Wednesday, November 7, 2007

The care of children with congenital heart disease

"Congenital Heart Disease" is the period of fetal stunting caused by cardiovascular disease. The current cause is not clear, the following general factors that may be related to the: pregnant mothers suffering from the first three months of Prime infection; early pregnancy accept massive radioactive irradiation; severe malnutrition; taking certain drugs during pregnancy, such as tetracycline, sedative drug, quinine, and so on, could lead to the children Health and congenital heart disease. Congenital heart disease, can be divided into ventricular septal defects, atrial septal defects, patent ductus arteriosus, tetralogy of Fallot. Children with congenital heart disease on the growth and development of influential activity or exertion after short breath, difficulty in breathing, body fatigue, serious, there will be bruising. Because of the resistance of children with low susceptibility to respiratory infections, lung infection, recurrent easily lead to congestive heart failure, Tetralogy of Fallot patients in crying or activities, often arising from cerebral hypoxia or convulsion syncope, seizures can lead to serious death. Nursing points ◆ reasonable arrangements for the children living system, it is necessary to increase training and improve the body's resistance, and also the appropriate rest and avoid over-exertion. If children can do, we have to live together and normal children and learning, but it should be to prevent violent activities. At the same time, education of children should have confidence in the treatment of disease, reduce pessimistic fear. ◆ to indoor air circulation. Winter should be regularly open the windows to enhance the air convection. The children have sustained bruising should avoid indoor temperature too high, resulting in children with sweat, and dehydration. ◆ given high-protein, high-calorie, vitamin-rich diet to enhance physique. Eating avoid. The cyanotic heart disease patients should be given sufficient quantity of drinking water to avoid dehydration caused by thrombosis. The baby has congenital heart disease, feeding more difficult,often weak and easy to stop sucking shortness of breath, vomiting and large and easily sweating, it can be used when breastfeeding dropper infusion to reduce children with physical exertion. After gently lay down their lateral-feeding to prevent vomiting and absorption of inhaled from suffocation. ◆ avoid children with emotional, as far as possible so that children crying, reduce unnecessary stimulation to avoid heavier burden on the heart. ◆ stool maintain patency. Children with attention to the cyanotic stool, not too forcefully to avoid heavier burden on the heart. If two days without stool, available Kai Sai Lu purge. ◆ large number of children with congenital heart disease prohibit infusion If it is necessary infusion, the liquid droplet velocity to be slow, to prevent heavier burden on the heart, resulting in heart failure. ◆ Tetralogy of Fallot the children from SJS bit more, walking or playing in the often will take the initiative to squat for a minute. This is because SJS after hypoxia symptoms can be alleviated, if this phenomenon children, parents must not forcibly children pulling up. ◆ on cardiac function and activities usually have better endurance children should receive the vaccination by then, but after inoculation, should observe the general and local reaction to the timely processing. ◆ children with congenital heart disease physical weakness, vulnerability to disease, particularly for common respiratory diseases, and easily with heart failure, it should be careful nursing, with the season of transformation, and change into clothes. If the family members of the respiratory tract infections, isolation measures should be taken, usually with children should be minimal to public places, in the season of good infectious diseases, in particular should take early preventive measures. Once the infection when children should be active infection control. ◆ if they have children with dyspnea fidgety, fast heart rate, breathing difficulties and other symptoms of possible heart failure, treatment should be promptly taken to the hospital.

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