acute myocardial infarction on the observation and care（急性心肌梗死的观察和护理）.docVIP

Acute myocardial infarction on the observation and care [Keywords:] myocardial infarction Acute myocardial infarction is due to persistent acute coronary insufficiency caused by myocardial necrosis, clinical chest pain, acute circulatory dysfunction, cardiac arrhythmias and to reflect the acute injury, ischemic necrosis of the systemic response and dynamic range of ECG changes characterized by . severe illness, changes quickly, more complications, high mortality, so in the clinical care of such patients to closely observe the condition, note the patient’s life and care. A general nursing 1.1 bed rest The first week in patients with absolute bed rest, keep quiet, prohibited turn, reduce the family and friends to visit and prevent agitation, reduce tissue metabolism and oxygen consumption, care and operation as a complete, less moving patients to reduce the burden on the heart. Daily sleep time to 10 -14 hours is appropriate, such as patients with excessive anxiety, sedative may be given the second week may be over in bed and physical freedom of movement, but the action to slow the third week of the disease tend to be stable, progressive scarring of myocardial necrosis in part, be in bed do light activities such as washing, eating, etc. The fourth week of bed and indoor activities, palpitations and discomfort after the event if any, should be reduced activity levels, no discomfort, there should be gradually increased activity. 1.2 Psychological Care Sudden onset of myocardial infarction, patients with no mental preparation and psychological anxiety changes such patients should be warmly received, attitude must be friendly and kind, patient and family members of patients and do ideological work, to eliminate the fear of patients, so consciously with treatment and care, and establish the confidence to overcome the disease, and prevent emotional factors which led to some of the complications should arise. observation of the disease and detailed,