Diabetic patients with coronary heart disease in multiple care
Posted on October 15, 2009
Filed Under Dilated cardiomyopathy | Leave a Comment
Diabetic patients with coronary heart disease care, it is necessary to effectively control diabetes, but also closely observe the progression of coronary artery disease; it is necessary to monitor blood glucose, but also observe the ECG changes, watch for myocardial ischemia, bearing in mind the record of hemodynamic changes, urine output and fluid volume. It should be emphasized in patients with self-control and protection awareness, attention to blood sugar regulation and mood regulation, with particular emphasis on patient’s diet control, better control of blood sugar, effective in preventing the occurrence of coronary heart disease.
Diet Care
Treatment of diabetic patients with dietary control is also an important measure for coronary heart disease. Principle is that light, digestible, low-carbohydrate, low fat, low salt, high protein, high vitamins, high-fiber foods; appropriate timing, quantitative, Shaoshiduocan; bogey sweets, eat three square meals, smoking, alcohol and to stimulate of food; In addition, the meal time to dovetail with insulin injections. Dietary treatment on the importance of diabetic patients with coronary heart disease, has repeatedly stressed the need to have sufficient knowledge to enable patients, and can make consistent efforts to dine by your doctor and effectively to treatment.
Myocardial infarction care
Such patients should pay particular attention to observe whether the secondary low blood sugar, to prevent low blood sugar caused by tachycardia, arrhythmia, cardiac blood flow redistribution, resulting in a greater area of myocardial infarction and increased heart damage. At this point, blood glucose should be maintained at 11.1mmol / L or so, should not drop too low. In addition, patients should be observed at any time whether the stomach discomfort, nausea, vomiting, loss of appetite, difficulty breathing, cold sweat, neck pain, toothache, etc., once the above-mentioned symptoms should promptly check the ECG, if myocardial ischemia, should be addressed urgently in order to avoid delay treatment.
Prevention of Heart Failure Care
To control the infusion rate and stringent control input mainly on the types of liquid. Infusion in patients with diabetes choose to use a general multi-bogey sugar, salt solution, but sodium can also increase the heart of the high burden-induced heart failure; infusion too much, too little can lead to renal dysfunction were associated with water and electrolyte disturbance occurred. Infusion in combination with monitoring of blood glucose, electrolytes, urine output, urine specific gravity infusion regulating the speed and adjust the infusion types.
Merger of arrhythmia care
For the occurrence of arrhythmia patients in addition to ECG monitoring, the need to Zhu Huanzhe absolute bed rest. At the same time to create a quiet environment for patients, strict control of access. Continuous low flow oxygen. Application of cardiac drugs when the need anti-virus response.
Psychological Care
Coronary heart disease is a kind of psychological factors associated with chronic physical diseases, this group of patients with a history of more than 10 years accounted for 84% of up to 25 years, this lifelong disease causes great suffering to patients and mental stress, there is and even despair, loss of confidence in treatment.
Health Education
Of health education on diabetes care in patients with coronary heart disease have a particularly important role. The purpose is to help patients develop a healthy behavior, get the best psychosomatic condition. First, let patients have a correct understanding of the illness, sure you can live like ordinary people. Health education, including the occurrence and development of this disease, prognosis, treatment, rest, functional exercise, calculate daily food intake, self-administration of insulin, self-monitoring of blood sugar, urine sugar, prevent complications, knowledge and skills to improve patient’s self-protection consciousness to detect, deal with problems.
Health education should be extended to patients after discharge from hospital in order to avoid some of the patients hospitalized between the doctor’s advice, after discharge can not be controlled, contrary to doctor’s orders, resulting in exacerbation was again required hospitalization.
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