Observation and nursing of 42 cases of myocardial infarction.doc

 PAGE \* MERGEFORMAT 6 Observation and nursing of 42 cases of myocardial infarction [Keywords:] observed acute myocardial infarction care Acute myocardial infarction (AMI) early mortality is high. Once diagnosed, the nearest rescue, emergency treatment, dying of myocardial protection, reducing infarct size and improve prognosis. Should closely monitor the heart rate, heart rate, blood pressure, heart function changes. To make timely treatment measures to prevent sudden death and provide objective information. to strengthen basic and emotional care, good rehabilitation. 1 General Information 42 cases of AMI in this group since May 1995 -1997 Division I in October between patients. Diagnosis according to WHO criteria, diagnosed according to ECG parts: anterior in 10 cases, 15 cases of inferior wall, 3 cases of anteroseptal, extensive prior wall in 9 cases, high lateral in 5 cases. 3 died were inferior myocardial infarction. 2 rest Have absolute bed rest a week, to ensure a quiet environment, reduce visits to prevent adverse stimulus, the lifting of anxiety. This is important, but often ignore the patient and good tolerability. This group of patients with inferior wall AMI2, all because they do not meet the health care workers, Walking without permission, all of sudden death, so this one should be strengthened inspections. 3, oxygen, pain The first few days should be intermittent or continuous oxygen. Continuous oxygen, application of nasal congestion method, flow 5 ~ 6L/min. Relieve shortness of breath or pain to be reduced (or disappear) after the flow reduced to maintain the 2 ~ 3 ~ 4L/min 3 days. oxygen can increase the myocardial oxygen supply, improve myocardial ischemia, reduced infarct size. According to medical advice given analgesics or sedatives, can prevent feeling pain caused by severe hemodynamic disorders and cardiac arrhythmias. 4, close observation of the disease, good blood pressure, ECG monitoring