Sabtu, 22 Maret 2008

still cardio exam



Management of Acute Heart Failure
- Suplemental oxygen to maintain 02 saturation >90%, give IV loop diuretics
- If patient condition stabil, may be switch to oral medications: refer to chronic heart failure tratment plan for oral medication recomendations
- Specific evaluation for reversible etiologies, specific reactions.

Management Of Chronic Heart Failure
there are four different clases that indicate the emergence conditions. But most of all have same premedicative non-pharmacologic treatment
- Educate the patient about their disease state, prognosis and treatment
- Warn potential drug drug interactions with self medications
- Patient should maintain good nutrition, if obesed, pursue him/her to take a diet
- Alcoholic cardiomyopathy sufferers must abstain from alcohol
- Smoking cessation
- Consider exercise training in all stable outpatients with chronic heart failure

Management of hyperlipidemia
what should patient consider about their lifestyle
- Reduce intake of saturated fats (<7 %of total calories) & cholesterol (<200 mg/day)
- Weight reduction
- Increase physical activity
- Smoking cessation
- alcohol restriction

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in what time u have exercise regularly

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