Effect and nursing on application of hypophysin to refractory hypotension after open heart operation
10.3760/cma.j.issn.1674-2907.2010.33.011
- VernacularTitle:垂体后叶素在心脏直视术后顽固性低血压中应用的效果及护理
- Author:
Wei-Qun WENG
1
;
Xun ZHUANG
;
Li-Hua YAN
Author Information
1. 226001,南通市第一人民医院护理部
- Keywords:
Open heart operation;
Refractory hypotension;
Hypophysin;
Nursing
- From:
Chinese Journal of Modern Nursing
2010;16(33):4004-4006
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of hypophysin on refractory hypotension after open heart operation and nursing interventions. Methods 12 patients with refractory hypotension( mean arterial pressure pumped without added the dose of catecholamine. Observed and compared the heart rate , mean arterial pressure, shock index, urinary volume, and the dose of catecholamine at baseline and 0.5,2, 4,12,24 h after hypophysin. Results The mean arterial pressure and urinary volume changed significantly compared with baseline( P ＜0. 05 ). The heart rate, MAP, shock index, urinary volume, and the dose of catecholamines were observed after 2h, which had significant different between every point after hypophysin used and baseline( P ＜0. 05 ). All patients survived. Conclusions The low dose of hypophysin can reverse refractory hypotension rapidly and safety. Every vital sign should be monitored exactly and adjusted the dose of vasopressors immediately according to the variation of blood pressure. The drug adverse reaction should be observed intensively and treated immediately.
