[Coronary fibrinolysis: quality care]

Area of Science:

• Cardiology
• Critical Care Medicine
• Nursing Science

Context:

• Intravenous (IV) fibrinolysis is a standard ICU procedure worldwide.
• It is a controlled-risk intervention offering significant patient benefits.
• Nursing plays a crucial role in administering and monitoring fibrinolytic therapy.

Purpose:

• To identify complications associated with intravenous administration of fibrinolytic medications.
• To address the scarcity of specific nursing care protocols for fibrinolysis in the literature.

Summary:

• A chart review of 178 ICU patients undergoing IV fibrinolysis was conducted.
• Data were collected from patient admission to ICU discharge.
• Analysis focused on identifying and categorizing treatment-related complications.

Impact:

• Findings suggest a need for standardized intensive care unit protocols for fibrinolysis.
• Recommendations aim to enhance the quality of patient assistance and safety.
• This research supports evidence-based nursing practice in critical care settings.