ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Currently various methods for the treatment of obstructing esophageal lesions are used in the endoscopy setting. The placement of an endoscopic esophageal endoprosthesis (stent) offers a palliative form of therapy for esophageal cancer designed to enhance the patient's quality of life. The gastroenterology nurse or associate must be familiar with the various types of prostheses available, methods of insertion and patient care needs related to esophageal stent placement in order to provide optimal patient care. This article offers a review of esophageal endoprosthesis therapy. The various types of endoprostheses utilized in the United States, insertion techniques, advantages and disadvantages of stent placement and implications for patient care will be discussed.

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Laser bronchoscopy can be a very effective way to relieve the agony associated with the sensation of asphyxia due to central airway obstruction. In selected patients and when performed by skilled hands the results can indeed be dramatic. The procedure is not curative in the case of malignant central airway obstruction since only the endotracheal or endobronchial portion of the tumor can be treated. It can be curative in a selected group of patients with primarily benign conditions. There can be complications that could be fatal. One must always weigh the risks involved.

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

A frequent complaint of patients asked to drink polyethylene glycol (PEG) colonic lavage solution is the salty flavor. This often results in failure to ingest the entire 4 liters of the solution and compromises bowel cleansing. The purpose of this study was to determine systematically whether the addition of a flavored drink mix sweetened with aspartame to the PEG lavage solution would improve palatability without significantly altering the osmolality of the solution. Eighty-seven (87) staff volunteers participated in a taste test of PEG lavage solutions containing varying amounts of commercially available drink mixes. The solution containing two packages of lemon-flavored Kool Aid drink mix sweetened with aspartame was significantly more palatable than the others (p< 0.005), while osmolality remained within the range specified by the manufacturer of Colyte.

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

α1-Antitrypsin (AAT) is a polymorphic protein with many variants collectively known as the Pi system. The most common alleles are the M, S and Z, which are co-dominantly inherited. Infants with PiZZ have approximately 16% of the normal AAT serum concentration. α1-Antitrypsin deficiency (AATD) is an inborn error of metabolism which is principally associated with liver disease in children and emphysema in young adulthood. Individuals with AATD produce an abnormal protein which accumulates in the liver, resulting in decreased serum levels. Affected individuals cannot protect their lungs from digestion by elastase. Smoking is a significant risk factor for the early development of emphysema. Prolastin, human α1-protease inhibitor, is now available as replacement therapy. Weekly intravenous administration, with the goal of maintaining the serum AAT >80 mg/dl, appears to arrest pulmonary damage. Its effect on liver disease is unknown at this time. A recombinant α1-protease inhibitor is being tested in aerosol form with promising early results.

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Dipentum (olsalazine sodium), a product by Pharmacia, represents the first oral delivery of sulfa-free 5-aminosalicylic acid therapy available for remission maintenance in sulfasalazine-intolerant patients with ulcerative colitis. It provides a safe and well-tolerated treatment regimen that has been shown to be as effective as sulfasalazine in maintaining remission of ulcerative colitis.

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Changes in the delivery and complexity of health care make it imperative that the patient and family are provided with the information needed to make intelligent decisions and choices about health care alternatives. The intent of this paper is to outline the nurse manager's responsibilities for patient education and to provide a practical framework by which to structure patient teaching programs. Although the philosophies of self-care and self-determination are outlined and provide the primary orientation to the concept of patient education, the description of the nurse manager's clinical and aggregate skills provide both the training and practice guidelines.

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Complete, concise documentation of patient care requires clear identification of endoscopy standards with a format conducive to demonstration of their application.

ISSN:1042-895X    

出版商:OVID    

年代:1991

数据来源: OVID