心力衰竭心脏再同步治疗的护理.pptVIP

治疗用药： 1.扩血管药：硝普钠或硝酸甘油 2.抗血小板、抗凝药物： 术前：阿斯匹林、氯吡格雷 术后：暂停抗凝药 3.抗感染：头孢唑啉钠等 4.强心利尿:倍他乐克、速尿等 5.降血压药物应用 起搏器的植入过程 消毒、铺巾 起搏器的植入过程 术后护理措施： 1.心理护理 2.体位与活动 3.伤口护理 4.起搏器工作状况的观察 5.饮食及排便的护理 潜在并发症： 心衰 护理目标：患者住院期间发生心力衰竭能被及时发现 和处理 护理措施： 临床症状与护理实践： 诉轻度胸闷， 听诊肺部仍有哮鸣音，心率100次/分左右 a) 严密观察病人生命体征，定期监测血压，观察有无呼吸困难、咳嗽、咳痰、少尿、低血压、颈静脉怒张等循环衰竭的表现。 b) 避免病人情绪激动、咳嗽、饱餐、用力排便，加重心脏负担。 c) 备好急救物品及器材，一旦发生心力衰竭，立即配合抢救 潜在并发症： 疼痛 护理目标：病人主述疼痛减轻或消失。 护理措施： 临床症状与护理实践： 切口处疼痛 出现疼痛时，护士应态度和蔼，使用安慰性语言，使病人感到温暖，有安全感、依赖感，从而适当减轻疼痛。 潜在并发症： 出血感染 护理目标：术后7天伤口拆线，无感染并发症发生 护理措施： 临床症状与护理实践： 切口处敷料干燥无渗血，沙袋压迫6小时 a)密切观察切口有无渗血、血肿的发生，如有渗血、渗液，及时更换伤口敷料 b)术后遵医嘱给予头孢哌酮钠静脉滴注7天预防感染治疗 c)给予高蛋白、高维生素、高纤维饮食，促进伤口愈合。 d)24~48h后指导患者做上肢及肩关节前后适当运动，以促进术侧肢体血液循环，利于伤口愈合 * * Let’s compare our heart to this donkey, and our body to the wagon that this donkey has to pull every day. A healthy heart is like an energetic donkey, which without fatigue, pulls the wagon full of weights. Conversely, a diseased heart will have difficulty meeting metabolic demands (or pulling the wagon). * Cardiac Resynchronization is achieved through atrial based, biventricular pacing. Standard pacing leads are placed in the right atrium and right ventricle. A specially designed left ventricular pacing lead is passed through the coronary sinus and into a tributary of the Great Cardiac Vein. Atrial based pacing is performed through both ventricular leads simultaneously and can be programmed unipolar or bipolar if either ventricular lead is a bipolar lead. InSync was developed to provide true cathodal pacing to two ventricular leads simultaneously. InSync employs Medtronic’s longest lived battery with Medtronic’s lowest current-drain circuit technology. The expanded connector allows direct connection to one atrial and two ventricular leads without the need for adapters or splitters. 模板来自于 / * 心力衰竭心脏 再同步（CRT)治疗的护理 中国成人患病率为 : 0.9%