{"title":"The role of systemic lidocaine in neuropathic pain management.","authors":"A D Edwards","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pain management is rapidly changing as the mysteries of how healthy and damaged nervous systems work to communicate pain to the brain become better understood. The role of subcutaneous or intravenous lidocaine in the management of neuropathic pain has been increasingly studied. Patients with a variety of pain have been shown to benefit from this therapy, including patients with cancer, postherpetic neuralgia, second degree burns, strokes, and diabetes. As research and experience grow, so too will the practitioner's ability to successfully use intravenous and subcutaneous lidocaine therapy for their patients with pain.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 5","pages":"273-9"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21626067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of chloride in acid-base balance.","authors":"F Powers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The role of chloride in acid-base balance is described. Chloride is defined, and its functions, regulation, and normal values are discussed. Chloride shift is explained. Hypochloremia and hyperchloremia and their implications in acid-base balance are discussed, including etiology, assessment, types of metabolic acidosis, treatment, and nursing considerations.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 5","pages":"286-91"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21626069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latex allergy. Prevention is the key.","authors":"M Gritter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Latex allergy has been recognized as the new allergy of the 1990's, an allergy identified in patients and health care workers. The primary cause is the use of powdered latex gloves. Many of the medical supplies used by the intravenous nurse specialist are made of latex. This allergy is potentially preventable for both the patient and nurse. The IV nurse specialist needs to be aware of the prevalence, symptoms, risk factors, diagnosis, and treatment of latex allergy.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 5","pages":"281-5"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21626068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prostacycline (Flolan). Intravenous nursing responsibilities in the care of the patient with primary pulmonary hypertension.","authors":"D B Benvenuto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Primary, or unexplained, pulmonary hypertension is an extremely rare lung disorder. For no apparent reason, blood pressures in the pulmonary artery increase far in excess of normal levels. Prostacycline (Flolan, epoprostenol) has proved effective in the long-term care of patients with Type III or Type IV primary pulmonary hypertension (PPH). These patients require intensive intravenous therapy-related education in the safe and compliant administration of prostacycline. The IV nurse's multiple roles in the care of these patients are clearly delineated: instructor, advocate, and clinical resource specialist.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 5","pages":"267-72"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21626066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Home intravenous therapy down under.","authors":"S J Breier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health service research traditionally has relied on quantitative methodologies that view the question from the researcher's perspective. Exploring the question of what it is like to receive intravenous therapy at home has required investigation into what is known about home i.v. therapy and the impact on the patient in particular. The purpose of this study was to describe and understand the recipient's lived experience of home i.v. therapy using a research approach that preserves the uniqueness of the experience from the recipient's perspective. The method involved conducting in-depth interviews with a sample of 26 recipients of home i.v. therapy throughout Tasmania, Australia. Interviews were analyzed using an interpretative process, with the participants describing a process that included the main themes of \"having a life\" and \"the hazards of hospitalization.\" The main goals of the work are to heighten nurses' and other healthcare professionals' understanding and awareness of home i.v. therapy from the consumer perspective and to address the lack of patient/consumer advocacy and exploration within the evaluative literature available on this subject.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"187-93"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intravenous immunoglobulin use in pediatric patients.","authors":"P B Cornelius","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>New trends in home intravenous therapy for the pediatric population are being developed. One trend in particular is proving to be both exciting and promising. This trend is the use of intravenous immunoglobulin in the homecare setting. This article explores the most commonly seen disorders and treatments using this specific intravenous prescription. Safe nursing practice and future trends also are discussed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"203-8"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing a protocol to prevent and treat pediatric central venous catheter occlusions.","authors":"J L Harris, D Maguire","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Catheter occlusions are a common occurrence in pediatric patients with central venous catheters. These occlusions are attributable to many factors, such as mechanical problems caused by catheter and patient size, clot formation caused by blood product administration and laboratory sampling, drug precipitation, and lipid residues. Because of the significant patient risk and cost involved in replacing occluded central venous catheters, a multidisciplinary team used a quality improvement approach to determine the effectiveness of urokinase in pediatric patients. Data from the project enabled development of a decision tree for urokinase use. Statistics from the pilot test revealed that 85% of the catheter occlusions were related to thrombotic events, and urokinase was effective in all cases. However, 15% of central line occlusions were related to medication precipitates and were not effectively cleared with urokinase. Given the evidence that urokinase is effective only on fibrin-related occlusions, the decision tree was modified to improve success with occlusions caused by medication precipitates.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"194-8"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Presidential address. Welcome to the future!","authors":"B Fabian","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"172-5"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tuberculosis. An overview.","authors":"E F Clarkson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article provides an explanation of the emergence of multidrug resistant tuberculosis. Combination drug therapy, early identification, isolation, treatment, complication issues, and direct observation therapy are discussed. Infection control measures, including the importance of properly fitting personal protective equipment and routine testing of healthcare workers, are reviewed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"216-20"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"State of the society.","authors":"C Miller","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"22 4","pages":"167-70"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21339842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}