摘要:

Complications of pregnancy-induced hypertension (PIH) remain a leading cause of maternal mortality in the United States. The etiology of the disease is not fully understood, but pathologic effects of PIH on maternal organ systems are well documented. Present strategies for management emphasize prevention and control of eclamptic seizure and hypertensive crisis and correction of fluid imbalance. The article reviews current trends in drug therapy for the acute management of PIH. Topics discussed include evaluation of magnesium sulfate as an anticonvulsant, hydralazine versus labetalol for management of hypertension, and the role of colloid osmotic pressure in fluid therapy.

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Preterm birth accounts for the majority of neonatal morbidity and mortality not associated with congenital anomalies. Its incidence has remained relatively unchanged over the past 15 to 20 years. Tocolytic therapy has been shown to be ineffective in the prevention of preterm labor but can delay delivery by approximately 48 hours. Four major drug groups are currently available. The article reviews each drug group, including mechanism of action, pharmacology, side effects, efficacy, and nursing implications.

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Ectopic pregnancies are the leading cause of pregnancy-related death during the first trimester. Historically, the treatment for an ectopic pregnancy was emergency laparotomy, which included salpingectomy. In 1987, research began at the Regional Medical Center at Memphis, in conjunction with the University of Tennessee, examining early detection and medical treatment for ectopic pregnancy. Pharmacologic management of an unruptured, size-appropriate ectopic pregnancy is now an established standard of care. The present protocol recommends single-dose methotrexate. This form of methotrexate has proven to be a successful, cost-effective alternative to traditional surgical management of ectopic pregnancies

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Pregnancies in women who have previously received an organ transplant are becoming more common. This is evidenced by the growing number of case reports and published studies of pregnancy outcomes involving transplant recipients. Perinatal nurses must expand their knowledge base to provide comprehensive care to this growing population. An understanding of immunosuppressive therapy and its implications for the mother and her unborn infant is necessary in providing care. The effects of the pregnancy on the therapy and vice versa need to be understood.

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Apnea of prematurity is one of the most common problems in the neonatal intensive care unit. Management of premature infants with apnea involves pharmacologic and nonpharmacologic therapies. Drugs such as theophylline and caffeine are used when nonpharmacologic measures are ineffective. The article discusses the different types of apnea seen in premature infants, how these drugs affect premature infants, how to recognize early signs of toxicity, and implications for nursing assessment and management

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Neonatal sepsis continues to be a major source of morbidity and mortality among preterm infants. Although traditional antibiotic therapy continues to be the mainstay of treatment for sepsis, intravenous gammaglobulin (IVIG) is being used in both prevention and treatment of neonatal sepsis as a means to boost the infant's immunocompetence. The article explores the conflicting results of clinical trials testing the efficacy of IVIG for neonatal sepsis. IVIG is discussed with regard to its mechanism of action, pharmacokinetics, dosage and administration, adverse reactions, and nursing implications.

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Substance abuse among pregnant women has become a national health issue. As a result of the increase in maternal consumption of illicit drugs during pregnancy, many more infants are experiencing signs and symptoms of withdrawal during the immediate newborn period. In many instances, pharmacologic management is required to alleviate the signs and symptoms of with-drawal experienced by these infants. The article provides a review of the common drugs of abuse consumed by women during pregnancy, identifies the common signs and symptoms of infant withdrawal, describes the onset and duration of these symptoms, and discusses potential pharmacologic agents that can be used to treat infant withdrawal or neonatal abstinence syndrome.

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The knowledge, attitudes, and backgrounds of 215 nurses employed in the nurseries of six hospitals were studied by means of a questionnaire survey. The nurses' attitudes toward the mothers of cocaine-addicted infants were found to be generally negative and/or judgmental and their knowledge to be low. More experience with nursing cocaine-addicted infants and greater acuity of the neonatal unit in which the nurse worked correlated with more positive attitudes toward the infants but not toward their mothers. Knowledge and attitude correlated positively with formal education, inservice education, and self-education, but the correlations were weak.

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:1996

数据来源: OVID