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Nursing Clinics of North America

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https://www.readbyqxmd.com/read/28478883/current-issues-in-fluid-and-electrolyte-management
#1
EDITORIAL
Joshua Squiers
No abstract text is available yet for this article.
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478882/i-sing-the-body-electric-where-it-all-begins
#2
EDITORIAL
Stephen D Krau
No abstract text is available yet for this article.
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478881/abdominal-compartment-syndrome-as-a-complication-of-fluid-resuscitation
#3
REVIEW
Bradley R Harrell, Sarah Miller
Fluid resuscitation is a primary concern of nurse clinicians. Excessive resuscitation with crystalloids places patients at particular risk for many subsequent complications that carry associated increases in mortality and morbidity. Intra-abdominal hypertension and abdominal compartment syndrome are deadly complications of third spacing and capillary leak that occur secondary to excessive fluid resuscitation. Careful consideration is necessary when achieving fluid balance in acutely ill patients, including reducing the use of crystalloids, implementing damage control resuscitation, and establishing measurable resuscitation endpoints...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478880/neurologic-intensive-care-unit-electrolyte-management
#4
REVIEW
Craig Hutto, Mindy French
Dysnatremia is a common finding in the intensive care unit (ICU) and may be a predictor for mortality and poor clinical outcomes. Depending on the time of onset (ie, on admission vs later in the ICU stay), the incidence of dysnatremias in critically ill patients ranges from 6.9% to 15%, respectively. The symptoms of sodium derangement and their effect on brain physiology make early recognition and correction paramount in the neurologic ICU. Hyponatremia in brain injured patients can lead to life-threatening conditions such as seizures and may worsen cerebral edema and contribute to alterations in intracranial pressure...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478879/tumor-lysis-syndrome-a-unique-solute-disturbance
#5
REVIEW
Penelope Z Strauss, Shannan K Hamlin, Johnny Dang
Tumor lysis syndrome (TLS) is a life-threatening disorder that is an oncologic emergency. Risk factors for TLS are well-known, but the current literature shows case descriptions of unexpected acute TLS. Solid tumors and untreated hematologic tumors can lyse under various circumstances in children and adults. International guidelines and recommendations, including the early involvement of the critical care team, have been put forward to help clinicians properly manage the syndrome. Advanced practice nurses may be in the position of triaging and initiating treatment of patients with TLS, and need a thorough understanding of the syndrome and its treatment...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478878/fluid-management-in-lung-transplant-patients
#6
REVIEW
Benjamin Stuart Schultze
Overall, there is a lack of randomized controlled trials examining the correlation between fluid volume delivery and outcomes in postoperative lung transplant patients. However, using thoracic surgery patients as a guide, the evidence suggests that hypervolemia correlates with pulmonary edema and should be avoided in lung transplant patients. However, it is recognized that patients with hemodynamic instability may require volume for attenuation of this situation, but it can likely be mitigated with the use of inotropic medication to maintain adequate perfusion and avoid the development of edema...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478877/microvascular-fluid-resuscitation-in-circulatory-shock
#7
REVIEW
Shannan K Hamlin, Penelope Z Strauss, Hsin-Mei Chen, LaDonna Christy
The microcirculation is responsible for blood flow regulation and red blood cell distribution throughout individual organs. Patients with circulatory shock have acute failure of the cardiovascular system in which there is insufficient delivery of oxygen to meet metabolic tissue requirements. All subtypes of shock pathophysiology have a hypovolemic component. Fluid resuscitation guided by systemic hemodynamic end points is a common intervention. Evidence shows that microcirculatory shock persists even after optimization of macrocirculatory hemodynamics...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478876/metabolic-and-electrolyte-abnormalities-related-to-use-of-bowel-in-urologic-reconstruction
#8
REVIEW
Amanda N Squiers, Karleena Twitchell
Many urologic reconstructive techniques involve the use of autologous bowel for urinary diversion and bladder augmentation. The resection of bowel and its reimplantation into the urinary system often comes with a variety of metabolic and electrolyte derangements, depending on the type of bowel used and the quantity of urine it is exposed to in its final anatomic position. Clinicians should be aware of these potential complications due to the serious consequences that may result from uncorrected electrolyte disturbances...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478875/assessment-of-volume-status-using-ultrasonography
#9
REVIEW
Brooke A Bailey, Sarah Davis, Briana Witherspoon
Ultrasonography is a first-line diagnostic tool when evaluating volume status in the critical care patient population. Ultrasonography leads to a prompt diagnosis and more appropriate management plan, while decreasing health care costs, time to diagnosis, hospital length of stay, time to definitive operation, and mortality. It is recommended that critical care providers treating critically ill patients be skilled and competent in critical care ultrasonography. As the critical care population and the shortage of critical care physicians increases, advanced practice providers are becoming more prevalent in critical care areas and should be competent in this skill as well...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478874/does-evidence-drive-fluid-volume-restriction-in-chronic-heart-failure
#10
REVIEW
Robin K Miller, Nathaniel Thornton
Chronic heart failure is a chronic condition that is associated with increased health care expenditures and high rates of morbidity and mortality. Mainstay in heart failure management has been the prescription of a fluid restriction. The purpose of this article is to review the available evidence for fluid restriction in chronic heart failure patients.
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478873/the-use-of-mannitol-and-hypertonic-saline-therapies-in-patients-with-elevated-intracranial-pressure-a-review-of-the-evidence
#11
REVIEW
Briana Witherspoon, Nathan E Ashby
Patients with increased intracranial pressure generally require pharmacologic therapies and often more definitive treatments, such as surgical intervention. The overall goal of these interventions is to maintain or re-establish adequate cerebral blood flow and prevent herniation. Regardless of the cause of increased intracranial pressure, osmotherapy is considered the mainstay of medical therapy, and should be administered as soon as possible. This article reviews the history of hyperosmolar and hypertonic therapies, the Monro-Kellie hypothesis, and types of cerebral edema...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28478872/fluid-resuscitation-of-the-adult-trauma-patient-where-have-we-been-and-where-are-we-going
#12
REVIEW
Rose Milano
The resuscitation of an adult trauma patient has been researched and written about for the past century. Throughout those discussions, 2 major controversies persist when discussing resuscitation methods: (1) the ideal choice of fluid type to use during the initial resuscitation period, and (2) the ideal fluid volume to infuse during the initial resuscitation period. This article presents a brief historical perspective of fluids used during a trauma resuscitation, along with the latest research findings as they relate to the 2 stated issues...
June 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189169/cancer-nursing-care-in-the-twenty-first-century
#13
EDITORIAL
Margaret Barton-Burke
No abstract text is available yet for this article.
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189168/dermatologic-reactions-to-targeted-therapy-a-focus-on-epidermal-growth-factor-receptor-inhibitors-and-nursing-care
#14
REVIEW
Margaret Barton-Burke, Kathryn Ciccolini, Maria Mekas, Sean Burke
Cancer treatments usually have side effects of bone marrow depression, mucositis, hair loss, and gastrointestinal issues. Rarely do we think of skin side effects until patients have been treated successfully with epidermal growth factor receptor inhibitors (EGFRi). Those reactions include papulopustular rash, hair changes, radiation dermatitis enhancement, pruritus, mucositis, xerosis, fissures, and paronychia. This article discusses the common skin reactions seen when using EGFRi and presents an overview of skin as the largest and important organ of the body, including an overview of skin assessment, pathophysiology of the skin reactions, nursing care involved, and introduction to oncodermatology...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189167/changes-in-cancer-treatment-mabs-mibs-mids-nabs-and-nibs
#15
REVIEW
Joseph D Tariman
Cancer therapeutics has been growing in an unprecedented fashion and has evolved rapidly in the past two decades. Specific gene mutation, protein dysfunction and dysregulation, intracellular signaling pathways, and immune modulation have been targeted. These therapeutic advances came largely because of improved understanding of the pathobiology of cancer at the genetic and molecular levels. This article addresses the need of novice nurses for cancer treatment-related information and evidence-based nursing care of patients diagnosed with cancer while undergoing novel and breakthrough therapeutics...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189166/lung-cancer-and-tobacco-what-is-new
#16
REVIEW
Stella Aguinaga Bialous, Linda Sarna
Lung cancer is the leading cause of cancer death worldwide. Tobacco use remains the single most important preventable cause of cancer and is responsible for 80% of all cases of lung cancer. Implementation of tobacco control measures, including preventing initiation and treating dependence, are pivotal to address the lung cancer epidemic. New evidence continues to emerge on the significant positive impact of incorporating tobacco dependence treatment within all lung cancer treatment protocols. Evidence and guidelines on how to implement these strategies exist and present an opportunity for nurses to make a difference in reducing suffering and preventing deaths from lung cancer...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189165/the-big-3-an-updated-overview-of-colorectal-breast-and-prostate-cancers
#17
REVIEW
Jeanine Gordon, Erica Fischer-Cartlidge, Margaret Barton-Burke
This article provides a current overview of colorectal, breast, and prostate cancers. For each cancer, data related to incidence and prevalence are discussed, as well as nonmodifiable and modifiable risk factors. Information about detection and evidenced-based screening guideline recommendations is reviewed, with the most common and recent treatment modalities emphasized. Current clinical and treatment-related issues are discussed along with nursing care and implications for cancer care. Future directions for these 3 cancers are addressed also...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189164/equity-in-cancer-care-strategies-for-oncology-nurses
#18
REVIEW
Tracy Truant
There is growing evidence of inequities among people living with cancer. Aligning with nursing's social justice imperative, addressing these inequities is an integral, yet underdeveloped, aspect of the nurses' role. Understanding the social determinants of health, and the factors, contexts, and structures that influence individuals' opportunities for health, is an essential foundation for moving the health equity agenda forward. Oncology nurses can implement a two-pronged approach to further this agenda through strategies focusing on the direct care of individuals and communities, and addressing the root causes of inequity through leadership, policy influence, advocacy, education, and research...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189163/cancer-survivorship-models-and-care-plans-a-status-update
#19
REVIEW
Lorrie L Powel, Stephen M Seibert
This article provides a synopsis of the status of cancer survivorship in the United States. It highlights the challenges of survivorship care as the number of cancer survivors has steadily grown over the 40 years since the signing of the National Cancer Act in 1971. Also included is an overview of various models of survivorship care plans (SCPs), facilitators and barriers to SCP use, their impact on patient outcomes, and implications for clinical practice and research. This article provides a broad overview of the cancer survivorship, including models of care and survivorship care plans...
March 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28189162/symptom-management-and-palliative-care-for-patients-with-cancer
#20
REVIEW
Patsy Yates
The clinical context for advanced cancer has changed in recent years, with extended survival rates and more diverse and complex cancer trajectories and symptomatology. Advances have been made in symptom management of advanced disease, and the contribution of palliative care is better understood. Palliative care is more likely offered earlier in the disease not just at end of life. This article discusses symptom management together with palliative care. Key features are greater appreciation of the complex and multidimensional nature of mechanisms underpinning co-occurring symptoms in advanced cancer patients, comprehensive and systematic symptom assessment, and individualized approaches to cancer management...
March 2017: Nursing Clinics of North America
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