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Biomedical subjects

D Camp-Sorrell

Publications and source records attributed to D Camp-Sorrell.

At least 19 recordsLinked to original sources
PubMed2000

Chemotherapy extravasation from implanted ports.

PURPOSE/OBJECTIVES: To describe the four primary causes of extravasation from implanted ports. DATA SOURCES: Journal articles, textbooks, medical records, depositions, serial photographs, and the authors' personal experiences. DATA SYNTHESIS: Extravasation from ports can occur by four major mechanisms: incomplete needle placement and needle dislodgment, thrombus or fibrin sheath formation, perforation of the superior vena cava, and catheter fracture. The degree of tissue injury can vary but may be severe enough to require that a simple mastectomy be performed to manage chest wall necrosis. CONCLUSIONS: Extravasation is a known risk of chemotherapy administration via implanted ports. Vesicants should be administered only after a blood return has been obtained and the needle inserted into the port septum has been adequately secured. IMPLICATIONS FOR NURSING PRACTICE: Extravasation of vesicant drugs from ports can cause tissue necrosis and may prompt litigation. Risk-management strategies include careful assessment and use of ports, comprehensive patient teaching about the risk of extravasation and measures to decrease the likelihood of needle dislodgment, and development of extravasation-management policies that address port extravasations.

Antineoplastic Agents↗
PubMed1999

Surviving the cancer, surviving the treatment: acute cardiac and pulmonary toxicity.

Even though acute cardiopulmonary toxicities occur infrequently, nurses must be aware of the quick responses that are needed to manage these occurrences. Narrow therapeutic index of cancer treatment is well recognized and attributable to the relative inability of cancer treatment to discriminate effectively between normal and cancer tissues. As a consequence, a broad range of cardiopulmonary toxicities is encountered in clinical practice that not only has an impact on a patient's quality of life and ability to accept potentially effective treatment but also may have serious life-threatening consequences. Because of the amount of time spent directly with the patient receiving cancer treatment, the nurse is the one who recognizes subtle changes in the patient's status that indicate acute complications. Subsequently, measures must be taken to minimize acute complications when they occur.

Acute Disease↗
PubMed1998

Hypercalcemia.

Explore the source record for details and available documents.

Diagnosis, Differential↗
PubMed1995

Selection of vascular access devices and nursing care.

OBJECTIVE: To provide an overview of the patient selection criteria for a vascular access device (VAD) and its maintenance care. CONCLUSIONS: The availability of different types of devices had led to confusion on the part of many health care professionals as to which device is the best for their purpose. Selecting the appropriate VAD is an interdisciplinary decision based on patient characteristics, type of therapy, support system availability, and cost. Numerous controversial issues surround the care of VADs, and research results have not yet resolved these practice issues. Although various procedures are used throughout the country, it can be reasonably concluded that the fundamental requirement for successful maintenance of a VAD is strict adherence to established care protocols. IMPLICATIONS FOR NURSING PRACTICE: Assessment of the need for a VAD is an ongoing process. Nurses are in a perfect position to assess the factors that precede device selection, including the frequency of access, type of intravenous therapy, and the condition of the patient's peripheral veins. The vast array of devices demands specialized knowledge in selecting the appropriate VAD, providing correct care, and evaluating the device once inserted or implanted.

Catheterization, Peripheral↗
PubMed1995

Ambulatory infusion pumps: application to oncology.

OBJECTIVE: To provide an overview of the various types of ambulatory pumps available in relation to mechanism of delivery, patient selection criteria, potential complications, and educational support. CONCLUSIONS: Ambulatory pumps are an important means of drug delivery in a wide range of clinical conditions. Technologies permitting drug self-administration and automated drug delivery outside the hospital have become increasingly more sophisticated and adaptable; more than 600 models are available. With the shift of health care delivery from the hospital setting to the outpatient and home settings, reliable effective ambulatory pumps are necessary to safely deliver medications. IMPLICATIONS FOR NURSING PRACTICE: The use of ambulatory pumps is becoming more common as they are initiated as a part of front-line patient therapy. The nurse involved in the selection and management of ambulatory pumps is challenged to be familiar with the large variety available. Selecting the best type of pump is based on several factors, such as the type of therapy, disease state, reimbursement, and the ability to operate and troubleshoot complications.

Equipment Design↗
PubMed1995

Reimbursement issues for advanced practice.

PURPOSE/OBJECTIVES: To review issues regarding reimbursement for services provided by advanced practice nurses (APNs). DATA SOURCES: Published articles, book chapters, and professional experiences. DATA SYNTHESIS: Historically, barriers have prevented APNs from practicing to the full extent of their capabilities. One barrier is the lack of consistent reimbursement for services provided at the state and federal levels. A number of strategies can be implemented to simplify reimbursement. CONCLUSIONS: APNs must receive direct reimbursement for the services provided to work effectively in the current healthcare arena. IMPLICATIONS FOR NURSING PRACTICE: Direct reimbursement will enable APNs to control their practice, thus increasing healthcare accessibility and availability to individuals who currently have limited access to medical care.

Humans↗
PubMed1994

Selected complications of allogeneic bone marrow transplantation.

Patients receiving allogeneic bone marrow transplant experience multiple complications. Specifically, infection, renal complications, VOD, and GVHD can produce life-threatening toxicity. Many of the treatments cause further compromise of major organs. Astute nursing assessment and prompt interventions can decrease the severity experienced by the patient. Each of these complications requires ongoing study to develop new therapies for management.

Acute Kidney Injury↗
PubMed1994

Intravenous immunoglobulin administration: an evaluation of vital sign monitoring.

PURPOSE/OBJECTIVES: To determine if adverse reactions to IV immunoglobulin G (IVIG) were being detected by nurses and frequent vital sign monitoring. DESIGN: Retrospective chart review. SETTING: Bone marrow transplant (BMT), medical oncology, and pediatric units and the outpatient clinic of a 720-bed hospital in middle Tennessee. SAMPLE: 62 charts of patients undergoing BMT who had received IVIG. METHODS/MAIN RESEARCH VARIABLES: Charts were reviewed for patient demographics, number and type of IVIG infusion, incidence of adverse reactions, and related information. FINDINGS: Nine reactions were documented out of 731 separate infusions. Only three reactions could be linked directly to IVIG infusion. Of the nine reactions, only four were detected by nursing personnel during vital sign monitoring. CONCLUSIONS: Nursing time devoted to frequent vital sign assessment does not seem to be warranted. Protocol for administration and monitoring of IVIG at this institution was changed to reflect these findings. IMPLICATIONS FOR NURSING PRACTICE: Frequent vital sign monitoring is advised for the initial IVIG dose. If no adverse reactions occur, only baseline vital sign monitoring is advised for subsequent infusions. Patients are taught to recognize and report symptoms of adverse reactions.

Adolescent↗