Observe the general situation of the patient and pay attention to the changes of consciousness, pupil, blood pressure, pulse and breathing. If the blood pressure is lower than 90mmhg, the pulse pressure difference is reduced, and the face is pale, shivering, and the toes are white, indicating excessive blood loss and should be treated in time.

Nursing care of mandibular angle after plastic surgery II;

Ensure airway patency and prevent suffocation. Before waking up from general anesthesia, lie on your back with your head tilted to one side to facilitate secretion outflow and prevent vomit from being inhaled by mistake. Remove oral secretions and vomit in time to prevent respiratory tract obstruction. Observe the respiratory tract after extubation to prevent dyspnea caused by laryngeal edema.

Nursing care of mandibular angle after plastic surgery 3:

Nursing care of operation site: Before awakening from general anesthesia, if frequent swallowing movements are found, attention should be paid to wound bleeding. Because the surgical incision is in the oral cavity, it is easy to pollute the incision, which may increase the chance of postoperative infection.

It is especially important to keep your mouth clean after operation. In order to overcome the blindness of oral care and improve the curative effect of oral care, we can measure the ph value with ph test paper, and then choose appropriate mouthwash, such as 2% ~ 3% boric acid water or Dabbert solution, physiological saline, etc. When the pH value is 7.0 ~ 7.5. If the pH value is between 3.0 and 6.0, you can choose 1% hydrogen peroxide or 1% ~ 4% soda to rinse your mouth. Rinse your mouth after meals, and scrub the gingival sulcus 2 ~ 3 times a day with normal saline cotton balls to prevent food residues from entering the incision by mistake and causing infection.

Keep the drainage tube unobstructed, observe the color and quantity of drainage, and record it correctly. Observe whether there is bleeding in the operating department and the tightness of dressing, and choose antibiotics according to the condition. The negative pressure drainage tube is usually removed 1 ~ 2 days after operation.

Nursing care of mandibular angle after rhytidectomy;

Dietary care Because the surgical incision was placed in the oral cavity and two negative pressure drainage strips were placed, part of the masseter muscle was surgically removed, and the external dressing was tightly wrapped, which caused the patient's mouth opening to be limited, the chewing function decreased, and he could not eat normally, but his appetite and digestive function were good. Therefore, he was given a total liquid food with high protein, high calorie and little residue for 3 days after operation. After the dressing is removed, it is changed to ordinary soft food, so that patients can chew with their mouths open as much as possible and exercise the functions of masticatory muscles and occlusal joints as soon as possible.