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Enfermería en Cardiología

Enfermería en Cardiología

MAYO 2018 N° 74 Volumen 3

CASE REPORT: BRUGADA SYNDROME OR SUSTAINED VENTRICULAR TACHYCARDIA. CARE PLAN

Section: Casos clínicos

Authors

       Antonio Lozano Belmonte1, Sylvia M. Amorós Cerdá2.

Position

1 Diplomado Universitario en Enfermería. Hospital Universitari Son Espases. Palma de Mallorca.2 Diplomada Universitaria en Enfermería. Hospital Universitari Son Espases. Palma de Mallorca.

Contact address

Antonio Lozano Belmonte. Hospital Universitari Son Espases. Carretera Valldemossa nº 79, Nivel +2C. Servicio Anestesia y Reanimación. Palma de Mallor

Abstract

Introduction and objectives: This is the case of a 48-year-old woman who is admitted into the Coronary Intensive Care Unit (CICU) after sudden death due to sustained ventricular tachycardia from which she recovered. Medical history: Seizures, epilepsy and lost of consciousness. After favorable progression, she is moved to a ward and in less than 24 hours she is re-admitted due to a further ventricular tachycardia event, from which she recovers with the aid of Advanced Cardiopulmonary Resuscitation techniques. Numerous diagnostic tests are performed on her, among them the pharmacological procainamide test in order to rule out Brugada Syndrome.
The goal is to describe an individualized care plan for a patient who possibly suffers from a Brugada Syndrome during her stay at the Intensive Care Unit.
Methods: An individualized care plan was developed according to the NANDA, NOC and NIC taxonomies aimed to identifying those real and potential problems related to her stay at the Intensive Care Unit and to the possible complications of the pharmacological test.
Once the evaluation of the patient´s needs had been made, labeled nursing diagnoses were as follows: Ineffective Coping (69), Activity Intolerance (92), Deficient Knowledge (126), Fear (148). Potential Complications: Risk of Vascular Trauma (213), Risk of Infection (4), Risk of Injury (35). Result criteria were set, and activities were planned in order to achieve them. Evaluation of the care plan was made in accordance to indicators and scales proposed by the NANDA, NOC and NIC taxonomies.
Conclusions: Ongoing nursing care, family emotional support, decrease in stressful stimuli and a proper praxis and technical advice reduce fear and make procedures easier.

Keywords:

Brugada Syndrome; taxonomy; cardiac arrhythmias; procainamide

Versión en Español

Título:

Caso clínico: síndrome de Brugada o taquicardia ventricular sostenida. Plan de cuidados

Artículo completo no disponible en este idioma / Full article is not available in this language

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