What should patients with pulmonary heart disease pay attention to?

If you smoke, you must resolutely and completely quit smoking; furosemide, spironolactone diuresis; Compound licorice tablets, aminophylline cough and phlegm; Inhaled albuterol aerosol relieves dyspnea; Intermittent oxygen inhalation; If there is a large amount of purulent sputum, azithromycin can be taken; levofloxacin anti-inflammatory; Conditional hospitalization**. If you don't eat well for a long time, you should consider nasogastric feeding. And the patient's diet should be arranged reasonably.

According to experience, the ideal diet for patients is to mix meat and vegetable oil, vegetables and meat, eat more fruits containing vitamin C and vitamin E, liver, and eat some lean meat and eggs in moderation, but not too much, so as not to increase the burden on the kidneys. Because cor pulmonale is most likely to be aggravated in the cold season, it is known as the "ghost gate" for patients with cor pulmonaleTherefore, prevention is paramount.

To increase the ability to withstand the cold, it is necessary to first carry out cold protection training.

Sedatives have an inhibitory effect on the respiratory center, and even if a person with chronic pulmonary heart disease uses a small dose of tranquilizers that ordinary people can tolerate, it will make the respiratory center in gradual failure worse, making the respiratory failure worse, and even respiratory arrest. Therefore, patients with pulmonary heart disease and chronic emphysema must not take sedative sleeping pills such as diazepam and chlorpromazine to be irritable and insomnia, but should be carefully monitored and used under the guidance of a doctor. It is recommended that you take traditional Chinese medicine**, which is to use medicine according to symptoms and treat dialectically.

Patients with different diseases need to take different Chinese medicines, so the variety and quantity of Chinese medicines should have their own characteristics. The main role of traditional Chinese medicine is to clean up the garbage in the lungs and regulate the function of the lungs, which has a certain effect, but it can only alleviate certain symptoms, and cannot be fundamental.

Cor pulmonale is pulmonary hypertension secondary to various thoracic and bronchial pathologies, culminating in heart disease characterized by right ventricular hypertrophy.

Pulmonary heart disease**You can try Lung Xin Tang, which is a pure Chinese medicine preparation, which avoids the specific dependent ingredients contained in Western medicine, and the drug reaches the effective site directly, with obvious effect, no drug resistance and dependence. It can quickly activate the entire respiratory system, nourish alveolar cells, make collapsed and necrotic lung cells be fully repaired and activated, and enhance the ability of lung ventilation. Rebuild the immune function of the respiratory system, so as to achieve the purpose of **.

Cor care has the following points.

1. Rational use of drugs: do not abuse antibiotics, and stop taking antibiotics after the condition improves and stabilizes. Antibiotics should not be taken for a long time to avoid drug resistance or infection with other bacteria.

2. Insist on exercise: patients should do some appropriate activities according to their personal conditions to improve the body's ability to resist diseases. For example, take an early morning walk, do tai chi, and do deep breathing exercises. It can enhance physical fitness and exercise cardiopulmonary function, but you should pay attention to your ability when exercising to avoid overwork.

3. Life care: Patients with pulmonary heart disease should pay attention to increasing or decreasing clothing with climate change, so as not to cause colds and aggravate their condition. You can eat cold drinks every morning to exercise your cold tolerance; Keep your room clean and quiet, free of smoke and dust.

In winter, you should pay attention to the temperature and humidity of the room, open the windows regularly for ventilation, and keep the air circulation fresh.

4. Enhance immunity: Placental globulin, transfer factors and other immune enhancers can be injected in an appropriate amount. It can also be used with traditional Chinese medicine to improve the body's immune function.

5. Psychological nursing: keep a good mood and avoid emotional agitation.

1.Acute exacerbations.

1) Control of infection: Refer to sputum culture and drug susceptibility test for antibiotic selection. Penicillins, aminoglycosides, quinolones, and cephalosporins are commonly used antibiotics. In principle, narrow-spectrum antibiotics are the main choice, and attention must be paid to possible secondary fungal infections when choosing broad-spectrum antibiotics.

2) Oxygen therapy clears the airways and corrects hypoxia and carbon dioxide retention.

3) Control of heart failure Patients with cor pulmonale generally improve their heart failure after actively controlling the infection and improving their respiratory function. The patient's urine output increases, the edema resolves, and the enlarged liver shrinks and tenderness disappears. Diuretics do not need to be added, but diuretic, cardiotonic, or vasodilators can be appropriately used for more severe patients who do not respond to **.

4) Control arrhythmia Generally, arrhythmia can disappear on its own after infection and hypoxia of cor pulmonale. If persistent, drugs may be used depending on the type of arrhythmia.

2.Remission.

The comprehensive measures of combining Chinese and Western medicine are adopted to enhance the patient's immune function, remove the predisposing factors, reduce or avoid the occurrence of acute exacerbations, and gradually restore the lung and heart functions.

When the patient's cardiopulmonary function is well compensated, the patient can be allowed to participate in physical exercise appropriately, but it is not easy to overmove, and attention should be paid to rest. When the patient has dyspnea, cyanosis, edema and other symptoms aggravated, and when the cardiopulmonary function is decompensated, the patient should be absolutely on bed rest or semi-sitting, elevate the head of the bed to reduce dyspnea, give low-flow continuous oxygen inhalation, meet the needs of the patient in life, do a good job in life care, and strengthen the inspection of the condition.

You can try Chinese herbal conditioning, it's pretty good.

1.Supplemental nutrition: Most patients with pulmonary heart disease have nutritional disorders, and there are more thin people, but they often have poor appetite. In principle, you should eat small meals and eat more often, and you can also take some stomach or digestive aids. Do not eat foods that are too salty.

2.Participate in more outdoor activities: When the weather is fine, you can go for a walk in the morning in a place with fresh air such as a park or in the woods, and do some exercises within your ability, such as tai chi, qigong, and abdominal breathing exercises, to exercise diaphragm function, and be consistent.

If you sweat, dry it with a dry towel and change your underwear in time.

3.Keep indoor air ventilated: Open windows in the morning to let in fresh air. Charcoal or coal fires in bedrooms, especially when there is a lack of exhaust pipes, are not good for people with cor pulmonale and should be avoided as much as possible.

4.Have a regular life: what time to wake up, what time to go to bed, when to eat, when to poop, when to go out for a walk, you have to have a routine.

It's best to take a nap at noon. Be in a good mood and have family members get along in harmony. Patients with cor pulmonale will inevitably be more angry due to long-term illness, so they should try to restrain themselves and avoid losing their temper.

5.Quit smoking: Smokers should quit smoking completely, and even do not talk with smokers, play chess, play cards, etc., because passive smoking is also harmful to patients with pulmonary heart disease. If there is phlegm, cough it up promptly to keep the airway clean.

6.Don't neglect to keep warm, add clothes in time, don't catch a cold, and pay more attention to wearing warm clothes when you go out. Once you get cold, it is easy to cause viral and bacterial infections, causing pneumonia or bronchopneumonia.

Hello: Cor pulmonale is mainly to prevent infection, winter is the most feared season for cor pulmonale, to keep warm, to prevent colds. Low-flow oxygen inhalation is a very important means, liquid oxygen is a bit useful, but it is recommended to buy an oxygen cylinder from a medical device company, and it is very good to insist on oxygen inhalation for 6-8 hours a day.

Good luck soon**!

Cor pulmonale is a relatively serious disease, and if the patient is diagnosed with cor pulmonale, it is necessary to undergo active ** to avoid further aggravation of the condition and respiratory failure, coma and life-threatening.

Patients with pulmonary heart disease should first quit smoking, avoid cold, moderate exercise to maintain lung function, if the patient usually has phlegm and cannot cough up, expectorant drugs can be used, such as ambroxol, eucalyptus, acetylcysteine and so on.

If the patient's lung function declines significantly and the asthma symptoms are severe, bronchodilators can be inhaled to relieve clinical symptoms.

If the patient has aggravation of cough, sputum production, and asthma symptoms, or is accompanied by cough with yellow sputum, fever and other symptoms, it is necessary to improve relevant examinations, evaluate pathogens, and take different anti-infection measures for different pathogens.

Hello, you said that the fever with an enlarged heart, plus the emphysema four or five years ago, you can consider an acute attack of emphysema infection (cor pulmonale is more likely).

Now intravenous antibiotics are needed, as well as cardiotonic, diuretic, oxygen, and so on. In short, it needs to be dealt with by a doctor.

It is advisable to see a doctor.

As for what to pay attention to in life, I think it is better to wait for the condition to improve.

1.The first step is to control respiratory infections. According to clinical observations, respiratory tract infections are often the main factor in the exacerbation and mortality of cor pulmonale.

Therefore, preventing and controlling respiratory tract infections as soon as possible is a very important measure. If it is found that the patient's shortness of breath is aggravated, and the cough and sputum are aggravated, it is necessary to be vigilant and take medication in time. However, due to the physiological characteristics of middle-aged and elderly people, coupled with the long illness period, weak physique, and low resistance, it is necessary to be particularly cautious in the use of drugs.

If antibiotics are needed, it is best to go through the hospital for bacterial culture and drug susceptibility testing, and then select suitable antibacterial drugs to achieve a target. Do not self-use antibiotics to avoid drug resistance and other ***.

2.Ensure that the airway is clear. The most important thing is to take care to remove phlegm at all times to prevent it from accumulating in the respiratory tract.

Some elderly patients often suffer from suffocation due to a mouthful of phlegm, which threatens life, so they should be taken seriously. Patients should resolutely quit smoking, try to avoid inhaling soot and dust in daily life, reduce the production of sputum, and at the same time can take expectorants under the guidance of doctors. If the airway is maintained, ventilation can be improved, necessary gas exchange can be ensured, and symptoms caused by hypoxia can be relieved.

3.Depending on the condition, some anti-allergic drugs such as chlorpheniramine, diphenhydramine, promethazine and, if necessary, adrenocorticosteroids, may also be used, but they must be taken under the guidance of a doctor. In order to be effective, safe and reliable.