Examinando por Materia "Diuretics"

Mostrando 1 - 3 de 3

Acceso abierto
Effective interventions for the control of congestive heart failure in emergency units
(Universidad Privada Norbert Wiener, 1905-07-09) Avila Salazar, Jesela; Huaman Grandez, Maria Liseth; Gamarra Bustillos, Carlos
Objective: Establish effective interventions for the control of congestive heart failure in emergency units. Materials and methods: A systematic review was carried out, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: 10 systematically reviewed scientific articles on effective interventions for the control of congestive heart failure in emergency units were included in the review. The articles were located in the Lilacs, Medline, Ebsco and Pubmed databases; 70% (n = 07/10) of the articles reviewed agree and show that the administration of ASA diuretics, which act on the medullary portion of the loop of Henle, inhibiting sodium reabsorption in the thick ascending portion of the loop of Henle, Henle; belonging to Group II such as: furosemide, bumetanide, torsemide, ethacrynic acid, in bolus or infusion, are the most used; on the other hand, 30% of the articles reviewed (03/10) of the authors agree that educational interventions based on formative education is effective in improving the control of congestive heart failure. Conclusion: The articles reviewed show that the most effective intervention for heart failure in older adults is ASA diuretics and educational interventions based on training education are effective in improving the control of congestive heart failure in emergency units. .
Acceso abierto
Effectiveness of continuous versus bolus injection of diuretics in congestive heart failure
(Universidad Privada Norbert Wiener, 2018-07-08) Arauco Cuyutupa, Felix Jose; Perea Laguna, Jonatan Josue; Pretell Aguilar, Rosa María
Materials and Methods: The present study is a Systematic review, the search has been restricted to articles with full text and the selected articles were subjected to a critical reading, using the GRADE evaluation to identify their level of evidence. 10 articles were chosen, which correspond to 100% (10/10) of the articles, 40% (4/10) correspond to the United States, 30% (3/10) correspond to Italy and 10% (1 /10) correspond to Taiwan, Portugal and Malaysia respectively; Likewise, 10 pieces of evidence are determined (100%): 2 systematic reviews (20%), 2 meta-analysis (20%), 3 randomized controlled trial (30%), 2 open randomized trial (20), 1 cross-sectional descriptive trial (10 %). Results: 100% (7/10) of the articles showed the effectiveness of the continuous administration of diuretics because it was associated with a high reduction in body mass, an increase in total urine production in 24 hours, and a significant increase in of additional hospital treatment, was the choice in patients with worse clinical status such as low systolic blood pressure, more severe kidney injury, where the kidney alteration was gradually worse, and the incidence of hydroelectrolyte imbalance decreased. CONCLUSIONS: it is concluded that 7/10 reviews show us that continuous administration of furosemide is more effective than bolus administration in patients with heart failure.
Acceso abierto
Effectiveness of ultrafiltration compared to diuretic use for reducing weight loss and fluid elimination in patients with decompensated heart failure
(Universidad Privada Norbert Wiener, 2020-02-01) Herrera Córdova, Jorge Victor; Mejia Fernandez, Rojsana; Matta Solis, Eduardo Percy
Objective: Systematize the evidence on the effectiveness of ultrafiltration compared to the use of diuretics to reduce weight loss and fluid elimination in patients with decompensated heart failure. Materials and Methods: the design used was a systematic review. 29 articles were reviewed and the population of 10 international scientific articles published in the Database was taken. Elsevier, Sciencedirect, PubMed, Researchgate and Scielo. For the analysis of the Systematic Review, a summary table was prepared (Table Nº1). To determine the quality of the evidence and the strength of the recommendation, the GRADE table was prepared (Table Nº2). The scientific evidence reviewed was evaluated critically and rigorously, respecting and applying ethical and bioethical principles. Results: 100% (10/10) indicate that ultrafiltration is more effective than the use of diuretics to reduce weight loss and fluid elimination in patients with decompensated heart failure. Conclusions: According to the 10 scientific evidences, it is concluded that: There is evidence that ultrafiltration is more effective than the use of diuretics to reduce weight loss and fluid elimination in patients with decompensated heart failure.