RESUMO
Recently the Food and Drug Administration approved the drug foscarnet for treatment of cytomegalovirus retinitis. As with many other medications, foscarnet has some serious side effects and needs to be administered according to a standardized protocol. This article presents a protocol that was developed for the safe and appropriate delivery of foscarnet.
Assuntos
Infecções por Citomegalovirus/tratamento farmacológico , Foscarnet/administração & dosagem , Planejamento de Assistência ao Paciente , Retinite/tratamento farmacológico , Protocolos Clínicos/normas , Infecções por Citomegalovirus/enfermagem , Foscarnet/efeitos adversos , Humanos , Retinite/enfermagemRESUMO
Pentamidine isethionate has been approved by the Food and Drug Administration as a treatment for Pneumocystis carinii pneumonia, the most common opportunistic infection associated with acquired immunodeficiency syndrome. This article outlines the protocol for intravenous administration of pentamidine isethionate in use at The Mount Sinai Medical Center in New York.
Assuntos
Protocolos Clínicos , Pentamidina/administração & dosagem , Pneumonia por Pneumocystis/enfermagem , Humanos , Infusões Intravenosas , Pentamidina/efeitos adversos , Pentamidina/uso terapêutico , Pneumonia por Pneumocystis/tratamento farmacológicoRESUMO
High-technology home care is a reality in today's health care system. Nurses, as health professionals, will be involved in high-technology home care for many patients, regardless of age or diagnosis. The nurse's involvement may be in the predischarge setting or in the home actually providing care. High-technology home care cannot and should not merely be care of the technology (the "machines and tubes") at home; rather, it should emphasize the care of the patients and families who are receiving technically complex therapies. To provide care for the patient and entire family, all nurses involved with the patient need to be aware of where the patient and family are developmentally, the structure of family relationships, the expectations with regard to home therapy, and the ability of the patient and family to physically or emotionally manage the therapy. Incorporating this information into a care plan for patient and family teaching can enable the nurse to provide care to the patient and family that surpasses that of merely seeing that the high-technology procedure is done safely and correctly.
Assuntos
Enfermagem em Saúde Comunitária , Serviços de Assistência Domiciliar , Assistência Domiciliar , Tecnologia , Adolescente , Adulto , Apneia/enfermagem , Criança , Humanos , Lactente , Nutrição Parenteral Total/enfermagem , Assistência TerminalRESUMO
Patients with technically complex nursing needs are being discharged home from the hospital. Home care agencies striving to meet those needs have clinical, administrative, and educational concerns. Careful planning is the key to meeting these concerns.