Uge 2: Restitution efter Spleen Removal Surgery
Fase 1: Phase 1: Weeks 1-2 (dækker uge 1–2).
Restriktioner
- Active post-operative hemorrhage
- Hemodynamic instability
- Active sepsis
- Portal vein thrombosis requiring acute anticoagulation management
Eksempler på daglige aktiviteter
- Early Ambulation — ERAS pillar — walking within hours of surgery prevents complications.
- Deep Breathing & Coughing — Prevent postoperative pulmonary complications.
- Diet Advancement — ERAS encourages early oral intake.
- Daily Pain & Symptom Check-In — Track pain, energy, mood, and any new symptoms to detect complications early.
- Wound / Incision Inspection — Check incision sites for infection (redness, drainage, dehiscence).
- Hydration & Nutrition Log — ERAS emphasizes early oral intake and adequate hydration.
Kontakt dit behandlerteam denne uge hvis:
- Fever above 38.5°C at any time post-splenectomy (OPSI can progress rapidly; this is a medical emergency in asplenic patients)
- Severe sudden abdominal pain (hemorrhage, pancreatic tail injury, or portal vein thrombosis)
- Signs of rapid deterioration: rigors, confusion, hypotension (OPSI presentation)
- Heavy wound bleeding or sudden wound dehiscence
- Sudden shortness of breath or chest pain (PE concern, elevated with thrombocytosis)
- New unilateral leg swelling (DVT concern, elevated risk)
- Loss of consciousness
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