洋地黄治疗小儿肺炎合并心力衰竭的护理

Nursing for Pediatric Heart Failure Combined with Pneumonia Treated by Digitalis

目的探讨洋地黄治疗小儿肺炎合并心力衰竭的护理方法。方法对19例小儿肺炎合并心力衰竭患儿医嘱,认真核对药物用量,用药时抽吸药量要准确,静脉推注速度应慢,用药后观察心力衰竭控制情况,有无洋地黄中毒反应,用药期间注意不可与钙剂同用,注意补钾,做好家长健康宣教。结果3例患儿用药中出现心率减慢,及时停药,未发生中毒反应,其余患儿均无不良反应发生。结论洋地黄制剂治疗量接近中毒量,但只要详细了解患儿病情,掌握用药指征、用量、用药速度,严密观察病情,做好健康宣教,可有效防止不良反应发生。

Objective To explore the nursing for treatment of pediatric heart failure combined with pneumonia by digitalis. Methods The medical orders for 19 cases with infantile pneumonia and heart failure were checked for the dose of drugs before the strict drug aspiration and slowly intravenous injection. The control of heart failure and digitalis toxication appearance were observed. The calcium treatment can not be performed at the same time. Potassium supplying and parents＇ health propaganda and education should be paid more attention. Results The descent of heart rate occurred in 3 cases and timely drug withdrawal prevented the poison response. The others have no untoward reactions. Conclusion The large dose of digitalis in treatment is near to the poisonous dose, however, the untoward reactions can be effectively prevented based on the understanding of conditions, medicinal indication, dose and speed, and effectively healthy propaganda.