• 2024/5/21
North khorasan University of Medical Sciences

patiene care


Duration of operation








Description of the action






Care after cosmetic surgery or nasal plastic surgery. Please read the recommendations below and carefully perform your nose after plastic surgery to get the best out of your nose.

Before surgery, the patient performs medical examinations, receives specific preoperative tests, and his or her physical status is graded according to the ASA Physical Status Classification SystemIf these results are satisfactory, the patient signs a consent formIf surgery is expected to lead to a great deal of bleeding, blood donation may take several weeks before surgery.

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Drink water and fluids with the advice of a physician, and should usually fast for up to ۶ hours after returning from the operating room.

- Usually, the patient should be in bed until the morning after surgery.

- The patient has a Foley catheter after surgery.

- Occasionally for better discharge of urine and for better excretion, small pieces of tubules are inserted between the kidneys and the bladder (ureter), called the ureteral catheter, which is usually removed by a doctor's appointment the next day with a foley catheter.


The patient should be fasting from ۱۲ noon before surgery.

Aspirin, warfarin, and bleeding medications should be discontinued a few days in advance and the physician should be informed of their use.


The general basis of this procedure is similar to endoscopy, in which a telescopic and tubular device called a narrow (elastic or rigid) urethroscope is pushed from the urethra into the bladder and from there into the ureter and assisted with reaching the stone. Shock waves or lasers or other mechanical means are crushed or removed, and the crushed stones are washed out with the aid of water or air. In most cases, the lower half of the body is anesthetized from the waist down, and in some cases with a special anesthesia diagnosis, surgery is performed under complete anesthesia



Adequate and timely administration of painkillers so that the patient can easily take deep breaths and prevent pulmonary complications.

Encourage getting out of bed and having mobility to prevent blood clots

NPO being as long as the doctor has ordered. [1]

Maintain patient nutrition status and intravenous antibiotic injection

Absorption and disposal controls

Nasal and mouthwash with wet gas and cold water [1]

The patient should be placed in a semi-seated position to allow better bile drainage.

Measurement of drain and T-tube discharge as well as accuracy in the type and color of discharge in them.

Start a soft diet after intestinal sounds return

Care of drainage and tubing, surgical wound and dressing . [1]

Control of fever , nausea and jaundice

Check urine and stool color daily and test for bile

Giving laxatives or rectal tube insertion and taking an enema to reduce flatulence

Administering Vitamin K [1]

Remove the drain with the first or second dressing replacement

The patient can be discharged within 2-3 days after surgery.

The sutures are pulled on the seventh day after surgery.

The patient will have a high protein , high carbohydrate and low fat diet


Perform radiographs for diagnosis

Blood , urine , fecal and heart tests (depending on patient age )

Vitamin K administration a few days before surgery [1]

Shave (remove) excess hair from under the breasts to the thighs and flanks

Adhering to a low or lean diet a few days before surgery

Requesting blood reservation [1]

Anesthesiologist examination

Foley catheterization the night before surgery and gastric catheterization in the morning

Moisturize langas with normal saline


Acute and Chronic Cholecystitis (Gallbladder Inflammation) - Gallbladder Tumors - Injury to Trauma and Injury - Congenital Malformations - Gallstones which are the most important cause of cholecystectomy and cholecystectomy 




Sore throat persist for about two weeks after surgery. Complete recovery of the patient takes about 2 to 3 days and during this time the patient should have adequate hydration because dehydration can increase the sore throat. 
In some cases, bleeding from the incision site is most likely 2 to 5 days after surgery. In general, the risk of bleeding is about 1 to 2 percent.Bleeding occurs in adults, especially older people over the age of 3 years and three-quarters of those undergoing hemorrhagic surgery.About 2% of these people have significant bleeding at this time, sometimes requiring surgical intervention. 
The way pain relieves after surgery is changing. Traditionally acetaminophen codeine was used for mild pain and more severe drugs were used for severe pain. Tonsil surgery seems to be more painful for adults than for children

Blood test (blood coagulation time control)

Control of the presence of loose teeth

Physical examination and medical history

Preoperative Day Care:


taking aspirin , ibuprofen , naproxen , warfarin and other similar drugs.

Day Care:

Prohibition of eating and drinking 2 hours before surgery

Taking special medications with a small sip of water


Tonsillectomy ( Tonsillectomy ) is a type of nasal pharyngeal surgery in which tonsils are removed. This surgery is about 5 years old, traditionally done by removing two tonsils on the side of the throat. 
This is done in response to recurrent tonsillitis, obstructive sleep apnea surgery, airway obstruction, or tonsillar abscess . 
In infants, a third tonsillectomy is also performed, called adenoidectomy, and called tonsiloadenoidectomy if it is resected 



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