ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The use of a remote access infusion pump system in patients receiving intravenous therapy in the home provided a method to monitor patients and to reduce the number of unscheduled and after-hours nursing visits. Option Care of Rockwall, Texas, a locally owned IV company that is part of a national network, was able to avoid 13 nursing visits during a 4-month period with patients receiving pain management or continuous heparin therapy with the use of an infusion pump system that allowed remote access by telephone. An appreciable cost savings was documented with the use of this device.

ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

In the last decade new central venous access devices (CVADs) inserted for long-term therapy have replaced conventional peripheral venous access devices. This shift contributes to the need for additional education as technological advances result in additional options for central venous access. Healthcare’s transition from the hospital to a community-based system has increased the use of CVADs in the home setting. Issues that confront the patient with a CVAD in the home setting must be examined more closely than ever before.

ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

A variety of formulae have been used by home health providers to obtain consistent and accurate reporting of intravenous catheter-related infections. This article describes the most widely used statistical formulae, their advantages and disadvantages, and their relevance to the home health setting. However, because of the numerous and complex intervening variables that influence these statistical applications, epidemiological measurement in nonhospital settings remains an unresolved dilemma for most providers.

ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Home intravenous therapy requires knowledge and understanding for successful outcomes. This article presents the ideas of attachment, guidance, and culturally sensitive nursing practice interventions when caring for patients who require home IV therapy. Culturally sensitive nursing interventions can increase a patient’s ability to comprehend the treatment plan if they are presented in a familiar context. As trust is built, barriers to accurate communication between the nurse and the patient and family are removed, resulting in increased patient compliance and learning. Four case studies are presented to illustrate how nursing interventions use the cultural backgrounds ofpatients to develop culturally sensitive nursing interventions and to show how decisions are made based on information regarding cultural norms.

ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

CytoGam is a hyperimmune globulin created specifically for prophylactic use when a cytomegalovirus seronegative patient receives an organ from a seropositive donor. CytoGam is derived from human pooled plasma rich with cytomegalovirus antibodies, immunoglobulin G, and trace amounts of immunoglobulin A and immunoglobulin M. Clinical studies show a marked decrease in the development of cytomegalovirus when transplant recipients are treated with CytoGam. CytoGam also has undergone trial testing for use in decreasing the instance of cytomegalovirus in patients with human immune deficiency virus (HIV). CytoGam therapy may continue for several months, making home intravenous care essential.

ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Vancomycin is a glycopeptide antibiotic commonly used in the treatment of gram-positive bacterial infections. With the rising prevalence of resistant gram-positive bacterial infections in healthcare institutions and the advent of attempts to curb escalating medical cost, vancomycin isbeing used with increasing frequency in the homecare setting for infection management. In view of its variability in pharmacokinetics and the potential for toxicities, serum concentrations often are measured. This article reviews the pharmacology of vancomycin and suggests a practical approach to serum concentration monitoring in homecare.

ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0896-5846    

出版商:OVID    

年代:1999

数据来源: OVID