The implications of nursing diagnosis:Acute pain related to Acute Coronary Syndrome – SystematizedLiterature Review

Karyne Defanti Martins, Isabel Cruz

Abstract


SCA is a critical condition characterized by acute onset of myocardial ischemia, which may progress to necrosis if diagnostic tests and definitive interventions are not performed. The nursing diagnosis is essential for the development of the care plan. This appropriate assessment related to chest pain becomes a challenge, despite its high prevalence in ICU. This is a systematic review of the literature. Improving the service to the SCA patient, in order to treat, disease control and reduction of hospital mortality by assessing how the needs thus minimizing possible complications. The nursing interventions should advocate pain relief in order to decrease the chest discomfort due to decreased oxygen delivery to the myocardium, promoting physical comfort and individualized care. The reduction of coronary events of complications occurs when the SCA is treated in accordance with the measures recommended by corporate guidelines. The use of protocols arises as a tool to improve the quality of care in this critical patient. Systematic diagnostic strategies are essential in this type of care in order to obtain a high accuracy on the tour. Interventions for comfort should be performed this chest pain, minimizing cardiac stress, such as: maintain absolute bed rest, oxygen therapy and drug therapy management, promoting pain relief. Early recognition of the clinical manifestations of SCA more complex is one of the nursing responsibilities, intervening appropriately, aiming to improve prognosis and reducing the rates of complications syndrome, pain relief and clinical, developing a care plan can guide conduct of his team before the evolutionary picture of the patient. The onset time of symptoms to the provision of assistance is directly proportional to clinically relevant event occurrences.

Keywords


Myocardial infarction; Chest pain; Acute Coronary Syndrome

Full Text:

HTML

References


- Dessotte CAM, Dantas RAS,Schmidt A. Sintomas de pacientes antes da primeira hospitalização por síndrome coronariana aguda. Rev. Esc. Enferm. USP [internet]. 2011 [cited 2014 Apr 14]; 45 (5): 1097-1104. Available from: http://dx.doi.org/10.1590/S0080-62342011000500010.

- Paim CP, Azzolin KO, Moraes MAP.Dor torácica no infarto agudo do miocárdio entre pacientes diabéticos e não diabéticos. Rev. Bras. Enferm. [internet]. 2012 Feb [cited 2014 Apr 14]; 65 (1): 77-82. Available from: http://dx.doi.org/10.1590/S0034-71672012000100011

– Ministério da Saúde (Brasil). Indicadores de Saúde. Datasus. [internet]. 2010 [cited 2014 Apr 14]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sim/cnv/obtbr.def

– Soriano MM, Caldeira BLC, Guimarães AJ, Ramos NB, Ataide CLR, Martins Paula et al .Implantação da Linha de cuidado do infarto agudo do miocárdio no município de Belo Horizonte. Arq. Bras. Cardiol. [Internet]. 2013 Apr [cited 2014 Apr 14] ; 100(4): 307-14. Available from: http://dx.doi.org/10.5935/abc.20130054.

- Mussi FC, Pereira A. Tolerância à dor no infarto fazer miocárdio. Acta Paul. Enferm. [Internet]. 2010 [cited 2014 Apr 14]; 23 (1): 80-7. Available from: http://dx.doi.org/10.1590/S0103-21002010000100013

- Bastos AS, Beccaria LM, Contrin LM, Cesarino CB. Tempo de chegada do paciente com infarto agudo do miocárdio em unidade de emergência. RevBrasCirCardiovasc[Internet]. 2012 Sept [cited 2014 Apr 14]; 27(3): 411-18. Available from: http://dx.doi.org/10.5935/1678-9741.20120070

- Rocha ASC, Araújo MP, Volscham A, Carvalho LAF, Ribeiro A, Mesquita ET. Evidência de melhora na qualidade do cuidado assistencial no infarto agudo do miocárdio. Arq. Bras. Cardiol. [Internet]. 2010 Jun [cited 2014 Apr 14]; 94(6): 726-29. Available from: http://dx.doi.org/10.1590/S0066-782X2010005000047.

– Moreira DM, Farias MM. Impacto de protocolo de dor torácica sobre a adesão às diretrizes societárias: um ensaio clínico. Rev. Bras. Cardiol. [Internet]. 2012 Sept [cited 2014 Sept 18];25(5): 368-76. Available from: http://www.rbconline.org.br/?artigo=impacto-de-protocolo-de-dor-toracica-sobre-a-adesao-as-diretrizes-societarias-um-ensaio-clinico-impact-of-chest-pain-protocol-on-compliance-with-society-guidelines-a-clinical-trial

– Kimble LP, Dunbar SB, Weintraub WS, McGuire DB, Manzo SF, Strickland OL. Symptom clusters and health-related quality of life in patients with chronic stable angina. Journal of Advanced Nursing. [Internet]. 2011 [cited 2014 Jul 12]; 67(5): 1000-11. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075982/?tool=pubmed

– Hemsey JZ, Sommargren CE, Drew JB. Intial ECG acquisition within ten minutes of arrival at the emergency departament in persons with chest pain: time an gender differences. Emergency Nurses Associantion.[Internet] 2011 [acessoem 2014 Set 17]; 37(1).Disponívelem: http://www.jenonline.org/article/S0099-1767(09)00530-3/abstract

– DeVon HA, Hogan N, Ochs AL, Shapiro M. Time to treatment for acute coronary syndromes: the cost of indecision. Journal of Cardiovascular Nursing. [Internet] 2010 [acesso em 2014 Set 17]; 25(2):106-14. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2884185/?tool=pubmed

– Fletcher B, Thalinger K. Prasugrel as antiplatelet therapy in patients with acute coronary syndromes or undergoing percutaneous coronary intervention. CriticalCare Nurse. [Internet] 2010 [cited 2014 Jul 12]; 30(5): 45-54. Available from: http://ccn.aacnjournals.org/content/30/5/45

- Tierney S, Cook G, Mamas M, Ordoubadi FF, Smith HI, Deaton C. Nurses’ role in the acute management of patients with non-ST-segment elevation acute coronary syndromes: an integrative review. EuropeanJournalof Cardiovascular Nursing. [Internet] 2012 [cited 2014 Sept 18]; 12:293. Available from: http://cnu.sagepub.com/content/12/3/293

–Wang R, Neuenschwander FC, Filho AL, Moreira CM, Santos ES, Reis HJL, ET al. Uso de intervenções baseadas em evidências na síndrome coronariana aguda - subanálise do registro ACCEPT. Arq. Bras. Cardiol. [Internet]. 2014 [cited 2014 Sept 21]; 102 (4): 319-26. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014000400002&lng=en

- Alvarez AG, Dal Sasso GTM. Objetos virtuais de aprendizagem: contribuições para o processo de aprendizagem em saúde e enfermagem. Acta paul. Enferm nurse [Internet]. 2011 [cited 2014 Sept 18];24(5):707-11. Available from: http://www.scielo.br/scielo.php?pid=S0103-21002011000500018&script=sci_arttex






JSNCARE
Share |