标准风险和高风险肺炎患者的管理实践
Derek Spindler1, Kimberly K Monroe1, Mayya Malakh1
1Department of Pediatrics, Division of Pediatric Hospital Medicine, C.S. Mott Children's Hospital.
Hospital pediatrics
|August 3, 2023
概括
支气管炎的治疗有所不同,常常在标准风险和高风险儿童中使用支气管扩展剂和类固醇,这与指导方针相反. 对高风险患者需要进一步的研究.
科学领域:
- 儿科呼吸系统医学 儿科呼吸系统医学
- 临床试验方法论 临床试验方法论
背景情况:
- 支气管炎管理指南建议提供支持性护理,但不包括高风险患者.
- 对于儿童支气管炎的管理,存在各种各样的机构方法.
研究的目的:
- 描述和比较标准风险与高风险支气管炎患者的管理.
- 评估不同风险群体的诊断和治疗干预的频率.
主要方法:
- 对患有支气管炎或病毒综合征的2年以下患者进行了回顾性研究.
- 根据既定的标准,根据标准风险或高风险分类的患者.
- 组间诊断和治疗干预频率的比较.
主要成果:
- 包括265名患者,122名标准风险患者 (46.0%) 和143名高风险患者 (54.0%).
- 标准风险患者接受了更多的支气管扩展剂 (65.6%与44.1%) 和类固醇 (19.7%与14.7%).
- 使用阿尔布特罗尔,高血压盐水和胸部物理治疗与快速反应团队激活相关.
结论:
- 支气管炎的机构管理在标准风险和高风险儿童之间有所不同.
- 支气管扩展剂和类固醇经常被使用,无论风险状况和指导方针如何.
- 需要对高风险支气管炎患者的有效管理策略进行更多的研究.
相关概念视频
Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K
Pneumonia V: Nursing management and Prevention
2.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K
Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
COPD: Management Using Bronchodilators and Corticosteroids
244
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
244
Acute Respiratory Failure-V
165
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
165
Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.0K


