Common sense of post-operative home care for congenital heart disease

  I. Discharge with drugs When discharged from the hospital, generally according to the child’s condition, we should bring some cardiac diuretic, potassium, vasodilator, antibiotics, cough and phlegm and other drugs.  1, general non-cyanotic precocious heart disease without combined pulmonary hypertension children discharged with drugs for 1 month, 1 month review no special can stop drugs.  2, non-cyanotic precocious heart disease combined with pulmonary hypertension children recommended to take medication for 3 months, discharged with medication for 1 month. 1 month review, according to the situation can be adjusted to continue to use the medication. 3 months review, according to the situation can be reduced to stop or continue to use medication.  3, cyanotic preconditioned children are recommended to take medication for 3 months after surgery, discharged with medication for 1 month. 1 month review, the amount of medication can be adjusted according to the situation to continue to use, 3 months review, according to the situation can be reduced or continue to use medication.  4, bi-directional Glenn, total cavopulmonary artery connection, body-pulmonary bypass surgery and other post-operative need for small doses of aspirin to take half a year to a lifetime, can not stop the drug without authorization.  5.The dose of digoxin should be accurate when taking digoxin, once every 12 hours, and pulse should be counted before taking the drug, and the drug should be stopped once when the pulse is less than the prescribed number. Calcium tablets should not be taken at the same time as digoxin, digoxin can be arranged in the morning and evening, calcium tablets can be arranged at noon.  II. Activity and diet (a) Activity Generally, it is not recommended for children to perform strenuous activities, such as running and jumping, within 6 months after surgery.  1.For those with normal heart function, they can walk on the ground and get some sunshine.  2.For those with poor heart function (edema, faster breathing, poor mental appetite), the amount of activity should be strictly controlled and more bed rest should be given. 3-6 months after the operation, according to the actual situation of the child, gradually increase the amount of activity according to the individual, but still pay attention to control the amount of activity!  3.When there is unexplained panic, shortness of breath, dyspnea, cyanosis, nausea, vomiting, loss of appetite, swelling should be promptly to the hospital to identify the cause to be treated, do not be careless!  (2) Diet The general principle is to eat less and more meals. If your heart function is poor, you should control the amount of water intake and pay attention to the volume and color of urine to avoid increasing the burden on your heart and lungs. Infants should pay attention to prevent choking on milk.  1.Q3 month old children, feed breast milk, formula milk, take concentrated cod liver oil drops and calcium tablets appropriately. 6~8 meals of milk per day.  2.4~10 months old infants gradually add rice paste, egg yolk (1/4-1/2-1), egg custard, thin porridge, vegetable porridge, crumbled noodles, minced meat porridge, etc. Complementary foods can be added with fruit juice, cookies, etc., and reduce the number of breastfeeding.  3, 10-month-old children should be able to eat noodles, eggs, rotten and crushed chicken, fish, shrimp and vegetables, small pieces of fruit. Pay attention to nutrition to prevent edema or malnutrition caused by low protein.  4.Children over 1 year old should be given 3 main meals and 3 supplementary meals. 3 main meals: breakfast milk, porridge, eggs, etc.; lunch and dinner should be mainly high protein and high calorie food such as chicken, fish, eggs and shrimp, supplemented by fresh vegetables and a small amount of rice and noodles, to seven or eight points full. 3 supplementary meals: mainly fruits, supplemented by good quality cakes, cookies and other foods. Supplementary food time: 9-10 am, 2-3 pm, and before going to sleep at night.  III. Vaccination Vaccination can be given 3 months after the operation. If the baby has never been vaccinated after birth (i.e. not participated in basic immunization), you should choose the best time for the baby’s physical condition 3 months after the operation for supplementary vaccination. If high fever and rapid respiratory heart rate occur after inoculation, the condition should be closely observed and, if necessary, treated by contacting the local pediatrician.  Wound care: 1. For children with median open chest, it is forbidden to carry shoulder bags, lift heavy objects (2kg), pull each other’s arms, etc. within 3 months to avoid affecting the healing of the sternum and to maintain a correct sitting and lying posture.  2. It takes about 6-8 weeks for the wound to heal completely, and 3-6 months for the sternum to heal. When excessive swelling, pain, redness or red and yellow fluid is found in the wound, return to the hospital immediately for examination. Keep the wound clean and dry, and do not bathe until the crust has fallen off.