The viral myocarditis infant's standard attends to _'s prevention and health care of the plan

The viral myocarditis infant's standard attends to _'s prevention and health care of the plan
Viral myocarditis is that the virus infringes that due to heart, regard myocarditis pathological change as disease mainly displayed, some can be with changing in the pericardium or heart, the light infant of clinical manifestation does not generally have obvious symptom, the electrocardiogram can be seen and fight early or T unexpected turn of is reduced etc. and changed; When the cardiac muscle is given much trouble obviously, the infant is uncomfortable in the district before often telling the heart, palpitation uncomfortable in chest, dizzy and weak, etc; Can source shock of heart happen suddenly to the serious disease patient, shown as and had the fidgets, look pale, skin shiny, the intersection of four limbs and clammy and the intersection of tip and cyanosis,etc., can die within several hours or several days. Attend to the question to include commonly: There is no endurance in the activity; Comfortable change: The chest uncomfortable in chest aches; Potential complication --In heart failure; Relatives and the infant have scarce knowledge.
There is no endurance in the activity
Relevant factor
Damage with cardiac muscle, heartbeat producing amount reduce, have something to do.
The supply and demand of oxygen lacks proper care.
Mainly behave
1. The heart rate increases, weak, tired.
Attend to infant's activity endurance of the target to increase, shortness of breath, improving or disappearing weakly, tiredly.
Attend to the measure
The heart and lungs state before observing the infant activity closely, assess the infant's activity level, observation activity reacts.
Offer the quiet and comfortable environment to infant; Stay in bed during being acute, to after the steady 3-4 weeks such as body temperature general rest; Persons who decline intentionally, have a rest for should be no less than 6 months, wait for the heart to decline the control, heart and resume normal size, increase activity progressively and then, in order to avoid palpitation, shortness of breath.
Give oxygen effectively, oxygen density 30%-50%, adopt the nose conduit or face guard to give oxygen.
Make to infants and resume the activity principle:
( 1) Do exercises from lying in bed and carrying out the transition gradually to sit down or stand from 10 minutes to 20 minutes.
Deeply breathe and practise, 3 times a day.
Sit on the chair for 30 minutes, 3 times a day.
Walk in the room for 1-2 minutes, 3 times a day.
Walk 25 steps in the hall, then increase gradually and accumulate strength and trot and return.
Comment on especially
Whether infant's activity increases.
Whether infant's shortness of breath, cyanosis are lightened.
Comfortable change: The chest uncomfortable in chest aches
Relevant factor
Relate to the fact that the cardiac muscle is ischemic.
Relate to myocarditis.
Mainly display the chest uncomfortable in chest and ache.
Attend to the goal
Infant's main suit comfort increases.
Infant's chest uncomfortable in chest aches and lightens or disappears.
Attend to the measure
Keep the ward quiet, comfortable, the air is fresh.
Absolutely stay in bed, the condition increases activity gradually after taking a favorable turn.
Treat, attend to and concentrate on going on, try not to bother infant's sleep; The persons who have the fidgets offer a small amount of sedative.
Observe the condition to change closely, for instance complexion, pulse, blood pressure,etc., it is uncomfortable when unusual that the infant presents the chest, should deal with in time.
The vein instils and protects the heart medicine to follow the doctor's advice, if two phosphoric acid sodium of candy, protecting open, heavy dose of vitamin C of heart,etc..
Follow the doctor's advice oxygen intake.
Dispersing infant's attention, comfort infant, dispel its tense mood, encourage infants to keep the best psychological condition.
Comment on especially
Whether infant's comfort increases.
Infant's chest uncomfortable in chest aches and lightens or disappears.
Potential complication --In heart failure
Relevant factor
The cardiac muscle is damaged.
Cardiac dilatation.
Mainly behave
The heart rate is increased fast: >180 times fen.
Breathe and increase fast: >60 times fen.
Extremely had the fidgets suddenly, cyanosis, looked pale.
The heart sound is low and blunt, galloping horse's law, intravenous anger one of neck.
Going on increase of liver.
The urine amount reduces or has no urine.
In heart failure that the infant does not happen to attend to the goal when in hospitalling.
Attend to the measure
Assess infant's situation such as being tired, unconvincing, sweats.
Observe the heart rate, breathe tightly and the condition is changed, if present having palpitation, such symptoms as the out of breath cyanosis, liver are great, should deal with in time.
Acute issue stay in bed, fetch, lie while being flat location or half lie in the location according to condition.
Try hard to keep infants quiet, avoid the bad stimulus; The persons who have the fidgets offer sedative.
Use the infusion pump to control the infusion speed and total amount of infusion.
Keep the stool unobstructed, eat more vegetables fruits, open and fill in revealing to have an ease constipation if necessary.
It is in heart failure to appraise infants and happen in hospital especially.
Relatives and the infant have scarce knowledge
Relevant factor
Relatives and the infant understand the relevant knowledge of disease insufficiently.
And attend to knowledge and lack of understanding to the healing solution.
Mainly behave
Infant relatives hope to know the relevant knowledge of a disease, often ask about to the medical worker.
The infant parents are scarce to knowledge of this disease, place the great hope on medical worker.
Can't cooperate with the medical personnel to finish every treatment and attend to.
Attend to the goal
Relatives and the infant understand the relevant knowledge of disease to some extent.
Can cooperate and treat and attend to.
Attend to the measure
Introduce to infant and parents general knowledge of this disease, and the positive cooperation that informs treats the importance of nursing.
Course and healing solution to tell parents about disease, encourage, say the intersection of heart and anxious reason, the appropriate life of participating in the infant is attended to.
Sympathize with and care about the infant, comfort relatives, attend to meticulously, dispel the doubt.
It needs relatively long time to explain the curing of the infant, let relatives have psychological preparation, establish the confidence cured.
Comment on especially
Whether relatives and the infant understand the knowledge related to disease.
Whether relatives can cooperate with on one's own initiative and treat, attend to.
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