What is the approach to care for acute left sided heart failure?

Acute heart failure care routine is based on the general care routine for circulatory system diseases. (1) Key points of assessment and observation. 1.

Evaluate what is causing heart failure. 2.Closely monitor the patient's respiratory rate and depth, heart rate and blood pressure, and crackles in the lungs.

3.Indicators that reflect the degree of hypoxia of the patient are evaluated, such as consciousness, mental state, mucosal color, etc. 4.

Assess the patient's inflow and outflow. (2) Key points of operation 1Take a sitting position with your legs drooping to reduce venous return.

2.In an emergency, alternating limbs and trilimb ligation may be used to reduce venous return. 3.

High-flow oxygen is inhaled, and in particularly severe cases, 30% 50% ethanol is added to the humidification bottle. 4.Quickly establish intravenous access, and use fast-acting cardiotonic, diuretic, and vasodilator drugs according to the doctor's instructions, such as furosemide, cedilan, nitroprusside, etc.

5.Comfort the patient, avoid excessive stress, and use morphine to sedate and anti-heart failure if necessary. 6.

Strictly control the infusion speed. 7.Maintain ECG monitoring, closely observe vital signs, and accurately record the amount of water entering and exiting. ‍‍

Nursing measures for acute heart failure 1Assist the patient to sit upright with the legs drooping to facilitate breathing and reduce the amount of blood returning to the heart through the veins. In an emergency, alternating limbs and trilimb ligation may be used to reduce venous return.

2.temporary fasting during acute heart failure; After the condition improves and stabilizes, it is advisable to eat a low-salt and light diet. 3.

High-flow oxygen inhalation is given. Add 30% 50% ethanol antifoam agent to the humidification bottle to ensure sufficient partial pressure of blood oxygen. 4.

Quickly establish intravenous access and administer drugs according to the doctor's instructions, such as morphine sulfate, nitrates, diuretics, aminophylline, etc., and strictly control the infusion speed. 5.Continuous ECG monitoring, closely observe blood pressure, heart rate, respiration, mental status, urine output, etc., and accurately record the amount of water in and out.

6.Give psychological support to comfort the patient and avoid overstress. 1.

Targeted prevention guidance is given for the possible causes of heart failure in patients. ‍‍

1. Nursing assessment.

1. The patient's state of consciousness: good awakening, good language expression ability, good management ability;

2. The patient's bent pin signs and body temperature: the signs are stable and the body temperature is normal;

3. Cardiac function: increased cardiac load, tachycardia, unstable blood pressure, arrhythmia;

4. Respiratory system: shortness of breath, unstable air pressure, pulmonary rales can be heard;

5. Circulatory system: pale, cold and damp, rapid heart rate, unstable blood pressure, poor cardiac function;

6. Digestive system: loss of appetite, food malabsorption, abdominal pain and diarrhea;

7. Immune system: sickness and illness are infected with viruses, physical strength declines, and mental poverty is lacking.

2. Care plan.

1. Closely monitor the patient's electrocardiogram and blood pressure, and give necessary medicines to make trouble**;

2. Regularly monitor the patient's blood pressure, heart rate, and oxygen saturation;

3. Assess the nutritional status of patients and provide nutritional support;

4. Observe the patient's breathing and deal with dyspnea in time;

5. Provide psychological support and nursing counseling to relieve patients' anxiety and tension;

6. Regularly monitor the patient's digestive symptoms, closely observe the patient's condition, and deal with abdominal pain, diarrhea and other indigestion symptoms in a timely manner;

7. Provide detailed nursing guidance for patients and enhance their self-care ability.

1 Nursing evaluation needs to be meticulous and comprehensive, and no details can be ignored.

2. The nursing evaluation should include the patient's cardiovascular condition, respiratory system, water and electrolyte balance, etc., and update and adjust the evaluation content at any time according to the patient's condition.

3. A variety of means can be used to monitor and evaluate patients, such as electrocardiogram monitoring, oxygen saturation monitoring, arterial blood gas analysis, etc., and it is also necessary to pay attention to the patient's self-care ability and situation.

In summary, the nursing evaluation of acute left heart failure needs to be meticulous and comprehensive, including multiple aspects, and needs to be adjusted and updated according to the patient's condition.

At the same time, it is necessary to use various monitoring methods to evaluate patients in all aspects.

The nursing evaluation of acute left heart failure should include the evaluation of the patient's physiological condition, medication**, cardiac function status, cardiac surgery and cardiovascular intervention**, lifestyle changes, psychological support, etc., so as to identify potential problems in time and propose effective intervention measures to achieve the recovery and healing of the patient's sensitive relatives, and ensure the patient's comprehensive and effective care. In addition, the patient's sociocultural background, family conditions, and health beliefs should be evaluated to better understand the patient's care needs and provide more effective nursing services.

Answer]: A1Patients with left-sided heart failure should be given high-flow (6 8 l min) oxygen and alcohol (30% to 50%) humidification to reduce the surface tension of the alveoli and intratracheal foam, rupture the foam, and improve lung ventilation.

2.Nitrates are the most effective and effective drugs that can terminate angina attacks, dilate coronary arteries, increase coronary blood flow, and dilate peripheral blood dust ducts to reduce the burden on the heart and relieve angina. Such as sublingual nitroglycerin.

3.The most important measure for hypertensive critical illness is rapid blood pressure lowering; Reduces intracranial pressure; Stop the convulsions.

1) Assist the patient to remove the leg drop position immediately. (2) Oxygen therapy: keep the respiratory tract unobstructed, give high flow (6-8l min) oxygen nasal cannula inhalation through 30-50 ethanol humidification, but the oxygen inhalation time should not be too long, intermittent inhalation should be given, and mechanical ventilation should be given if necessary.

3) Quickly open two intravenous passages, follow the doctor's instructions, use drugs correctly, and observe the efficacy and adverse reactions. Morphine; Rapid diuretic: verosemide:

Vasodilators: sodium nitroprusside, nitroglycerin, phentolamine: digitalis preparation:

Aminophylline. (4) Disease monitoring: observe the patient's vital signs.

5) Psychological nursing: comfort the patient to eliminate uneasiness. (6) Do a good job of basic nursing and daily life nursing.

Kuan Chan Prefecture. Immediately assist the patient to remove the leg drop position. (2) Oxygen therapy: keep the respiratory tract unobstructed, give high flow (6-8l min) oxygen nasal cannula inhalation through 30-50 ethanol humidification, but the oxygen inhalation time should not be too long, intermittent inhalation should be given, and mechanical ventilation should be given if necessary.

Caution (3) Quickly open two intravenous channels, use drugs correctly according to the doctor's instructions, and observe the efficacy and adverse reactions. Morphine; Rapid diuretic: verosemide:

Vasodilators: sodium nitroprusside, nitroglycerin, phentolamine: digitalis preparation:

Aminophylline. (4) Disease monitoring: observe the patient's vital signs.

5) Psychological nursing: comfort the patient and eliminate anxiety. (6) Do a good job of basic nursing and daily life nursing.

Summary. 1. Ask the patient to lie or sit on the pillow with high pillow, rest in bed, and inhale oxygen. 2. Monitor blood pressure, heart rate, pulse, blood oxygen saturation, respiration, and 24-hour water inflow.

3. Keep the patient's respiratory tract open and assist the patient in coughing and expectoration. 4. Establish intravenous access and give sedative, diuretic, vasodilator drugs and cardiotonic drugs according to the doctor's instructions. 5. Blood sampling and monitoring of blood gas analysis, electrolytes, creatinine protein, cardiac enzymes and other detection indicators.

6. Psychological guidance, give psychological guidance to patients and reduce their mental pressure. 7. Dietary guidance, guide patients to eat a low-salt, low-fat and low-sodium diet to keep the stool smooth.

1. Ask the patient to lie or sit on the pillow with high pillow, rest in bed, and inhale oxygen. 2. Monitor blood pressure, heart rate, pulse, blood oxygen saturation, respiration, and 24-hour water inflow. 3. Keep the patient's respiratory tract open and assist the patient in coughing and expectoration.

4. Establish intravenous access and give sedative, diuretic, vasodilator drugs and cardiotonic drugs according to the doctor's instructions. 5. Blood sampling is used to monitor blood gas analysis, electrolytes, creatinine protein, cardiac enzymes and other detection indicators. 6. Psychological guidance, give psychological guidance to patients and reduce their mental pressure.

7. Dietary guidance, instruct patients to rent a low-salt, low-fat and low-sodium diet to keep their stools smooth when they are older.

You need to pay attention to your diet, pay attention to rest, don't sulk often, pay attention to the combination of medicines, and listen to the doctor's advice to carry out effective **.

You must not be in a hurry in life, and secondly, you should also pay attention to your physical condition, you should also pay attention to your diet, and you should pay more attention to rest.

Patients with acute left heart failure should be closely supervised, including electrocardiogram, blood oxygen, blood pressure, speech movements, etc.