Three major daily care of patients with myocarditis

Date: 2018-11-13
Times of browsing: 15

Myocarditis can occur in all age groups, with more morbidity in young adults. For myocarditis caused by infectious causes, there are often manifestations of primary infection, such as fever, sore throat, cough, vomiting, diarrhea, muscle ache and so on. Most of the symptoms of myocarditis occur after 1 to 3 weeks of viral infection.

The clinical symptoms of myocarditis are related to the characteristics of myocardial damage, such as palpitation, dark and syncope in patients with arrhythmia as the main manifestation, dyspnea in patients with heart failure as the main manifestation, and shock in patients with severe cardiogenic shock. If inflammation involves the pericardium and pleura, chest tightness and chest pain may occur; some patients may also have similar manifestations of angina pectoris.

Common signs, sinus tachycardia and body temperature are not parallel, but also sinus bradycardia and various arrhythmias, cardiac enlargement accounted for 1/3 to 1/2, seen in severe myocarditis, due to cardiac enlargement can cause mitral or tricuspid insufficiency, apical or lower left sternal systolic murmur, serious myocardial damage or heart failure. Those with diastolic galloping rhythm, weakened first heart sounds, pericarditis and mild pericarditis can hear pericardial frictional sounds, and those with mild pericarditis can be completely asymptomatic, and sudden death can occur.

How to nurse myocarditis

1. Patients with recurrent myocarditis should observe side effects and toxic reactions such as hypertension, gastrointestinal peptic ulcer, perforation and bleeding when taking hormones for a long time.

Patients with myocarditis are very sensitive to Maodihuang preparations and are prone to poisoning. The dosage of Maodihuang preparations should be strictly controlled. When acute patients are given large doses of vitamin C and energy mixture, intravenous drip or intravenous injection, attention should be paid to protecting blood vessels and controlling the speed in order to prevent pulmonary edema.

2. Patients with enlarged heart and cardiac insufficiency should pay attention to rest. Activity should be strictly controlled and rest in bed absolutely until cardiomyopathy ceases to develop and cardiac morphology returns to normal, so as to gradually increase activity. If a patient has chest tightness, chest pain and irritability, he should use sedation and analgesics under the guidance of a doctor.

3, pay attention to body temperature, pulse, breath and other vital signs daily. The patients with high fever are given cooling, oral care and skin care. Because of the weakness of myocardial contraction and the sharp decrease of cardiac output, it is easy to cause cardiogenic shock. Blood pressure and pulse should be measured in time. If the patient has symptoms such as weak pulse, decreased blood pressure, restlessness and gray complexion, he should be sent to the hospital immediately for treatment.

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