Nursing aspect of Craniofacial surgery
The preparation before the OT @ Richardsons Hospital
- The patient is kept NPO (No per oral) for six hours
- Blood investigations are done
- ECG, Chest Xray done in select patients
- Skin preparation is done if required. eg. for taking skin graft, rib graft, etc
- Informed consent was taken for the surgery, for anesthesia, photographs etc.100
- Psychological support is given to the patient to reduce their fears
- OT checklists are completed
- The medications of the patient are modified .eg. if the patient is on anti-platelet drugs like aspirin, it has to be stopped prior to OT.
- Pre medications like anta-acids, anti-anxiety, antibiotics, and anti-inflammatory drugs are given
Care of the patient after the OT
- Comfortable and head up position of the patient
- Vitals should be monitored
- Oxygen is delivered to the patient via a face mask
- V medications are given to reduce the pain and swelling
- Ice packs are applied where fear of bleeding and swelling is high
- The surgical site is observed for any oozing
- Starvation is maintained for four hours
- V fluids are given to the patient
- Oral hygiene Maintenance instructions are given to the patient
- A sponge bath is provided
- Diet and input-output chart of the patient is maintained
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