[Monitoring of intravenous heparin therapy after thrombolysis. Is management by nurses possible?].
IV heparin is a very common therapy in CCUs. In Udine CCU, after the definition of common guidelines, nurses were experimentally charged to administer and monitor the heparin therapy in myocardial infarction patients. Hemorrhagic complications in thrombolyzed and heparinized patients were analysed. No differences were observed with respect to the frequence of complications between the "control" year 1992 before the experiment of autonomy and the following year 1993 (10/67 vs 16/97, OR: 1.1). It can therefore be concluded that nurses are able to administer and monitor IV heparin therapy autonomously from close medical supervision and guidance.
Moro
F
F
Spangaro
S
S
D016903:Drug Monitoring / Q000379:methods*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy / Q000451:nursing*; D017009:Professional Autonomy
D006493:Heparin
Monitoraggio della terapia eparinica endovenosa dopo trombolisi: è possible una gestione infermieristica?