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Enfermería Global

On-line version ISSN 1695-6141

Abstract

SILVA, Tália Lorenzo et al. Contrast-induced nephropathy: identification of risks to promote good practices. Enferm. glob. [online]. 2019, vol.18, n.56, pp.79-118.  Epub Dec 23, 2019. ISSN 1695-6141.  http://dx.doi.org/10.6018/eglobal.18.4.360651.

Objective

To identify the risk factors for contrast-induced nephropathy (CIN) in patients who underwent percutaneous transluminal coronary angioplasty (PTCA) and discuss the nursing care from the perspective of good practices in order to minimize it.

Method

Cross-sectional, retrospective, quantitative study carried out from January to December 2015, using documentary analysis through medical records.

Results

Eighty-seven medical records were selected. The male sex prevailed with 67.8% (59), with a mean age of 58.8 ± 10.4. It was seen that 6 patients (6.8%) used contrast injections between 100 ml or more and 32 (36.8%) presented alterations in hematocrit values. Concerning the risk for nephropathy, 24 (27.6%) presented moderate to very high risk.

Conclusion

Risk factors for CIN are common in patients who undergo PTCA. Thus, discussing nursing care that can collaborate in the identification and prevention of kidney injury is strategic and contributes to good practices.

Keywords : Acute Kidney Injury; Cardiovascular Nursing; Patient Care Planning; Contrast Media.

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