血栓溶解劑治療急性缺血性腦中風病人之護理

Nursing Care of Using rt-PA in the Treatment of Acute Ischemic Stroke Patients

蕭世美(Shih-Mei Hsiao) ； 林靜薇(Ching-Wei Lin)

《榮總護理》 27卷4期 (2010/12) Pp. 382-387

https://doi.org/10.6142/VGHN.27.4.382

摘要

本文針對急性缺血性腦中風患者，以胞漿素原活化劑(recombinant tissue plasminogen activator, rt-PA)治療時，護理人員所提供之臨床專業照護。在台灣急性中風的病人有70%是缺血性腦中風，目前唯一的治療方式是使用靜脈血栓溶解劑。使用時需注意：(1)在中風發生的3小時內使用，(2)有7%病人可能發生腦出血甚至死亡等嚴重的併發症。因此臨床的護理人員，必須要暸解rt-PA收治及排除條件、具備藥物的相關知識、神經學的評估能力及併發症的處置方式，才能提供病人整體性及安全的護理。

關鍵字

rt-PA ； 急性缺血性腦中風

並列摘要

This article discusses the clinical professional care in which nurses need to provide to patients with acute ischemic stroke involving the use of rt-PA. Among the acute stroke patients in Taiwan, 70%suffer from ischemic stroke. In the meantime, the only therapy for them is rt-PA. However, it should be noted that: (1) rt-PA must be used within three hours after onset of stroke, and (2) 7% of the patients treated with rt-PA may suffer from complications such as cerebral hemorrhage, and even deaths. Therefore, nurses providing first line of care patients' need not only understand the conditions of rt-PA therapy, including the conditions to accept or to exclude, but also be equipped with pharmaceutical knowledge and the capability to conduct neurological assessment. They need to provide holistic and safe care and effectively reduce complications and mortality rate.

並列關鍵字

rt-PA ； acute ischemic stroke