EVIDENCE-BASED STRATEGIES FOR TREATING PATIENTS WITH SUSPECTED STROKE

• DOI: https://doi.org/10.22533/at.ed.51572626310311

• Palavras-chave: Stroke. Cerebrovascular accident. Nursing care. Urgency and emergency.

• Keywords: Stroke. Cerebrovascular accident. Nursing care. Urgency and emergency.

• Abstract:

  Stroke is a serious health condition with significant repercussions for public health, patients, and their families. It is characterized by a reduction or interruption of cerebral blood flow, with high mortality and physical sequelae rates. Given this scenario, identifying best practices for managing stroke patients is essential to reducing the unfavorable outcomes associated with the disease. This study aimed to identify the main practices in the care of patients with suspected stroke in the context of urgent and emergency care. A literature review was conducted in the Virtual Health Library (VHL), covering the BIREME, MEDLINE, LILACS, SciELO, Google Scholar databases, and the Ministry of Health website, considering publications from the last 20 years . The findings show that stroke is a complex pathology that requires rapid decision-making and well-defined care strategies. The following are highlighted as essential goals for reducing the severity of stroke: educating the population on early recognition of signs and symptoms and seeking timely care; organizing health services; teamwork and interdisciplinary action; agility in performing complementary tests; accurate identification of the onset of symptoms; the initiation of thrombolytic therapy in ischemic stroke (iCVA) within the first three hours; as well as continuous monitoring and strict control of blood pressure before, during, and in the first 48 hours after administration of recombinant tissue plasminogen activator (rtPA).