(1)Preaching
1) Inform the patient of the purpose, requirements and cooperation of ERCP, introduce the treatment, prognosis and precautions of ERCP.
2) Advise the patient not to consume spicy and hard food and stimulating food for dinner, and to abstain from eating and drinking after the meal, and to perform ERCP at 8:00 am the next day.
3) Carefully analyze the various psychological changes of the patient and implement effective psychological care to minimize the mental stress of the patient.
4) Inform the patient about the cooperation of routine blood, blood and urine amylase tests.
5) Introduce the clinical care pathway of ERCP procedure.
(2) Nursing measures
1) Understand the patient’s general condition and improve various related examinations and tests.
2) Routinely change the patient’s gown and wristband. Measure vital signs.
3) Pre-operative pancytopenicillin test was done and recorded. Give intravenous needle puncture in the right hand.
4) Prepare intraoperative medication and fill in the phaco-head information.
5) Do psychological care, eliminate fear and stabilize emotion.
6) Patrol the ward to see how the patient sleeps.
(3) During operation
1) Inform patients to maintain optimism and eliminate tension. Negative emotions affect the treatment, build up confidence to overcome the disease and cooperate with the examination at ease.
2) Ask the patient to empty the second stool and take a semi-prone position.
3) 20-30 minutes before the operation im Dulcolax, Valium, 654-2.
4) Give pharyngeal surface anesthesia 10 minutes before surgery.
5)Assist the surgeon in the operation.
(4) After the operation
1) Instruct the patient to fast and rest in bed.
2) Understand the patient’s psychological, resting and sleeping conditions and needs. Instruct the patient to reduce anxiety and stabilize emotions by doing deep breathing and listening to music.
3) If there is an indwelling nasobiliary tube, tell the patient not to pull the tube at will.
4) Inform the patient of the name, dosage, effects and adverse reactions of the drugs used, observe the effect of treatment, educate the patient about the disease, and tell the patient to adhere to the treatment.