Nursing Care to Reduce the Risk of Bleeding in Patients with Stroke Thrombolysis

Authors

DOI:

https://doi.org/10.14482/sun.38.2.610.736

Keywords:

Cerebral stroke, thrombolytic therapy, prevention and control, thrombosis, cerebral hemorrhage

Abstract

Objective: Describe nursing interventions in patients with thrombolysis in ischemic stroke to reduce the risk of bleeding.

Methodology: Secondary research, type of review; integrative. A question was asked with the PICO strategy: What are the nursing interventions in patients with thrombolysis in ischemic stroke to reduce the risk of bleeding before, during and after thrombolyzing the patient ?. A search equation was constructed using Boolean, DeCS / MeSH to facilitate database searching. The articles found were critically read and classified by level of evidence and degrees of recommendation. Study without ethical risk because it is documentary type, copyright was respected according to Law 44 of 1993.

Results: With the 14 final analysis units, 3 domains were constructed that highlight the importance of knowledge and the actions of the nursing staff in reducing the risk of bleeding in patients with ischemic stroke. These domains are: 1) control and monitoring of blood pressure; main nursing care before, during and after thrombolysis, 2) combined therapy; decreased bleeding risks - increased therapeutic window, 3) safe dosage of alteplase in contraindicated situations.

Conclusions: The most significant nursing intervention during this therapy is the monitoring and control of blood pressure figures, since its increase greater than 185/110 mmHg is the most significant risk factor in the appearance of bleeding.

Author Biographies

Ruth Castiblanco Montañez, Fundación Universitaria de Ciencias de la Salud, Colombia

Enfermera. MSc. Salud Pública. Profesora asistente. Grupo Perspectivas del cuidado, Facultad de Enfermería, Fundación Universitaria de Ciencias de la Salud (FUCS). Bogotá, Colombia. racastiblanco@fucsalud.edu.co. Orcid: https://orcid.org/0000-0001-8328-9601. 

Juan Bravo Ayala, Fundación Universitaria de Ciencias de la Salud, Colombia

Semillero de Investigación Red de Cuidado, Ciencia y Arte de Enfermería (RCUAE). Estudiante, Facultad de Enfermería, Fundación Universitaria de Ciencias de la Salud (FUCS). Bogotá, Colombia. jdbravo@fucsalud.edu.co. Orcid: https://orcid.org/0000-0002-6766-8158.

Ashly Valentina López Ruíz, Fundación Universitaria de Ciencias de la Salud-FUCS, Colombia

Semillero de Investigación Red de Cuidado, Ciencia y Arte de Enfermería (RCUAE). Estudiante, Facultad de Enfermería, Fundación Universitaria de Ciencias de la Salud (FUCS). Bogotá, Colombia. avlopez1@fucsalud.edu.co. Orcid: https://orcid.org/0000-0002-8235-9708.

Tarek Rivas Granados, Fundación Universitaria de Ciencias de la Salud-FUCS, Colombia

Semillero de Investigación Red de Cuidado, Ciencia y Arte de Enfermería (RCUAE). Estudiante, Facultad de Enfermería, Fundación Universitaria de Ciencias de la Salud (FUCS). Bogotá, Colombia. trivas@fucsalud.edu.co. Orcid: https://orcid.org/0000-0002-3138-2107

Nathaly Sandoval Puentes, Fundación Universitaria de Ciencias de la Salud, Colombia

Semillero de Investigación Red de Cuidado, Ciencia y Arte de Enfermería (RCUAE). Estudiante, Facultad de Enfermería, Fundación Universitaria de Ciencias de la Salud (FUCS). Bogotá, Colombia.
nasandoval@fucsalud.edu.co. Orcid: https://orcid.org/0000-0002-1266-8142.

Published

2022-08-23

How to Cite

Castiblanco Montañez, R. ., Bravo Ayala, J. ., López Ruíz, A. V. ., Rivas Granados, T. ., & Sandoval Puentes, N. . (2022). Nursing Care to Reduce the Risk of Bleeding in Patients with Stroke Thrombolysis. Salud Uninorte, 38(2), 628–647. https://doi.org/10.14482/sun.38.2.610.736

Issue

Section

Review Article