Myocarditis complicated with cardiogenic shock condition observation and nursing care.doc

 PAGE \* MERGEFORMAT 5 Myocarditis complicated with cardiogenic shock condition observation and nursing care [Keywords:] myocarditis shock Care About 1 records Patients, female, 38 years old. 3 d because of chest pain admitted to hospital. Chief complaint of headache after feeling cold, dizziness, fatigue, followed by tingling with substernal chest tightness, heart palpitations. Examination: body temperature 37.8 , heart rate 100 beats / rain, blood pressure: 12.0/6.0 kPa, ECG: myocardial involvement, low voltage, VI-V3 leads was Qs-type, T-wave inversion, V5-v6 St segment depression in leads. a clinical diagnosis of viral myocarditis. cardiac drugs given to nutrition, Danhong, antibiotics, antiviral drugs such as intravenous infusion, and oral isosorbide dinitrate, but not the disease remission .1 d, the patients increased chest tightness, difficulty breathing, low heart sound blunt, thin fast pulse, heart rate: 120 times / min, blood pressure decreased to 9.0/7.0 kPa, clammy skin, irritability, oliguria. immediately given oxygen inhalation, intravenous infusion of fluids to increase blood volume all the way, another way to Dopamine, concentration 40mg/250 mL, intravenous drip to maintain blood pressure, while time to give cedilanid 0.4 mg, 40 mg bolus of furosemide, a diuretic to .2 d after cardiac condition improved, blood pressure 13.0/8.0 kPa, capital improvement shock conditions, the antibiotics and the promotion of myocardial metabolism drug treatment, hospital 46 d, discharged. 2 Observation and nursing care 2.1 Rest Patients should be absolute bed rest, keep the environment quiet. It should be noted the movements of patients, proper posture and stand up change, Zhu Huanzhe take a deep breath to prevent venous thrombosis, pulmonary embolism and other complications. In spirit, should avoid all the negative stimulus, the nerves, so that in the best physical and mental condition, conducive to the recovery of the disease. 2.2 Note that