Complicações e cuidados de enfermagem na administração de drogas vasoativas em pacientes críticos: revisão integrativa

Abstract

In the care of critically ill patients, most are using vasoactive drugs, with the aim of vasoconstriction or vasodilation. This study is an integrative review whose aim was to identify complications and nursing care in the administration of vasoactive drugs to critically ill patients, according to the scientific literature. A search was carried out in the journals Pubmed, Medline, LILACS, ScienceDirect and Web of Science, from 2019 to 2024, obtaining a sample consisting of 07 publications. The manuscripts cite the following as nursing care for the safe administration of vasoactive drugs: early initiation and weaning, monitoring the insertion site every 2 hours, not exceeding administration in a peripheral venous catheter for more than 24 hours, construction and implementation of an evidence-based protocol for cases of vasoactive drug extravasation and, in order to carry out all this care, the training of the multi-professional team, with a focus on the nursing team. It is therefore up to health professionals to provide quality care, with a focus on reducing adverse events through the use of various evidence-based practices. This theme explores critical aspects of health care in the administration of vasoactive drugs, with direct implications for patient morbidity and mortality. Furthermore, it is believed that the quality of the publications is insufficient given the importance of this issue, highlighting the need for new randomized clinical trials and the synthesis of longitudinal data.