Actuación de enfermería en el infarto cerebral agudo

Nursing performance in acute cerebral stroke

Autores/as

DOI:

https://doi.org/10.51422/ren.v21i1.373

Palabras clave:

Enfermería, Enfermedad vascular cerebral, Infarto cerebral, Trombólisis

Resumen

La enfermedad vascular cerebral (EVC) es una patología caracterizada por un déficit neurológico súbito, secundario a oclusión o ruptura de un vaso sanguíneo cerebral; se divide en isquémica o infarto cerebral (IC) y hemorrágica. La EVC es reconocida como la primera causa de discapacidad y la quinta causa de muerte en México, registrándose cerca de 170 mil casos nuevos al ano. Existe amplia evidencia que demuestra una reducción en los desenlaces negativos, como muerte y discapacidad, al realizar intervenciones rápidas, incluyendo la administración de trombólisis intravenosa con rt-PA (activador tisular de plasminógeno recombinante) y trombectomía mecánica. La coordinación multidisciplinaria del equipo de salud y los cuidados efectivos de enfermería, son vitales durante todas las etapas de atención de la EVC. Esta revisión da a conocer un panorama general del manejo del infarto cerebral e identificar las intervenciones indispensables del profesional de enfermería realiza durante las etapas prehospitalarias, pretrombolisis, durante trombólisis y postrombolisis.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Arauz A, Ruíz-Franco A. Enfermedad vascular cerebral. Rev Fac Med UNAM. 2012;55(3):11–21.

Clare CS. Role of the nurse in acute stroke care. Nurs Stand. 2020;35(4):75–82.

Theofanidis D, Gibbon B. Nursing interventions in stroke care delivery: An evidence-based clinical review. J Vasc Nurs [Internet]. 2016;34(4):144–51. Available from: http://dx.doi.org/10.1016/j.jvn.2016.07.001

Summers D, Leonard A, Wentworth D, Saver JL, Simpson J, Spilker JA, et al. Comprehensive overview of nursing and interdisciplinary care of the acute ischemic stroke patient: A scientific statement from the American heart association. Stroke. 2009;40(8):2911–44.

Catangui EJ. Identifying and differentiating stroke and stroke mimics. Nurs Stand. 2018;34(4):76–82.

Campbell BCV, De Silva DA, Macleod MR, Coutts SB, Schwamm LH, Davis SM, et al. Ischaemic stroke. Nat Rev Dis Prim [Internet]. 2019;5(1). Available from: http://dx.doi.org/10.1038/s41572-019-0118-8

Salud Sde. 415. En México se registran alrededor de 170 mil infartos cerebrales [Internet]. gob.mx. 2018 [cited 2021Mar1]. Available from: https://www.gob.mx/salud/prensa/415-en-mexico-se-registran-alrededor-de-170-mil-infartos-cerebrales

Middleton S, Grimley R, Alexandrov AW. Triage, treatment, and transfer: Evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke. Stroke. 2015;46(2):e18–25.

Hinkle JL, Guanci MMK. Acute ischemic stroke review. J Neurosci Nurs. 2007;39(5):285–310.

Powell EK. Acute Stroke: From Prehospital Care to In-Hospital Management [Internet]. JEMS. 2020 [cited 2021Mar1]. Available from: https://www.jems.com/patient-care/acute-stroke-from-prehospital-care-to-in-hospital-management/

Fassbender K, Walter S, Grunwald IQ, Merzou F, Mathur S, Lesmeister M, et al. Prehospital stroke management in the thrombectomy era. Lancet Neurol [Internet]. 2020;19(7):601–10. Available from: http://dx.doi.org/10.1016/S1474-4422(20)30102-2

Rudd MP, Price CI, Ford GA. Prehospital stroke scales in urban environments: A systematic review. Neurology. 2015;84(9):962.

AMEVASC. Estrategia CAMALEON [Internet]. A M E V A S C. 2019 [cited 2021Mar1]. Available from: https://amevasc.com.mx/pacientes/estrategia-camaleon/

Kasner SE. Clinical interpretation and use of stroke scales. Lancet Neurol. 2006;5(7):603–12.

Lyden P, Lu M, Jackson C, Marler J, Kothari R, Brott T, et al. Underlying structure of the National Institutes of Health stroke scale: Results of a factor analysis. Stroke. 1999;30(11):2347–54.

Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke a guideline for healthcare professionals from the American Heart Association/American Stroke A. Vol. 50, Stroke. 2019. 344–418 p.

Khatri P, Kleindorfer DO, Devlin T, Sawyer RN, Starr M, Mejilla J, et al. Effect of alteplase vs aspirin on functional outcome for patients with acute ischemic stroke and minor nondisabling neurologic deficits the PRISMS randomized clinical trial. JAMA - J Am Med Assoc. 2018;320(2):156–66.

Foundation S. InformMe - Clinical Guidelines for Stroke Management [Internet]. Inform Me. 2021 [cited 2021Mar1]. Available from: https://informme.org.au/Guidelines/Clinical-Guidelines-for-Stroke-Management-2017

Barber PA, Demchuk AM, Zhang J, Buchan AM. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. Lancet. 2000;355(9216):1670–4.

Phipps MS, Cronin CA. Management of acute ischemic stroke. BMJ. 2020;368.

Montaner J, Àlvarez-Sabín J. La escala de ictus del National Institute of Health (NIHSS) y su adaptación al Español. Neurologia. 2006;21(4):192–202.

Catangui EJ. Identifying and differentiating stroke and stroke mimics. Nurs Stand. 2018;34(4):76–82.

Okano Y, Ishimatsu K, Kato Y, Yamaga J, Kuwahara K, Okumoto K, et al. Clinical features of stroke mimics in the emergency department. Acute Med Surg. 2018;5(3):241–8.

Amatangelo MP, Thomas SB. Priority Nursing Interventions Caring for the Stroke Patient. Crit Care Nurs Clin North Am. 2020;32(1):67–84.

FDA. Application 103172 This document contains : Label for ACTIVASE [ Supplement 5203 , Action Date Also available : Label for CATHFLO ACTIVASE [ Supplement 5071 , Action Date. 2015;

Hughes RE. TPA Therapy [Internet]. StatPearls [Internet]. U.S. National Library of Medicine; 2021 [cited 2021Mar1]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482376/#:~:text=FDA%20Approved%20Indications&text=The%20sooner%20the%20patient%20receives%20tPA%3B%20the%20better%20are%20the%20outcomes.&text=Patients%20less%20than%20or%20equal,continuous%20infusion%20over%2060%20minutes.

Genetech. Reconstitute Activase® immediately before administration [Internet]. Dosing & Administration Guidelines for Activase® (alteplase). [cited 2021Mar1]. Available from: https://www.activase.com/ais/dosing-and-administration/reconstituting.html

Intensivist C, 20 kevin M, 21 CBM, 3 TM, 23 B- EDPDJ, 23 CBJ, et al. tPA Mixing Tutorial [Internet]. Resus Review. 2016 [cited 2021Mar1]. Available from: https://resusreview.com/2013/tpa-mixing-tutorial/

Genetech. Monitor patients during and post Activase® administration [Internet]. Dosing & Administration Guidelines for Activase® (alteplase). [cited 2021Mar1]. Available from: https://www.activase.com/ais/dosing-and-administration/dosing.html

FICHA TÉCNICA [Internet]. FICHA TECNICA ACTILYSE POLVO Y DISOLVENTE PARA SOLUCION INYECTABLE Y PARA PERFUSION. Agencia Española de Medicamentos y Productos Sanitarios; 2019 [cited 2021Mar1]. Available from: https://cima.aemps.es/cima/dochtml/ft/59494/FT_59494.html

Braimah J, Kongable G, Rapp K, Daley S, Bratina P, Sailor S, et al. Nursing Care Of Acute Stroke Patients After Recieving rt-PA Therapy. J Neurosci Nurs. 1997;29(6):373–83.

Warach SJ, Dula AN, Milling TJ. Tenecteplase thrombolysis for acute ischemic stroke. Stroke. 2020;(November):3440–51.

Hill M, Glenn BA, Reese BJ, Morrow B. Recommendations for Endovascular Care of Stroke Patients. Interv Neurol. 2018;7(1–2):65–90.

Kappelle LJ. Preventing deep vein thrombosis after stroke: Strategies and recommendations. Curr Treat Options Neurol. 2011;13(6):629–35.

Clare CS. Role of the nurse in stroke rehabilitation. Nurs Stand. 2018;33(7):59–66.

Descargas

Publicado

20-10-2022

Cómo citar

Menéndez-Manjarrez, F., Cano-Nigenda, V., Castellanos-Pedroza, E. ., Manrique-Otero, D., Toledo Treviño, R. A., Calderón-García, M. ., Chavira-Hernández, G., & Arauz-Góngora, Ángel A. (2022). Actuación de enfermería en el infarto cerebral agudo: Nursing performance in acute cerebral stroke. Revista De Enfermería Neurológica, 21(1). https://doi.org/10.51422/ren.v21i1.373