Nurse consultant

Once Sarah was placed into the long-term phase of the rehabilitation framework, all active weaning from MV was stopped and the nurse consultant, the lead doctor, and the PT made a comprehensive and holistic assessment. Further advice was sought from the dietician, the speech and language therapist, and the pharmacist. An overall plan was then developed, which included the following ... 

In the United Kingdom, resources for LTMV patients (ventilated > 21 days) outside of the acute care setting are extremely limited, with few specialist chronic respiratory care centers, despite the fact that LTMV patients are increasing. The following comments describe a management strategy developed by a nurse consultant (NC), to meet the needs of LTMV patients. 

The Experience of a Nurse Consultant Within a Critical Care Network... 

The patient was reviewed by the nurse consultant after her third admission. She had no experience with community specialist support and her primary caregiver was her husband who was experiencing very negative consequences to his business. The following goals were agreed upon ... 

The American College of Apothecaries represents pharmacists whose practices can best be described as emphasizing prescription and related products. Some pharmacists practice as consultants and providers to long-term care health faciUties, eg, nursing homes. Both state and U.S. laws have mandated closer control of dmg products in such units. The American Association of Consultant Pharmacists has been formed to serve the needs of such pharmacists. 

Other contraindications and precautions are listed below, according to die specific drug. Numerous interactions are possible widi the antiviral dragp. Only the most significant interactions are listed for selected dra . The nurse should consult an appropriate source for a more extensive listing of interactions. 

The nurse checks to see if die drug helped die patient sleep on previous nights. If not, a different drug or dose may be needed, and die nurse should consult die pri-maiy healtii care provider regarding die drug s ineffectiveness. 

If the patient lias an order for a PRN narcotic analgesic or odier CNS depressant and a hypnotic, die nurse should consult die primary healdi care provider regarding die time interval between administration of tiiese drugp. Usually at least 2 hours should elapse between administration of a hypnotic and any odier CNS depressant, but this interval may vary, depending on factors such as die patient s age and diagnosis. 

The nurse should advise the patient taking a nonprescription cough medicine that if a cough lasts more than 10 days or is accompanied by fever, chest pain, severe headache, or skin rash, the patient should consult the primary health care provider. 

The information discussed in this section is general, and tlie contraindications, precautions, and interactions for each antineoplastic drug vary. The nurse should consult appropriate sources before administering any antineoplastic drug. 

The following sections give selected interactions of die alkylating dragp, antimetabolites, antibiotics, hormones, miotic inhibitors, and miscellaneous antineoplastic dragp. The nurse should consult appropriate sources for a more complete listing of interactions before any antineoplastic drug is administered. 

Most IV solutions should not be combined with any other solutions or drug s but should be administered alone The nurse should consult the drug insert or other appropriate sources before combining any drug with any plasma protein fraction. 

The consultant pharmacist is reviewing the care of AN, who is a 79-year-old male resident of a long-term care facility. According to his records, he has received phenytoin and phenobarbital ever since suffering a stroke 12 years ago. There is no record of a seizure in his chart, and the nursing staff has not observed a seizure since he arrived at the facility 2 years ago. His family recalls that he had 1 seizure around the time of his stroke, but has not had any more seizures. 

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