How To Care For A Relative Who Has Had A Heart Attack

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How To Care For A Relative Who Has Had A Heart Attack
How To Care For A Relative Who Has Had A Heart Attack

Video: How To Care For A Relative Who Has Had A Heart Attack

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How to care for a relative who has had a heart attack

The man went through a heart catastrophe and returned home safely. Relatives are happy that everything worked out, but they do not know what kind of life to lead the core now, what loads are permissible, what diet to follow. They are afraid that the heart will pick up again. And make fatal mistakes. How to act correctly, explains the cardiologist of the capital city hospital number 17 Erkin Mirzoev.

How to care for a relative who has had a heart attack
How to care for a relative who has had a heart attack

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The man went through a heart catastrophe and returned home safely. Relatives are happy that everything worked out, but they do not know what kind of life the core should now lead, what loads are permissible for him, what diet to follow. They are afraid that the heart will catch again. And from the best intentions, they make mistakes that only harm a person. Analyzes common mistakes and explains how to act correctly, the cardiologist of the capital city hospital number 17 Erkin Mirzoev.

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1. “The patient must observe strict bed rest for 10 days after a heart attack. Only on the 11th day can he get up. Feeding, changing clothes, taking care of the patient's skin, using the boat - everything must be done only in bed. "

This is how doctors believed before and really adhered to similar rules. Today, Russian cardiologists have adopted international recommendations, according to which the patient begins to do physical therapy while still in intensive care, and to walk as soon as he is transferred to the ward. The first exercises are gymnastics for the legs, which prepares the patient for walking. Modern doctors consider feasible movements to be a very important measure of rehabilitation. It helps restore physical activity in a person who has had a heart attack. Of course, the amount of permissible loads is determined by the doctor and depends on the degree of myocardial damage and the patient's condition.

The distance that the patient walks on foot should increase every day. After increasing the load, the doctor necessarily makes an ECG, measures the patient's pressure and pulse. If the indicators differ from the norm, chest pain appears, the patient has difficulty breathing, the load will have to be reduced. If the recovery is favorable, the doctor will determine how much physical activity can be increased. Now you can control its level independently by heart rate. For the patient, he is a marker of the permissible load. The doctor will tell you within which values ​​the pulse can increase.

2. "After a heart attack, you can eat everything that the rest of the family eat."

No, the doctor will determine the diet for your relative. Remember that a person after a heart attack should not include in the menu spicy and smoked dishes, strong meat and fish broths, fried meat, animal fats, foods that cause intestinal distention (cabbage, black bread, kvass). It is imperative to limit salt. Add lemon juice, spices, and herbs to your meals instead. It is better if the patient's food is fractional - often and in small portions. The last meal is no later than 19:00. The food should be light. Vegetables and fruits rich in fiber are recommended, which will allow you to monitor the work of the intestines. It is important to adjust the chair as it is difficult for the patient to push. If necessary, you will have to do an enema.

Special restrictions must be adhered to in terms of liquid. You can not give the core more than 1-1.5 liters of water (soup, kefir, and watermelon must be counted). Be sure to monitor the water balance. If the amount of urine per day is less than 80% of the amount of fluid drunk, we can assume the development of edema. If more urine is released, the treatment is successful, the swelling decreases. Does the patient have swelling in the lumbar region and on the legs? Call a doctor immediately!

3. “It will not be superfluous to remind a recent heart attacker of a past illness more often. Let him be careful. Better to be safe. "

Don't overreact. A person after a heart attack may develop an acute fear of death, the fear that the heart attack will recur again. On the contrary, distract him from these thoughts, they can really worsen the condition. Try to calm the patient down, note any improvement in his health, rejoice with him that he is on the mend. Make sure he regularly takes medications prescribed by a cardiologist.

If the doctor says that it is time to introduce feasible physical activity, and the patient does not want to move, explain to him that his desire to take care of himself threatens muscle atrophy and loss of coordination. If you start moving gradually and dosed, you can quickly return to your normal, full life.

And remember: any experience is dangerous now. Therefore, try to protect your relative from bad news. He should not even communicate on the phone with acquaintances who can upset him with something, make him worry. Previously, doctors forbade the patient to watch TV. Now there are no such strictness, but, of course, at this time "horror films" are not the best choice.

4. “All the worst is over. There will be no repeated heart attack. Everyone can relax. " This mistake is exactly the opposite of the third one. But how many relatives - so many opinions

In fact, after a heart attack, acute attacks are possible: severe shortness of breath, asthma attacks with frequent and shallow breathing, usually occurring at night. Therefore, relatives should be close to a person in order to come to his aid in time. The first thing to do during an attack is to give the patient a semi-sitting position with pillows under his back. Ventilate the room or turn on the air conditioner. Try to calm the patient down.

You should be alerted by a condition in which heart pains are accompanied by a drop in blood pressure, a weak pulse, pallor of the skin, blue lips, and the appearance of cold sweat. Interruptions in the work of the heart, rapid irregular heartbeats are especially dangerous. The pain behind the sternum should alert: it speaks of early postinfarction angina. Call an ambulance immediately. It is impossible to dismiss the likelihood of a second heart attack. In order not to miss a worsening of the condition, be sure to periodically measure your blood pressure and pulse.

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