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What is an analgesic pump? Caesarean section
Patient-controlled analgesia (PCA) is a new treatment method proposed by Sechzer in the early 1970s, which is mainly used to treat postoperative pain and cancer pain. PCA treatment system breaks the traditional treatment mode, which is more in line with the psychological and physiological needs of patients and reduces the operation of medical staff. Improve the quality of pain treatment. Because PCA pump is controlled by people themselves in analgesic pump, it is very important to educate patients before PCA treatment, and to observe and nurse patients during the treatment to minimize their pain. Since February 2002, PCA pump has been used in our hospital to control the pain symptoms of patients with advanced cancer. The nursing experience of using PCA pump to control cancer pain in clinic is introduced as follows. ...

About the author: Sun Yan (197 1 ~), female, head nurse, undergraduate, mainly engaged in tumor nursing.

Authors: Sun Yan (Department of Plastic Burns and Thoracic Surgery, No.208 Hospital of China People's Liberation Army, Jilin, Changchun, 130062).

Zhang Chi (Department of Plastic Burns and Thoracic Surgery, No.208 Hospital of China People's Liberation Army, 130062)

The second trilogy of the suffering mother-the whole process record of caesarean section

Netizen: Panglong

February 5(th)

At 6: 00, draw blood (arm), measure fetal heart rate, go to the toilet to leave morning urine, and put it in the small room next to the toilet. It's a little cold in the morning. Nurses come here and there early in the morning and can't sleep. They went to bed yesterday 1, caught a cold and had a headache.

Before eight o'clock, at half past seven, the family left and the nurse made rounds. Just a bunch of nurses came to see you, and then monitored the fetal heart rate. Oxygen inhalation (30 minutes) was not needed, but everyone was inhaling, saying it was good for the fetus. I'm not used to oxygen inhalation, but I have a small tube inserted in one nostril, and I'm a little out of breath.

Then take your blood pressure. (Fetal heart monitoring, oxygen inhalation and blood pressure measurement are almost simultaneous, which makes me a little flustered. )

At 9 o'clock, the attending doctor came to measure the pelvis, check the situation of the fetus entering the basin, and intervene through the anus. It's uncomfortable, but the time is short, about 5 minutes, and it's tolerable. I had to take off my pants, including underwear (I felt embarrassed at that time, and there were other expectant mothers in the big ward, which was nothing in retrospect); Take your temperature; blood pressure

1 1: 00 Family members can come in, deliver meals and eat.

13: 30 Take temperature, pulse, take oxygen, and use oxygen tube in the morning.

Supplement: The aunt at the door is very strict. Mother is not allowed to go out and family members are not allowed to come in. As a result, the family members stood in the elevator; In the morning, people order tomorrow's dinner, lunch, dinner and breakfast at noon.

/kloc-transfer to a single room at 0/4: 30, and pay an extra deposit of 3000 yuan. The single room has a separate bathroom, the water heater can take a bath, the sitting toilet, and the toilet lid is a little cold. The room has a drinking fountain, 10 yuan a bucket of mineral water, two beds, TV, refrigerator, air conditioner, wardrobe, sofa, and family members can visit without restriction.

17: 00 Take temperature, blood pressure and listen to fetal heart rate. Decided to cut it tomorrow and only drink porridge at night.

6 February

This day has finally arrived, as the old saying goes, "Ignorance without fear". I'm not nervous at all, but my husband is a little nervous.

At about 9 am, the nurse began to prepare the skin. Seeing a mother-to-be preparing her skin in the big ward, I was not nervous, but a little embarrassed. All the curtains are pulled open, facing the No.1 Middle School and Geely Building, and the Central Maternity Administration Building. The nurse doesn't care. At one command, she opened all the curtains, took off her clothes, only wore a hospital coat, disinfected her stomach, vulva and back, pulled out her hair, and sewed two stitches on her ass, a little. Insert a catheter so that if you have urine, you don't have to drain it yourself. It will guide you away. Remind sisters to put on socks here, because the blood flow slows down after anesthesia, the legs will be very cold, and it is easy to get sick. After skin preparation (this process is very fast, about 10 minutes), I waited naked, covered with a quilt, and then got on the operating car. The ward is far from the operating room, which is on the second floor and on the fourth floor. I lay in the car and crossed a long corridor. My husband, mother-in-law and mother followed me to help open the door. While waiting for the elevator, my husband was joking with me, probably because he was afraid of my nervousness (in fact, my heart was shaking when I wrote this), but I was not nervous at that time, like shooting a scene on TV.

When I got to the operating room and my family was outside, I continued to be pushed in. I think it's very hot inside. Many doctors and nurses wear white or green coats. I see a big sink on the right, with many rooms and an operating table. I was first pushed to the door of No.8 operating room, but I heard an elderly lady's voice, "No, it hasn't been opened yet." After a while, I was pushed into operating room 3, which was even hotter. The nurse looked at me and said, "Are they twins?" Oh, sorry, my stomach is too big. More than one person asked me that, and it was because the fetus was too big that I cut it. ) The operating table is side by side with the cart, and the nurse asked me to lie on the operating table. My body is stupid and the operating table is very narrow. I had a hard time lying on the operating table and felt what "I am a fish, I am a knife." The light on the operating table was very bright, and the nurse told me to close my eyes and not move, repeatedly saying not to move. After a while, the anesthesiologist came, repeatedly said not to move, and then gently asked me what my name was, what I meant, and where I lived. Then start anesthesia, let me lean to the left, put my head on my chest, curl my feet and arch my back as much as possible. The anesthesiologist told me what I would feel when I anesthetized my spine. It was a little swollen and painful. The nurse kept saying don't move, but my body was still shaking, so the nurse had to come up and hold my leg. I asked the anesthesiologist if I could use analgesic pump. I saw a sister using it on the Internet. The anesthesiologist was surprised that I wanted to use it and asked me again. I insisted on using it right away. The anesthesiologist said that not many people use it, which is a bit expensive, probably around 500 yuan. (Later, I learned that the painkiller pump has no effect on the pain of uterine contraction, but only on the pain of skin and incision. After a while, the anesthesiologist told me to lie flat, and I was a little confused. The anesthesiologist picked up my right index finger, dipped it in the red seal, and pressed the handprint on some document. After a while, two doctors who operated on me came in. The anesthesiologist took the teacup, touched my legs, ribs and armpits and asked me if I was cold. My legs really didn't feel cold at that time, but my ribs and armpits felt cold. The doctor who operated on me began to ask me if I was horizontal or vertical. I asked the doctor, and the doctor said it was good to stand upright. I said it was vertical. Then my stomach was opened vertically. God, I cried out in pain. The anesthetic hasn't come up yet, and the doctor immediately said, wait a minute. I felt the doctor holding his mouth with his fingers. After a while, my legs began to numb and burn, and the doctor began to operate. A stream of hot water came out of my stomach. I asked the doctor, is it blood? The doctor said it was amniotic fluid. The doctor fumbled in my stomach, which was very painful, but the doctor said, don't be afraid of the pain, or the contractions will be bad, probably because more anesthesia will affect the contractions in the future (now it seems that the recovery is good and the lochia will be discharged quickly). I have to put up with it. Finally, the doctor said, hold on, press my stomach hard and pull the baby out. I feel that all the organs in my stomach have been emptied, which makes me almost out of breath. The baby began to cry and didn't show it to me. I heard someone say 40 16g, boy, 9: 45. At this time, the anesthesiologist gave me some anesthetic to let me sleep for a while, but the excessive pain made me awake, and I could feel the doctor sewing my wound, needle after needle, which hurt every time. 10 or so, 10, was pushed out after the operation, arrived at the door, met her husband and family, and asked them how their children were. They all said nothing, and I was relieved, but I was still awake and pushed back to the ward. My husband carried me to bed (I couldn't move my whole body after being anesthetized) and started another painful journey. ...

6 February

(The next 6 days are the time to recover in the hospital, especially thanks to my mother-in-law's careful care. She had two caesarean sections, which brought me back to normal. )

Lying in a hospital bed, the abdomen is bandaged, the lower body is bare, and there is hospital paper (paper on one side and plastic cloth on the other) below, and the blood has been flowing. If it is dirty, change it at home. I feel nothing because of the anesthetic, but I can't move. Many tubes, a catheter and a analgesic pump are inserted into my body (a tiny needle is inserted into my spine from my back, so I can control the anesthesia myself. When I press a button, I feel a chill coming from my spine. If I don't press it, the anesthetic will be released slowly, which can be used for 48 hours. There is an infusion needle on the back of the hand and some monitoring instruments connected to the other arm. After the operation, it is infusion. It took about 5 hours. Two vials, 1 vial, two large bags (500ml) and 1 small bag (250ml) contained anti-inflammatory and nutritional ingredients. This infusion will last for 3 days and should be observed at any time. Call a nurse to change it when it's almost finished. One of the big bottles was a little painful, as if it contained magnesium, especially on the second and third days after anesthesia, and the contractions were particularly painful. The feeling of contractions is like bloating in your stomach, one at a time, and sometimes you have to bulge on the wound. That kind of taste can only be felt by those who have experienced it. Of course, some people have no pain during contractions.

The nurse sent two medicines, one for diminishing inflammation and promoting blood circulation, and took the temperature three times. The most painful thing is that the doctor came to observe uterine bleeding in the afternoon, and he had to press hard on his stomach to help drain the blood, which made me breathless.

My mother-in-law began to massage my legs because I didn't feel anything after taking anesthetic and my blood circulation was not smooth, so as to prevent my legs from hurting in the future. At this time, I must shake my legs and drive my stomach to peristalsis to exhaust (that is, fart). At the same time, adjust your lying posture and you can lie alternately left and right. I can put a pillow next to each rib on both sides. Because you can't lie on your side, how can you lean on the pillow? These two pillows are of great help to me in the future. ), exhaust is the first level of caesarean section. After exhausting, the intestines are unobstructed, and you can eat liquid, porridge, noodle soup and so on. In addition, eating lotus root starch can help exhaust air, and you can also drink water properly. If it is not too dry, it is easy to get angry. Of course, the family is fed with a small spoon, but it is a bit awkward to lie down and drink water. The next day, my sister-in-law brought a straw and asked for a longer one with one end bent to facilitate taking medicine and drinking water.

In the evening, my mother-in-law continued to massage me. 1 5 got up almost every two hours and gave me water for massage. At 3 o'clock, I am exhausted, and at 5 o'clock, I am exhausted. It tastes sour, not as bad as usual, hehe, because I haven't eaten since the operation.

7 February

At 6 o'clock in the morning, the nurse will take your temperature, wash it (that is, the nurse will carry a small kettle, probably potassium permanganate solution, a clip and a cotton ball, and you will lie on the bed, put a urinal under your ass, and the nurse will wash your vulva and dry it with a cotton ball), and also provide lotus root powder, but you should get it yourself. My mother-in-law took a bowl and washed it. I ate less than half a bowl.

At about 7: 30, the nurse made rounds, and the head nurse came to see you, surrounded by a bunch of nurses, which made people feel cocky. But then I found that the head nurse's professionalism was still there and she did a good job.

Take the medicine twice a day, at 8 am and 4 pm, just like yesterday.

The nurse will scrub your upper body and change your clothes. Instead of using water, she wiped your back with baby prickly heat powder and put on a clean hospital gown.

Infusion began at 9 o'clock, and at about 3 o'clock in the afternoon, after infusion, the nurse came to pull out the catheter and other monitoring instruments and asked to urinate. This is a second-level caesarean section, and many people can't urinate immediately. I was picked up by my family and knelt on the bed to pee. Not bad, but it went well.

Nurses have a bad attitude. They laughed at me and said that I exercised in bed for 48 hours and in the fields for 72 hours. I just want to go to the bathroom to pee. My mother and mother-in-law helped me up first, and then hugged me one by one. I cover my stomach (jmm must cover my stomach and take a deep breath) and go to the bathroom. The bathroom is about 6 or 7 meters from the bed to the toilet, but this is the farthest I have ever walked.

After the catheter is removed, you can wear pants, underwear (pregnant women's underwear can be used, not too tight), sanitary napkins (longer ones used at night, such as Sophie 33cm and 35cm), and hospital paper should be padded below.

Began to drink porridge at night.

Contractions intensified in the middle of the night, and pressing the painkiller pump wildly didn't work. I called the nurse and said that I couldn't give painkillers after using the painkiller pump. I had to ask the doctor before I could give them. Later, it was really painful and I cried helplessly. My mother called the nurse again. I gave a hard-won painkiller this time. It takes half an hour to take effect. The painkiller is still effective, although it still hurts, but it can be tolerated, sleeping until 5 o'clock.

The relatives of my colleagues on the 6th and 7th came to see me, which made me very uncomfortable. It's the worst time. I have to entertain them. It is suggested that jmm must say hello to relatives and friends before autopsy and come back after discharge.

8 February

Today is New Year's Day. It is snowing heavily outside the window. My husband is in the ward, stick grilles, putting up couplets at the door, but it smells like Chinese New Year.

In the afternoon, remove the painkiller pump, finish the infusion, and try to find the feeling of defecation. Defecation is the third level of caesarean section. You can eat some breast-sucking things, such as sparerib soup, fish soup and peanut pig's foot soup (don't drink hen soup, it's milk-suppressing, you can drink chicken soup). Diet can return to normal. I am having a swell time. Pulled at night, as thin as a child's poop. I reminded jmm not to push hard, and only went to the toilet when I felt it. In addition, prepare a wet paper towel to wipe your ass, and then wipe it with a dry paper towel. Otherwise it will be uncomfortable to lie down all the time. My sister wiped it at first, so I couldn't reach it.

In the afternoon, the doctor in charge of my operation came to change my dressing. I was lying flat on the bed, and she tore off the bandage on my stomach and the adhesive tape attached to the wound. At this moment, something strange happened. The skin and thighs on my stomach began to shake, and I couldn't control it. The doctor said I was too nervous, but in fact I was scared. As soon as I saw her, I thought of the severe pain of caesarean section, and my thighs and skin were out of control, which reminded me of my third aunt, who was also dissected.

Everyone must be surprised that I never mentioned how the baby was. Alas, the poor child was sent to the intensive care unit as soon as he was born, because he weighed more than 8 Jin. His family doesn't allow him to go out. He just asked about 4: 30 in the afternoon. I haven't seen him since he was born, so he didn't feel like a mother, just felt that he had an operation.

My family began to send me sparerib soup and crucian carp soup. Here, I would like to mention that you can eat male chicken soup instead of hen soup. In addition, my mother-in-law is a southerner and cooks steamed shrimp with wine for me once a day. Emulsification is extremely useful (the pain of my confinement began with these prolactin things, of course, this is another story, and I was afraid of running out of milk at that time). At night, I feel that the milk begins to swell, so I pull it out with a breast pump. I pulled out the first sip of milk about 30ml, which was very yellow. It is suggested that jmm must prepare a breast pump, which will be needed during the next lactation period and next month.

The baby is in the intensive care unit. Family members are not allowed to visit, but they can send him milk and feed him. The milk delivery time is 8: 00, 10, 4: 00, 7: 00, 10, and the feeding time is 8: 50-9: 30 and 3: 50-4: 30. I didn't feed him because my wound was still very painful.

Contraction still hurts badly at night, so I asked the nurse for painkillers. This time, I was very happy because I dismantled analgesic pump.

February 9 th

I don't need infusion today. I feel much better, but I still can't feed it because of the pain of the wound and contraction. I started the milking project. It started at 7 am and lasted for 30 minutes. It hurts when you touch the nipple, but it's nothing compared with the baby's pain in the second month. Continue to pull in the afternoon and evening, not much, only about 30ml at a time.

February 10- February 12

Because my ward is on the second floor and the baby intensive care unit is on the fourth floor, which is far away, my husband went to get a wheelchair, so I began to take care of it in a wheelchair. 10 in the morning, I went to the intensive care unit in a down jacket and hat (because I had to go through a long corridor). The pediatric intensive care unit has a special nursing room, which is very hot. Several mothers have been fed, and most of them are uncomfortable and the milk is not enough. After I sat down, the nurse carried the baby out. Oh, my baby's head is really big, with long hair, but not much. My eyes are closed, my face is a little yellow, my skin is not wrinkled and smooth, my cheeks are full of meat and wrapped in small flowers. As soon as I put a nipple near his mouth, he tried to open his mouth wide, because he couldn't see the nipple and could only shake it from side to side. Once he held it, he tried to suck it, but my nipples were sunken, and the poor baby couldn't hold it at all. However, when a few drops of milk came out, he smacked his lips and made other mothers look askance. In this way, the baby was repeatedly defeated for more than 20 minutes. Finally, the nurse came in with several bottles, gave each mother a bottle of milk mixed with Nestle milk powder, and the babies were full.

Since then, my pleasure in the hospital every day is to go to the intensive care unit to feed my baby.

1 1 Continue feeding, 12 discharged.