Nursing and admission to hospital for heart failure, how to write nursing evaluation for acute left

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.

Nursing staff in the inpatient setting should first () when dealing with patients with heart failure who need to be hospitalized.

a.Hygienic disposal.

b.Introduce the rules and regulations of the hospital.

c.Immediately escort the patient into the ward.

d.Inform the doctor to prepare for the preoperative quasi-hidden code for the morning difference.

e.Find out what care concerns the patient has.

Correct answer: c

Answer]: The nursing staff in the inpatient unit should arrange admission according to the patient's condition, the condition of the patient with heart failure may change at any time, and there is a risk of progression to acute myocardial infarction, therefore, the nursing staff should first escort the patient into the ward, notify the doctor, and then carry out other nursing procedures (C pair).