Berrak Balanuye
BaÅŸkent University, Turkey
Title: The Nursing Care Process of a Patient with ECMO Device according to Gordon’s Functional Health Patterns
Biography
Biography: Berrak Balanuye
Abstract
ECMO (ExtraCorporeal Membrane Oxygenation) is a treatment method that has been applied to the patients with reversible cardiac or respiratory failure for temporary life support. The case study was determine the Nursing Care Process of a Patient with ECMO Device according to Gordon’s Functional Health Patterns. The patient (R.G.) who is 54-years-old male with inferior MI and PTCA applied. Cardiac support was provided with ECMO was in cardiovascular surgery intensive care unit and by monitored mechanical ventilation.The hemodynamics of R.G. was unstable and high dose of dopamine, adrenaline, lasix, heparin infusion was started. R.G.’s Glaskow Coma Scale is 9. Because of ECMO, the left arm occured compartment syndrome, the fasciotomy was made. Acinetobacter in blood, candida in the urine and pneumonia occured. He was taken in prisma dialysis machine. Braden Scale for Predicting Pressure Score Risk is 5 point, widespread ecchymosis in the coccyx, Bates-Jensen wound assesment tool was evaluated between 17-21 points. ECMO nurse follow-up in the form of parameters, in the first day of ECMO is Activated Clotting Time(ACT)=241second, Blood Pressure= 77/56mm-Hg, Revolution per minute (RPM)=6800, Flow=3.9min/L.The care was planned according to 28 nursing diagnosis under Gordon’s Functional Health Patterns. At the end of 26 days of treatment and nursing care to poor prognosis was inseparable from ECMO and R.G. died. Caring a patient with ECMO, aware of complications are important for nurses.The usage of improved ECMO nursing care guides was suggested.