ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Lyme disease is an infection caused by the bite of the deer tick. It is the most common vector-transmitted disease in the United States. Past treatment practices included the administration of oral and/or IV antibiotics. Today the question is “to treat or not to treat.” The etiology, signs and symptoms, and current treatments and management of Lyme disease and its associated somatic complaints are discussed.

ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

One of the challenges that healthcare organizations face today is how to effectively establish, document, and evaluate competency in intravenous practice. The process used to define practice parameters based on national certification and credentialing versus organizational policies is described. Key attributes, the role of mentoring, and adverse outcomes are addressed.

ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

A retrospective study of 431 patients who had peripherally inserted midclavicular or central catheters placed during a consecutive 13-month period using the conventional landmark method for placement was compared with a second group of 326 patients, who during a 12-month period had such catheters placed using ultrasonography. The data demonstrate a 42% decrease in the number of needle penetrations needed to successfully cannulate veins when ultrasound was used during placement. There is a 26% greater chance of successful cannulation of the vein on the first attempt with ultrasound-guided placements than with those using the traditional landmark method.

ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Care coordination and development of a plan to track vascular access devices (VADs) is presented. The article discusses how to establish criteria so that central venous catheters can be monitored. Specific areas of focus for monitoring outcomes are reviewed, as is the process of obtaining invaluable information. This information can be used to support policy and procedure changes and clinical practice changes to provide quality outcomes.

ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Cancer chemotherapy drugs (CDs) exert a cytotoxic effect by altering one or more aspects of the growth kinetics of cancer and malignant cells. The pattern and extent of cytotoxicity determines in part the scientific rationale of various CD regimens and accounts for many of the common side effects of treatment. This article provides an overview of the behavior of cancer at the cellular level and the impact exerted by CDs on normal and malignant cell growth. Examples are provided of how these scientific concepts affect treatment outcomes and clinical decisions. The nurse’s role in monitoring and managing the related side effects of treatment also is discussed.

ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Healthcare ethics is a hot topic these days. Decisions to withhold or withdraw various forms of medical therapy are daily events in most hospitals and long-term care facilities. Intravenous nurse professionals do not need to be bioethicists; however, they do need to be able to identify problems quickly and know how to address them. Some of the ethical issues that could be encountered by IV nurse professionals involved in the provision of total parenteral nutritional support in various clinical settings are examined and explored.

ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0896-5846    

出版商:OVID    

年代:2000

数据来源: OVID