Nursing supervision for using amiodarone hydrochloride injection to tachyarrhythmia patients

摘要

Objective To analyze the nursing management of amiodarone hydrochloride injection in patients with tachyarrhythmias during intravenous injection. Methods Forty-six patients with tachyarrhythmia treated with amiodarone hydrochloride in our hospital from April 2014 to April 2015 were enrolled in this study. The concentration of the drug and the correct blood vessel were selected. The nursing staff pay close attention to Injection site changes, while giving the appropriate care. The blood pressure, heart rate and complications of the patients before and after treatment were observed and analyzed. Results The heart rate slowed down after intravenous infusion of amiodarone in 3 patients, 2 patients improved after intravenous infusion of isoproterenol, and 1 patient was treated with artificial pacemaker. 2 patients with amiodarone-induced blood pressure decreased; 1 patient in the intravenous infusion of amiodarone after 2 hours, there phlebitis-related symptoms, 2 cases occurred in the use of amiodarone within 12 to 24 hours, 1 case The use of amiodarone appeared after 48 hours, 2 weeks after the patients with phlebitis were restored to normal skin. The systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) of patients after intravenous infusion of amiodarone were significantly lower than those before treatment (P <0.05). Conclusion Strengthening the nursing management of patients using amiodarone hydrochloride injection can effectively enhance the therapeutic effect, protect the safety of patients and improve their quality of life, should be widely applied in clinical.