Evaluation of Nursing Records on Clinical Manifestations of Cardiotoxicity

1Nurse. MSc student of the Academic Program in Health Care Sciences (PACCS), Universidade Federal Fluminense-UFF. Specialist in Intensive Therapy by the Multiprofessional Health Residency program UFF. Graduated in Nursing from the University of the State of Rio de Janeiro UERJ: mayaraborgesrb@hotmail.com 2Nurse. Specialist in the Residency modality in Family Health Nursing at the State University of Rio de Janeiro UERJ. Graduated in Nursing UERJ: rafaelaoli03@gmail.com 3Nurse. PhD. Professor of the Postgraduate Program of the Master’s Degree in Nursing in the Nursing Faculty, Federal University of Juiz de Fora (UFJF). MG, Brazil. E-mail: annasalimena@terra.com.br. Corresponding author. 4Nurse. Doctor. Adjunct Professor, Faculty of Nursing, State University of Rio de Janeiro. Deputy Chief of the Medical-Surgical Nursing Department: sandregina@gmail.com 5Nurse. Doctor. Adjunct Professor, Faculty of Nursing, State University of Rio de Janeiro: luana.almeida3011@gmail.com 6Nurse. Doctor. Adjunct Professor, Department of Surgical Medical Nursing, Faculty of Nursing, State University of Rio de Janeiro: danimendh@gmail.com ABSTRACT This research aimed to evaluate the nursing records that work in the chemotherapy outpatient clinic about the clinical manifestations of cardiotoxicity and to present a proposal of information route directed to the records of care in this clientele. It is a documentary research, retrospective by analysis of the medical record and quantitative evaluation. The data were collected in a form containing 4 variables directed to the characteristics of the population and 15 variables related to the possible clinical manifestations of cardiotoxicity, obeying ethical norms and analyzed through descriptive statistics. The proposal of an information roadmap was described from a table containing sociodemographic variables and specific elements of the treatment, elaborated from the literature review of this research. Despite the potential toxicity of the chemotherapy treatment, there was no record of the drug used in 12 (50%) medical records and no nursing record was found on possible signs of cardiotoxicity. It is concluded that chemotherapy can develop toxic reactions, such as cardiotoxicity. Knowledge about the possible signs and symptoms of cardiac toxicity, as well as the risk factors and adequate recording of this information by nursing, become important for the reach of clinical documentation with quality.

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