What type of aftercare occurs after a glossectomy?

Postoperative care

- Monitor airway and vital signs closely in recovery room

- Pain control

- IV hydromorphone (Dilaudid)

- transition to PO NSAIDs/morphine or Oxycodone

- NG/OG to low intermittent suction for 7-10 days to minimize edema and prevent aspiration.

- Clear liquids/full liquid diet initially then advance as tolerated

- NPO until gag reflex returns

- Encourage use of incentive spirometer to prevent atelectasis

- Log roll when in bed to prevent skin breakdown and pressure ulcers

- Head of the bed elevated 30-45 degrees

- Change tracheostomy dressing frequently

- Monitor for s/s of infection - fever, purulent secretions, change in character of odor, pain

- Oral/dental care: Soft bristled toothbrush, mouthwash, avoid traumatizing or brushing surgical area - use damp gauze to clean surgical area.