ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Expanded roles for I.V. nursing specialists mandate an understanding of the review process and procedures to be followed when I.V. investigational drugs are being given in one's institution. The author leads the reader from the planning process through interpretation and publication of findings.

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Prudent management principles dictate that the most cost-efficient means of delivering quality I.V. therapy within the hospital setting should be used. Understanding these management principles and by looking at the cost of specialized I.V. therapy teams, hospital administrators have asked “can this hospital afford to have an I.V. therapy team?”To answer this question, a method illustrating the cost of I.V. complications, as they offset the cost of an I.V. team, is needed. This study uses baseline data to identify incidences of complications through quality assurance surveys and verifies increased LOS (length of stay) with case studies. This information is collected from both I.V.- serviced and non-I.V.-serviced areas. Identification of cost covers direct and indirect material and labor expense relative to I.V. complications. Time motion studies sampling R.N.s, both I.V. team and non-I.V. team, establish a contrast for tabulation. Having considered these often times “hidden” costs, hospital administration will recognize a substantial annual cost savings. These savings can be realized through the optimal utilization of a skilled I.V. therapy nursing team. With this new perspective, a hospital administration may more appropriately ask the question, “Can this hospital afford not to have an I.V. therapy team?”

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Serious cytomegalovirus (CMV) infection is a major cause of morbidity and mortality in patients with acquired immune deficiency syndrome (AIDS). CMV infection of the eye results in a, chorioretinitis that frequently progresses to blindness, severely restricting one's attempts at self-care and independence. Current therapy involves chronic intravenous (I. V.) administration of 9-[2- Hydroxy-1-(Hydroxymethyl) Ethoxymethyl] guanine (BW B759U), a. compassionate plea, investigational, antiviral agent. A 82-year-old homosexual man with AIDS and CMV retinitis received 299 days of home I.V. therapy with BW B759U. Despite an initial improvement in vision, progressive visual deterioration occurred after the daily dose of BW B759U was altered due to complications related to concurrent therapy for Pneumocystis carinii pneumonia. Provision of safe, consistent home I. V. therapy was a nursing challenge due to progressive deterioration of the patient's visual acuity, the need for chronic venous access and drug administration, as well as the patient's physical and psychosocial adjustment to AIDS and eventual deterioration. This case report is typical of persons with AIDS who have CMV retinitis. Use of a primary nursing model enhanced this particular patient's quality of life by allowing for consistent home I. V. therapy with a minimal number of rehospitalizations.

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

I. V. antibiotics can be administered by intermittent infusion using a syringe and 10-20 ml of fluid per dose. Since stability data in this particular system are not currently available, a study was performed to determine the stability of cefazolin, cefoxitin, piperacillin, and ticarcillin when diluted with sterile water for injection (10-20 ml) and stored in disposable plastic syringes at —15°C, 4°C, and 24°C. An HPLC assay was used to study the stability of piperacillin and ticarcillin, and a direct ultraviolet spectrophotometric assay was used for cefazolin and cefoxitin. The expiration date of the prepared antibiotic was defined as the time at which 10% of the labeled amount of antibiotic was lost. These four antibiotics were stable for at least 2 days at room temperature, 6 days when refrigerated, and at least 3 months when frozen. This study has shown that the stability of these four antibiotics is sufficient to allow pharmacists to utilize this system in their I.V. admixture service.

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Hospitals are becoming institutions for the critically ill patient. Cost containment is a vital issue in hospital and patient management. The I.V. team must continually market its efficiency and skill. One path an I.V. team may follow by becoming certified as Advanced Certified Life Saving (ACLS) is to assume the nursing role of the code team during a cardiac arrest. ACLS certification protects the I.V. nurses, their patients, and the I. V. team role in the care of the critically ill.

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0160-3930    

出版商:OVID    

年代:1987

数据来源: OVID