Care for Heart valve replacement surgery
- Filed under: Heart disease
- Date: Nov 15,2008
Heart valve replacement surgery after the success of the treatment is not completely over, but the maintenance of heart function after beginning of the process. After the discharge of home care patients on rehabilitation and access to knowledge and self-care ability for the purpose, it includes personal life, emotional be nursed back to health, food conditioning, functional training, rational drug use and efficacy observation. To do a good job in the following key points:
Taking anticoagulant drugs: the patient after 48-72 hours, or mediastinal chest tube drainage without bloody fluid (if required tracheotomy after extubation), removal of drainage tube at this time should be prescribed on time Oral anticoagulant drugs, doses, as the prothrombin time (PT) and the activity of the decision. Every time after taking record in the health-care manual, so that when the review to the doctor for information.
Accompany the patient to the hospital to review the fixed time and prothrombin activity in order to reduce error. PT so keep in 18-24 seconds, the activity of 35%. If the anticoagulant drug doses change, 3 days later, to be reviewed and PT activity until close to the required targets. After the first six months of review should be 1-2 weeks 1, 6 months to 2-3 months will 1st, 1 year after the 3 months to 1 times the normal specimens must be tested for the control .
Medication from time to time to conventional oral anticoagulant drugs once a day, each time taking orders should have time to 2 hours; services, such as leakage anticoagulant, to be served up. Missed a service, required 12 days to adjust to the original location of the medication on time. If the original 18:00 medication 10 minutes, drain service, the day after 10:00 o’clock recall, served up as follows: up to 2 hours after, for example, 1, 2, 3 days, are taking 10 minutes in 10:00, 4, 5, 6 Days, are taking 10 minutes in 12:00, 7, 8, 9 days in the first 14 points taking 10 minutes, 10, 11, 12 days in the 16 o’clock medication, 13 days after taking the time to transfer back to the original Time positions (18 o’clock); pills at a time service, size can be relatively uniform.
Such as the prothrombin test is higher than the normal value of the need to correct the drug and how to reduce or avoid interference with the role of anti-coagulation doctors should listen to advice.
Patients in convalescence at home to keep the law of life for a happy, with their minds at ease, appropriate and well-being; to prevent a cold, hard to avoid, prevent injuries, infections and infectious diseases.
Should pay attention to dietary and vegetables with meat, vegetables should not focus too much food or high-fat food, so as not to affect or increase the effect of anticoagulant burden on the heart. Pai service potassium diuretics, potassium should eat food such as shellfish, beans, fruits and type of dish, not to eat salty food.
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