Treatment and nursing observation of cerebral infarction

Health care of cerebral infarction

1: Stay in bed at the acute stage, keep the functional position of the affected limb, and passively exercise the affected limb and joint.

2. After the vital signs are stable, get out of bed as soon as possible and actively move the affected limb.

3. On the principle of low fat, low cholesterol, low salt, moderate carbohydrate and vitamin-rich diet, remember to overeat.

4. Patients with dysphagia should lie on their back or side, look up and eat slowly. Those who still can't eat independently or have difficulty swallowing after 24-48 hours of onset should be fed with liquid by nose to prevent suffocation or lung infection by mistake.

5. Drink tea properly and quit smoking and drinking.

6. Maintain emotional stability and avoid overwork.

7. Pay attention to regularly check blood pressure, blood sugar and blood lipid, and insist on taking medicine correctly under the guidance of a doctor.

Prescription: 50 grams of lean pork, 20 grams of garlic cloves, 6 grams of pig tail, auricularia auricula 10 gram, ginger 10 gram, 5 jujubes, 4 grams of refined salt and 2 grams of monosodium glutamate, and boiled thoroughly with appropriate amount of water. Drink soup, one meal a day.

Cerebral infarction is a common and frequently-occurring disease in the elderly, often accompanied by blood circulation diseases such as hypertension, hyperlipidemia, arteriosclerosis, cerebral thrombosis and coronary heart disease. Once it happens, it needs long-term medication and maintenance treatment. Drug reactions are also common. The advantages of dietotherapy remedies are that they are beneficial and harmless to the body, can be eaten for a long time, and have little toxic and side effects. Patients may wish to observe carefully and try according to the prescription to verify the curative effect.

1. Antiplatelet drug (1) Aspirin is an economical, affordable, safe and most routine antiplatelet preventive drug, with the minimum effective dose of 50mg or 75mg// day. There is no need for hematological examination during medication.

(2) Ticlopidine can be used as a therapeutic drug and a preventive drug. The dosage and usage are 125 ~ 250mg/ day, which can be taken orally with meals. Hemogram, liver function, bleeding and coagulation should be detected during medication. A few patients may have side effects such as granulocytopenia, jaundice, elevated transaminase and prolonged bleeding time. Patients with ulcers, thrombocytopenia and hemorrhagic diseases should use it with caution. This medicine is more expensive than aspirin.

(3) Clopidogrel: It has been used in Europe and America, and the effect of this drug 75mg is equivalent to that of ticlopidine 250mg.

Hemodilution therapy: the purpose is to reduce blood viscosity, improve microcirculation and supplement blood volume deficiency. Commonly used drugs are low molecular dextran and 706 generation plasma.

2. hemodilution therapy: the purpose is to reduce blood viscosity, improve microcirculation and supplement blood volume deficiency. Commonly used drugs are low molecular dextran and 706 generation plasma.

3. Brain protectant: (1) calcium antagonist: prevent intracellular calcium overload, prevent vasospasm and increase blood flow. Commonly used drugs are nimodipine, nicardipine, flunarizine hydrochloride and Naoyizine.

(2) cytidine diphosphate choline: it has the function of stabilizing cell membrane.

(3) Glutamate antagonist and GABA enhancer.

(4) Others: Vitamin E, vitamin C and mannitol also have antioxidant and free radical scavenging effects.

4. Chinese medicine: Chinese medicine includes compound salvia miltiorrhiza and chuanxiongzine. At the same time supplemented by acupuncture and massage.

5. Rehabilitation: It is the most important method to treat cerebrovascular diseases abroad. Generally, systematic, standardized and individualized rehabilitation treatment begins 3-7 days after onset.

General treatment of intransitive verbs:

(1) Adjust blood pressure, and use antihypertensive drugs with caution in cerebral infarction. If the blood pressure is150 ~160/100, there is no need for antihypertensive drugs. Hypotension can aggravate cerebral ischemia.

(2) Decreased intracranial pressure and brain edema that may occur after acute cerebral infarction are the common causes of death within 1 week after onset. Mannitol should be used to reduce intracranial pressure, and glycerol fructose and furosemide can be used for patients with abnormal renal function.

(3) Prevention and treatment of respiratory and urinary tract infections and rational use of antibiotics.

(4) To prevent pulmonary embolism and deep venous thrombosis of lower limbs, low molecular weight heparin or heparin preparation can be injected subcutaneously.

(5) Strengthen nutrition. According to the specific situation of patients, nasal feeding, intravenous high nutrition, etc. To create opportunities for patients to recover.

Dietotherapy medicated diet 1. Compound Radix Astragali porridge: Radix Astragali 15g, Radix Paeoniae Alba 10g, Ramulus Cinnamomi 10g, Rhizoma Zingiberis Recens 15g, japonica rice 100g, and 4 Chinese dates. The first four herbs are boiled in thick juice to remove residues, and the last two herbs are boiled in porridge and added with medicinal juice. Every day 1 dose.

2. Ge Fen soup: Ge Fen 250g, Schizonepeta 50g, Douchi150g. Ge Fen is pounded into fine powder, Schizonepeta tenuifolia and fermented soybean are decocted in water for 6-7 times, the residue is removed to get juice, and then the noodles are made from Ge Fen, and the decoction is decocted, and the noodles are eaten on an empty stomach and taken orally.

3. Medical stone porridge: medical stone 100g, rice 100g. Tamp Taishan Maifanshi into powder, soak it in clear water for half an hour, then boil it with strong fire, filter the juice with gauze to remove the stone, then put the washed rice and Maifanshi juice into a pot and cook it with slow fire until the rice is rotten into porridge, once a day in the morning and evening.

4. Fried rabbit meat with dried tangerine peel: 500 grams of clean rabbit meat, 25 grams of dried tangerine peel, soy sauce, refined salt, yellow wine, starch, shredded ginger and shredded onion. Boil dried tangerine peel with water for half an hour, then boil the juice with water for 20 minutes, combine and concentrate the two decoctions into 30 ml, mix with soy sauce and starch to make juice, put peanut oil in the pot, add shredded onion and yellow wine to cook, add the cooked rabbit meat and stir fry, and pour in the mixed juice to stir fry evenly. Eat with meals.

5. Longlian Erren Decoction: longan pulp 15g, lotus seed 10g, jujube kernel 10g, peach kernel 10g. Boil the four ingredients together for 100 minutes, drink soup and eat meat (longan meat), 1 dose per day, and take it continuously for 10 to 15 days.

6. Danshen chestnut powder jujube porridge: 20 grams of Danshen, chestnut powder 10 gram, jujube 10 slice, rice 100 gram. First, wash Salvia Miltiorrhiza Radix and put it into soup for decoction. Take the juice and cook porridge with jujube and rice. When cooked, add chestnut powder and cook it slightly. Can be taken frequently, daily 1 dose.

7. Lily Shengdi Longmu Decoction: 30g of oyster, 30g of rehmannia root10g of lily, and 0g of dragon teeth10g. First, the oysters and raw dragon teeth are boiled for 30 minutes, then the rehmannia root and lily are added and boiled for another 30 minutes. 200 ml twice a day.

8. Guizhi porridge: Guizhi 10g, Poria cocos 10g, rice 10g. Decoct the first two ingredients to get juice, and then cook porridge with juice, daily 1 dose.

Eating more black fungus on weekdays can reduce blood viscosity and is good for cerebral thrombosis. The doctor said, "patients with cerebral infarction should be mainly low-salt and low-fat foods, and the taste should be light." You can take appropriate antiplatelet drugs, such as aspirin. "

Then auricularia auricula is a natural anticoagulant health care product.

Hong Zhaoguang, an expert in health education, particularly emphasizes eating black fungus!

In addition, I also suggest that your father often go out and exercise properly, such as taking a walk after meals, and often touching all parts of his body to keep a good mood.