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General Index Go Journal Go Summaries Go Volume X (2003) Go No. 28 Go Abstract 28.05

28.05. Comparative study of the application of two therapeutic anticoagulation protocols.

Manuscript Original.

Authors

1. Sierra Talamantes C.
2.
Muñoz Izquierdo A.
3.
Peiró Andrés A.

Affiliations

1. Nurse. Coronary Unit. Hospital General Universitario de Valencia. Valencia. Spain.
2. Nursing. Research Centre. Hospital General Universitario de Valencia. Valencia. Spain.
3. Associated Professor. Nursing Dept. University of Valencia. Valencia. Spain.

Original title

Estudio comparativo de la aplicación de dos protocolos de anticoagulación terapéutica.

English title

Comparative study of the application of two therapeutic anticoagulation protocols.

Abstract

In the treatment of acute myocardial infarction with non divided heparin, according to the protocol that nurses apply, control and manage, the dose is adjusted according to the weight of the patient, and later according to the values of the partial time of activated thromboplastin. In a previous study, it was identified that patients with acute myocardial infarction who were treated with thrombolytics and non divided heparin were inorrectly anticoagulated in a high number of cases, and moreover, in almost half the cases with adverse effects; what caused the modification of the usual protocol of heparin to test it with another group of patients.
The aim of the present study consisted of the evaluation of the effectiveness or not of a second modified protocol. We made a cross-sectional study between two groups of acute myocardial infarction diagnosed patients treated with thrombolytics and non divided heparin, but with different management protocols: A (usual) and B (modified). We studied its influence in the correct anticoagulation level and the appearance of adverse effects.
The examined variables were: the values of coagulation, and the adverse effects due to the treatment with heparin. The data were processed with the statistical software SPSS 9.0.1. The results showed that in patients treated with the protocol A, only 15.38% of patients were anticoagulated correctly, with a 46% of adverse effects. The patients who followed protocol B were correctly anticoagulated in a 45.45% of the cases, with 9% of adverse effects.

Key words

activated partial thromboplastin time · acute myocardial infraction · adverse effects · anticoagulation · heparin · nursing care · protocol · thrombolytic

Bibliographical citations All: 8
Spanish: 3
English: 5
Self-citations: 1
Electronic references: 0
Correspondence Amparo Peiró Andrés
E-mail: dir@enfermeriaencardiologia.com

Bibliographical reference

Sierra Talamantes C, Muñoz Izquierdo A, Peiró Andrés A. Estudio comparativo de la aplicación de dos protocolos de anticoagulación terapéutica. Enferm Cardiol 2003; Año X (28): 40-44.

Spanish - Español Abstract in Spanish Abstract and technical data in Spanish
Documento en PDF Download Spanish full-text article (PDF)
no. 28 | volume X (2003) | first four-month period
volume X (2003)
Enfermería en Cardiología Nursing in Cardiology X 2003 third four-month period no. 30
Enfermería en Cardiología Nursing in Cardiology X 2003 second four-month period no. 29
Enfermería en Cardiología Nursing in Cardiology X 2003 first four-month period no. 28
volumes & summaries
Enfermería en Cardiología Nursing in Cardiology XIII 2006 second four-month period no. 38
Enfermería en Cardiología Nursing in Cardiology XIII 2006 first four-month period no. 37
Enfermería en Cardiología Nursing in Cardiology XII 2005 third four-month period no. 36
Enfermería en Cardiología Nursing in Cardiology XII 2005 second four-month period no. 35
Enfermería en Cardiología Nursing in Cardiology XII 2005 first four-month period no. 34
Enfermería en Cardiología Nursing in Cardiology XI 2004 second  and third four-month periods no. 32-33
Enfermería en Cardiología Nursing in Cardiology XI 2004 first four-mont period no. 31
Enfermería en Cardiología Nursing in Cardiology X 2003 third four-month period no. 30
Enfermería en Cardiología Nursing in Cardiology X 2003 second four-month period no. 29
Enfermería en Cardiología Nursing in Cardiology X 2003 first four-month period no. 28
Enfermería en Cardiología Nursing in Cardiology IX 2002 third four-month period no. 27
Enfermería en Cardiología Nursing in Cardiology IX 2002 second four-month period no. 26
Enfermería en Cardiología Nursing in Cardiology IX 2002 first four-month period no. 25
Enfermería en Cardiología Nursing in Cardiology VIII 2001 third four-month period no. 24
Enfermería en Cardiología Nursing in Cardiology VIII 2001 second four-month period no. 23
Enfermería en Cardiología Nursing in Cardiology VIII 2001 first four-month period no. 22
Enfermería en Cardiología Nursing in Cardiology VII 2000 third four-month period no. 21
Enfermería en Cardiología Nursing in Cardiology VII 2000 second four-month period no. 20
Enfermería en Cardiología Nursing in Cardiology VII 2000 first four-month period no. 19
Enfermería en Cardiología Nursing in Cardiology VI 1999 third four-month period no. 18
Enfermería en Cardiología Nursing in Cardiology VI 1999 second four-month period no. 17
Boletín Informativo Informative Bulletin VI 1999 February no. 16
Boletín Informativo Informative Bulletin V 1998 October no. 15
Boletín Informativo Informative Bulletin V 1998 June no. 14
Boletín Informativo Informative Bulletin V 1998 March no. 13
Boletín Informativo Informative Bulletin V 1998 January no. 12
Boletín Informativo Informative Bulletin IV 1997 October no. 11
Boletín Informativo Informative Bulletin IV 1997 June no. 10
Boletín Informativo Informative Bulletin IV 1997 March no. 9
Boletín Informativo Informative Bulletin III 1996 December no. 8
Boletín Informativo Informative Bulletin III 1996 June no. 7
Boletín Informativo Informative Bulletin III 1996 March no. 6
Boletín Informativo Informative Bulletin II 1995 December no. 5
Boletín Informativo Informative Bulletin II 1995 September no. 4
Boletín Informativo Informative Bulletin II 1995 June no. 3
Boletín Informativo Informative Bulletin II 1995 March no. 2
Boletín Informativo Informative Bulletin I 1994 December no. 1
journal

Index | Technical Data | Editorial Board | Instructions for Authors | Prizes for Authors | Summaries | Volume I (1994): no. 1 | Volume II (1995): no. 2, no. 3, no. 4, and no. 5 | Volume III (1996): no. 6, no. 7, and no. 8 | Volume IV (1997): no. 9, no. 10, and no. 11 | Volume V (1998): no. 12, no. 13, no. 14, and no. 15 | Volume VI (1999): no. 16, no. 17, and no. 18 | Volume VII (2000): no. 19, no. 20, and no. 21 | Volume VIII (2001): no. 22, no. 23, and no. 24 | Volume IX (2002): no. 25, no. 26, and no. 27 | Volume X (2003): no. 28, no. 29, and no. 30 | Volume XI (2004): no. 31, and no. 32-33 | Volume XII (2005): no. 34, no. 35, and no. 36 | Volume XIII (2006): no. 37 | Authors' list: A, B, C, D, E, F, G, H, I, J, L, M, N, O, P, Q, R, S, T, V, and Z | Key words: a, b, c, d, e, f, g, h, i, k, l, m, n, o, p, q, r, s, t, u, v, w, y, and # | Free full-text (Spanish version) | Web version | Prizes given to this web version


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