Emergency treatment and nursing of children with severe pneumonia complicated by heart failure and respiratory failure: 10 case reports

Li, Wanli; An, Xinjiang; Fu, Mingyu; Li, Chunli

Close observation of the condition. Attention was paid to changes in total peripheral resistance blood pressure (BP), the presence of double suction, such as nodding-like breathing, apnea and other conditions indicating respiratory failure. The presence of exacerbation of dyspnea, dysphoria, quickening heart rate, and an enlarged liver in a short period of time suggested heart failure (20) (21) (22) . Children patients with severe wheezing often suffered respiratory acidosis due to retention of carbon dioxide. Drowsiness, convulsions or coma in sick children suggested an occurrence of toxic encephalopathy. Medicines such as antibiotics, antiasthmatic drugs, cardiac drugs and other medications were administered to patients at the appropriate dosage, the appropriate time and in an accurate manner. Side effects of various drugs were observed, and if children patients showed signs of dysphoria, quickening heart rate, worsening asthma, or enlarged liver in a short period of time, indicating heart failure, then the infusion rate was reduced. In our study, close observation of consciousness, pupil changes and muscle tension was carried out, and if manifestations of intracranial pressure such as drowsiness, convulsions, irregular breathing and increased muscle tension appeared, immediate rescue steps were taken. Abdominal distension and decreased or disappearing bowel sounds were observed, in order to detect toxic intestinal paralysis in time (23) .