106 cases of patients with congestive heart failure Clinical Nursing.docVIP

 PAGE \* MERGEFORMAT 4 106 cases of patients with congestive heart failure Clinical Nursing [Keywords:] congestive heart failure; bisoprolol; Care A clinical data to choose the third national conference to develop congestive heart failure congestive heart failure on diagnostic criteria [1] 106 hospitalized patients with congestive heart failure (male 70, female 36) patients, age 25 to 69 (mean 47 ± 18) years of age. According to NYHA classification criteria [2] for the cardiac function in 76 cases at the III level, IV grade 30 cases; Etiology of 33 cases classified as coronary heart disease, 15 cases of rheumatic heart disease, hypertension and heart disease in 21 cases, 37 cases of dilated cardiomyopathy. in the conventional therapy of heart failure drugs (vasodilators, diuretics and positive inotropic drugs) on the basis, po Bosu (bisoprolol, Beijing Fourth Ring Pharmaceutical Factory), starting dose of 01625 ~ 1125 mg, 1 sub-d - 1, observe the heart rate, blood pressure changes, according to the patients tolerated the situation, a ~ 3 wk to increase 01625 ~ 1125 mg, 1 sub-d - 1, maximum dose of 5 mg, 1 sub-d - 1, combined strong diuretic blood volume when you pay attention to correct deficiencies and electrolyte balance. the results of clinical remission in 93 cases, invalid 13 cases. to ease maintenance therapy after discharge in patients followed up for 6 mo with no death. 2 Discussion 2.1 Bisoprolol observed after drug Changes in heart rate and blood pressure is the application efficacy of bisoprolol in treatment of heart failure is an important indicator. Bisoprolol inhibited the heart of the β 1 receptors to decrease heart rate, there is the risk of bradyarrhythmia occurred, such as Ⅱ ~ Ⅲ degree atrioventricular conduction block, sinus syndrome. Clinical Nursing observation should be noted that heart rate changes, control ≥ 60 times in min - 1. through the kidney juxtaglomerular apparatus cell β -adrenergic receptor blocking, inhibit vascular