symptoms, In severe cases, treatment had to give up the EN (3.5% in this group). I addition to the gradual increase in drip rate, maintaining the right temperature, the use of peristaltic pumps and other measures, but also the psychological burden of patients under the weight of such features, strengthen psychological care. Preoperative nurse from the responsibility to explain its benefits and necessity of EN, as well as possible abdominal distention,[link widoczny dla zalogowanych], abdominal pain and diarrhea,[link widoczny dla zalogowanych], preaching adhere to treatment can be tolerated early EN the knowledge of these symptoms, get the trust of patients and understanding. EN symptoms after the treatment is, in addition to mitigation measures must be taken in time, with the mobilization of patients and their families to adhere to treatment, reducing its impact on the psychological burden of EN, through the discomfort period. The nursing focus group language,[link widoczny dla zalogowanych], facial expressions, skills, elderly patients during the EN have some effect, with 96.5% of patients completed the EN and discharged. Pancreatoduodenectomy PN and EN in the treatment process and good communication between health care is the key to success with. Initiative to understand the disease, symptoms appear promptly notify the doctor, strictly abide by the More articles related to topics：

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