Myocardial infarction
family control measures is myocardial infarction in coronary artery disease, based on the interruption of coronary blood, so that the corresponding serious and sustained myocardial ischemic, leading to myocardial ischemia necrosis.
acute myocardial infarction patients, often lasting clinical chest pain, fever, elevated white blood cell count, elevated serum enzymes and electrocardiogram in acute cardiac muscle injury, ischemia and necrosis of a series of features of evolution, and arrhythmia, shock and heart failure, coronary heart disease is a serious type.
cause of myocardial infarction, the majority of coronary atherosclerotic plaque or thrombus formation on this basis, resulting in vascular lumen blockage caused by. and emotional crisis,UGGs, nutrition of a meal, or excessive exercise, and weight and other factors may also induce a potential source of the disease.
according to etiology, pathology, ECG and clinical symptoms, such as different, myocardial infarction can be divided into a variety of different types, in addition to the performance of the total, but each has its particularity.
acute myocardial infarction
the clinical diagnosis of acute myocardial infarction often based on history, ECG and serum enzyme changes to make. the typical history is a serious and persistent chest pain. Sometimes, history is not typical, the pain can be mild, or no, other symptoms can be mainly.
positive change of electrocardiogram abnormal, persistent Q-wave and continuous wave or Qs more than a day Evolution of injury current. When these positive ECG changes, ECG alone can make the diagnosis. positive serum enzyme changes and changes in uncertainty.
case of ECG changes appear positive or affirmative enzymology , can be diagnosed as definite acute myocardial infarction. When the sequence of uncertainty ECG changes lasted for more than 24 hours, with or without the uncertainty associated with changes in enzyme, can be diagnosed as acute myocardial infarction.
old myocardial infarction, old myocardial infarction often based on positive ECG changes, no history of acute myocardial infarction and enzyme changes in diagnosis. If there is no legacy ECG changes, according to the typical ECG changes or earlier based on past positive serum diagnostic enzyme changes.
myocardial infarction focus on prevention, to be bit by bit from the daily life to note that the following is the basic family prevention and treatment measures:
family control measures
definitely not carrying too heavy to move Carrying heavy objects
items are bound to bend when the breath-hold, and its physiological effects and spurts of broadly similar people with coronary heart disease is a common cause of induced myocardial infarction.
relax the spirit
happy frame of mind to keep living Shaanxi peace, on any thing to be able to calmly; to participate in appropriate physical activities, but should avoid competitive games, even if the game should also be fun for the purpose of increasing physical activity, not to win or lose on the high and low.
moderate exercise
In general, to achieve the purpose of exercise, at least three times a week, serious exercise, every time less than 20 minutes, but not more than 50 minutes. began when the first activity the body, such as the lifter arm, my legs, etc. . to do some relaxation exercises at the end of activities, should not immediately stop activity, it should not go to bed immediately after exercise, or likely to cause dizziness, bad for the heart. In physical exercise should be preceded by determination of physical tolerance level. Movement Do not over exercise, excessive will lead to sharp rise in blood pressure, fatigue and promote the occurrence of left ventricular heart failure. exercise ordinary visual age and health conditions. If it is heart and lung function are normal people, according to the highest post-exercise heart rate limits to be. the specific method of calculation is 220 minus age from the number, multiplied by O.75. for example, your 60-year-old, then (220m60) x0.75: 120 times, if more than 120 times, the effects on the body adverse effects.
Do not eat too much or starvation under the best water temperature and body temperature bath
considerable, the water temperature is too high can make the skin vessels dilated, a lot of blood flow to the surface, can cause heart and brain ischemia. bath time not too long, hot shower and not the general ventilation, in such an environment, higher levels of human metabolism is very easy to hypoxia, fatigue, especially in patients with coronary heart disease. coronary heart disease patients with more severe the help of others should be the bath.
climate change to note in the cold or under the influence of strong cold air, and coronary artery spasm can occur secondary to acute myocardial infarction caused by thrombosis. dramatic changes in climate, low pressure, coronary heart disease patients will was not obvious. Data show that low temperature, strong winds, rain is one of the incentives of acute myocardial infarction. So whenever bad weather, the coronary heart disease patients to keep warm, add services or expand the appropriate drugs to protect the crown.
Protection
do normal daily life in coronary heart disease in a variety of protective measures are very important, but also a precursor to understand and identify symptoms of myocardial infarction and provide timely treatment.
emergency measures if there is myocardial infarction
The aura symptoms, do not panic, the first patient in bed immediately, keep quiet, to avoid psychological stress, sublingual nitroglycerin, or visit a physician immediately, in situ treatment. At the same time do a good job for the hospital. transport must be smooth and comfortable. The patient should avoid moving around, the situation is relatively stable to stretcher. transit or intermittent use of nitroglycerin for sustainable expansion of the crown and other drugs. symptoms of severe ECG changes, press myocardial infarction treatment. infarction threatened timely processing of patients, there can be free from acute myocardial infarction, and some even myocardial infarction, infarct size is also smaller, lighter symptoms, fewer complications, easier rehabilitation, survival was significantly improved.
nutrition and diet therapy dietary fiber to apartment
According to the research, water-soluble dietary fiber helps reduce blood cholesterol levels. Such fiber found in barley, beans, brown rice, fruits, glucose, mannitol, guar gum, oat. oat bran and brown rice bran, is the best choice for lowering cholesterol. because the fibers will absorb the minerals in food, so additional mineral supplements, but not to be used with the fiber. The following is a good choice of food: almonds, brewer's yeast, grains, raw milk Health and goat milk products, sesame seeds.
to minimize the intake of vitamin D from the high-fat dairy
not get vitamin D, such foods easy to contribute to artery clogging. should avoid homogenization of products, such as milk and other dairy products. The homogenized product contains xanthine oxidase, will destroy the arteries and cause atherosclerosis.
Do not drink alcohol and coffee, wine, coffee, town music, cigarettes and other irritating substances, are should be removed. avoid cod liver oil, especially when drinking. try to drink less beverages, drink only distilled water.
drink barley water, barley water is good for health
. with about 3 liters of water add l cup of barley, boil 3 hours, frequent sips.
Wu Shi red meat, fine spices
pork, beef, lamb and exquisite flavor of food, sugar, white flour is not food. refined sugars cause blood sugar to the changes, so that all cells adverse reactions. sugar fluctuated sudden change, would threaten the stability of sugar into cells. cholesterol contained in red meat is taboo atherosclerosis patients.
rub essential fatty acid supplement
essential fatty acids on health is very important. essential fatty acids that the body can not be made without having to rely on the food supply of the fatty acids. three essential fatty acids are linoleic acid, linolenic acid and arachidonic acid.
edible vegetable oil, low compression
good fats are polyunsaturated fats, which were all liquid at room temperature in the vegetable oil. only low compression oil, the so-called low-temperature compression manufacturing process refers not heated above 43 ℃, which is the temperature of the enzyme began to destroy. olive oil, peanut oil, sunflower oil, soybean oil, linseed oil,UGG shoes, primrose oil, black vinegar and corn oil, etc., inclusive of unsaturated fatty acids, are polyunsaturated fats; is also a good cooking oil.
add nutrients
① choline, lecithin and the amount of inositol in accordance with product instructions
; lecithin in the meal before taking 1 tablespoon. These substances help remove the fat in the liver and blood.
② coenzyme Q10
100 mg per day. improve myocardial oxygen and role.
③ sun and copper
300 micrograms per day and 3 mg. Heart disease and the lack of selenium and copper related.
④ capsules of vitamin E
or a liquid or emulsion can be, at first 200IU, increasing to a daily 800IU.
⑤ calcium and magnesium (clamp mixture)
1500 mg and 1000 mg per day. divided into several times, in between meals and sleep before use. for maintaining normal blood pressure, heart rate and help.
⑥ Garlic Capsules
2 capsules 3 times a day. good for the heart, and promote blood circulation.
500 mg per day. to reduce blood fat to prevent heart disease. coronal animals with high fat content is a common precursor lesions.
⑧ unsaturated fatty acids (fish oil, primrose oil or salmon)
amount in accordance with product instructions. protect the myocardial cells.
⑨ Vitamin A the amount of emulsion in accordance with product instructions
. important antioxidant.
⑩
mixture of zinc 50 mg daily clamp. a balance of copper and zinc is necessary for thiamine.
⑩ biological vitamin c plus Yellow Cave
class 300 to 600 mg per day. helps to clear blood and prevent blood clots.
⑩ added thiamine vitamin B group (B1) and choline
50 mg of vitamin B group, 3 times a day. choline 1000 mg per day. myocardium lack of thiamine will lead to heart disease.
help of natural herbs
black radish, false Stella, celandine, dandelion, fennel, ginkgo ( ginkgo), hawthorn fruit, hops, horsetail, Irish moss, mountain stem vegetables, parsley, red clover, rose fact, they have helped the treatment of myocardial infarction.
danger signals about acute myocardial infarction patients 70% had aura symptoms, mainly as:
* sudden apparent increase in angina pectoris.
* the nature of the degree of angina weight than in the past, the use of nitroglycerin is not easy remission.
* pain associated with nausea, vomiting, sweating, or who was bradycardia.
* angina attack occurs when heart failure or previous heart failure were thus increased.
* ECG showed short segment of increased stare or significantly down, T-wave inversion or high point, or with ~ arrhythmia.
* coronary heart disease patients with sudden unexplained cardiac arrhythmias, heart failure, shock, dyspnea, or syncope, etc..
threatened myocardial infarction more than a week before the onset of symptoms appear, few patients or even weeks in advance, about 40% of the patients 1-2 days before the infarction. Some patients may be more than once. Therefore, when these symptoms occur, must pay great attention should be immediately contact your doctor as soon as possible to the hospital the patient's self-care of myocardial infarction
With the development of medical science and the emergence of critical patient monitoring equipment, patients suffering from acute myocardial infarction after rescue and proper and timely treatment, most of them to smooth 度过危险期 into the recovery period. Medical statistics show that this period is a major threat to patients recurrence of myocardial infarction. Therefore, we must strengthen self-care of patients recovering from myocardial infarction, myocardial infarction induced elimination of life factors.
emotions: Clinical data show that the incentive for recurrent myocardial infarction patients, the mental stress, agitation accounted for 43.8%. because, mood fluctuations, can increase the excitability of human nervous system, leading to heart rate, blood pressure, myocardial oxygen consumption increased, thereby increasing the burden on the heart; the body accompanied by increased catecholamines, increased platelet aggregation in blood coagulation easily understood integration of thrombosis, these two changes are easily lead to myocardial ischemia blood and myocardial infarction. Therefore, no matter what encounter, the patient must maintain a psychological balance.
diet: the body in the overeat, due to the expansion of the stomach reflex spasm of coronary-prone contraction induced angina pain. In addition, fullness after meals, blood sugar and fat content increased,UGG boots cheap, increased blood viscosity, easy to induce pathological changes of coronary artery obstruction. Thus the incentive for recurrent myocardial infarction, the consumption of 13.8% fed. infarction recovery of the patient's diet is to eliminate from the diet triggers of myocardial infarction. should not be too full to eat, eating should be regular quantitative; light digestible food variety is suitable.
static and dynamic combination: acute myocardial infarction, the incidence After 3m 4 weeks, the ischemic myocardial area, demanding to be bed rest by doctors. into the recovery period, marking a relatively stable condition, such as prolonged bed rest is still not conducive to recovery. appropriate activities conducive to infarction coronary collateral circulation to compensate the establishment of blood supply. also help enhance the body's resistance to disease. The so-called dynamic and static and dynamic is to have appropriate physical activity, it is necessary to rest quiet.
activities no matter what , must not appear flustered, shortness of breath, chest pain, nausea and disadvantages, heart rate 120 beats per minute less than the principle.
patterns of life: refers to the daily routine of life in patients with reasonable rules of proper work and rest. first of all have adequate sleep, insomnia, will not only increase the burden on the heart and can lead to elevated blood cholesterol, induced the recurrence of myocardial infarction, often due to take *** insomnia, but to prevent the formation of habits and dependence; followed to maintain smooth stool to prevent constipation, the best solution by sitting commode stool, because constipation coupled with squat stools and other solutions to make elevated blood pressure, increase the burden of sudden cardiac accidents.
periodic review of treatment adherence: patient discharge Physicians will prescribe some medicine and instructed health-care matters, must adhere to the time and according to the amount of medication. engage in certain activities first before taking the 1m 2 片 isosorbide dinitrate to prevent recurrence. should be doctor ordered, on time to the hospital to review the ECG, heart electric vector and so on. condition changes, we should keep visiting.
myocardial infarction patients recovering from cardiovascular disease should carry , the local salvage therapy. are free from the No better, should be sent to the nearest hospital for treatment, to prevent accidents.
myocardial infarction patients recovered, the family care is more important to talk about the few comments below:
1, should always maintain emotional stability, wide to others. encountered something goes wrong, do not over-hasty, happy face and do not over-excited about things. optimist is nursing catalyst, worried about the increasing burden on the heart can induce myocardial infarction.
2, reasonable arrangements for food. myocardial infarction should not be fed food. eating too much can make the patient intestinal bleeding, reduction of myocardial blood supply, Feiganhouwei food will increase blood viscosity, blood circulation causes the heart to decrease blood supply, easy re-induced heart stems. Therefore, let the patients eat more fruits, vegetables, diet should be light, usually to maintain a smooth stool, avoid overeating, and develop the habit of not smoking and excessive drinking.
3, go to the hospital on time to see a doctor regularly . The first heart attack, should adhere to under the guidance of a doctor, continue uninterrupted drug therapy, regular review of consultation in order to grasp the heart of the situation, adjust the treatment plan and appropriate arrangements for physical activity, to avoid deterioration of cardiac disease potential .
4, moderate exercise. moderate exercise can improve coronary artery function, regulating the blood supply and reduce the incidence of angina and reinfarction. exercise should be carried out under the guidance of a doctor, step by step, choose a walk, playing Tai Chi, do Guangbo Cao, jogging, practicing qigong, cycling and other overly violent sport.
to avoid fatigue, taboo breath-hold, the general pulse rate should be controlled at about 100 times per minute, chest pain, shortness of breath and sweat, if there , dizziness and so on, should immediately stop, if necessary medical attention.
myocardial infarction patients with myocardial infarction
activity and diet is due to coronary occlusion, blood flow interruption, lasting and severe regional myocardial ischemia that
bad place to die clinically severe and long-lasting chest pain, circulatory failure, heart rate, arrhythmia and other symptoms,
a high mortality rate, especially in the first week of highest incidence, with shock may Up to 80%. doctors on how to save this
class patients, and has repeatedly stressed the importance of race against race against time. this is. But
inappropriate activity and drinking food, can also have serious consequences, Many people on this issue is often not given sufficient attention. Therefore, it is necessary to talk about this issue.
rest of the patients with acute myocardial infarction is essential to make the move to restore the patient's physical, mental
comfort, thus reducing the load on the heart. and unreasonable activities possible unexpected tragedy. There
bit myocardial infarction patients with less than a week, for shot chest, down the stairs, get out of bed, standing and sudden death .
a myocardial infarction three weeks of the disease who sit up to eat a heart aneurysm rupture when the death occurred. So patients with acute myocardial infarction must be a strict enforcement
rest system.'s activities in bed should be reduced to a minimum, the first week after myocardial infarction should be completely
bed rest, strengthening basic care, help patients eat, wash your face, stand, toilet solution. Many patients are reluctant to defecate in the
bed,bailey UGG boots, they insisted the solution will be to get up, it is not. must convince the patient to patient in bed defecation, excessive force suddenly can not
defecation, otherwise prone to cardiac rupture or sudden death. If constipated constipation, laxative available
to help bowel movement. the second week, you can do in bed limb movement, and sat up.
when shock and heart failure symptoms disappeared, do the activities of passive and active limbs, to reduce or avoid the formation of thrombus. the third week
ups to help patients in bed, and gradually away from the bed to stand at the bedside. The fourth week, get out of bed to a nearby rest or slowly into a chair near the toilet stool
. Slowly increase the indoor activities. rest of the time as the condition of the light and heavy may be. usually takes 4 ~
8 weeks to ensure full healing of myocardial infarction. But if severe illness, have heart failure or other serious complications
, rest periods should be extended. from Zi 7 to 8 weeks, the average patient can gradually increase their activities, without congestive heart failure
or frequent angina, and then after 2 months of training, resume light work.
MI patients to digest food, containing less fat and less gas production of food is appropriate to limit sodium intake
into. to ensure that the necessary calories and nutrients. pathogenesis of 2 to 3 days of the diet should be milk, lotus root starch , porridge, juice and other liquid food
based. After the gradual increase along with improvement in symptoms of rice, noodles, bread, biscuits and other semi-liquid food and
he digestible food and to take more meals Eat, sodium and Water should be appropriate. tea to drink, alcohol, tobacco should be taboo
acute myocardial infarction care
1. pathogenesis of acute myocardial infarction is a common medical
acute one. is a coronary occlusion, so that part of the heart serious and persistent ischemia, myocardial necrosis.
2.
nursing diagnosis of acute myocardial infarction have the following characteristics:
(1) more than about half of patients with onset of symptoms for several days to several weeks ago may have fatigue, palpitation, shortness of breath and chest discomfort, angina or a previous increase.
(2) sudden chest or heart pain can be sustained before the area was left to the left shoulder and upper limb radiation, often accompanied by fear, irritability, nausea, vomiting, sweating and shortness of breath, etc., by rest and sublingual nitroglycerin is invalid. small number of patients with minor chest pain or no chest pain, manifested as chest tightness, suffocation, or upper abdominal discomfort.
(3) complications common complications included arrhythmia, heart failure and cardiogenic shock. arrhythmia in the majority of ventricular arrhythmias such as ventricular premature contractions and paroxysmal ventricular tachycardia, ventricular fibrillation and sudden quenching may be dead. atrioventricular conduction block delay and bundle branch block is also more common. severe acute left heart failure can occur, and acute pulmonary edema. about 10% of patients with shock, occurs in a few hours to 1 week after onset. mainly by the wide range of myocardial infarct size, due to sharp drop in cardiac output. the incidence of early, may have fever, generally lower than 38 ℃, after about 1 week to normal.
(4) right ventricular myocardial infarction left ventricular posterior wall infarction inferior wall or the next available with a right ventricular infarction, acute right heart failure. mainly as jugular vein filling, venous hypertension, hypotension or shock.
3. nursing
(1) the patient should be absolute bed rest can reduce the myocardial consumption oxygen, is conducive to the recovery of myocardial function. acute phase within a week to avoid moving the patient. wash, eat, toilet, stand up to family assistance and other activities are to reduce the burden on the heart, the patient's own body can be free to promote blood circulation, prevent the occurrence of venous thrombosis. after the onset of the second week, you can get out of bed, and gradually walk walk, but also to the simple outdoor activities. At this point the patient's daily living such as washing, eating, reading newspapers and other activities should be less to more, until the toilet to sit up. The patient gradually increase physical activity, to observe the patient's condition.
(2) diet should be given to low-fat diet, low cholesterol, high light digestible vitamin diet. If heart failure, should limit salt intake, a low-salt diet. should be smaller meals, avoid eating too much a heavier burden on the heart. To maintain a smooth stool, reduce bloating, fast and easy spicy fermented food, should eat more fruits and fiber-rich food containing crude.
smooth bowel movement or the restoration of myocardial infarction is essential. patients are often too much force because of constipation, increased burden on the heart, and induced arrhythmia, heart failure and even increased pressure within the heart, causing cardiac rupture and death. should guide the patient in bed with the method and timing of defecation toilet habits. stable condition, it can help patients sit or bedside defecation. sit potty time not too long. If two days without stool of patients may be given laxatives, such as Cassia, Senna tea flush on behalf of the .4 days 3 days 3 constipation who used a 1:1 solution of 40 ml of water and glycerin enema m60 ml; avoid irritating large soap enema, in case it plays too much, increase the burden on the heart, resulting in adverse consequences. such as constipation long time, has been ineffective with laxatives, bowel movement should be carried out manually, that is with your fingers to remove the faeces from the anus, it should be taken before wearing gloves, action should be gentle, to avoid rough, so as not to over exertion and anal pain patients. If defecation time longer, can allow patients to rest for a while, and then continue to remove fecal matter, prevent the increased burden on the heart.
patient has urinary retention , can acupuncture too Creek, Taichong and other points, or line induced to put water repeatedly will move down a cup, let the patient listen to the sound of water can also heat the lower abdomen.
(3) Pillow available oxygen bag oxygen, flow rate of 2 liters per minute can give .4 liters. maintain 24 hours a day. the patient after the onset date of 1 m2 and, if elevated temperature, usually around 38 ℃, can be reduced to normal within a week. If prolonged fever or had decreased but increased, should observe whether there is a new necrotic area or other infections, such as respiratory, urinary tract infections.
patients with acute myocardial infarction, venous access should open up a line, dropping speed should not be excessive use of vasopressors vasopressors should pay attention to maintaining an effective concentration to prevent the blood pressure fluctuated.
blood pressure should be maintained at 12 kPa / 8 kPa in order to avoid a sudden increase in blood pressure, induced cerebral hemorrhage or cardiac rupture.
Pain observe the nature, location, time and the response after treatment. because the pain suggest myocardial ischemia or severe recurrent infarction, which led to systemic reactions, increase the burden on the heart, it should be early relief of pain given painkillers. Note the patient's mental state, skin color, cold, sweating, and urine output and so on.
(4) complications of care is extremely common arrhythmia in myocardial infarction. serious arrhythmia, sudden cardiac death is caused by one of the important reasons, should be closely observed, arrhythmias occurred within 1 week. arrhythmia, the subject of cardiac arrest should be immediately precordial percussion, but with anti-arrhythmic drugs, drug observed response and side effects after.
Lidocaine should start small dose and gradually achieve the effective dose per minute up to a maximum 5 mg. such as overdose, the patient may appear restless, proverbs, convulsions, decreased blood pressure, etc. .
4. Treatment and First Aid
(1) pain pain relief in patients with acute myocardial infarction is important, reducing myocardial oxygen demand, thereby reducing the arrhythmia. can choose pethidine or morphine. note side effects, including low blood pressure, respiratory depression, nausea and vomiting. pain and poppy base were available, or intramuscular injection of 0.6 mg sublingual nitroglycerin. Chinese medicine Danshen optional, available pill or Guanxinsuhe balls.
(2) absorption oxygen to give oxygen therapy to improve the arterial partial pressure of oxygen, limiting the scope of infarct expansion, and indirectly play a relieve pain, a calming effect.
(3) the preferred antiarrhythmic lidocaine 50 mg -100 mg slow intravenous injection, every 5 minutes -10 minutes to repeat after remission mg m3 per minute intravenous infusion of 1 mg maintained high efficacy of the drug, drug side effects. to be in stable condition can be changed oral medication.
(4) anticoagulation therapy for infarct size in patients with large or recurrent infarction. preferred heparin, 200 mg -300 mg daily intravenous or subcutaneous injection several times, sharing 2 days. At the same time a new oral anticoagulant warfarin and other anticoagulant tablets or drugs. should pay attention to the patient during treatment bleeding tendency. Heparin can cause bleeding against intravenous protamine.
condensate film from the new anti-vitamin K can be caused by confrontation.
also:
incentive for acute myocardial infarction death prevention and care < br> myocardial infarction (AMI) has become the common diseases of the cardiovascular system, but also heavier life-threatening diseases. AMI is often associated with clinical complications, recurrent disease or worsen, most patients have an incentive, therefore, to deal with these triggers, make prevention and care of the AMI cure is very important, now the prevention of AMI and Nursing presented below.
1 clinical data
58 cases in this group, of which 35 males, age 30 to 76 years old, and 2 died. 23 females, aged 39 to 73 years, 3 died, 4 patients had significant predisposing factors.
2 common predisposing factors and nursing
2.1
acute mental factors myocardial infarction and more sudden onset, often accompanied by pain determined to press before the area, the patient after admission showed anxiety, tension, fear, impatience, these negative emotions very bad disease. negative emotions so that sympathetic nerve activity, causing rapid heart rate, blood contraction, blood pressure, so that coronary oxygen supply, blood supply to further reduce, expand the scope of myocardial necrosis. At the same time, can lead to fat, glycogen breakdown, increase fat content in the blood, increasing atherosclerosis. to maintain good mental state, reduce the concurrent the incidence of disease, can promote disease healing. more exposure to patients, explain to them the knowledge of the disease, indicating that negative emotions and negative mental disease, encourage patients to establish the confidence to overcome the disease, treatment with the medical staff do a good job. Second, to the same patient more conversations to learn more about each patient's personality, habits, given the different personalities of different psychological counseling.
2.2 a reasonable allocation of food, maintaining smooth stool
myocardial infarction due to decreased cardiac output, coupled with absolute bed rest, decreased gastrointestinal motility, digestive function, it should be a light, digestible diet to ensure energy supply, avoid eating fat, high cholesterol foods to avoid further aggravating atherosclerosis. to avoid the meal and increase the burden on the heart to stop drinking alcohol, smoking. In addition, patients are not used to defecate in bed, prone to constipation, abdominal distension, patients defecation breath, force and increase the burden on the heart. Therefore, bowel care can not be ignored, to develop a bowel movement in bed, regular bowel habits. to patients Some fruits and vegetables into the food, bed, the guide plates or serving fruit leaves and intestines spilled Pan brewing agents or laxatives to ensure the smooth stool.
2.3 monitoring of absolute bed rest, to ensure adequate sleep
acute myocardial infarction in the incidence of 1 to 2 weeks should be absolute bed rest. but because of chest pain, patients with unbearable, and some irritability, pain in some patients, after that everything is normal, do not listen to medical advice, free get out of bed. for this, we explain to patients the importance of bed rest, making them aware of activities will exacerbate the condition, in recovery, should be gradual, should not seek the too fast. the night insomnia, irritability, may be given sedatives to ensure adequate sleep.
2.4 Note that the infusion speed, close observation of changes in condition, good ECG
in the infusion process, should control the drip rate, acute phase preferably 15 to 20 drops, fluid volume should be 1000ml or less. timely measurement of life signs were observed heart rate, heart rate, blood pressure, strengthen the ECG at any time to get ready for work.
As nurses cause the attention of these incentives, at work, these predisposing factors in the prevention and care into acute myocardial infarction the focus of care, so reducing the incidence of myocardial infarction complications, but also reduce the death and care factors.
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