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Many people with heart failure feel this way: they get sicker as soon as they go home, and they feel much better after a few days in the hospital.
Patients are also quite puzzled. After being discharged from the hospital, they also take the medicine regularly according to the doctor’s instructions, and have not done anything that is explicitly prohibited. Why does this condition keep repeating?
Why does this happen? Did the doctor really give some panacea in the hospital?
That’s not the case, it’s the details that count!
4 details you must pay attention to
Generally speaking, chronic diseases such as heart failure do not change medicines frequently. Basically, whatever medicines you take at home, you will continue to take these medicines after you are admitted to the hospital.
The key to this situation is that the patient’s daily life management is not standardized and the details are not in place.
Today, Dr. Ha will tell everyone about those “tips and tricks” that you may have overlooked.
1. 24-hour access, do you count?
All heart failure patients receive this form when they are hospitalized.
The content of the table is simple, but it can clearly record the total in and out of the day.
For example, if we drink a bowl of millet porridge at 12:30 noon, we can record “200ml of millet porridge” in the “Intake” column.
For another example, if you urinate once at 7:00 p.m., record “urine 500ml” in the “Output-urine” column.
After 24 hours (usually from 7:00 this morning to 7:00 tomorrow morning), add all the values in the input and output, respectively, to obtain the total input and total output, and then compare the two.
Dr. Ha has repeatedly mentioned the management of the intake and output of patients with heart failure in the previous popular science. Whether it is hospitalized or at home, it must be taken very seriously. Unlimited booze is neither allowed nor sticky.
Remember that our ideals have always been “balanced in and out.”
If the patient is in the acute exacerbation stage of heart failure and has chest tightness, wheezing, leg swelling, etc., the total intake needs to be guaranteed
2. Did you take your medicine on time?
During the hospital stay, the nurses will package the medicines to be taken in the morning, noon and evening, and dispense the medicines to the patients on time.
But there is no such “medicine reminder” treatment at home. Therefore, when there are many types of drugs and the taking time is disordered, there will always be one or two drugs that “can’t keep up with the time.” Son”. If you forget to take antihypertensive drugs, your blood pressure may not be stable throughout the day.
In this case, you can use the medicine sub-packaging box. The night before, you can divide the medicine for the next day, and set a time to remind you, so that you can remind yourself to take medicine on time and avoid Risk of missing or wrong medication, but also clean, hygienic and easy to carry.
3. Is blood pressure regularly monitored and recorded?
When is it meaningful to measure blood pressure?
We must keep these two time periods in mind: morning and evening, which are the two peak periods of blood pressure. Measure your blood pressure during these two time periods to get an idea of the peak blood pressure of the day.
Monitor blood pressure regularly and record it in detail, so that problems can be found in time, and it can be used as very important information for the next visit.
4. Did you pay attention to your diet?
In view of the fact that most patients are combined with “three highs” – hypertension, hyperglycemia, hyperlipidemia. So eat more healthy on weekdays.
What is healthy eating?
Remember the five principles:
Diet a varied, low-salt, low-fat, low-sugar, and alcohol-restricted diet.
No one food can contain all the nutrients the human body needs, so the variety of food must be rich and varied.
Use as little salt, soy sauce and other seasonings as possible when cooking, because too much salt can raise our blood pressure.
At the same time, pay attention to less oil and sugar to reduce the risk of overweight and obesity aggravating heart disease.
Limiting alcohol is also a very important part. There is no alcohol in a healthy diet, because any alcohol is not safe.
After today’s explanation, do you understand?
Many patients feel that their condition improves after being hospitalized, not because of how many miraculous drugs they have been given, but only because these little things in life have been noticed and standardized, so there are these The “seemingly” miraculous transformation shows how important self-management is in daily life.
Although it’s a “cliché”, with good self-management, the hospital will have fewer admissions!
Source of this article: Hartrim Heart Science
The author of this article: Chen Yu
Editor in charge: Yuan Xueqing, Zhang Li
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