ISSN:0146-0862    

DOI:10.3109/01460868009006335

出版商:Taylor&Francis    

年代:1980

数据来源: Taylor

ISSN:0146-0862    

DOI:10.3109/01460868009006336

出版商:Taylor&Francis    

年代:1980

数据来源: Taylor

摘要:

A drug interaction is caused when one medication affects the action of another medication. Drug interactions can occur through an alteration in drug absorption, distribution, metabolism, and excretion; through an alteration in the pharmacologic action of a medication; or through alteration of a special condition necessary for the action of another medication. Drug interaction detection involves awareness of the problem, adequate medication records, and access to reference materials. The manifestations of drug interactions are often quite varied and can represent anything from a minor to a major clinical problem. Nurses should be aware of the importance of medication record keeping as well as actively involved in seeing that such records are accurately maintained. The management of drug interactions, once detected, is a team effort involving the physician, the nurse, and other health personnel such as the pharmacist. Sophisticated computerized systems for maintaining medication records and for detecting drug interaction problems are already in use in many hospitals and community-based pharmacies. In the future, such systems are likely to be available to the majority of both hospital and community practitioners.

ISSN:0146-0862    

DOI:10.3109/01460868009006337

出版商:Taylor&Francis    

年代:1980

数据来源: Taylor

摘要:

Deliberate self-poisoning is only one method a child may choose for suicidal or self-destructive purposes. In general, the lethality of a self-poisoning act is relatively low when compared to other methods of suicidal behavior. However, the circumstances surrounding a particular self-poisoning act may be such that the lethality may be considered quite high. Therefore, all aspects of the self-poisoning event must be given careful attention.The reasons a child may have for deliberately poisoning himself vary from intense momentary discontent to long-term emotional distress. Regardless of how benign the self-poisoning act appears to be, it may be a signal that the child is in distress and in need of psychosocial intervention. Burrowes eloquently expresses his own view of the rationale for self-poisoning in children and adolescents as followsSelf-poisoning in older children and adolescents is probably increasing, and I do not believe we understand the reason for this. I sometimes wonder if it is a desperate attempt to find a happier environment and therefore paradoxically represents a will to live rather than a wish to die (p. 507).14

ISSN:0146-0862    

DOI:10.3109/01460868009006338

出版商:Taylor&Francis    

年代:1980

数据来源: Taylor

摘要:

A child who only requires esophageal dilatation may have 12 to 15 admissions whereas a child who requires esophageal replacement may have 20 or more admissions. How a child maintains psychological equilibrium depends on how successfully he can cope with the multiple stressors thrust upon him. However, it is not just the child who is affected by the long-term nature of the corrosive substances ingestion, the financial as well as emotional nature of the problem places severe stress on the family as a unit. The primary nurse, in providing family-centered care, must assess the multiple family stressors and intervene. This nurse should also act as a coordinator in order to assist the family in dealing with various other health care disciplines and to facilitate communication between the various health care professionals.

ISSN:0146-0862    

DOI:10.3109/01460868009006339

出版商:Taylor&Francis    

年代:1980

数据来源: Taylor

ISSN:0146-0862    

DOI:10.3109/01460868009006334

出版商:Taylor&Francis    

年代:1980

数据来源: Taylor