What do patients with chronic heart failure need to be aware of after discharge from the hospital?

  (1) Digoxin: A cardiac drug of the digitalis class, half to one tablet (0.125mg-0.25mg) per day. Overdose can lead to digitalis toxicity, so you must count your heart rate before taking it every morning and stop if your heart rate is <60 beats/min. Digitalis toxicity often appears as slowed heart rate, nausea and vomiting, yellow-green vision, etc.  (2) Aspirin enteric coated tablets, 0.1g once daily, to counteract platelet aggregation and improve blood viscosity. Must be taken for life. This drug has an irritating effect on the gastric mucosa, and a small number of patients suffer from stomach pain and even stomach bleeding after long-term use, so it is best not to take it on an empty stomach, but after meals. Patients with stomach pain should take it together with stomach medicine. If gum bleeding or stomach pain occurs, please consult a cardiovascular physician in the outpatient clinic whether to continue taking it.  (3) Metoprolol or Bisoprolol: beta-blockers, long-term use can reduce the mortality rate of heart failure patients. This drug must be strictly in accordance with medical advice to start taking small doses, tolerate and then gradually increase the amount, if overdose will cause heart failure aggravation.  2, strictly according to medical advice, especially long-term oral diuretics and digoxin patients, do not casually change the use and dosage of drugs, to avoid electrolyte disorders, arrhythmias and other adverse consequences.  3, pay attention not to stop the drugs most of the drugs taken out of the hospital when you are discharged are drugs you must take, such as aspirin and other drugs need to be taken for a long time or even for life, you can not stop the drugs at will, otherwise heart attacks, strokes and many other dangerous situations may occur. In addition, antihypertensive drugs, hypoglycemic drugs, lipid-regulating drugs and other drugs can not be easily discontinued, when to stop using the cardiovascular medicine specialist to decide.  Note: 1. Pay attention to the regularity of life. Ensure sufficient sleep, avoid overexertion, avoid dry stools, avoid mental tension and emotional excitement, and maintain a comfortable mood.  2, pay attention to reasonable diet heart failure when the heart is not enough blood excretion, at the same time there is a reduction of water and sodium excretion, in addition to gastrointestinal stasis, edema, causing food digestion and absorption disorders, easy to cause abdominal distension and other symptoms, such as eating too much, the stomach is full, easy to lead to diaphragm spasm, more affect the heart and lung function. Therefore, heart failure patients should not eat too much, the total daily caloric intake in 4-5 times, it is advisable to eat less and more meals to reduce postprandial overfilling and diaphragmatic elevation, inducing heart attack. The diet of heart failure patients can start with a liquid or semi-liquid diet, and then change to a soft diet. A low-salt diet is an important measure to control heart failure, with a daily salt limit of 3-5 grams and avoidance of salted foods and foods with high salt content. Among the vegetables, celery, fennel, goldenrod and water spinach should be eaten sparingly with high sodium content. Should also avoid spicy and irritating food and too cold and too hot food to reduce gastrointestinal stimulation. To prohibit smoking and alcohol, do not drink strong tea or coffee. Pay attention to the supply of adequate vitamins and inorganic salts, such as vitamin B1 and vitamin C, in order to protect the heart muscle. Supply the right amount of calcium to maintain normal cardiac muscle activity. Potassium has a protective effect on the heart, and low blood potassium can cause arrhythmia. When using diuretics, in addition to potassium, should also pay attention to the supply of magnesium and zinc.  3, pay attention to moderate exercise Mild heart failure patients, limit physical activity. Patients with more severe heart failure should rest in bed, and after the improvement of heart function, they should get out of bed to avoid thrombosis of lower limbs and lung infection.  The precautions for functional exercise in heart failure patients are: (1) Exercise to avoid intense projects. Choose exercises that are slow but not too hard, such as walking, jogging, qigong, tai chi, etc. For patients who are bedridden for a long time, they should be advised to do deep breathing exercises frequently and be helped and encouraged to do physical activities, especially lower limb activities, in order to prevent muscle atrophy.  (2) Exercise should be gradual and adjust the amount of exercise at any time. At the beginning, the amount of exercise should be small, after adaptation can gradually increase the intensity, to be measured. During exercise, you should know your heart rate, according to personal characteristics and problems that arise during exercise (such as chest tightness, breathing difficulties, etc.), control the size of the exercise, and adjust at any time.  (3) exercise should be concentrated, serious exercise, exercise on time, persistent. Carefully do the preparatory activities and finishing activities. The elderly are prone to fatigue, in the activities should be open and relaxed, the atmosphere is relaxed.  4, pay attention to the prevention of colds Heart failure patients should always pay attention to climate change, to avoid cold stimulation, once there is a windy cooling weather, pay attention to timely increase and decrease clothing. At the peak of summer, attention should also be paid to the prevention of heat stroke. This will greatly reduce the chances of rapid deterioration of the disease. If you have a cold, diarrhea, fever, cough with phlegm or changes in your condition, seek medical attention as soon as possible.  5. Note that women of childbearing age should use contraception.  Note for follow-up: Patients with heart failure are prone to recurrent symptoms, so you should pay attention to changes in self-perception. If you have new or worsening symptoms such as chest tightness, chest pain, panic, shortness of breath, dizziness and weakness of limbs, you should go to the nearest hospital immediately. Patients with chronic cardiac insufficiency are recommended to visit the hospital for review every 1~2 months for timely adjustment of medication. In view of the tight bed space in our hospital, patients who come to our hospital for recuperation hope you can contact us by phone in advance and we will reserve a bed for you.