Children with viral myocarditis Nursing.docVIP

 PAGE \* MERGEFORMAT 7 Children with viral myocarditis Nursing [Keywords:] Viral Care Viral myocarditis is a virus caused by violations of the limitations of the heart or diffuse, acute, subacute or chronic lesions of the disease, myocarditis, pericardial or both may be associated with endocarditis, the clinical symptoms of varying severity, the light can be asymptomatic, can cause severe heart failure, serious arrhythmia, cardiogenic shock, and even sudden death. 1 Clinical data Viruses can cause myocarditis, the clinical group B viruses dominated by Ke Saji. Undergraduate from 2005-2009, a total of 45 patients admitted to children, 25 males and 20 females, aged from 6 months to 14 years old. Early direct violation of the virus mainly cardiac, immune response factors exist. 2 Clinical manifestations Children with different levels of prodromal symptoms, general malaise, fever, sore throat, muscle pain, diarrhea and skin rash. Myocardial involvement is often determined to former District discomfort, chest tightness, palpitations, dizziness, fatigue, tachycardia, ECG arrhythmia, high ST segment, T wave low and flat or inverted. 3 Care 3.1 Illness observation close attention to children with heart rate, blood pressure, respiration, blood pressure and looking for early detection of changes in symptoms such as the occurrence of heart failure. Measuring heart rate, 1 every 4 hours, to have arrhythmia ECG should be monitored ECG changes at any time record. If multiple sources premature beats, tachycardia, too slow, complete atrioventricular block or flutter fibrillation, the physician immediately reported. have heart failure when given oxygen, sedation, cardiac and other processing applied when digitalis Jing close observation system in children with or without digitalis toxicity manifestations, such as the regulation of new arrhythmia, bradycardia and so on. observation post-reaction. 3.2 rest and activity to create quiet