Pre-hospital treatment of acute heart failure.doc

 PAGE \* MERGEFORMAT 4 Pre-hospital treatment of acute heart failure [Keywords:] acute heart failure; acute pulmonary heart swelling; morphine; diuretics Heart failure is a complex clinical syndrome is a severe phase of a variety of heart disease, the incidence is higher. At present, for the treatment of acute heart failure with conventional medication, lack of uniform standards for recognition. With the ‘biological treatment of heart failure’ proposal of the concept, it is recognized that early diagnosis and treatment of heart failure on prognosis of patients with heart failure is extremely important. For the pre-hospital emergency personnel, having arrived at the scene is basically an early heart failure, the correct treatment can not only stabilize the patient’s condition to provide favorable conditions for the next step of treatment, but also means that the patient provides a good prognosis and a better life quality. A general treatment 1.1 to correct hypoxia caused by oxygen so that increased capillary permeability pulmonary edema, and after the formation of pulmonary edema is more emphasis on the pulmonary capillary oxygen, creating a vicious circle, so to correct hypoxia is the primary measures for treatment of pulmonary edema. Oxygen can be the first by 70% after the inhalation of alcohol humidifier can also be used instead of alcohol, 1% silicone solution to reduce the surface tension of the bubble to make the bubble burst, improve pulmonary function. 1.2 venous patient should be taken to improve the semi-supine or sitting position, legs hang down in order to improve lung capacity and reduce venous return and so on. 2 medication 2.1 General 3 ~ 5mg intravenous morphine injection, if necessary, repeat injection of a sub-15min. Light conditions were 5 ~ 10mg subcutaneously or intramuscularly. Morphine to eliminate the patient’s anxiety, but also expansion of peripheral vascular reflex to reduce blood Rhodobryum roseum. Of morphine could inhi