Biomedical subjects
Publications and source records attributed to C J Dunwoody.
The Joint Commission on Accreditation of Healthcare Organizations recently approved new standards for pain assessment and management. These standards will influence the practice of dermatology nursing in every setting. Nurses play a critical role in the care of patients with pain. Pyoderma gangrenosum is used as the basis for applying the new pain standards.
Nursing care of patients with pelvic fractures has changed dramatically in the past two decades. Fracture care that necessitated long periods of immobility and consequent complications has been influenced by new classification systems, the use of external fixation, and the more recent use of internal fixation. The evolution of pelvic fracture patient care has greatly influenced nursing care of these patients.
Optimum care of patients with hemophilia requires cooperation among the hematologist, the surgeon, nurses, and blood bank personnel. Relatively normal hemostasis can be achieved and maintained in factor-deficient individuals in the perioperative period. Surgical procedures in patients with hemophilia can be accomplished safely with careful monitoring of coagulation factor levels and appropriate replacement therapy.
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Naloxone (Narcan), a semisynthetic opioid antagonist, has approved therapeutic use for the treatment of opioid-induced central nervous system depression. With the implementation of epidural and intrathecal opioid analgesia, naloxone has been used for the treatment of side effects associated with these methods of analgesia. Consequently, there has been greater utility of naloxone for postoperative orthopaedic, noncritical patients. Naloxone was thought to be devoid of any intrinsic activity and, therefore, thought to have few side effects. There have been several reports of cardiovascular complications associated with naloxone administration that have disputed this view. Since use of naloxone is increasing in orthopaedic nursing practice, orthopaedic nurses need to understand the potential complications associated with its use.