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What should thyroid cancer patients eat after radiotherapy and chemotherapy?
Radiotherapy nursing care of thyroid cancer

(1) Dry mouth, dry throat and sore tongue: Some patients have pain in the right eye, headache, shoulder and back pain, and sometimes chest tightness and dyspnea. Antibiotics and hormones (prednisone and dexamethasone) can be used in combination to alleviate these side effects. When the pain seriously affects eating, normal saline +vitBl2+DXM+ lidocaine can be taken orally before eating, and soft food should not be too cold.

(2) Radiation fibrosis of neck skin: Early application of corticosteroids, vasodilators and non-steroidal drugs can have some effects on skin fibrosis.

(3) Changes in smell and taste: such as bitterness, sugar is not sweet, and the smell of cooking is unbearable. Therefore, in the preparation of food, pay attention to color, aroma and taste, eat a small amount of meals, control the pain properly before meals, and take a walk before meals. At the same time, it is necessary to ban alcohol, avoid irritating foods such as spicy frying and hard food, encourage patients to drink more soup, and accelerate the excretion of toxins in the body.

Chemotherapy nursing of thyroid cancer

(1) Attention should be paid to preventing and reducing the side effects of chemotherapy. For example, ADM is toxic to the heart, so ECG monitoring is needed to pay attention to whether there are signs of left heart failure such as shortness of breath and chest tightness. DDP is nephrotoxic, so it is necessary to replenish water and monitor the changes of urine. ?

(2) Prepare a tracheotomy bag at the bedside. If the respiratory tract is completely blocked, an emergency tracheotomy should be performed.

(3) Encourage patients to take a deep breath and expectorate.

(4) Tell the patient to talk less and let the vocal cords and throat rest.

(5) Oxygen supply as needed.

(6) If the patient cannot clean the respiratory tract independently, give sputum aspiration.

(7) Observe whether there is rapid pulse, arrhythmia, elevated body temperature and blood pressure, and whether there is gastrointestinal discomfort, such as diarrhea, and report to the doctor in time.

(8) Observe whether there is any unconscious disorder, agitation or even coma.

(9) Give intravenous infusion according to the doctor's advice to maintain electrolyte balance. Replenish water and nutrition, ensure adequate nutrition intake, especially protein, carbohydrates and vitamins, and avoid caffeine intake.

(10) Increase rest, give hypnotics according to the doctor's advice, and assist patients in their daily activities.