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心臟衰竭

發佈日期:2013-12-31
發佈單位:華揚醫院-行政部
一、定義:是指心臟無力無法打出足夠的血液滿足身體的需要。

二、症狀

咳嗽及喘、疲倦及軟弱無力、呼吸困難、端坐呼吸及夜間陣發性呼吸困難、食慾不振、噁心、四肢冰冷、下肢水腫、體重上升、嚴重者會有腹水及黃疸。

三、治療

1.毛地黃療法:可增強心臟的收縮力,服藥期間須注意有無中毒情形。(食慾不振、噁心、嘔吐、腹瀉、頭痛、疲倦、嗜睡、焦慮、不安、心律不整、心跳過快或過慢)。

2.利尿劑:促進水份的排泄。

3.血管擴張劑:使靜脈血管及末梢小動脈擴張,減少心臟回流量。

4.給予氧氣使用。

四、護理

1.適當的休息、保持舒適安寧的環境、限制訪客、減輕焦慮、保持愉快的心情。

2.採低鹽、易消化、營養成份佳的軟質食物,足夠纖維以幫助排便,儘可能少量多餐、減少油炸、罐頭、醃製食物。

3.每日水份攝取量依小便量而定,若小便量少飲水應減少。

4.適當的運動採較和緩的活動,如:散步,並逐漸增加運動量,訓練心臟功能。

5.遵照醫師指示服藥,不能自行增減藥量或停藥。

6.注意保暖避免感冒。
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