Keywords
Infection from Coronavirus
Urinary Catheterization
Intensive Care Unit
Nursing Care
How to Cite
Abstract
The aim was to describe the nursing interventions that should be implemented to minimize the time to change the Indwelling Bladder Catheter (CVD). Observational, descriptive study with a qualitative approach, of the experience report type, in which it was observed, in the Intensive Care Center for patients diagnosed with COVID-19, that critically ill patients presented CVD obstruction very often. The nurses' actions were related to CVD clearance due to hematuria, often without success, with the need to change the catheter more often than usual. Evidence shows that most acute kidney injuries (AKI) in individuals affected by SARS-CoV-2 are due to the acute tubular injury that they present in 80% of patients. This may be due to prolonged fluid volume reduction and hemodynamic states that decrease renal perfusion. The main nursing interventions aim to reduce the frequency of CVD exchanges and minimize the risk of infection. In care practice, it was possible to present the interventions to be implemented through the development of the nursing process in order to contribute to the reduction of risks of Health Care-Related Infections (HAI).
References
Dandel M. Heart-lung interactions in COVID-19: prognostic impact and usefulness of bedside echocardiography for monitoring of the right ventricle involvement [published online ahead of print, 2021 Apr 17]. Heart Fail Rev. 2021;1-15. http://doi:10.1007/s10741-021-10108-7
World Health Organization (WHO). National cancer control programmes: policies and managerial guidelines. 2. ed. Geneva: WHO; 2002.
Zhou F, Yu T, Du R, Fan G, Liu Z et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a restrospective cohort study Lancet. 2020;395(10229):1054-1062. https://doi.org/10.1016/s0140-6736(20)30566-3
Ronco C. Continuous dialysis is superior to intermittent dialysis in acute kidney injury of the critically ill patient. Nat Clin Pract Nephrol. 2007 Mar;3(3):118-9. DOI: 10.1038/ncpneph0423
Ercole FC, et al. Revisão integrativa: evidências na prática do cateterismo urinário intermitente/demora. Rev. Latino-Am. Enferm. [Internet]. 2013 [acesso em 20 ago 2022];21(1):459-468. Disponível em: http://www.scielo.br/pdf/rlae/v21 n1lpt v21 n1a23
Ministério da Saúde (BR). Agência Nacional de Vigilância Sanitária - ANVISA. Medidas de Prevenção Relacionadas à Assistência de Saúde- IRAS [Internet]. Brasília: MS/ANVISA; 2021 [acesso em 20 ago 2022]. Disponível em: http://www.riocomsaude.rj.gov.br/Publico
Gould CV, et al. Guideline for prevention of cath associated urinary tract infections 2009. Infection’s control and hospital epidemiology. Centers for Disease Control and Prevention [Internet]. 2010] acesso em 20 ago 2022];31(1):319-26. Disponível em: https://www.cdc.gov/infectioncontrol/pdf/guidelines/cauti-guidelines-H.pdf. Acesso 20 maio 2021.
Conselho Federal de Enfermagem (COFEn). Resolução n.° 358/2009. Dispõe sobre a Sistematização da Assistência de Enfermagem e a implementação do Processo de Enfermagem em ambientes, públicos ou privados, em que ocorre o cuidado profissional de Enfermagem, e dá outras providências [Internet]. Brasília (DF): COFEn; 2009 [acesso em 20 ago 2022]. Disponível em: http://www.cofen.gov.br/resoluo-cofen-3582009_4384.html
Horta WA. Processo de enfermagem. São Paulo: EPU; 1979.
Nanda-I. Diagnósticos de enfermagem da NANDA: definições e classificação 2015/2017.Porto Alegre: Artmed; 2015.
Ng JH, Bijol V, Sparks MA, Sise ME, Izzedine H, Jhaveri KD. Pathophysiology and Pathology of Acute Kidney Injury in Patients With COVID-19. Adv Chronic Kidney Dis. 2020;27(5):365-376. DOI: 10.1053/j.ackd.2020.09.003
Al-Samkari H, Karp Leaf Dzik WH, Carlson JCT, Fogerty AE, Waheed A, et al. COVID-19 and coagulation: bleeding and thrombotic manifestations of SARS-Cov-2 infection. Blood. 2020. DOI: 10.1182/blood.2020006520
Storer JM, Cabral BG, Bono CDSR, et al. Desenvolvimento de infecções relacionadas à assistência à saúde em pacientes com covid ‐ 19 em um hospital público do sul do brasil. Braz J InfectDis. 2021;25:101382. doi: 10.1016/j.bjid.2020.101382
Oliveira ACC, Silva ACO. Prevalência de infecção do trato urinário relacionada ao cateter vesical de demora em pacientes de UTI. Rev Pesq. Saúde [Internet]. 2010 [acesso em 20 ago 2022];11(1). Disponível em: http://periodicoseletronicos.ufma.br/index.php/%20revistahuufma/%20article/view/331
Mazzo A, Godoy S, Alves LM; Costa IAM, Trevizan MA, Leite Rangel, Elaine Maria. Cateterismo urinário: facilidades e dificuldades relacionadas à sua padronização Texto Contexto Enferm [Internet]. 2011 [acesso em 20 ago 2022];20(2):333-9. Disponível em: http://www.redalyc.org/pdf/714/71419104016.pdf
Poloni JAT, Jahnke VS, Rotta LN. Insuficiência renal aguda em pacientes com COVID-19. Revista Brasileira de Análises Clínicas. [Internet]. 2020 [acesso em 20 ago 2022]:160-167. Disponível em: http://www.rbac.org.br/a-rbac/. Acesso 06 jan 2022.
Henry BM, Lippi G. Chronic kidney disease is associated with severe coronavirus disease 2019 (COVID-19) infection. Int Urol Nephrol 2020;52:1193-1194. https://doi.org/10.1007/s11255-020-02451-9.
Almeida TPM, Cruz ICF. Diretrizes para a prática de cuidados de enfermagem com cateter vesical em pacientes de alta complexidade: Revisão sistematizada de literatura. Journal Of Specialized Nursing Care [Internet]. 2018 [acesso em 20 ago 2022];10(1). Disponível em: http://www.jsncare.uff.br/index.php/jsncare/article/view/3013/769
Florentino AO, Silva LF, Roque AC, Lopes A, Silveira GC, Corradini Junior FA, Salvador MB, Ferreira KC, Maria YYM, Veroneze L. Estratégias para a melhoria no fluxo de atendimento aos casos suspeitos de COVID-19. Glob Acad Nurs. 2021;2(Spe.2):e120. https://doi.org/10.5935/2675-5602.20200120
Herdman STH, Kamitsuru S, Lopes CT. NANDA International Nursing Diagnoses: Definitions and Classification 2021-2023. Twelfth Edition; 2021.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2022 Global Academic Nursing Journal