What should patients with heart failure pay attention to ... If you have diseases that lead to heart failure or are hospitalized for heart failure, you need to pay attention to the following points:
1. Rest is an important measure to reduce the heart load. Life and rest should be arranged according to the condition. Ensure proper mental rest and adequate sleep, and take some sleeping pills under the guidance of a doctor if necessary. After the improvement of heart function, early exercise can prevent the formation of venous thrombosis.
2. Appropriate control of sodium intake. General sodium salt (salt, soy sauce, yellow sauce, pickles, etc. ) can be limited to less than 5 grams per day, and in severe cases, it is limited to no more than 3 grams per day. Proper restriction of sodium intake can reduce the retention of body fluids and reduce the burden on the heart.
3. The diet should be light, mainly digestible food, eat less and more meals, supplement some eggs, lean meat and fish, eat more fresh fruits and vegetables and crude fiber food, and keep the stool smooth.
4. Learn to record the daily inflow and outflow. The outflow in acute phase is greater than the inflow, and the basic balance of inflow and outflow is beneficial to prevent or control heart failure.
Output: daily total urine volume, stool volume, drainage volume, plus respiration and panel evaporation is about 600 ~ 800 ml.
Intake: diet, drinking water, fruit, infusion, etc. The total daily intake is about 1500 ~ 2000ml.
5. Insist on weighing every day. If the body weight increases rapidly within 1 ~ 2 days, whether there is water retention should be considered, and the dosage of diuretics can be increased. After using diuretics, urine volume increased obviously, edema subsided and body weight decreased to normal. The weight at this time is also called dry weight.
6. Patients with heart failure first show edema of both lower limbs or sacrococcygeal region. Pay attention to the care of the panel to avoid pressing a position for a long time. When using the thermos bottle, the water temperature should not exceed 50℃, and observe the changes of the panel to avoid scalding the panel.
7. When using diuretics for a long time, potassium and chlorine supplements should be taken at intervals to maintain electrolytes (potassium, sodium, chlorine, etc.). ) balance. If you have loss of appetite, nausea and vomiting, fatigue, etc. You should go to the hospital to check the electrolyte.
8. When taking digitalis drugs (digoxin, etc.). ), should strictly follow the doctor's advice, not to increase or decrease the dosage, and should regularly monitor the concentration of digitalis to prevent digitalis poisoning. If anorexia, nausea, vomiting, yellow or blue vision, blurred vision and other phenomena occur, you should go to the hospital for a follow-up visit in time.
9. Exercise moderately when the heart function allows, prevent colds, add and subtract clothes in time, and use some preventive drugs to avoid infection.
10. Patients with acute heart failure should immediately take a semi-sitting position and lower limbs droop to reduce the amount of blood returning to the heart. Try to stay calm, take a deep breath, give oxygen if possible, and use some diuretics. Patients should avoid all activities, contact the hospital as soon as possible and be sent to the hospital for treatment in time.
The diet of patients with heart failure is not suitable for long-term hospitalization, because the symptoms of patients with heart failure persist and recur. Therefore, it is very necessary to master family self-care measures to prevent recurrence and promote rehabilitation. There are mainly the following points:
(1) Rest slows down the heart rate: The significance of rest is to reduce the aerobic metabolic rate of human body and reduce the burden of blood supply and support of the heart, thus slowing down the heart rate and preventing the aggravation or recurrence of heart failure. For patients with mild heart failure, heart failure can be controlled as long as they stay in bed for a few days. For patients who still have palpitations and increased heart rate at rest, in addition to long-term rest, cardiotonic diuretics should be supplemented. For those who get better, you can get out of bed and do some light activities, but the limit of activities is not to cause palpitations and shortness of breath.
(2) Limit the intake of sodium salt: Under the action of some endocrine hormones, sodium salt causes arteriole spasm and raises blood pressure. Sodium salt also absorbs water. Every 1g salt can carry 200 ~ 250ml of water in the body. If the body ingests too much sodium salt, the whole body's blood volume will also increase, and the burden on the heart will also increase, making the already failed heart worse. Therefore, it is necessary to limit the intake of salt. For patients with mild heart failure, the daily salt intake should be controlled within 3 grams, and the daily water consumption should be controlled within 1500 ml. If the edema of the whole body is obvious, the daily drinking water should be strictly controlled, and generally 500 ml should be added according to the total urine volume yesterday.
(3) Eat less and eat more, pay attention to nutrition: Patients with heart failure have congestion in the liver and gastrointestinal tract, and their appetite and digestion and absorption ability are relatively poor. Therefore, the method of eating less and more meals at regular intervals should be adopted, and it is best to eat 4-5 meals a day, with eight points full and liquid or semi-liquid food. Without increasing the burden on the heart, we should eat more nutritious foods, such as lean meat, fish, eggs, milk, beans, and fresh fruits and vegetables, to supplement high-quality protein, vitamin B, vitamin C, etc., which are rich in various essential amino acids. The allowed foods are rice, flour, millet, corn and sorghum. Beans all kinds of beans and their products, such as soybean milk and tofu. Poultry, livestock meat, chicken, duck meat (lean meat), pork (lean meat), beef. Oil is mainly vegetable oil, and animal oil is rarely used. Aquatic freshwater fish and some marine fish with low sodium content. Milk, egg milk (250 ml), eggs or duck eggs (< 1/ day). Except for vegetables with high sodium content. Fruit, all kinds of fresh fruit. Drinking light tea and chatting about coffee.
The doctor reminded patients with heart failure that it is very important to rest at home. However, when the heart is uncomfortable, they should go to the hospital in time. Don't delay the treatment opportunity and cause unnecessary danger.
What should patients with heart failure pay attention to in their lives? Suggestion: Patients with heart failure can't * * *, and it is recommended to treat them with integrated traditional Chinese and western medicine. It can also be adjusted from the diet. Eat more foods that invigorate qi and spleen. Foods for invigorating spleen and benefiting qi include: jujube, cherry, yam, Euryale euryales, five-pointed star, lotus seed meat, codonopsis pilosula, lentils, coix seed, rice cowpea, crucian carp, hawthorn, white radish, longan meat, etc.
What should the diet of patients with heart failure eat properly? Treatment of heart failure: generally, it is necessary to combine digoxin, hydrochlorothiazide, spironolactone and nitroglycerin under the guidance of local doctors, and the inflammation must be effectively controlled. Diet should be low in salt, rich in cellulose and vitamin C, eat less and eat more meals, avoid satiety, and strive for rich and varied nutrition. Do not eat or eat less food and water before going to bed.
Can patients with heart failure be bridged? Bypass is aimed at coronary heart disease, that is, coronary artery occlusion, and its blood supply area is ischemic. Bypass is to build a blood vessel to supply that part of blood. Heart failure is the change of heart structure, and there is no power to pump blood out to meet the needs of the whole body. Bypass surgery cannot solve the problem of heart failure.
What vegetables should patients with heart failure eat? Hello, I'm glad to answer your question. For patients with heart failure, all vegetables can be eaten except those with high sodium content. Fresh fruits and bean products are of great benefit to patients with heart failure.
What fruit do patients with heart failure eat? The reason why apples rank first is that they are rich in fiber, which can supplement enough fiber for human body, reduce the incidence of heart disease and lose weight. Many Americans regard fruit as a necessity to lose weight and go on a diet one day a week. On this day, they only eat apples. This day is called "Apple Day".
The second place is apricot, which is rich in beta carotene and can help people get vitamin A well.
The third place is banana, which has high potassium content and is good for human heart and muscle function;
The fourth place is blackberry. The fiber content of blackberry with the same weight is more than three times that of other fruits, which is undoubtedly helpful for heart health.
The fifth place is blueberry, which can delay memory loss and prevent heart disease, so it is regarded as a super fruit;
The sixth place is melon, which is high in vitamins A and C and is an ideal food for vitamin supplementation.
The seventh place is cherry, which can help people protect their heart health;
The eighth place is blueberry. The main components of Vaccinium uliginosum are natural rhodopsin and flavonoids. Rhodopseudomonas is the most basic substance for eyes to produce vision, which can enhance the sensitivity to darkness and weak light. Flavonoids have the activity of vitamin P and are the best substances to protect blood vessels.
The ninth place is grapefruit, with high vitamin C content;
The tenth place is purple grape, whose flavonoids and other substances can provide triple protection for the heart.