ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Oral anticoagulant therapy may be inappropriately managed and thus potentially place the warfarin-treated patient at an increased and unnecessary risk of bleeding or thromboembolic complications. This management issue is largely due to variations in measuring the pro-thrombin time. These variations may lead to an inaccurate and inconsistent assessment of the patient's true level of anticoagulation. The adoption of the International Normalized Ratio (INR) is recommended because it provides a mathematical correction for one of these variations—specifically, the thromboplastin reagents currently used. This article focuses on the appropriate use of the INR to monitor patients' responses to warfarin sodium therapy. It is vitally important for health care providers to be aware of the INR, to use it in clinical practice, and to interpret it correctly.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Respiratory syncytial virus (RSV) is a frequent cause of respiratory Illness in Infants and children, affecting almost 100% of children by the age of 3 years. Mild RSV Infection usually involves only the upper respiratory tract, while the lower respiratory tract is Involved In severe disease. This article addresses the epidemiology of RSV infection, transmission of the disease, predisposing conditions, clinical course, diagnosis, and management. The majority of children can be managed on an outpatient basis, while some will require hospitalization. Outpatient management, with a focus on adequate hydration, humidification, and comfort measures, is emphasized with a brief overview of the management of the hospitalized patient. Breast-feeding, crowded conditions, and hand washing are discussed relative to primary and secondary prevention.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Influenza remains a significant cause of morbidity and mortality among the elderly and persons with certain chronic illnesses. Despite the availability of safe and efficacious immunization against the virus, only a small percent of persons at risk for complications are Immunized annually. This article describes influenza virus, indications for influenza vaccination, chemoprophylaxis and treatment of influenza, and strategies for practitioners to increase immunization rates among at-risk individuals.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The development of a model of care using acute care nurse practitioners in a teaching hospital and the integration of the nurse practitioner into an alternative model of care delivery are discussed. Issues in implementation include lack of understanding about the nurse practitioner role on the part of other members of the health care team, legislative constraints, and the administrative restrictions of teaching hospitals. Education of nurses and physicians regarding the scope of practice of the nurse practitioner role, departmental policy changes, and the development of protocols facilitate the efficiency and utilization of the nurse practitioner in this setting. Specific concerns surrounding costs of a nurse practitioner service and practice differences between the clinical nurse specialist and the acute care nurse practitioner are addressed. Nurse practitioner models of care delivery, which address quality, cost-effective care are on the forefront of tomorrow's health care.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A case study is presented of a 47-year old, white female with a 1-year progressive history of diarrhea up to 20 liquid stools per day, accompanied by an 18-pound weight loss. She had presented with previous workup of gastroscopy revealing two stomach ulcers; colonoscopy revealing nonspecific colitis and one polyp that was subsequently removed and found to be benign; and a negative abdominal ultrasound. She was Helicobacter pylori negative and HIV negative. Her stools had been negative for blood, ova and parasites, and culture. She had been using well water from a new well for 2 years. String test was negative for Giardia She had no diarrhea during a day of fasting. Carbon 14 D-xy-lose breath test was positive. She was discharged on a 14-day course of 500 mg. Augmentin (amoxicillin 500 mg. with clavulanate potassium 125 mg.) by mouth every 8 hours. Seven weeks later, she was having four to five formed stools per day and had gained 16 pounds.

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1995

数据来源: OVID