Uncomplicated postoperative period

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Patient delivered from operating, placed in a pre-warmed the bed, on his back (especially if the operation does not require other provision), with low head, and after anaesthesia - no pillows, warm shelter, to the feet put a heating pad on top of the blankets, so as not to cause burn. The first hours of the postoperative period depends mainly on applied anesthesia. In patients operated under anesthesia is often vomiting, threatening aspiration (see), often agitation, sharp movements, trying to get up. You need close observation of patients to complete awakening (see Anesthesia).
In the postoperative period, current without complications, phenomena associated with the operating injury, no cutting, not hours or threaten the life of the patient. Only pain is inevitable in the postoperative period, sometimes can be very strong, but they faint on the second or third most on the fourth day. In severe pain, threatening shock needed injection of morphine (1 ml of 1% solution), omnopon (1-2 ml of 2% solution) or promedol (in the same dose), 2-3 hours after surgery and again at night, and at moderate pain - only for the night. If the patient is allowed to drink, then at night, in addition, designate barbanel (0.2 g), or other sleeping pills. After simple interventions (appendectomy, graineterie and so on) on the second night injecting drugs usually is not required and the patient was given only sleeping. After serious operations drugs have to use longer, but usually not more then 3-4 days. The introduction of narcotic drugs is always carried out only by a doctor.
Each aseptica operation causes a temperature rise of up to subfebrile, and sometimes even more significant. This aseptic fever of short duration; slowly (4-6 th day) temperature drops to normal.
Significant violations of the cardiovascular system in uncomplicated postoperative period observed, if the operation was accompanied by significant blood loss. To fill the last used struino or drip blood transfusion, plasma or blood substitute (poliglyukina, izotoniceski solution of sodium chloride and others).
The possibility of dangerous disorders of blood circulation needs to anticipate and warn patients undergoing long and traumatic surgery, patients elderly, debilitated by the disease. In such cases, oseltamivir prescribed injections of camphor oil (2-4 ml of 20% solution) and cordiamine (1 ml), 2 times a day alternately, injections of strychnine (1 ml of 0.1% solution) 1 times a day, 40% glucose solution 20-40 ml intravenously, often drip method, blood transfusions or pour the blood substitute.
Breathing can be disturbed by pain and limitations of respiratory movements, mainly after chrevosechenie. It is necessary to improve ventilation of the lungs, which is achieved by relief of pain through drug use, as above, and especially respiratory gymnastics under the supervision of a practitioner exercise therapy or nurses. Already in the first days after the surgery the patient should periodically (every 30-40 minutes) to do 3-4 deep breath and full exhalation. On 2 - 3rd day include more complex breathing exercises in lying position, turning from side to side; then, once the patient will pass to the exercise in sedentary and, finally, in a standing position. These exercises and early rising is extremely important for the prevention of postoperative pneumonia. At insufficiency of breath after operations on the lungs - oxygen therapy (see).
After operations in the lower part of the abdomen, perineum and the rectum is often observed urinary retention caused by paralysis of the bladder or spasm of his sphincter or by strangeness of urinating in the supine position. Usually helps warmer, laid on the area of the bladder, and irrigation external opening of the urethra jet lukewarm water (with enclosed vessel). If there are no contraindications, can help a person to kneel. Only with the failure of these techniques have resorted to the catheterization of the bladder. Difficulty urinating, usually takes place in 1-2 days.