ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Insulin allergy, either localized or systemic, is a clinical problem that may be encountered by nurse practitioners. Studies have shown that 10 to 37 percent of patients started on animal-source insulin developed an allergic reaction to the agent. With the advent of purified animal-source insulins and of human insulin, this number has decreased, but the problem is unlikely to be completely eradicated. This article presents information about the diagnosis, treatment and management of patients presenting with localized or systemic insulin allergy. A brief discussion of the antigenicity of insulin and the basic immune processes operating in insulin allergy will be included. It is hoped that by acquainting nurse practitioners with the manifestations of insulin allergy and the treatment involved, earlier recognition and intervention will occur. This will help remove an extra burden from a patient who is already trying to adjust to the necessity of daily insulin injections.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Idiopathic thrombocytopenic purpura is a disorder characterized by antibody mediated platelet destruction. Other than thrombocytopenia nad its consquences, the physcial and laboratory examination of the child with ITP is normal. The prognosis in children is excellent; 90 percent will recover spontaneously within one year. Serious hemorrhage is uncommon and conservative management is appropriate. Aspirin and potential trauma should be avoided. Transfusions are rarely necessary or helpful. Corticosteroids may cause a more rapid rise in the platelet count but do not influence the long-term prognosis.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Depression is a complex, debilitating illness that is frequently present in a medically ill population. Assessment of depression presents a challenge to the nurse practitioner whose patient may not describe a depressed mood, but presents with multiple somatic complaints that do not respond to usual interventions. A two-phase descriptive survey that examined the incidence and severity of depressive symptomatology in 30 women on their initial visits to a general medical clinic is reviewed. In addition to an evaluation of depression, somatic symptoms and demographic data relevant to the assessment of depression were obtained. Fifty percent (15) of the women exhibited symptoms of depression as measured by the Beck Depression Inventory. Significant positive correlations were found between depression, stress, level of somatic symptoms, pain and family history of depression. A chart review was done four months subsequent to administration of the Beck Depression Inventory for data concerning care. Significant negative correlations were found between depression and number of clinic visits. The chart review revealed that the depression experienced by the 15 women was apparently unrecognized and untreated. The diagnostic criteria for major depression and the medical conditions that may present with depressive symptoms are covered to assist NPs in recognizing depression. Drugs that can aggravate an existing depression or cause depression as a side effect are listed. The short form of the Beck Depression Inventory is provided to help NPs uncover hidden depressive symptoms in their clients.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

This study was conducted to identify the impact NPs have on the selection of prescription and non-prescription drugs. Nurse practitioners without prescriptive privileges who work in adult ambulatory care settings were asked to collect data regarding patient diagnoses and recommended drug therapy over a three-day period in August 1985. Nurse practitioners recommended 2,081 new over-the-counter and prescription drugs during this study. Of these over-the-counter and prescription drugs, only 50 (2 percent of all recommended drugs) were changed after consultation with supervising physicians. Of the 50 changes, only two drugs (0.1 percent of all recommended) were changed to different drug categories. Nurse practitioner drug recommendations were well accepted by supervising physicians, as indicated by the data collected. These findings help to demonstrate that NPs without prescriptive privileges have a significant impact on drugs prescribed for patients.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID