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Laparoscopy Nursing Care

Posted on July 19, 2014 | No Comments on Laparoscopy Nursing Care

Laparoscopy is a surgery that involves using a thin, lighted tube (called laparoscope) placed through a small incision in the belly to examine abdominal organs or pelvic organs and check for cysts, adhesions, tumors, fibroids, and infection that can for infertility, biopsy, damages specially of the spleen, performing tubal ligation, checking for hernia among many others. Tissue samples can be taken for biopsy through the Laparoscopic tube.

Because Laparoscopy Nursing Care can be a stressful procedure, nursing postoperative care is necessary to help patients after surgery. This is important to prevent difficulties such as infection, to promote or encourage healing from the surgical incision, and help patient return to normal state of health.

Laparoscopy Nursing Care for patients in the Post anaesthesia care unit (PACU) mainly involves continuously evaluating and assessing overall patient health by regularly monitoring pain status, body temperature, surgical site, circulation/sensation in extremities after vascular or orthopedic surgery , patency of drainage tubes/drains, nausea/vomiting, patency/rate of intravenous (IV) fluids and level of sensation after regional anaesthesia. Patients discharged in the PACU depend on patient’s mobility, respiratory status, circulation, awareness, and pulse oximetry.

Laparoscopy Nursing Care for the First Twenty four hours is very critical which basically involves similar monitoring and evaluation procedures particularly for vital signs like respiratory, pain status, the incision, and any drainage tubes. Body’s temperature should be checked because hypothermia is common. Fluid intake and urine outputs should also be monitored. Circulatory status or neurological status must be assessed. Medication for nausea / vomiting may be administered per direction. Patient should be assisted to gradually perform breathing exercises, and walk avoid pneumonia and for preventing thrombus. Patients ought to be kept NPO at least nothing orally. To keep mouths from drying, their mouths can be moistened with sponges or cotton with water.

After Twenty four hours, the monitoring of vital signs can be lengthened from the original 1 to two hours to every 4 to 8 hours. Wound dressing must be changed to avoid infection. Simple breathing and walking exercises should be intensified through the nurse’s assistance to hasten full recovery.

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