Acute left heart failure nursing.docVIP

 PAGE \* MERGEFORMAT 4 Acute left heart failure nursing Acute left heart failure is venous return under normal circumstances, due to absolute or relative cardiac output is not enough to meet the body’s metabolic needs, resulting in a clinical pathologic syndrome. Left ventricular failure because pulmonary congestion, which can cause heart palpitations , shortness of breath, can not be supine, bloody sputum, lives are at stake, so the care of acute left heart failure is very important points are summarized below for reference. A close observation of changes in condition Observed disease include cough, sputum, dyspnea, the nature and extent, with or without cyanosis, peripheral circulation, the patient, body temperature, pulse, heart rate, blood pressure, lower extremity with or without edema, how much urine, Holter monitoring, understanding of myocardial blood supply, early detection of arrhythmia aura. strictly control the infusion speed, the speed is generally not more than 30 drops / min. recorded fluid intake and output, and found drugs in patients with sweating, chest tightness, shortness of breath, nausea, vomiting and other adverse reactions, promptly notify the doctor. 2 continuous oxygen inhalation Pulmonary congestion with acute left heart failure, patients with increased oxygen consumption, and mucosal congestion, edema, and the gas exchange impairment, so high-flow oxygen, oxygen mask oxygen per pound effective conduit, with 35% ethanol wet oxygen, thus reducing the alveolar surface tension, at any time to monitor the level of oxygen saturation, adjust the oxygen flow, to avoid improper use of oxygen causes respiratory failure. 3 rest Rest is particularly important in heart failure patients, patients with mild heart failure can be controlled through the rest the purpose of heart failure, and vice versa can aggravate heart failure. Resting blood pressure can drop, breathing difficulties reduced heart rate and reduce cardia