Management of heart valve disease with severe swelling

Patient: had mitral valve surgery, now swollen, weak, thin, can’t eat Want to regulate heart failure as soon as possible Heart failure treatment requires comprehensive treatment, doctors will do the appropriate treatment according to the specific circumstances of the patient, as patients and family members should understand the following: Cardiovascular Medicine Department of Shandong University Qilu Hospital Ji Qushan 1, the daily amount of fluid can not be too much. In your current case, the maximum is 1500ml; 2. The daily output should be more than the input, otherwise the swelling will not be eliminated. The output includes urine, stool and sweat; 3. Nutrition should be kept up. If there is hypoproteinemia, it is difficult to eliminate the swelling. In addition to appropriate intravenous supplementation, the best diet is eggs, made of steamed chicken cake, 2-3 per day; 4, insufficient urine, increase the dose of diuretics, or a combination of diuretics, or intravenous drip furosemide; 5, control the infection. Infection can not be controlled, heart failure can not be corrected; 6, wasting, poor nausea because of gastrointestinal stasis. The key to treatment is to reduce edema, can be applied at the same time morpholine; 7, if there is no obvious chest tightness, breathlessness, no small pulmonary blister sound, and blood pressure is not high, or even low, it is not recommended to apply nitrate drugs. This is the drug that most doctors are most willing to use in the treatment of heart failure, but in patients with severe right heart failure will not alleviate the condition, but will aggravate edema; 8, avoid hypotension. The kidneys are poorly perfused when the blood pressure is too low, making it difficult to diuretic.