Examinando por Materia "Sodium"

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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 dialysate sodium concentration management for blood pressure changes in hemodialysis patients
(Universidad Privada Norbert Wiener, 2020-08-02) Saavedra Quintana, Vanesa Lisette; Taboada Masabel, Daniel Angel; Arevalo Marcos, Rodolfo Amado
Objective: Systematize and analyze the effectiveness of managing the sodium concentration in the dialysate for blood pressure changes in patients with hemodialysis. Material and methods: Observational and retrospective systematic review, 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, the search has been restricted to articles with full text, and the selected articles were subjected to critical reading. using the GRADE system to assign the strength of recommendation, the 10 articles systematically reviewed 20% (n=2/10) are systematic reviews, 30% (3/10) are randomized controlled trials, 50% (5/10) control studies. The results obtained by this study come from; Iran 20%, United States 20%, United Kingdom 10%, England 10%, Italy 10%, Austria 10%, China 10%, New Zealand 10%. Results: The evidence found, 70% (7/10) indicates that the management of sodium concentration in the dialysate is effective for changes in blood pressure in patients with hemodialysis. Conclusions: The management of sodium concentration in dialysate is effective for blood pressure changes in patients with hemodialysis.