About the rehabilitation of acute myocardial infarction treatment.docVIP

 PAGE \* MERGEFORMAT 9 About the rehabilitation of acute myocardial infarction treatment [Keywords:] early rehabilitation treatment of acute myocardial infarction (1) acute myocardial infarction in the principles of Morphine (every 5 ~ 30min, 2 ~ 5mg slow IV) the analgesic effect of both strong and good hemodynamic effects, especially beneficial to reduce the myocardial oxygen consumption (MNO2), that is both a significant expansion of the vein to reduce the role of ventricular preload, can also reduce the cardiac afterload. but in the hypovolemic patient, morphine can cause significant decreases in blood pressure in elderly patients, morphine injection can sometimes cause severe respiratory depression that can be added to 5mg of morphine 10mI a saline solution, the slow intravenous injection, while observing the reaction. Atropine (0.5mg, intravenous injection, can be divided into time to give, until the highest total 2.0mg) has the role of the vagus nerve block to help treat the slow atrioventricular block combined rhythm (especially in the next wall AMI), hypotension associated with sinus bradycardia or junctional bradycardia caused as a result of ectopic rhythm. should start small dose medication and closely monitoring the ECG, since blocking the over-excited after vagus nerve may be potentially exposed sympathetic nervous over-excitement, which led to sinus tachycardia, even in rare cases, ventricular tachycardia occurred (VT) or ventricular fibrillation (VF). bradycardia in the absence of complications should the prophylactic use of atropine, yet inconclusive. (2) acute reperfusion therapy 1) thrombolytic therapy Remove blood clots blocking the blood supply is preserved and the reduction of ischemic myocardial infarction the most effective way. AMl in the discussion of early treatment, the thrombolytic therapy has been dominant. It is clear that reperfusion caused earlier thrombolytic therapy more good. Similarly, the rapid onse