What symptom does heart sadness have before dying
summary
Birth, aging and death are the cycle of human life. For patients with heart failure, sometimes lack of attention may lead to life-threatening. Let's learn about the pre death symptoms of heart failure in the elderly.
What symptom does heart sadness have before dying
First: what are the symptoms of elderly heart failure before death? Heart failure is due to myocardial infarction, cardiomyopathy, hemodynamic overload, inflammation and other causes of myocardial damage, resulting in changes in myocardial structure and function, and finally lead to low ventricular pumping or filling function. It can be divided into acute heart failure and chronic heart failure. Most patients with heart failure have chest tightness before death. If this phenomenon is not found in time, it will directly lead to death. Or sudden severe dyspnea; respiratory rate of 30 ~ 40 times / min, sitting upright breathing, pale complexion, cyanosis, extreme irritability, sweating, and frequent cough.
Second: how to give first aid and sedation to the elderly with heart failure: subcutaneous or intramuscular injection of morphine 5-10mg or dolantine 50-100mg can make the patient quiet, expand peripheral blood vessels, reduce the amount of heart blood, and relieve dyspnea. It is forbidden for the old people who are not conscious, have respiratory depression, shock or complicated with pulmonary infection. Reduce venous return: patients take sitting or lying position, legs droop, to reduce venous return, if necessary, can add tourniquet on the limbs, ligation of three limbs in turn, every 5 minutes for a limb, an average of 15 minutes for each limb, relax for 5 minutes, to ensure that limb circulation is not affected. Oxygen inhalation: pressurized high flow oxygen 6-8 litres per minute, can flow through 25-70% alcohol after inhaling with nasal tube, pressure can reduce fluid exudation in alveolus, alcohol can reduce the surface tension of foam to break up foam, thereby improving ventilation, or using silicone defoamer to eliminate foam. Cardiotonics: digitalis can be used for intravenous injection of digitalis preparations with rapid action, such as cedilanide and strobiloside K. for pulmonary edema caused by mitral stenosis, cardiotonics are not used except for atrial fibrillation with rapid ventricular rate, so as to avoid aggravating pulmonary congestion due to increased right ventricular output.
Third: the symptoms of heart failure in the elderly have gastrointestinal symptoms. Heart failure is often accompanied by visceral blood stasis, so that patients with varying degrees of gastrointestinal symptoms, usually manifested as loss of appetite, nausea, vomiting, abdominal distension, severe cases can cause gastrointestinal bleeding, manifested as hematemesis, melena, etc. Mental symptoms are prominent. Heart failure is often accompanied by insomnia, anxiety, or drowsiness, apathy, dullness and so on. This is related to the decrease of cardiac output and hypoxia of brain cells in heart failure. Nocturia increased. This is due to the increase of activities during the day, the relative lack of cardiac output, the decrease of renal blood perfusion, so the decrease of urine volume; but at night, the elderly bed rest, the relative increase of cardiac output, cardiac output, resulting in increased nocturia, become one of the signs of cardiac insufficiency. Lung signs appear. If the patient has suspicious symptoms, listen close to the chest of the elderly. If you hear obvious wheezing or moist rale, it indicates that the old man has cardiac insufficiency and must be sent to the hospital immediately. The symptoms of heart failure are easily covered up. The elderly often have a variety of diseases coexisting, mutual influence, resulting in the complexity of the disease, symptom diversity, cover up the symptoms of heart failure.
matters needing attention
To prevent the onset of heart failure, we should ensure that there is a festival in diet, quit smoking and limit drinking. In summer, the eating habits will change to some extent. On the one hand, the increase of night food stalls and night snacks will lead to overeating and excessive drinking. On the other hand, pathogenic bacteria multiply vigorously in summer, food is easy to corrupt, and unclean diet is easy to cause acute gastrointestinal infection, which may directly or indirectly induce cardiovascular accidents. Therefore, summer not only to light diet, but also not overeating, not excessive drinking, pay attention to food hygiene. In addition, smoking is the most dangerous factor of cardiovascular and cerebrovascular diseases, so we must actively quit smoking.
