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Hydrocephalus 水腦術後護理

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Hydrocephalus 水腦術後護理

2024/1/30

Definition

It yields 500 milliliter cerebrospinal fluid and it is absorbed after circulation. When cerebrospinal fluid is congested and absorbed abnormally, such accumulation of cerebrospinal fluid is deemed hydrocephalus.

Symptom

  • Patients often suffer from vomiting and minimally consciously state.
  • Usually children have bigger head circumference.
  • Patients are out-eyelid.
  • Young patients are incapable of looking up because of the down-warded eyelid.
  • Patients also suffer from headache or dementia.
  • Patients are unable to walk firmly and stably.
  • Incontinence.

After-Surgery Care

  • Avoid pressing the wound.
  • Encourage patients to take a deep breath and cough.
  • Enhance chest care, phlegm patting, and sucking to prevent fever and pneumonia.
  • Turn the body over every one or two hours.
  • To assess possibility of intracranial hemorrhage, keep an eye on patients’ consciousness to see if they are in coma or start talking nonsense.
  • Encourage patients to move about after 24 hours of resting in bed.
  • Reduce visiting hours to prevent excitement and stimulation.
  • Avoid restraining patients to prevent possible emotional excitement.
  • Prevent constipation because it triggers intracranial hypertension.
  • To prevent upset abdomen, have patients intake small portion each meal and increase the frequency of their meal intake.
  • Have patients drink 1000~1500C.C. of water to lower the chances of intracranial hypotension.

Caution

  • Regularly return to the hospital for the follow-up.
  • Maintain dryness and cleanness of your wound.
  • Return to the hospital immediately if your wound gets red, swollen, heated, and painful.

Note: Return to the hospital immediately if you feel nauseated, vomiting, feverish with severe headache and twitch, and breathing abnormally.

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