A case of special-onset hypertrophic subaortic stenosis in patients with post-operative care Reduction. Bleeding tendency promptly discontinued the review, according to the results to adjust the dose. This case, mechanical valve replacement two days after removal of the pericardium, the mediastinal drainage tube lh = 1 clothes warfarin 3mg, according to the PT results, adjust the amount of warfarin more suitable for the range, I maintain the dose, no bleeding tendencies.
2.4 Prevention of complications
2.4.1 Psychological care: Patients suffering from long-term illness, limited mobility, psychological stress, depression, fear, doubt, along with decreased body resistance to colds and lung infections. Postoperative awake, tell patients that the surgery was successful, and heart function can gradually be restored as long as they follow treatment, and they will recover soon. Communicate more with patients, give spiritual comfort and encouragement, and enhance their confidence to overcome the disease and cope with treatment and care. Provide caring, patient, good skin and oral care, and prevent complications.
2.4.2 Dietary guidance: On the first day in a stable condition, eating a small amount of rice soup can start. In the absence of vomiting, eating porridge may commence. The next day, without exception, start eating low-fat, high protein, high vitamin light digestible semi-liquid diet, smaller meals. Later, according to the gradual change of the condition and activities, consume food rich in fiber and protein.
2.4.3 Positioning: If not sober or with low blood pressure, lie in a supine position. Once awake and blood pressure is stable, take an upper body elevated 45° position, lower limb elevation from 15° to 30°. This facilitates venous return and thoracic drainage, breathing exercises, coughing, expectoration, and prevents the occurrence of pulmonary complications.
2.5 Discharge guidance: Explain the importance of lifelong postoperative anticoagulation to patients regarding the purpose of anticoagulants, dosage, usage, precautions, PT review time, and make a record. Teach patients how to observe bleeding tendency (bleeding gums, epistaxis, hematuria, female patients menorrhagia, skin ecchymosis), and it is timely to go to the hospital for examination, review of the PT, and adjust dosage or withdrawal based on the results. Avoid taking anticoagulant therapy, drugs, and foods that may cause injury to prevent accidents. No strenuous exercise and heavy labor within six months. Maintain a reasonable diet, adequate rest, and regular review. Keep a good mental state to improve quality of life.