Discharge precautions for pediatric congenital heart disease

  Congenital heart disease after surgery commonly used cardiac diuretic potassium supplementation drugs 1, digoxin < cardiac drugs>: requirements are basically QD’s, that is, 1 day 1 time, eat after meals, older children eat tablets, children eat water (elixir). Generally take about 1 month, get up in the morning to feel the pulse of children, 1 minute more than 90 times safer. Digoxin should not be used at the same time with calcium.  2.Diphacitracin (hydrochlorothiazide) .  3.Furosemide (tachyphylaxis) tablets .  4.Antiseptic .  5.Potassium citrate .  Common postoperative complications and treatment of congenital heart disease 1, pericardial effusion: without any reason, frequent nausea, vomiting, to do cardiac ultrasound examination, if there is a medium to large amount of effusion, the day to drain out with the fastest speed, without delay. Severe cases can be life-threatening. Nausea and vomiting may also be due to a cold, poor gastrointestinal tract or electrolyte disorders (potassium and salt deficiency). The examination of the item does not require an empty stomach, and it is okay to eat.  2, pleural effusion: manifested as breathing difficulties, shortness of breath, swollen face, fast breathing, purple lips, crying. Chest X-ray can be done, and if there is a large amount of fluid in the day of examination, it should be drained out with the fastest speed.  3, a small amount of pericardial effusion and pleural effusion can be treated conservatively: strict control of water consumption; strengthening diuresis; oral anti-inflammatory pain (drug name: indomethacin).  After congenital heart disease surgery, pay attention to review 1. 5 weeks or 1 month after discharge from the hospital, find a local doctor to listen with a stethoscope: whether there is phlegm in the lungs; whether the heart rate is fast and the heart rhythm is in tune; feel whether the liver is big or not; see whether the child’s face, legs and feet are swollen.  2, 3 to 6 months need to check the heart ultrasound, chest X-ray and electrocardiogram.  3.After 6 months, it is unlikely that the condition will return to normal if it is more serious. Some 7 or 8 years old are checked every 2 years.  4.For children with tetralogy of Fallot, more than 99% of them will also have a heart murmur.  Pay attention to vaccination after congenital heart disease 1, 3 months after the operation can be vaccinated, if the child is not comfortable, cold, fever can not be played.  2, back home, the less people the better, to open the windows to ventilate. 3 months later if the child has recovered can see more people. Avoid strenuous exercise for six months. You can sunbathe and walk around.  3, in case of a cold should be treated, cold medicine and other drugs for the heart can be eaten at the same time. If the cold is a viral infection, you should add vitamin C (but stimulate the stomach), the dose should be large, 10 tablets above 3 years old, and drink more water for the cold.  4, children over 2 years old, chicken, duck, fish and shrimp can eat, no contraindication.  The majority of children with congenital heart disease need to be surgically corrected through a median sternal incision approach after median incision surgery. The sternum is sawed through the median incision and sutured back together with absorbable PDSII silk or wire at the end of the procedure. The sternum is a flat bone located in the middle of the anterior chest wall. For younger patients, most of the components of the sternum are still cartilage and the sternum is not very hard, so suturing the sternum with a wire will produce a lifting force to the middle of the sternum.  In fact, for babies with sternal augmentation, families need not be overly concerned because children’s bones are well shaped for development. With growth and development, the breast augmentation will gradually return to normal, which may generally take 1 to 2 years or longer. Older children can be encouraged to do more chest expansion exercises to help the chest shape return to normal.