Actuación de enfermería en el infarto cerebral agudo: Nursing performance in acute cerebral stroke

Fernanda Menéndez-Manjarrez; Vanessa Cano-Nigenda; Enrique Castellanos-Pedroza; Diana Manrique-Otero; Roberto Abel Toledo-Treviño; Miguel Calderón-García; Gerardo Chavira-Hernández; Ángel Antonio Arauz-Góngora

doi:10.51422/ren.v21i1.373

Authors

Fernanda Menéndez-Manjarrez Instituto Nacional de Neurología Manuel Velasco Suárez, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0002-9127-1425
Vanessa Cano-Nigenda Instituto Nacional de Neurología Manuel Velasco Suárez, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0002-8544-9717
Enrique Castellanos-Pedroza Instituto Nacional de Neurología Manuel Velasco Suárez, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0003-3972-9694
Diana Manrique-Otero Instituto Nacional de Neurología Manuel Velasco Suárez, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0002-3012-4149
Roberto Abel Toledo-Treviño Instituto Nacional de Neurología y Neurocirugía, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0002-5566-0255
Miguel Calderón-García Instituto Nacional de Neurología Manuel Velasco Suárez, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0003-2209-504X
Gerardo Chavira-Hernández Instituto Nacional de Neurología Manuel Velasco Suárez, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0002-7211-4555
Ángel Antonio Arauz-Góngora Instituto Nacional de Neurología Manuel Velasco Suárez, Clínica de Enfermedad Vascular Cerebral https://orcid.org/0000-0002-3340-4138

DOI:

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

Keywords:

nursing, cerebral vascular disease, cerebral infarction, thrombolysis

Abstract

Cerebralvascular disease (CVD) is a pathology characterized by a sudden neurological deficit secondary to occlusion or rupture of a cerebral blood vessel; it is divided into ischemic or cerebral infarction (CI) and hemorrhagic. CVD is recognized as the first cause of disability and the fifth cause of death in Mexico, with nearly 170,000 new cases registered each year. There is ample evidence that shows a reduction in negative outcomes, such as death and disability, with rapid interventions, including the administration of intravenous thrombolysis with rt-PA (recombinant tissue plasminogen activator) and mechanical thrombectomy. Multidisciplinary coordination of the health care team and effective nursing care are vital during all stages of CVD care. This review provides an overview of the management of cerebral infarction and identifies essential nursing interventions during the prehospital, prethrombolysis, during thrombolysis, and postthrombolysis stages.

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References

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. DOI: https://doi.org/10.7748/ns.2020.e11482

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 DOI: https://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. DOI: https://doi.org/10.1161/STROKEAHA.109.192362

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 DOI: https://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. DOI: https://doi.org/10.1161/STROKEAHA.114.006139

Hinkle JL, Guanci MMK. Acute ischemic stroke review. J Neurosci Nurs. 2007;39(5):285–310. DOI: https://doi.org/10.1097/01376517-200710000-00005

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 DOI: https://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. DOI: https://doi.org/10.1212/WNL.0000000000001354

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. DOI: https://doi.org/10.1016/S1474-4422(06)70495-1

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. DOI: https://doi.org/10.1161/01.STR.30.11.2347

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. DOI: https://doi.org/10.1161/STR.0000000000000211

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. DOI: https://doi.org/10.1001/jama.2018.8496

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. DOI: https://doi.org/10.1016/S0140-6736(00)02237-6

Phipps MS, Cronin CA. Management of acute ischemic stroke. BMJ. 2020;368. DOI: https://doi.org/10.1136/bmj.l6983

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. DOI: https://doi.org/10.7748/ns.2019.e11110

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. DOI: https://doi.org/10.1002/ams2.338

Amatangelo MP, Thomas SB. Priority Nursing Interventions Caring for the Stroke Patient. Crit Care Nurs Clin North Am. 2020;32(1):67–84. DOI: https://doi.org/10.1016/j.cnc.2019.11.005

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. DOI: https://doi.org/10.1097/01376517-199712000-00007

Warach SJ, Dula AN, Milling TJ. Tenecteplase thrombolysis for acute ischemic stroke. Stroke. 2020;(November):3440–51. DOI: https://doi.org/10.1161/STROKEAHA.120.029749

Hill M, Glenn BA, Reese BJ, Morrow B. Recommendations for Endovascular Care of Stroke Patients. Interv Neurol. 2018;7(1–2):65–90. DOI: https://doi.org/10.1159/000481541

Kappelle LJ. Preventing deep vein thrombosis after stroke: Strategies and recommendations. Curr Treat Options Neurol. 2011;13(6):629–35. DOI: https://doi.org/10.1007/s11940-011-0147-4

Clare CS. Role of the nurse in stroke rehabilitation. Nurs Stand. 2018;33(7):59–66. DOI: https://doi.org/10.7748/ns.2018.e11194

Nursing performance in acute cerebral stroke