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Danielle M. Zerr MD MPH Aaron M. Milstone MD MHS Christopher C. Dvorak MD Amanda L. Adler BS Lu Chen PhD Doojduen Villaluna MS Ha Dang PhD Xuan Qin PhD Amin Addetia BS Lolie C. Yu MD Mary Conway Keller MSN RN CPHON Adam J. Esbenshade MD MSCI Keith J. August MD MS Brian T. Fisher DO MSCE Lillian Sung MD PhD 《Cancer》2021,127(1):56-66
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Donna Jarzyna MS RN-BC CNS-BC Carla R. Jungquist PhD RN-C FNP Chris Pasero MS RN-BC FAAN Joyce S. Willens PhD RN BC Allison Nisbet MSN RN CPHON AOCNS CNS-BC Linda Oakes MSN RN-BC CCNS Susan J. Dempsey MN RN-BC CNS Diane Santangelo MS RN ANP-C Rosemary C. Polomano PhD RN FAAN 《Pain Management Nursing》2011,12(3):118-145
As the complexity of analgesic therapies increases, priorities of care must be established to balance aggressive pain management with measures to prevent or minimize adverse events and to ensure high quality and safe care. Opioid analgesia remains the primary pharmacologic intervention for managing pain in hospitalized patients. Unintended advancing sedation and respiratory depression are two of the most serious opioid-related adverse events. Multiple factors, including opioid dosage, route of administration, duration of therapy, patient-specific factors, and desired goals of therapy, can influence the occurrence of these adverse events. Furthermore, there is an urgent need to educate all members of the health care team about the dangers and potential attributes of administration of sedating medications concomitant with opioid analgesia and the importance of initiating rational multimodal analgesic plans to help avoid adverse events. Nurses play an important role in: 1) identifying patients at risk for unintended advancing sedation and respiratory depression from opioid therapy; 2) implementing plans of care to assess and monitor patients; and 3) intervening to prevent the worsening of adverse events. Despite the frequency of opioid-induced sedation, there are no universally accepted guidelines to direct effective and safe assessment and monitoring practices for patients receiving opioid analgesia. Moreover, there is a paucity of information and no consensus about the benefits of technology-supported monitoring, such as pulse oximetry (measuring oxygen saturation) and capnography (measuring end-tidal carbon dioxide), in hospitalized patients receiving opioids for pain therapy. To date, there have not been any randomized clinical trials to establish the value of technologic monitoring in preventing adverse respiratory events. Additionally, the use of technology-supported monitoring is costly, with far-reaching implications for hospital and nursing practices. As a result, there are considerable variations in screening for risk and monitoring practices. All of these factors prompted the American Society for Pain Management Nursing to approve the formation of an expert consensus panel to examine the scientific basis and state of practice for assessment and monitoring practices for adult hospitalized patients receiving opioid analgesics for pain control and to propose recommendations for patient care, education, and systems-level changes that promote quality care and patient safety. 相似文献
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L. Lee Dupuis MScPhm ACPR FCSHP Sabrina Boodhan BScPhm ACPR Mark Holdsworth PharmD BCOP Paula D. Robinson MD MSc Richard Hain MD Carol Portwine MD FRCPC PhD Erin O'Shaughnessy RN MScN CPHON Lillian Sung MD PhD 《Pediatric blood & cancer》2013,60(7):1073-1082
This guideline provides an approach to the prevention of acute antineoplastic‐induced nausea and vomiting (AINV) in children. It was developed by an international, inter‐professional panel using AGREE and CAN‐IMPLEMENT methods. Evidence‐based interventions that provide optimal AINV control in children receiving antineoplastic agents of high, moderate, low, and minimal emetogenicity are recommended. Recommendations are also made regarding selection of antiemetic agents for children who are unable to receive corticosteroids for AINV control, the role of aprepitant and optimal doses of antiemetic agents. Gaps in the evidence used to support the recommendations were identified. The contribution of this guideline to AINV control in children requires prospective evaluation. Pediatr Blood Cancer 2013; 60: 1073–1082. © 2013 Wiley Periodicals, Inc. 相似文献
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Olanzapine for treatment and prevention of acute chemotherapy‐induced vomiting in children: A retrospective,multi‐center review
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Acupressure bands do not improve chemotherapy‐induced nausea control in pediatric patients receiving highly emetogenic chemotherapy: A single‐blinded,randomized controlled trial
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L. Lee Dupuis RPh PhD Kara M. Kelly MD Jeffrey P. Krischer PhD Anne‐Marie Langevin MD Roy N. Tamura PhD Ping Xu PhD Lu Chen PhD E. Anders Kolb MD Nicole J. Ullrich MD PhD Olle Jane Z. Sahler MD Eleanor Hendershot MN Ann Stratton RN MSN CNP CPHON Lillian Sung MD PhD Thomas W. McLean MD 《Cancer》2018,124(6):1188-1196
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