Nursing intervention in critical patients with ischemic cerebrovascular event in intensive care
DOI:
https://doi.org/10.35381/s.v.v9i2.4771Keywords:
Nursing, cerebrovascular event, ischemic, intensive care, neuromonitoring, (Source: DeCS).Abstract
Objectives: To interpret nursing interventions according to clinical manifestations of patients with ischemic cerebrovascular disease in intensive care. Method: Descriptive, observational and retrospective systematic review using PRISMA model. Publications were selected from PUBMED, Scopus, Web of Science, ProQuest, Scielo and Google Scholar databases (2012-2022). Inclusion criteria: articles on nursing care in critical areas related to ischemic cerebrovascular events. Results: Pathophysiological aspects detected during neuromonitoring were identified: blood pressure control <185/110 mmHg, temperature <38°C, glycemia 140-180 mg/dL, heart rate 60-100 bpm. NIHSS, Glasgow and Canadian scales allow continuous neurological assessment. Tissue plasminogen activator administration requires specific monitoring every 15 minutes for the first 2 hours. Conclusions: Nursing staff requires comprehensive training in pharmacological and pathophysiological aspects for effective intervention in patients with ischemic cerebrovascular events, improving prognosis and reducing complications in intensive care.
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