Nurse interventions during patient transport to the emergency surgical myocardial revascularization / Sestrinske intervencije za vrijeme transporta oboljelog na hitnu hiruršku revaskularizaciju miokarda

Abstract

In developed countries, prevention and modern treatment in the period of 2001 -2011. reduce the mortality of ischemic heart disease and stroke from 35.1% to 30.8%. The results achieved in the prevention of CVD in developed countries are a good indication that they have to go and all the other countries in order to improve the health status of the population. In the Republika Srpska started in that direction, and with the implementation of preventive measures to reduce cardiovascular diseases was introduced and modern treatment especially ishemiskih heart disease. If after underwent coronary angiography interventional cardiologist assessment that the blockage of coronary arteries multiply or that it is a main stenosis of coronary artery, such a patient urgently referred by ambulance with medical escort to a health facility that has a cardiac surgery where they will do an urgent surgical revascularization (bypass surgery). Medical institutions have cardiac surgery are far from KC Banja Luka about 200 to 300 kilometers, where ambulance transport takes more than 3 hours.
The medical escort the patient always goes by experienced and trained nurse. For this reason and many others it is a very important part of the team for the treatment of cardiological patients. If the patient’s condition is very difficult in the medical accompaniment in addition to nurses and the doctor goes. Sister intervncije during transport of patients are as follows:
- Provide the patient supine position that requires less stress;
- Continuous monitoring of the patient during transport - observation of the patient;
- Control vital functions (blood pressure, pulse, respiration, temperature);
- Controls placed cannula and flow infusion if the patient is on treatment;
- Providing drug therapy on the orders of a doctor;
- Communication with patients (ask for pain);
- The occurrence of pain medication given by doctors ordiran, include oxygen;
- Psychological favorable effect on the patient, to encourage him;
Upon arrival at a health facility, a nurse involved in the placement of patients in the ward where she agreed before ending the administrative part which relates to the documentation of the patient.