What is the cor pulmonale nursing plan

Only when you are healthy can you live a better life. When it comes to cor pulmonale, many people are extremely troubled. Not only do the symptoms of the disease torture patients, but the harmfulness and frequent attacks also make patients suffer. They often have breathing difficulties and disorders, affecting sleep, palpitations, etc. For patients, insisting on physical examinations, paying attention to the combination of work and rest, improving immunity and resistance, paying attention to personal hygiene and living environment, etc., long-term persistence can better help treatment.

Prevention methods: 1. Keep doing physical examinations to ensure early detection and early treatment; 2. Pay attention to the combination of work and rest, exercise properly and enhance immunity; 3. Have a good living environment; 4. Pay attention to personal hygiene and keep the room ventilated.

1. Clear sputum promptly and improve alveolar ventilation

Continuous low-flow oxygen inhalation

The oxygen concentration is generally 25% to 30%, the oxygen flow rate is 1 to 2 L/min, and it is continuously inhaled through a nasal cannula. The inhaled oxygen must be humidified.

(III) Patients with edema: Limit water and salt intake; accurately record 24-hour fluid intake and output

4. Improving nutritional status

High protein, high vitamin, easy to digest, light diet. Eat small, frequent meals

5. Strengthen exercise

1. Respiratory muscle exercises such as abdominal breathing and pursed lip exhalation.

2. Whole body exercise such as breathing exercises and aerobic activities.

3. Cold resistance exercises such as washing your face and nose with cold water.

6. Use sedatives with caution

Anesthetics and sedatives that affect respiratory function, such as morphine, are prohibited to avoid inducing or aggravating pulmonary encephalopathy.

7. Psychological care

Nursing issues of cor pulmonale

1. Impaired gas exchange is associated with hypoxemia, CO2 retention, and increased pulmonary vascular resistance.

2. Ineffectiveness of clearing the respiratory tract is related to respiratory tract infection and thick sputum.

3. Excessive body fluid is related to increased cardiac load, decreased myocardial contractility, and reduced cardiac output.

4. Lack of activity endurance is related to lung and heart dysfunction or hypoxia.

5. Sleep pattern disorders are related to breathing difficulties, inability to lie flat, and environmental stimulation.

6. Potential complications include pulmonary encephalopathy and electrolyte imbalance.

Treatment of cor pulmonale

The principle of treatment of cor pulmonale is to treat the lungs first and the heart second.

1. Treatment of acute exacerbation

1. Infection control: the most important treatment principle

2. Oxygen therapy:

Principle: Continuous oxygen supply at low concentration and low flow rate, with a flow rate of 1 to 2 L/min, and continuous oxygen inhalation for 24 hours.

Keep the airway clear: Using antiasthmatics and expectorants, turning over, back percussion, and nebulization inhalation are important measures to keep the airway clear.

3. Control heart failure - cardiotonic, diuretic, vasodilation

The principle of using diuretics is to take them slowly, in small amounts, and intermittently.

When using digitalis drugs, the principle should be fast and small doses

4. Control arrhythmia

5. Anticoagulant therapy

2. Treatment during remission

(1) Applying the combination of Chinese and Western methods

(2) Improve the body's immunity, such as getting influenza vaccine and pneumococcal vaccine.

(3) Home oxygen therapy