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Journal of intravenous nursing : the official publication of the Intravenous Nurses Society最新文献

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Venous anatomy and physiology. Considerations for vascular access device placement and function. 静脉解剖学和生理学。血管通路装置放置和功能的考虑。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
G E Sansivero
{"title":"Venous anatomy and physiology. Considerations for vascular access device placement and function.","authors":"G E Sansivero","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A thorough knowledge of venous anatomy and physiology is important for any practitioner involved in the care of a patient with a vascular access device. This article reviews basic anatomy and physiology of the venous system of the upper extremities and chest, describes assessment parameters for patients prior to device placement, and suggests options in siting devices. This paper should assist the practitioner caring for a patient prior to or following device placement.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5 Suppl","pages":"S107-14"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725303","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}
引用次数: 0
Venous access in pediatric patients. 儿科患者静脉通路。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
E S Wiener, C T Albanese
{"title":"Venous access in pediatric patients.","authors":"E S Wiener,&nbsp;C T Albanese","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Long-term central venous access is an integral part of managing children with cancer, certain congenital malformations, and gastrointestinal malfunction, as well as for those who need long-term access to medications or blood products. Disease and patient-specific selection of access device type is important in minimizing complications and obtaining optimal outcomes. Because infection is the most common complication, enthusiasm has increased for developing methods to prevent infection, although without clear impact. Most infections can be treated successfully without device removal. Premature removal occurs more frequently with external catheters and may be minimized by techniques used for insertion and catheter care. Occlusion, if detected early, usually can be successfully managed by clot lysis.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5 Suppl","pages":"S122-33"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725306","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}
引用次数: 0
Diagnosis of central venous access device occlusion. Implications for nursing practice. 中心静脉通路装置闭塞的诊断。对护理实践的启示。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
H Bagnall-Reeb
{"title":"Diagnosis of central venous access device occlusion. Implications for nursing practice.","authors":"H Bagnall-Reeb","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Central venous catheters provide reliable access to patients requiring prolonged parenteral therapies. An occluded catheter can impede treatment and hinder medical management of the patient. Early recognition and treatment of a malfunctioning line are paramount for catheter preservation. An understanding of the causes of catheter occlusion and methods to diagnose and treat obstructions will assist the nurse in developing appropriate nursing interventions for catheter treatment. This article reviews causes of central venous catheter obstruction and describes methods for diagnosis and treatment.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5 Suppl","pages":"S115-21"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725804","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}
引用次数: 0
Treatment of sepsis in the neonate. 新生儿败血症的治疗。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
K J Sater
{"title":"Treatment of sepsis in the neonate.","authors":"K J Sater","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sepsis is a complication that can present during the neonatal period. Diagnosis and treatment of the septic newborn presents clinical and psychosocial challenges for the healthcare team, family, and reimbursement source. The challenges associated with the identification and treatment of neonatal sepsis are explored.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5","pages":"275-81"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725967","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}
引用次数: 0
Applying current research to influence clinical practice. 应用最新研究成果影响临床实践。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
D T Kupensky
{"title":"Applying current research to influence clinical practice.","authors":"D T Kupensky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are continuing controversial issues surrounding the use of midline catheters. Nurses selecting catheter devices need to be knowledgeable about risk factors associated with device use, including catheter materials, site selection, therapy administration, and dwell time. It is critical that nurses review research results and evaluate and apply such results to their clinical practice. The use of research findings and the influence of such research on midline catheter usage are reviewed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5","pages":"271-4"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725966","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}
引用次数: 0
The impact of compliance on quality outcomes in the home infusion population. 依从性对家庭输液人群质量结果的影响。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
C L Boyer, D C Wade
{"title":"The impact of compliance on quality outcomes in the home infusion population.","authors":"C L Boyer,&nbsp;D C Wade","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Home intravenous therapy is a standard form of treatment for many recipients of healthcare in the United States. The use of intravascular devices can, however, be complicated by a variety of local or systemic infectious complications. A study was undertaken to address the role that patient noncompliance with infusion protocols plays in the complication rate of those receiving infusion therapy in the home. This article examines the compliance of patients involved in the self-administration of home infusion products, their compliance with the protocols set forth by the home infusion provider, and the resultant infection rates. Home infusion patients at risk for infection should be prospectively monitored in a quality management program. On the basis of our findings, this program should be expanded to include surveillance for patient adherence to standards of treatment. Education and reinforcement of protocols, combined with a sound monitoring program, will decrease infection rates and improve patient outcomes.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5 Suppl","pages":"S161-5"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725802","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}
引用次数: 0
Comparison of push-pull versus discard method from central venous catheters for blood testing. 中心静脉导管推拉法与丢弃法血液检测的比较。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
K R Holmes
{"title":"Comparison of push-pull versus discard method from central venous catheters for blood testing.","authors":"K R Holmes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article evaluates recent research results comparing two different methods for obtaining complete blood cell counts and chemistry profiles from central venous catheters. Complete blood cell count and chemistry profile samples were obtained from 25 patients at three hospital-based infusion clinics. The results indicate no appreciable difference between these two methods. Minimizing risks of blood loss, blood exposure to healthcare personnel, potential specimen contamination, and erroneous reporting are benefits of the push-pull method.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5","pages":"282-5"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725298","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}
引用次数: 0
Midclavicular catheters in the antepartum population. A continuous quality improvement review. 锁骨中段导尿管在产前人群中的应用。持续的质量改进评审。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
M Segatore, T V Stromberg, L Lokken
{"title":"Midclavicular catheters in the antepartum population. A continuous quality improvement review.","authors":"M Segatore,&nbsp;T V Stromberg,&nbsp;L Lokken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After a catheter-induced subclavian thrombosis, a continuous quality improvement (CQI) study was undertaken to answer the question: Are midclavicular lines appropriate in high-risk obstetric patients? This article reports the findings of a retrospective chart audit that described 32 consecutively placed midclavicular lines in a high-risk obstetric population. Study variables included maternal and catheter characteristics, as well as dwell time and rationales for line discontinuance. Therapy was completed in 68%. There were no episodes of noncompliance, catheter malfunction, or bleeding. Episodes of phlebitis and occlusion were relatively uncommon; positive cultures occurred in six catheter tips but were unaccompanied by any clinical evidence indicative of bacteremia or catheter sepsis. However, given the growing recognition of the risks of subclinical and clinical thrombosis endemic to the midclavicular position, increasing reports of malposition that are logistically unable to address, and the growing number of osmotically active solutions being used that are not suited to anything other than superior vena cava dilution, the authors have stopped placing midclavicular catheters in the high-risk obstetric population.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5","pages":"291-300"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725300","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}
引用次数: 0
A practical guide to evaluation and treatment of infections in patients with central venous catheters. 中心静脉置管患者感染评估与治疗的实用指南。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
G R Jones
{"title":"A practical guide to evaluation and treatment of infections in patients with central venous catheters.","authors":"G R Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infection in patients with central venous catheters can be a serious complication leading to costly disruption of their ongoing medical needs. A systematic, algorithm-based approach to evaluation and treatment of infections in this very diverse population is presented and emphasizes rapid and thorough determination of infection sources and outlines decisions regarding use of antibiotic therapy. Catheter-related infections, including bacteremia and exit site, tunnel, and pocket infections, can be treated in many cases without removal of the device. Recently developed treatment protocols and new technologies devised to decrease infection risk and improve outcome are discussed.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5 Suppl","pages":"S134-42"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725808","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}
引用次数: 0
Risks associated with 72- and 96-hour peripheral intravenous catheter dwell times. 72小时和96小时外周静脉导管停留时间相关的风险。
Journal of intravenous nursing : the official publication of the Intravenous Nurses Society Pub Date : 1998-09-01
L D Homer, K R Holmes
{"title":"Risks associated with 72- and 96-hour peripheral intravenous catheter dwell times.","authors":"L D Homer,&nbsp;K R Holmes","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The risk of complications in peripheral intravenous therapy is higher on the second day of therapy and may continue to increase with time, making routine restarts after 3 days a common practice. The objective of the study was to determine whether the risks of complications after a peripheral i.v. catheter restart after 72 hours are less than the risks of complications if the therapy is continued to 96 hours.</p><p><strong>Methods: </strong>A retrospective chart review was completed for 722 patients in a community hospital with peripheral i.v. catheters for i.v. fluids or saline locks. Measurements collected were i.v. therapy start date, number of restarts, termination date, and reason for termination; the data were analyzed using risk models.</p><p><strong>Results: </strong>There were 596 uncomplicated therapies. Complications prompted termination in 188 cases. The average duration of therapy was 1.8 days. The probability of complications was least in the first 24 hours, (0.074; standard deviation [SD], 0.013), and increased to 0.176 (SD, +/- 0.026) in the 24- to 48-hour period. The probability of a complication in the 48- to 72-hour period and the 72- to 96-hour period was 0.130 (SD, 0.026). A restarted catheter has a significantly higher risk of complication in its first 24 hours than does an initial catheter.</p><p><strong>Conclusions: </strong>From these results, the authors conclude that restarting catheters at 72 hours does not reduce the risk of complication in the next 24 hours when compared with simply continuing the therapy with the original catheter. Additional studies should be conducted to justify a policy of automatically restarting therapy after 72 hours.</p>","PeriodicalId":77210,"journal":{"name":"Journal of intravenous nursing : the official publication of the Intravenous Nurses Society","volume":"21 5","pages":"301-5"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20725301","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}
引用次数: 0
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