Rescue methods for heart failure

Heart failure is a disease that is very harmful to the human body. It is especially common among the elderly. So when a patient suffers from acute heart failure, rescue of heart failure becomes particularly important. What are the first aid measures before rescue? Below is a detailed introduction to some matters related to the rescue of heart failure for everyone to learn. If you are still hesitating, come and have a look.

Sedation: Subcutaneous or intramuscular injection of morphine 5-10 mg or pethidine 50-100 mg can calm the patient, dilate peripheral blood vessels, reduce the amount of blood returning to the heart, and relieve breathing difficulties. It is contraindicated for the elderly, those who are unconscious, have respiratory depression, shock or concurrent lung infection.

Reduce venous return: The patient sits or lies with his legs hanging down to reduce venous return. If necessary, tourniquets can be added to the limbs, and three limbs are ligated in turn, changing one limb every 5 minutes. Each limb should be tied for an average of 15 minutes, and then relaxed for 5 minutes to ensure that limb circulation is not affected.

Oxygen inhalation: Pressurized high-flow oxygen is given at 6-8 liters per minute, which can be inhaled through a nasal tube after passing through 25-70% alcohol. Pressurization can reduce fluid exudation in the alveoli. Alcohol can reduce the surface tension of the foam and cause it to burst, thereby improving ventilation. Silicone defoaming agents can also be used to eliminate foam.

Cardiotonic drugs: If digitalis drugs have not been used recently, fast-acting digitalis preparations such as cedilanidase and strophanthus k can be injected intravenously. For pulmonary edema caused by mitral stenosis, except for atrial fibrillation with a fast ventricular rate, cardiotonic drugs are not needed to avoid aggravating pulmonary congestion due to increased right ventricular output.

Diuresis: Intravenous administration of fast-acting and strong diuretics such as furosemide 20-40 mg or sodium urate 25-40 mg added to glucose for intravenous injection can reduce blood volume and reduce cardiac burden. Care should be taken to prevent or correct hypokalemia and hypovolemia associated with large-scale diuresis.

The above are the relevant precautions for rescue of heart failure that I introduced to you. I believe you all have understood them. In addition, it is recommended that when facing patients with heart failure, you must remain calm and not panic or lose your composure. At the same time, strengthen physical exercise, pay attention to rest, and pay attention to nutrition to ensure good health.