Tatiana de Medeiros Colletti Cavalcante

Avaliação do uso da Escala Modificada de Borg na crise asmática

The dyspnea is the biggest cause of incapacity and reduction of the quality of life for patients with respiratory illnesses as it is the case of the asthma. Being thus, the respiratory difficulty is probably the more important isolated factor in the limitation of the capacity of the individual in the basic functions of day-by-day, making with that this looks the health services. The objective of this study was to verify the degree of dyspnea of the patients in asthmatic crisis for the scored on the Modif Borg Scale and the correlation of improvement of the degree of dyspnea for the same one with the improvement of the pulmonary function verified by Peak expiratory Flow (PEF). A total of 40 asthmatic patients in acute crisis taken care of in the service of Attendance in Pneumologia of the Sao Paulo Hospital, were included, in the period of september to the december of 2003. Before and after the clinical treatment, the subsequent data were colected: cardiac rate (FC), respiratory rate (FR), PEF and peripherical oxygen saturation (SpO2) and the patient was questionado about your perception of the dyspnea for the Modif Borg Scale. The punctuation of this scale varies of 0 the 10 (of none to the dyspnea highest). The results had pointed a trend of the high values of the Modif Scale of Borg to be related to the low values of PEF in the daily pay-treatment, inverting this relation in the post-cure. This scale in them seemed a fast, cheap additional instrument and of easy applicability in the evaluation of asthmatic patients, being able to be used by health professionals who carry through the initial evaluation of the patients in crisis as well as its reply to the treatment.

Assistência de enfermagem a um paciente infartado portador de HIV, baseada na teoria do autocuidado: estudo de caso

OBJECTIVE: Argued recent fact in the treatment of the patients with HIV is the possible increase of the cardiovascular risk in patients using inhibiting of proteasis. METHODS: Being thus, we objectify to apply the Systematization of the Assistance of Nursing (SAN) to a carrying of HIV and glutted patient. School is about a study of case carried through in a hospital located in the region metropolitan of Sao Paulo, in November of 2003, using the SAE and considering of diagnostics of nursing on the basis of taxonomy NANDA II(1) as well as the related interventions of nursing. RESULTS: The main identified disgnostic of nursing had been: Risk for inefficacious control of the therapeutical regimen, anxiety, perfusion to tissular cardiac modified, physical mobility harmed, modified protection, risk for infection, among others. CONCLUSION: The study it showed the importance of the SAE and the decision of the patient in engaging itself in the careful one in order to provide an improvement in the standard of reply of the sick person to the illness.

Uso da escala modificada de Borg na crise asmática

OBJETIVO: Verificar la correlacion de la mejoria del grado de disnea por medio de la EMB con la mejora de la funcion pulmonar verificada por el Pico de Flujo Expiratorio (PFE) y Saturacion Periferica de Oxigeno (spO2). METODOS: Estudio analitico y transversal realizado con 124 pacientes en crisis asmatica atendidos en un Servicio de emergencia de neumologia. Fueron evaluados antes y despues del tratamiento de la crisis asmatica: frecuencia cardiaca, frecuencia respiratoria, PFE, SpO2 e interrogados sobre su percepcion de la disnea por medio de la EMB. RESULTADOS: En la fase de pre-tratamiento, los valores altos de la escala estaban relacionados a los valores bajos de PFE, invirtiendose esta relacion en el post-tratamiento. Hubo tambien una debil correlacion entre el PFE, SpO2, y la percepcion de la disnea mensurada por el paciente a traves de la EMB. Conclusion: La escala no sustituye otros parametros clinicos, pudiendo ser utilizada como una herramienta adicional, siempre y cuando el paciente sea correctamente informado sobre los valores de la escala.Objective: Verify the correlation of the improvement of the degree of dyspnea by BME with improved pulmonary performance verified by Expiratory Flow Peak (EFP) and Peripheral Oxygen Saturation (PO 2 S). Methods: Analytical, cross-sectional study with 124 patients during an asthma crisis, who received care at a Pneumology emergency service. Heart rate, respiratory frequency EFP, PO 2 S were evaluated before and after treatment of asthma crisis, and they were questioned about their perception of dyspnea by BME. Results: In the pretreatment stage, high scale values were related to low EFP values, inverting this relation after treatment. There was also a slight correlation between EFP, PO 2 S and the perception of dyspnea measured by the patient through BME. Conclusion: The scale does not replace other clinical parameters, and can be used as an additional tool, provided that the patient is correctly informed about the scale values.

O atendimento à parada cardiorrespiratória em unidade coronariana segundo o Protocolo Utstein

OBJETIVOS: registrar os esforcos de ressuscitacao cardiopulmonar (RCP) conforme o preconizado pelo protocolo de registro de Utstein e apresentar os resultados de acordo com o recomendado pelo mesmo. METODOS: estudo de natureza exploratorio-descritiva de 30 esforcos ressuscitatorios realizados na Unidade Coronariana do HSP entre Agosto a Dezembro de 2003. RESULTADOS: Dos 30 pacientes estudados 56.66% eram do sexo masculino, com media de idade de 64.5 anos. A modalidade mais frequente foi a Atividade Eletrica Sem Pulso. Do total de pacientes, treze (43.33%) retornaram a circulacao espontânea, porem somente quatro destes mantiveram-se vivos ate o termino da pesquisa. CONCLUSAO: Em 90% dos prontuarios, os registros apresentavam-se incompletos demonstrando a necessidade de um registro unico e sistematizado para RCP, no intuito de melhorar os registros para uma melhor organizacao do servico e realizacao de pesquisas, alem de prevenir dispustas eticas e legais.

The use of Borg's modified scale in asthma crises

OBJETIVO: Verificar la correlacion de la mejoria del grado de disnea por medio de la EMB con la mejora de la funcion pulmonar verificada por el Pico de Flujo Expiratorio (PFE) y Saturacion Periferica de Oxigeno (spO2). METODOS: Estudio analitico y transversal realizado con 124 pacientes en crisis asmatica atendidos en un Servicio de emergencia de neumologia. Fueron evaluados antes y despues del tratamiento de la crisis asmatica: frecuencia cardiaca, frecuencia respiratoria, PFE, SpO2 e interrogados sobre su percepcion de la disnea por medio de la EMB. RESULTADOS: En la fase de pre-tratamiento, los valores altos de la escala estaban relacionados a los valores bajos de PFE, invirtiendose esta relacion en el post-tratamiento. Hubo tambien una debil correlacion entre el PFE, SpO2, y la percepcion de la disnea mensurada por el paciente a traves de la EMB. Conclusion: La escala no sustituye otros parametros clinicos, pudiendo ser utilizada como una herramienta adicional, siempre y cuando el paciente sea correctamente informado sobre los valores de la escala.Objective: Verify the correlation of the improvement of the degree of dyspnea by BME with improved pulmonary performance verified by Expiratory Flow Peak (EFP) and Peripheral Oxygen Saturation (PO 2 S). Methods: Analytical, cross-sectional study with 124 patients during an asthma crisis, who received care at a Pneumology emergency service. Heart rate, respiratory frequency EFP, PO 2 S were evaluated before and after treatment of asthma crisis, and they were questioned about their perception of dyspnea by BME. Results: In the pretreatment stage, high scale values were related to low EFP values, inverting this relation after treatment. There was also a slight correlation between EFP, PO 2 S and the perception of dyspnea measured by the patient through BME. Conclusion: The scale does not replace other clinical parameters, and can be used as an additional tool, provided that the patient is correctly informed about the scale values.

Evaluation of the use of the Modified Scale of Borg in the asthmatic crisis

The dyspnea is the biggest cause of incapacity and reduction of the quality of life for patients with respiratory illnesses as it is the case of the asthma. Being thus, the respiratory difficulty is probably the more important isolated factor in the limitation of the capacity of the individual in the basic functions of day-by-day, making with that this looks the health services. The objective of this study was to verify the degree of dyspnea of the patients in asthmatic crisis for the scored on the Modif Borg Scale and the correlation of improvement of the degree of dyspnea for the same one with the improvement of the pulmonary function verified by Peak expiratory Flow (PEF). A total of 40 asthmatic patients in acute crisis taken care of in the service of Attendance in Pneumologia of the Sao Paulo Hospital, were included, in the period of september to the december of 2003. Before and after the clinical treatment, the subsequent data were colected: cardiac rate (FC), respiratory rate (FR), PEF and peripherical oxygen saturation (SpO2) and the patient was questionado about your perception of the dyspnea for the Modif Borg Scale. The punctuation of this scale varies of 0 the 10 (of none to the dyspnea highest). The results had pointed a trend of the high values of the Modif Scale of Borg to be related to the low values of PEF in the daily pay-treatment, inverting this relation in the post-cure. This scale in them seemed a fast, cheap additional instrument and of easy applicability in the evaluation of asthmatic patients, being able to be used by health professionals who carry through the initial evaluation of the patients in crisis as well as its reply to the treatment.

Uso de la escala modificada de Borg en la crisis asmática

OBJETIVO: Verificar la correlacion de la mejoria del grado de disnea por medio de la EMB con la mejora de la funcion pulmonar verificada por el Pico de Flujo Expiratorio (PFE) y Saturacion Periferica de Oxigeno (spO2). METODOS: Estudio analitico y transversal realizado con 124 pacientes en crisis asmatica atendidos en un Servicio de emergencia de neumologia. Fueron evaluados antes y despues del tratamiento de la crisis asmatica: frecuencia cardiaca, frecuencia respiratoria, PFE, SpO2 e interrogados sobre su percepcion de la disnea por medio de la EMB. RESULTADOS: En la fase de pre-tratamiento, los valores altos de la escala estaban relacionados a los valores bajos de PFE, invirtiendose esta relacion en el post-tratamiento. Hubo tambien una debil correlacion entre el PFE, SpO2, y la percepcion de la disnea mensurada por el paciente a traves de la EMB. Conclusion: La escala no sustituye otros parametros clinicos, pudiendo ser utilizada como una herramienta adicional, siempre y cuando el paciente sea correctamente informado sobre los valores de la escala.Objective: Verify the correlation of the improvement of the degree of dyspnea by BME with improved pulmonary performance verified by Expiratory Flow Peak (EFP) and Peripheral Oxygen Saturation (PO 2 S). Methods: Analytical, cross-sectional study with 124 patients during an asthma crisis, who received care at a Pneumology emergency service. Heart rate, respiratory frequency EFP, PO 2 S were evaluated before and after treatment of asthma crisis, and they were questioned about their perception of dyspnea by BME. Results: In the pretreatment stage, high scale values were related to low EFP values, inverting this relation after treatment. There was also a slight correlation between EFP, PO 2 S and the perception of dyspnea measured by the patient through BME. Conclusion: The scale does not replace other clinical parameters, and can be used as an additional tool, provided that the patient is correctly informed about the scale values.

The nursing assistance to patient myocardio infarction with hiv, based on the theory of to be careful: case study

OBJECTIVE: Argued recent fact in the treatment of the patients with HIV is the possible increase of the cardiovascular risk in patients using inhibiting of proteasis. METHODS: Being thus, we objectify to apply the Systematization of the Assistance of Nursing (SAN) to a carrying of HIV and glutted patient. School is about a study of case carried through in a hospital located in the region metropolitan of Sao Paulo, in November of 2003, using the SAE and considering of diagnostics of nursing on the basis of taxonomy NANDA II(1) as well as the related interventions of nursing. RESULTS: The main identified disgnostic of nursing had been: Risk for inefficacious control of the therapeutical regimen, anxiety, perfusion to tissular cardiac modified, physical mobility harmed, modified protection, risk for infection, among others. CONCLUSION: The study it showed the importance of the SAE and the decision of the patient in engaging itself in the careful one in order to provide an improvement in the standard of reply of the sick person to the illness.

La asistencia de enfermería a un paciente infartado portador de vih, basado en la teoría del autocuidado: estudio de caso

OBJECTIVE: Argued recent fact in the treatment of the patients with HIV is the possible increase of the cardiovascular risk in patients using inhibiting of proteasis. METHODS: Being thus, we objectify to apply the Systematization of the Assistance of Nursing (SAN) to a carrying of HIV and glutted patient. School is about a study of case carried through in a hospital located in the region metropolitan of Sao Paulo, in November of 2003, using the SAE and considering of diagnostics of nursing on the basis of taxonomy NANDA II(1) as well as the related interventions of nursing. RESULTS: The main identified disgnostic of nursing had been: Risk for inefficacious control of the therapeutical regimen, anxiety, perfusion to tissular cardiac modified, physical mobility harmed, modified protection, risk for infection, among others. CONCLUSION: The study it showed the importance of the SAE and the decision of the patient in engaging itself in the careful one in order to provide an improvement in the standard of reply of the sick person to the illness.

Assistance of cardiopulmonary arrest in the coronary care unit according to Utstein protocol

OBJETIVOS: registrar os esforcos de ressuscitacao cardiopulmonar (RCP) conforme o preconizado pelo protocolo de registro de Utstein e apresentar os resultados de acordo com o recomendado pelo mesmo. METODOS: estudo de natureza exploratorio-descritiva de 30 esforcos ressuscitatorios realizados na Unidade Coronariana do HSP entre Agosto a Dezembro de 2003. RESULTADOS: Dos 30 pacientes estudados 56.66% eram do sexo masculino, com media de idade de 64.5 anos. A modalidade mais frequente foi a Atividade Eletrica Sem Pulso. Do total de pacientes, treze (43.33%) retornaram a circulacao espontânea, porem somente quatro destes mantiveram-se vivos ate o termino da pesquisa. CONCLUSAO: Em 90% dos prontuarios, os registros apresentavam-se incompletos demonstrando a necessidade de um registro unico e sistematizado para RCP, no intuito de melhorar os registros para uma melhor organizacao do servico e realizacao de pesquisas, alem de prevenir dispustas eticas e legais.