We often hear the saying in hospitals that three parts of a disease rely on treatment and seven parts rely on care, which shows the importance of care in disease treatment. Clinical nursing work mainly includes two aspects: nursing and treatment. Relatively speaking, the treatment process is relatively simple, which is to follow medical orders and operating guidelines. However, nursing includes multiple aspects, including psychological nursing, health education, basic nursing, dietary nursing, and specialized nursing for different diseases, as well as diversified targeted nursing models. In the current development status of the medical industry, internal medicine nursing is particularly important. It can not only improve the psychological state of patients, but also enhance treatment efficiency, thereby improving economic and social benefits. It can be seen that nursing can play a very important role in the treatment of diseases, promoting patients to recover their health faster and better.
Among the numerous departments in hospitals, cardiovascular medicine is a high-risk specialty. Due to the rapid changes in disease conditions, complex and diverse conditions, high mortality rates, and long course of illness, its clinical nursing work has significant risks and frequent nursing disputes. Therefore, let's talk about how to effectively provide internal medicine nursing for the risk factors in cardiovascular medicine nursing work, in order to minimize the occurrence of disease safety events and ensure the safety of patients' lives.
So what are the specific things to do in cardiology nursing?
1. The patient was admitted, warmly received, placed in a hospital bed, and informed upon admission.
2. Provide health education to patients.
3. Severely ill patients should closely observe changes in their condition, follow medical advice to monitor vital signs (heartbeat, pulse, blood pressure, body temperature, breathing) and consciousness, facial features and expressions, whether there is cyanosis of the skin and mucous membranes, whether there is swelling or ulceration of the skin, and keep records.
4. Follow medical advice to guide and implement the patient's diet.
5. Maintain indoor cleanliness, quietness, and comfort, with orderly arrangements for various examinations, treatments, and care to ensure patients' rest and sleep.
6. Oxygen therapy nursing: Generally, oxygen therapy is given to patients with hypoxia, continuous low flow oxygen therapy is given to patients with chronic pulmonary heart disease, and pressure oxygen therapy with a mask is used for those with respiratory dysfunction. Mechanical ventilation may be necessary if necessary.
7. Excretion care, encourage bedridden patients to eat more fiber rich foods and fruits and vegetables, and develop daily bowel habits. Constipation patients can be given laxatives or enemas, and 24-hour urine output should be recorded and weight measured regularly for severe cases.
8. Life care: For patients with cardiac dysfunction, acute myocardial infarction, acute myocarditis, and severe arrhythmia, assistance should be provided in daily living and personal hygiene. According to the patient's condition and medical advice, supine position, sitting position, semi sitting position with low head and high feet, and lateral position are adopted respectively. For mild cases, patients are encouraged to engage in appropriate activities.
9. Follow medical advice to guide and implement the patient's diet.
10. Follow the doctor's advice to take various specimens and make corresponding preparations for various examinations.
11. Rest and lie down to prevent bedsores. Dyspnea should be treated in a semi recumbent position and oxygen therapy should be administered according to medical advice. Pay attention to rest, limit visitors, prevent overexertion and mental stimulation, take good psychological care, and eliminate unnecessary mental burden.
12. Guide patients to use medication correctly, observe drug efficacy and adverse reactions. If taking traditional Chinese medicine, follow the routine of traditional Chinese medicine medication care.
13. Implement graded nursing according to the requirements of graded nursing. Long term bed rest, emaciation, dehydration, edema, malnutrition, urinary and urinary incontinence, coma and other patients should take good care of their skin to prevent pressure ulcers; Patients with indwelling catheters should follow the nursing operation standards for indwelling catheters, clean and disinfect the perineum 1-2 times a day, regularly replace the urine collection bag, and pay attention to whether the drainage is unobstructed.
14. Take good psychological care.
15. Evaluation of laboratory and its auxiliary examinations: including electrocardiogram, SaO2、 Blood gas analysis, chest X-ray, and the presence of hypoalbuminemia and electrolyte imbalance, etc.
16. Discharge guidance, including activities and rest, medication review, self-care, and diet.
The above are some basic knowledge and key points about cardiology nursing. We believe that as long as cardiology patients receive formal specialized medical treatment and careful care from cardiology, their condition can recover as soon as possible.