Preoperative Preparation of Liver Transplant

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1. To prepare a single ward, with a disinfectant wiped floor, walls and interior material and ultraviolet light disinfection.
2. To improve various laboratories and inspection equipments, guiding patients to eat high-quality protein, high-calorie, high vitamin and low-fat diet digestible to improve malnutrition, as well as to avoid increasing the burden on the liver. The skin preparation, bilateral axillary, groin and chest whole abdominal skin preparation.
3. Psychologically prepared for patients, because it may be a long time from diagnosis to surgery, despite the later treatment. The patients may experience more anxiety and hope be cured as soon as possible. Their family members also concerns the suffering of patients. According to the psychological problems of the patients and their families, it develops sevaral appropriate care measures: to stabilize the patient's mood, and more communication to understand the patient's ideological trends, and establish a good nurse-patient relationship with the patient.

Post-operative Care of Liver Transplant

1. Condition monitoring: circulatory and respiratory system should be monitored closely, such as monitoring of vital signs, pulmonary arterial pressure, central venous pressure and urine output per hour.
2. Pipeline observation and postoperative nursing care of patients: it brought more pipes, such as right internal jugular vein catheter, the right subclavian vein catheterization, abdominal drainage tubes, T-shaped tubes and other tubes.
3. Protective isolation measures: health care workers should wear gowns, face masks, hats, shoes and shoe covers before going into the ward. In addition to the hospital staff, it should reduce visits to fixed accompanying persons transferred to the ward.

Observation and Care of Complications

1. Patients with liver transplantation surgery are easy to get pressure ulcers, because they will stay in bed for a long time for afraid to stand up causing liver shift and avoid right lateral position to oppression of the liver.
2. Hyperthermia care: a month later, if the temperature suddenly increased up to 38.3 C, it needs to measure body temperature in a timely manner and to observe the pale, breathing, blood pressure and the amount of sweat. The patient is asked to drink plenty of water and mouthwash to prevent excessive loss of body fluids.
3. The after psychological care of patients is throughout the entire care process. In this way, the patient may change their original more cheerful character due to postoperative physical weakness, staying in bed for a long time, plus more freely body pipeline activities.
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