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Enfermería en Cardiología

Enfermería en Cardiología

ENERO 2021 N° 82 Volumen 31

Clinical case: nursing care plan for a patient undergoing high-risk cardiac catheterization using Impella® ventricular support

Section: Casos clínicos

Authors

Ingrid Rovira Vilamala1, Esther Abellán Gómez2, Majda Radaidan Hazzaoui1, Javier Rodríguez Moreno3

Position

1 Enfermera en el Servicio de Críticos Cardiológicos y Hemodinámica del Hospital Universitario Doctor Josep Trueta de Girona.  2 Enfermera en el Servicio de Hemodinámica del Hospital Universitario Doctor Josep Trueta de Girona.3 Enfermero supervisor del Servicio de Críticos Intensivos del Hospital Universitario Doctor Josep Trueta de Girona.

Contact address

Ingrid Rovira Vilamala. Hospital Universitario Doctor Josep Trueta de Girona. Unidad de Críticos Cardiológicos y Servicio de Hemodinámica. Av. De Fr

Contact email: loretobm@gmail.com

Abstract

      Patients with adverse clinical characteristics, poor ventricular function, complex coronary disease who are turned down for surgery usually undergo percutaneous coronary intervention (PCI). These complex PCI procedures require the use of temporary percutaneous left ventricular assist devices. Impella® is currently the most common left ventricular support device for high-risk PCI.
    The following work describes the nursing care plan for a 68-year-old patient undergoing high-risk catheterization using Impella® ventricular support and rotational atherectomy.
For the evaluation of the care plan, nursing diagnoses and potential complications were described according to the NANDA-NIC-NOC taxonomy. The most significant results (NOC) and interventions (NIC) were identified; also, all the activities were described in detail. It was observed that the following complications proved to be the most relevant: risk of bleeding, decreased cardiac output, risk of peripheral neurovascular dysfunction, risk of infection and anxiety.
The nursing team is responsible for the patient’s first contact in the catheterization lab. Therefore, it is essential that nurses know how to identify the needs of the patient and their relatives. Moreover, appropriate training and preparation is also necessary to perform complex procedures and techniques.

Keywords:

therapeutic adherence and compliance; Acute Coronary Syndrome; risk factors; secondary prevention

Versión en Español

Título:

Caso clínico: plan de cuidados de enfermería en un paciente sometido a cateterismo cardiaco de alto riesgo con soporte ventricular Impella®

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

Bibliography

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