ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The specialty or critical care oncology has emerged as a result or changes in treatment of malignancies and technologic critical care developments. In this article, the author provides the experienced critical care nurse with an overview of the practice of critical care oncology and the unique needs of these patients. Methods for predicting critical illnesses in specialized cancer populations are provided. Also included La a summary of universal cancer care issues such as bone marrow suppression, venous access, chronic pain, and nutrition disorders that cross all specialty areas. This article serves as a basis and resource for practicing critical care nurses and Includes background Information for the other articles Included in this journal issue.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

In this article of critical care complications of radiation therapy, chemothergpy, and biological therapy, the authors focus on the pathophysiology of the toxicities, causative agents, and patient presentation. They provide an overview of the types of toxicities that advanced practice and expert critical care nurses may encounter in the care of the critically ill patient who has received cancer therapy. The purpose of providing this Information la to Increase the awareness of potential causas for admission to the intensive care unit and to describe the toxic effects that have an Impact on the critical care nursing the patient receives. The nursing management of these problems follows the standard guidelines for patients with any of the particular organ system dysfunctions

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Patients with cancer receive antineoplastic therapy that affects their ability la produce and maintain circulating levels of Wood cells at any given time. Frequent and varied transfusion requirements necessitate a highly developed and specialized practice of blood component therapy in cancer care. In this article, tria author discusses factors affecting the selection of blood components and the Influence that expert critical care nurses can contribute to safe and effective transfusion therapy. Administration of leukocyte-poor or cytomegalovirus-negative erythrocyies, pheresed platelets, and granulocyte transfusions are described

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Administration of multiple and complex medications is common in the intensive care setting, but the response of a patient with cancer to medications and the specific types of medications is a unique specialty practice. In this article, the author provides the experienced critical care nurse with a condensed overview of the most important nursing issues in pharmacologic therapy for patients with cancer. There is a discussion of physiologic variables that influence rww patients with cancer respond to pharmaceutical agents. This is followed with detailed information about cancer chemotherapy, biotherapy, and anti-emetic practices

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Patients with leukemia, lymphoma, or multiple myeloma are prone to critical illness because of the diffuse nature of their disease and the disruption of protective mechanisms. Despite high morbidity rates, a number of these patients have an excellent probability of long-term remission if supported through a crisis. Complications that can be critical illness can be categorized as related to disease or those caused by therapy. Those with unique features or management strategies for the hematologic malignancy patient and are included in this discussion include: leukostasis, disseminated intravascular coagulation, tumor lysis syndrome, respiratory failure, and typhlitis, A case study of an acutely ill, newly diagnosed patient with several of these oncologic emergencies is used to exemplify typical clinical findings and management strategies.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Critical care of patients with lung cancer requires a knowledge of the behavior of this malignancy and the implications of several prognostic variables. Lung cancer's location, cellular characteristics, and metastalic patterns predispose patients to many emergencies that may require critical care intervention. In this article, the author presents impartant background on the behavior of this malignancy, its treatment, and predicted critical care problems. Included is a discussion of complications such as spinal cord compression, superior vena cava syndrome, airway obstruction, pleural effusions, and naoplastic cardiac tamponade, with an overview of common paraneoplastic syndromes. A case study exemplifies a possible presentation and management of a patient with lung cancer and some of these complications.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Bone marrow transplantation (BMT) is becoming a widely used therapeutic modality in the field of cancer care. Offering long-term disease-free survival in more than half of some patients with previously fatal diseases, this therapy has challenged clinicians to reevaluate critical care management strategies for such patients. Critical Illness occurs in approximately enc third of allogeneic transplants, necessitating that critical cars nurses be familiar with this therapy and its reported complications. Critical care nurses are an Integral part of producing the reported cure and remission rates, despite significant complications. In this article, the authors outline the common critical care problems of this patient population. The chronologic format enables the practitioner to correlate and differentiate key characteristics of potential complications. A case study, with clinical symptoms representing several potential etiologies, demonstrates the application of these concepts. Through the use of nursing knowledge of the unique needs of these patients, there is the potential to continue to improve patient outcomes.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The survival rate of children with neoplastic disease has increased significantly because of advances in the diagnosis and treatment of malignancy. The consequences of these scientific advances have led to increased malignancy-related critical complications requiring the expertise of intensive care practitioners. In this article, the authors review common complications associated with malignancies that require admission to the pediatric intensive care unit. Disorders are grouped according to the pathophysiologic mechanism: mechanical effects, systemic effects, related to brain tumors, and complications of intensive chemotherapy or cnemo-radiotherapy regimens. Superior vena cava syndrome and brain tumors are described in detail. In conclusion, there is a discussion of outcome data for children with neoplastic disease who are admitted to the pediatric intensive care unit and the role of the advanced practice nurse in influencing patient and family perceptions of the experience.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Although the proliferation of potent standard and experimental protocols to combat cancer has resulted in life-threatening complications, growth and changes in the field of oncology and critical care have increased the life expectancy el patients with cancer Several authors have described the multifaceted role at the advanced practice nurse in critical care and oncology settings, How the critical care oncology advanced practice nurse translates these roles into practice is not known. In this article, the author describes the challenges of the critical care oncology advanced practice nurse to improve patient care, improve outcomes, and advance the nursing profession.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID