<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5552</journal-id>
<journal-title><![CDATA[Revista Salud Uninorte]]></journal-title>
<abbrev-journal-title><![CDATA[Salud, Barranquilla]]></abbrev-journal-title>
<issn>0120-5552</issn>
<publisher>
<publisher-name><![CDATA[Fundación Universidad del Norte, División de Ciencias de la]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-55522022000200628</article-id>
<article-id pub-id-type="doi">10.14482/sun.38.2.610.736</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cuidados de enfermería para reducir el riesgo de hemorragia en pacientes con trombolisis por ICTUS isquémico]]></article-title>
<article-title xml:lang="en"><![CDATA[Nursing Care to Reduce the Risk of Bleeding in Patients with Stroke Thrombolysis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[CASTIBLANCO MONTANEZ]]></surname>
<given-names><![CDATA[RUTH ALEXANDRA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[BRAVO AYALA]]></surname>
<given-names><![CDATA[JUAN]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[LOPEZ RUIZ]]></surname>
<given-names><![CDATA[ASHLY]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[RIVAS GRANADOS]]></surname>
<given-names><![CDATA[TAREK]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[SANDOVAL PUENTES]]></surname>
<given-names><![CDATA[NATHALY]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud (FUCS)  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud (FUCS)  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud (FUCS)  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud (FUCS)  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud (FUCS)  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<fpage>628</fpage>
<lpage>647</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-55522022000200628&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-55522022000200628&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-55522022000200628&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Describir las intervenciones de enfermería en pacientes con trombolisis en ictus isquémico para reducir el riesgo de hemorragia.  Metodología: Investigación secundaria, revisión; integrativa. Se realizó una pregunta con la estrategia PICO: ¿Cuáles son las intervenciones de enfermería en pacientes con trombolisis en ictus isquémico para reducir el riesgo de hemorragia antes, durante y después de trombolizar al paciente? Se construyó una ecuación de búsqueda utilizando booleanos, DeCS/MeSH para facilitar la búsqueda en bases de datos. Los artículos encontrados fueron leídos críticamente y clasificados por nivel de evidencia y grados de recomendación. Estudio sin riesgo ético por ser de tipo documental. Se respetaron los derechos de autor de acuerdo con la Ley 44 de 1993.  Resultados: Con las 14 unidades de análisis finales fueron construidos 3 dominios que realzan la importancia de los conocimientos y el actuar del personal de enfermería en la reducción del riesgo de hemorragia en pacientes con ictus isquémico. Dichos dominios son: 1) control y monitorización de la tensión arterial; principal cuidado de enfermería antes, durante y después de la trombolisis, 2) terapia combinada; disminución de riesgos hemorrágicos - aumento de la ventana terapéutica, 3) dosificación segura de alteplasa en situaciones contraindicadas.  Conclusiones: La intervención de enfermería más significativa durante esta terapia es la monitorización y control de las cifras tensionales, debido a que su aumento mayor a 185/110 mmHg es el factor de riesgo más significativo en la aparición de hemorragias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: Describe nursing interventions in patients with thrombolysis in ischemic stroke to reduce the risk of bleeding.  Methodology: Secondary research, type of review; integrative. A question was asked with the PICO strategy: What are the nursing interventions in patients with thrombolysis in ischemic stroke to reduce the risk of bleeding before, during, and after thrombolyzing the patient? A search equation was constructed using Boolean, DeCS / MeSH to facilitate database searching. The articles were critically read and classified by level of evidence and degrees of recommendation. Study without ethical risk because it is documentary type, copyright was respected according to Law 44 of 1993.  Results: With the 14 final analysis units, 3 domains were constructed that highlight the importance of knowledge and the actions of the nursing staff in reducing the risk of bleeding in patients with ischemic stroke. These domains are: 1) control and monitoring of blood pressure; main nursing care before, during, and after thrombolysis, 2) combined therapy; decreased bleeding risks - increased therapeutic window, 3) safe dosage of alteplase in contraindicated situations.  Conclusions: The most significant nursing intervention during this therapy is the monitoring and control of blood pressure figures, since and increase larger than 185/110 mmHg is the most significant risk factor in the appearance of bleeding.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ictus cerebral]]></kwd>
<kwd lng="es"><![CDATA[terapia trombolítica]]></kwd>
<kwd lng="es"><![CDATA[prevención y control]]></kwd>
<kwd lng="es"><![CDATA[trombosis]]></kwd>
<kwd lng="es"><![CDATA[hemorragia cerebral]]></kwd>
<kwd lng="en"><![CDATA[Cerebral stroke]]></kwd>
<kwd lng="en"><![CDATA[thrombolytic therapy]]></kwd>
<kwd lng="en"><![CDATA[prevention and control]]></kwd>
<kwd lng="en"><![CDATA[thrombosis]]></kwd>
<kwd lng="en"><![CDATA[cerebral hemorrhage]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Tarducci]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Tabares]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sembaj]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Medigraphic - Literatura Biomédica]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Revistas de la Universidad Nacional de Córdoba [Internet]. Comparación entre los sistemas de clasificación etiológica del accidente cerebrovascular en pacientes que asisten al Sanatorio Allende Córdoba]]></article-title>
<source><![CDATA[Revista de la Facultad de Ciencias Médicas de Córdoba]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<collab>WHO: World Health Organization</collab>
<source><![CDATA[Enfermedad pulmonar obstructiva crónica (EPOC)]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>IntraMed</collab>
<source><![CDATA[Día mundial del ACV]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Argentina ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="">
<collab>Ministerio de salud</collab>
<source><![CDATA[Ataque cerebrovascular]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<collab>Análisis de Situación de Salud (ASIS)</collab>
<source><![CDATA[Dirección de Epidemiología y Demografía (diciembre de 2019)]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[¿Qué puedo hacer para evitar un infarto de miocardio o un accidente vascular cerebral?]]></source>
<year>2015</year>
<publisher-name><![CDATA[OMS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Veintimilla-Mora]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Galvez-Ceverino]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Jaramillo-Olaya]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Planificación de cuidados de enfermería en paciente con diagnóstico de accidente cerebrovascular secundario a hipertensión arterial]]></source>
<year>2019</year>
<publisher-name><![CDATA[UT-MACH]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bayona-Ortiz]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz-Cruz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Góez-Mogollón]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Useche-Gómez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia-Mendoza]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jeanne-ret-López]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Observational study of thrombolytic treatment for acute stroke in patients older and younger than 80 years: experience from one hospital in Bogotá, Colombia, 2007-2014]]></article-title>
<source><![CDATA[Médicas UIS]]></source>
<year>2017</year>
<volume>30</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>21-30</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brunser]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hoppe]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lavados]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Illanes]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trombolisis intravenosa en cuadros imitadores de isquemia cerebral: experiencia de un centro]]></article-title>
<source><![CDATA[Rev. méd. Chile]]></source>
<year>2016</year>
<volume>144</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1266-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jiménez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Utilización de activador de plasminógeno tisular (t-PA) en el tratamiento de ictus isquémico agudo]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Macua]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mayor]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Pulso 86]]></source>
<year>2016</year>
<numero>48</numero>
<issue>48</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Padrón-Estévez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[La enfermería y la prevención, detección precoz, tratamiento y cuidados en el ictus: una revisión bibliográfica]]></source>
<year>2019</year>
<publisher-name><![CDATA[Universidad de la Laguna]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benavente]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Villanueva]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Vega]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Casado]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Vidal]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Castaño]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El código ictus de Asturias]]></article-title>
<source><![CDATA[Scien-cedirect]]></source>
<year>2016</year>
<volume>31</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>143-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud y Protección Social</collab>
<source><![CDATA[Guía de Práctica Clínica para el diagnóstico, tratamiento y rehabilitación del episodio agudo del Ataque Cerebrovascular isquémico en población mayor de 18 años]]></source>
<year>2015</year>
<publisher-name><![CDATA[Colciencias]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pareja]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Boscá]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Galiano]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Chamarro]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gil]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ponz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía de tratamiento del ictus isquémico en fase aguda]]></article-title>
<source><![CDATA[Neurología]]></source>
<year>2018</year>
<numero>54</numero>
<issue>54</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Taimy]]></surname>
<given-names><![CDATA[Vives Medina Oisis]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Protocolo de actuación de Enfermería para pacientes con enfermedad cerebrovascular]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[René]]></surname>
<given-names><![CDATA[Quintana Pereda]]></given-names>
</name>
<name>
<surname><![CDATA[Nuvia]]></surname>
<given-names><![CDATA[Soto Páez]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Ciencias Médicas]]></source>
<year>2014</year>
<volume>18</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>414-29</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ibáñez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Papel de enfermería en la atención al paciente con accidente cerebrovascular]]></article-title>
<source><![CDATA[Repositorio abierto de la Universidad de Cantabria]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Revisión integrativa de la investigación en enfermería, el rigor científico que se le exige]]></article-title>
<source><![CDATA[Rev Gaúcha de Enfermagem]]></source>
<year>2012</year>
<volume>33</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Silveira]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Galvão]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Revisão integrativa: método de pesquisa para a incorporação de evidencias na saúde e na enfermagem]]></article-title>
<source><![CDATA[Texto contexto - enferm]]></source>
<year>2008</year>
<volume>17</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>758-64</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ball]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Phillips]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<source><![CDATA[Evidence-Based On-Call]]></source>
<year>2001</year>
<publisher-loc><![CDATA[Edimburgo ]]></publisher-loc>
<publisher-name><![CDATA[OCEBM]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabello]]></surname>
<given-names><![CDATA[J.B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[por CASPe. Plantilla para ayudar a entender un Estudio de Casos y controles]]></article-title>
<collab>CASPe</collab>
<source><![CDATA[Guías CASPe de lectura Crítica de la Literatura Médica]]></source>
<year>2005</year>
<page-range>13-9</page-range><publisher-loc><![CDATA[Alicante ]]></publisher-loc>
<publisher-name><![CDATA[CASPe]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabello]]></surname>
<given-names><![CDATA[J.B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[por CASPe. Plantilla para ayudar a entender un Estudio de Cohortes]]></article-title>
<collab>CASPe</collab>
<source><![CDATA[Guías CASPe de lectura Crítica de la Literatura Médica]]></source>
<year>2005</year>
<page-range>23-7</page-range><publisher-loc><![CDATA[Alicante ]]></publisher-loc>
<publisher-name><![CDATA[CASPe]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="book">
<collab>Ministro de Salud</collab>
<source><![CDATA[Resolución número 8430 de 1993]]></source>
<year></year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rueda]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[Ley 44 de 1993 [monografía en internet]]]></source>
<year></year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Congreso de la República]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Ley 911 del 2004]]></source>
<year></year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Congreso de la república]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez-Serrano]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Revisión bibliográfica sobre la protocolización de los cuidados de Enfermería en el ACV]]></source>
<year>2018</year>
<publisher-name><![CDATA[Universidade da Coruña]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Craig]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Woodward]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hisatomi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Xiaoying]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lindley]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Statistical analysis plan for evaluating low- vs. standard-dose alteplase in the ENhanced Control of Hypertension and Thrombolysis strokE stuDy (ENCHANTED)]]></article-title>
<source><![CDATA[Sage]]></source>
<year>2015</year>
<volume>10</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>131-1315</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Knecht]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Borlongan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Peña]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Combination therapy for ischemic stroke: Novel approaches to lengthen therapeutic window of tissue plasminogen activator]]></article-title>
<source><![CDATA[Brain Circulation]]></source>
<year>2018</year>
<volume>4</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>99-108</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guang-jian]]></surname>
<given-names><![CDATA[Zhao]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The safety and efficacy of tPA intravenous thrombolysis for treating acute ischemic stroke patients with a history of cerebral hemorrhage]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Zi-ran]]></surname>
<given-names><![CDATA[Wang]]></given-names>
</name>
<name>
<surname><![CDATA[Fan-zhen]]></surname>
<given-names><![CDATA[Lin]]></given-names>
</name>
<name>
<surname><![CDATA[Yan-sen]]></surname>
<given-names><![CDATA[Cui]]></given-names>
</name>
<name>
<surname><![CDATA[Shun-liang]]></surname>
<given-names><![CDATA[Xu]]></given-names>
</name>
</person-group>
<source><![CDATA[Braz J Med Biol Res]]></source>
<year>2019</year>
<volume>52</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Van Matre]]></surname>
<given-names><![CDATA[ET]]></given-names>
</name>
<name>
<surname><![CDATA[Cook]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Shah]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
<name>
<surname><![CDATA[Rydz]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Smetana]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of Chronic Hypertension Following Intracerebral Hemorrhage]]></article-title>
<source><![CDATA[Crit Care Nurs Q]]></source>
<year>2019</year>
<volume>42</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>148-64</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Robinson]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Lindley]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Arima]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Lavados]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Low-Dose versus Standard-Dose Intravenous Alteplase in Acute Ischemic Stroke]]></article-title>
<source><![CDATA[NEJM]]></source>
<year>2016</year>
<numero>374</numero>
<issue>374</issue>
<page-range>2313-23</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kyaw]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bachmann]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kong]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Musgrave]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Price]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Hale]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Important factors in predicting mortality outcome from stroke: findings from the Anglia Stroke Clinical Network Evaluation Study]]></article-title>
<source><![CDATA[BGS]]></source>
<year>2017</year>
<volume>46</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>83-90</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Choca]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Maruja]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Protocolo de enfermería en pacientes con accidente cerebro vascular en el Área de Medicina Crítica Hospital Luis Vernaza 2010]]></source>
<year>2016</year>
<publisher-name><![CDATA[Repositorio Universidad de Guayaquil]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chiu]]></surname>
<given-names><![CDATA[WT]]></given-names>
</name>
<name>
<surname><![CDATA[Hong]]></surname>
<given-names><![CDATA[CT]]></given-names>
</name>
<name>
<surname><![CDATA[Chi]]></surname>
<given-names><![CDATA[NF]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[HH]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The risk of intravenous thrombolysis-induced intracranial hemorrhage in Taiwanese patients with unruptured intracranial aneurysm]]></article-title>
<source><![CDATA[Plos One]]></source>
<year>2017</year>
<month>ju</month>
<day>n</day>
<volume>12</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yu-Wei]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sheng-Feng]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chih-Hung]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sung-Chun]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Li-Kai]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Huey-Juan]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intravenous Thrombolysis Administration 3-4.5 h After Acute Ischemic Stroke: A Retrospective, Multicenter Study]]></article-title>
<source><![CDATA[Front. Neurol]]></source>
<year>2019</year>
<numero>10</numero>
<issue>10</issue>
<page-range>1038</page-range></nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lees]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Emberson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Blackwell]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bluhmki]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of alteplase for acute stroke on the distribution of functional outcomes: a pooled analysis of nine trials]]></article-title>
<source><![CDATA[AHA]]></source>
<year>2016</year>
<volume>47</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>2373-9</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goyal]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Tsivgoulis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Zand]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Barlinn]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Male]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Systemic thrombolysis in acute ischemic stroke patients with unruptured intracranial aneurysms]]></article-title>
<source><![CDATA[Neurology]]></source>
<year>2015</year>
<volume>85</volume>
<numero>17</numero>
<issue>17</issue>
</nlm-citation>
</ref>
<ref id="B38">
<label>38</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[David]]></surname>
<given-names><![CDATA[Morales-Plaza Cristhian]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores predictores de mortalidad por accidente cerebrovascular en el Hospital Universitario San Jorge de Pereira (Colombia)]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Claudio]]></surname>
<given-names><![CDATA[Aguirre-Castañeda]]></given-names>
</name>
<name>
<surname><![CDATA[Enrique]]></surname>
<given-names><![CDATA[Machado-Alba Jorge]]></given-names>
</name>
</person-group>
<source><![CDATA[Salud, Barranquilla. Rev Salud Uninorte]]></source>
<year>2016</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>56-64</page-range></nlm-citation>
</ref>
<ref id="B39">
<label>39</label><nlm-citation citation-type="">
<collab>Ministerio de protección social</collab>
<source><![CDATA[Guías de promoción de la salud y prevención de enfermedades en la salud pública]]></source>
<year>2007</year>
<volume>2</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>978-958-98220-0-5</page-range></nlm-citation>
</ref>
<ref id="B40">
<label>40</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Venegas-Mera]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Ruiz]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de caso Clínico de Paciente con Acv Isquémico Enfocado en los cuidados de Enfermería. Universidad Tecnica de Ambato]]></article-title>
<source><![CDATA[Rev UTA]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B41">
<label>41</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bandettini di Poggio]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Finocchi]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Brizzo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Altomonte]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Bovis]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Mavilio]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of acute ischemic stroke, thrombolysis rate, and predictors of clinical outcome]]></article-title>
<source><![CDATA[Neurological Sciences]]></source>
<year>2019</year>
<volume>40</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>319-26</page-range></nlm-citation>
</ref>
<ref id="B42">
<label>42</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berruguete]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Protocolo de actuación para la administración de fibrinolisis en pacientes con ictus]]></source>
<year>2018</year>
<numero>38</numero>
<issue>38</issue>
<publisher-name><![CDATA[Universidad de Valladolid]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B43">
<label>43</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Madrid]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Belzunegui]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Programa de formación para la detección de ictus intrahospitalario dirigido a profesionales de enfermería]]></article-title>
<source><![CDATA[Upna]]></source>
<year>2015</year>
<numero>46</numero>
<issue>46</issue>
</nlm-citation>
</ref>
<ref id="B44">
<label>44</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Del Brutto]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neuroprotección no Farmacológica en el Manejo de Pacientes con Ictus Agudo]]></article-title>
<source><![CDATA[Rev Ecuatneurol]]></source>
<year>2016</year>
<volume>12</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B45">
<label>45</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Theofanidis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of Acute Stroke: A Debate Paper on Clinical Priorities. A Literature Review]]></article-title>
<source><![CDATA[IJCS]]></source>
<year>2015</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>201-10</page-range></nlm-citation>
</ref>
<ref id="B46">
<label>46</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Echezuría]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Franklin]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Quijada]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Citicolina, ¿deberíamos seguir indicándola en ECV isquémica?]]></article-title>
<source><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></source>
<year>2018</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>232-6</page-range></nlm-citation>
</ref>
<ref id="B47">
<label>47</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zang]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Zang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Ding]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Ji]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of Therapeutic Hypothermia Combined with Other Neuroprotective Strategies on Ischemic Stroke: Review of Evidence Envejecimiento Dis]]></article-title>
<source><![CDATA[A&amp;G]]></source>
<year>2018</year>
<volume>9</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>507-22</page-range></nlm-citation>
</ref>
<ref id="B48">
<label>48</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jablonska]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Wronkowska]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Slusarz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Filipska]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Meder]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Sokal]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endovascular and Thrombolytic Therapy and the Functional Status of Patients after Ischemic Stroke]]></article-title>
<source><![CDATA[TJNNN]]></source>
<year>2019</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>69-77</page-range></nlm-citation>
</ref>
<ref id="B49">
<label>49</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharon M]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Goh]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Kadir]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Zakaria]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yap]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictors of functional outcome in patients with stroke thrombolysis in a tertiary hospital in Malaysia]]></article-title>
<source><![CDATA[SMJ]]></source>
<year>2019</year>
<volume>60</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>236-40</page-range></nlm-citation>
</ref>
<ref id="B50">
<label>50</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khatri]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Kleindorfer]]></surname>
<given-names><![CDATA[DO]]></given-names>
</name>
<name>
<surname><![CDATA[Devlin]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Sawyer]]></surname>
<given-names><![CDATA[RN]]></given-names>
</name>
<name>
<surname><![CDATA[Starr]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mejilla]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effect of Alteplase vs Aspirin on Functional Outcome for Patients With Acute Ischemic Stroke and Minor Nondisabling Neurologic Deficits: The PRISMS Randomized Clinical Trial]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2018</year>
<volume>320</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>156-66</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
