Evidence-based nursing practice on the nursing diagnosis of impaired cardiac output in ICU patients - Systematic Literature Review

Abstract

ABSTRACT:
Nursing care for patients with instability of their condition and complexity of care require the nurse (a) to quickly identify the health conditions of each individual and make appropriate therapeutic decisions. The Nursing Process is a method used to organize patient care; it favors the early identification of conditions presented by the same. Cardiovascular diseases represent a relevant cause for hospitalization, as they are associated with functional disabilities, a determining factor for high-risk patients. Objective: to review nursing practices based on evidence that will help intensive care nurses in the identification and treatment of clinical manifestations related to impaired cardiac output. Methodology: Integrative literature review by searching the online database from 2012 to 2019. 10 scientific articles were selected, these data were collected based on PUBMED, LILÁCS and SCIELO. Discussion: The Nursing Diagnosis impaired cardiac output is present in most ICU patients. It was realized that Hemodynamic Monitoring has been an effective means of measuring cardiac output, but since it is in the vast majority an invasive method, there is a search for new, less invasive methods. Hemodynamic monitoring has shown good results when they are invasive, studies have shown that non-invasive methods have large error rates considered unacceptable.