Palatoplasty – Post-operative management |

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Palatoplasty – Post-operative management

Palatoplasty – Post-operative management

Nursing responsibility:

Check vital signs
Administer oxygen
Observe for bleeding
Start feeding after 4-6 hours
Apply elbow/ arm restraint to avoid putting/sucking fingers or objects in mouth
Give psychological support to mother and family members to reduced fear and anxiety
Administer iv fluids, analgesic, and IV antibiotics as per order
Maintain intake and output chart to observe feeding intolerance

Advice or education:

Oral hygiene

Advice mother to give water after every feeds to remove food particles, prevent infection and maintain oral hygiene

Feedings

Educate mother to give feeds by syringe, cup or dropper for 1 week
Spoon feed can be given but not introduce deeper or not touch the roof of mouth to avoid injury to palate.
Avoid using bottles, pacifiers/normal teats till 2-3 weeks
Avoid sucking and chewing, if the baby is taking solid diet only soft diet is allowed after 7th day of surgery

Discharge / bleeding:

Educate the mother to observe for any fever, any color changes, discharge or bleeding in suture area, immediately consult the doctor.

Follow up:

Continue discharge medicines
Consult doctor after 1 week

Orthognathic surgery (jaw-surgery)

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