CAMILA TAKAO LOPES
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- Nursing diagnoses and interventions for a child after cardiac surgery in an intensive care unit(2015) CAVALCANTE, Agueda Maria Ruiz Zimmer; BRUNORI, Evelise Helena Fadini Reis; LOPES, Camila Takáo; SILVA, Andréa Braz Vendramini; HERDMAN, T. HeatherObjetivo: descrever o julgamento clínico de enfermagem para identificar diagnósticos NANDA e desenvolver um plano de tratamento NIC para uma criança em pós-operatório de cirurgia cardíaca em terapia intensiva. Método: estudo de caso com coleta de dados retrospectiva no prontuário. Resultados: três enfermeiras identificaram diagnósticos NANDA e intervenções NIC. Criança de 6 meses, submetida a cirurgia cardíaca, necessitou oxigenação extracorpórea por membrana no pós-operatório. Foram identificados quatro principais diagnósticos, aos quais foram direcionadas dez intervenções. A proposta de intervenções para responder às necessidades humanas prioritárias da criança foi otimizada pelo uso das terminologias padronizadas. Todos os diagnósticos foram sustentados por indicadores diagnósticos; todas as intervenções foram cientificamente sustentadas. Conclusão: espera-se que os enfermeiros abordem não somente as respostas fisiológicas, mas também aquelas dos domínios psicossociais.
- Predictors of red blood cell transfusion after cardiac surgery: a prospective cohort study(2015) LOPES, Camila Takao; BRUNORI, Evelise Helena Fadini Reis; CAVALCANTE, Agueda Maria Ruiz Zimmer; MOORHEAD, Sue Ann; LOPES, Juliana de Lima; BARROS, Alba Lucia Bottura Leite deObjective: To identify predictors of red blood cell transfusion (RBCT) after cardiac surgery. Method: A prospective cohort study performed with 323 adults after cardiac surgery, from April to December of 2013. A data collection instrument was constructed by the researchers containing factors associated with excessive bleeding after cardiac surgery, as found in the literature, for investigation in the immediate postoperative period. The relationship between risk factors and the outcome was assessed by univariate analysis and logistic regression. Results: The factors associated with RBCT in the immediate postoperative period included lower height and weight, decreased platelet count, lower hemoglobin level, higher prevalence of platelet count < 150x10(3)/mm(3), lower volume of protamine, longer duration of anesthesia, higher prevalence of intraoperative RBCT, lower body temperature, higher heart rate and higher positive end-expiratory pressure. The independent predictor was weight <66.5Kg. Conclusion: Factors associated with RBCT in the immediate postoperative period of cardiac surgery were found. The independent predictor was weight.
- Smoking, alcohol consumption and physical activity: associations in acute coronary syndrome(2014) BRUNORI, Evelise Helena Fadini Reis; CAVALCANTE, Agueda Maria Ruiz Zimmer; LOPES, Camila Takao; LOPES, Juliana de Lima; BARROS, Alba Lucia Bottura Leite deObjective: To describe the prevalence of smoking and alcohol consumption; to identify the level of physical activity; the degree of nicotine and alcohol dependence and the association between these risk factors in subjects with acute coronary syndrome. Methods: Cross-sectional study with 150 patients with acute coronary syndrome. For data collection, interviews, analysis of patients' charts and validated questionnaires on smoking, alcohol consumption and physical activity were used. Results: 58.7% were smokers (35.2% high dependence), 42% consumed alcohol (65.1% low risk), 36.7% were active. Smoking was significantly correlated to alcohol consumption and high nicotine dependence was associated with sedentary lifestyles. Conclusion: There was high prevalence of smoking and alcohol consumption. There was a high nicotine dependence and low risk alcohol consumption. Most participants were active. There was a correlation between alcohol consumption and smoking, as well as association of high nicotine dependence with sedentary lifestyles.