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Biomedical subjects

M F Keen

Publications and source records attributed to M F Keen.

11 recordsLinked to original sources
PubMed1995

Current nursing practices in fever management.

Data regarding fever management were obtained through a retrospective or concurrent review of the medical records of 150 patients. For 41% of the patients studied, nurses notified physicians of the fever episode. The decision to treat fever was significantly influenced by fever intensity and the drawing of blood cultures, but not by age, length of hospital stay, or the duration of the fever episode. Despite recent evidence of the protective value of fever, the majority of fever episodes were treated. Acetaminophen alone, and acetaminophen in combination with physical cooling methods, were effective in lowering fever.

Adult↗
PubMed1992

The diagnosis and treatment of cholera.

Cholera is a diarrheal disease that results from colonization of the small intestine by the Vibrio cholerae organism. The disease is spread primarily by means of fecal contamination of drinking water and may begin with the sudden onset of profuse, watery diarrhea. Vomiting, rapid dehydration, acidosis, muscular cramps and circulatory collapse are other prominent features of severe cholera. Diagnosis is confirmed by identification of the organism in a stool specimen. Treatment requires immediate replacement of the massive fluid loss before diagnostic studies are ordered. Clinicians should suspect cholera in any case of massive, shock-producing diarrhea, especially if the patient has traveled to a cholera-affected country. This article presents epidemiology and public-health measures, pathophysiology, diagnosis, clinical signs and symptoms, and treatment modalities for adults and children infected with the V. cholerae organism.

Cholera↗
PubMed1991

Choosing a master's program in critical care.

This article has presented information to assist you in selecting a master's program that best suits your interests and needs. You should plan your education and career with the above information in mind. Regardless of which program you select, graduate school is an exciting experience that will provide you with numerous opportunities as you continue in your nursing career.

Choice Behavior↗
PubMedDate not supplied

Planning an overseas extension program.

An educational program in another country established the mechanism for a variety of other possibilities. Faculty in the host country may provide the setting in which U.S. students can gain intercultural experience. Students may be able to conduct an independent study in the host country or, if sufficient numbers are available, a U.S. course may be adapted and offered in the host country. If ample funds exist, a two-way student and/or faculty exchange may be possible, thereby adding to the curricula of both schools. Opportunities for joint research and publishing may also become available. For example, long-term evaluation of the educational program and use of the program graduates in the host country would be of interest; research in the specialty areas of faculty may also be possible. The difficulties inherent in planning and implementing a program in another country are numerous; however, with foresight and ample time for planning, the benefits to both students and faculty in the host and home institutions can outweigh the drawbacks.

Curriculum↗
PubMedDate not supplied

Comparison of intramuscular injection techniques to reduce site discomfort and lesions.

The Z-track intramuscular injection technique was compared with the standard injection technique for incidence and severity of discomfort and lesions at the injection site. Fifty subjects received injections of meperidine hydrochloride alone or in combination with promethazine hydrochloride every 3 to 4 hours for a total of two to eight injections. Subjects served as their own controls by receiving both techniques. They were evaluated for the presence and severity of discomfort on a 4-point Likert scale. Injection site lesions were determined by visualization and palpation. The Z-track technique significantly decreased incidence of selected descriptors of discomfort and lesions at selected time intervals, severity of discomfort at selected time intervals, and severity of lesions at all time intervals postinjection.

Adult↗