Sunday, March 16, 2008

How to care patients with myocardial infarction

A break: incidence after 10 to 14 d subject to strict bed rest, and the lifting of anxiety and fear, especially the first week, all by the daily nursing help, in order to reduce physical activity and heart patient load. To keep quiet, to reduce access to prevent adverse stimulation.
2 oxygen: Continuous oxygen per minute 3 to 5 L on alleviating the pain, correct heart failure and shock, control arrhythmia, myocardial ischemia protection is extremely important.
3 guardianship: CCU ward-3 ~ 5 d, continuously monitoring the ECG, blood pressure, respiration, oxygen saturation. Guardianship is the focus of arrhythmias, blood pressure and heart function changes.
4 relief of pain: In accordance with instructions of morphine analgesic agent, was prompted because of severe chest pain and arrhythmia in shock one of the factors that must be lifted as soon as possible.
5 restaurants: to provide the necessary calories and nutrition, but not over-eating, Shaoliangchecan give Yixiaohua liquid or semi-liquid, and should be addressed to hyponatremia, low in fat production in less food.
6 prevent constipation: fecal maintain patency to avoid force; constipation gave paraffin oil, a Cypriot or other laxatives exposed.
7 and the subsequent recovery of the treatment:
(1) the average patient in the first 10 to 2 days in bed or after the bedside chair up, each 20 to 30 min. (2) from 3 to 4 weeks in the indoor jogging move. (3) six weeks after hospitalization, such as a stable condition, physical rehabilitation, can be considered discharged. (4) unmotivated dysfunction or frequent angina pectoris, after 2 to 4 months of general physical exercise, to resume work. However, to avoid excessive tension and the spirit of the manual. (5) Periodic follow-up and review, pay attention to prevention and control of hypertension cardiac dysfunction.

No comments: