Ketorolac-induced bronchospasm.
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Anti-Inflammatory Agents, Non-Steroidal↗
Biomedical subjects
J Glascock
Publications and source records attributed to J Glascock.
Low-dose sufentanil as a supplement to halothane/N2O anaesthesia in infants and children.
Sufentanil as a supplement to halothane/N2O anaesthesia was evaluated in 32 unpremedicated infants and children age 6 months to 9 yr undergoing elective orthopaedic surgery. Patients were randomly assigned in a double-blind manner to receive one of four intravenous supplements: placebo, sufentanil 0.5, 1.0 or 1.5 micrograms.kg-1. Systolic arterial pressure (SAP), heart rate (HR) and end-tidal halothane concentration were recorded before and after induction, supplement administration, tracheal intubation, incision and every 15 min during the procedure. Venous catecholamine samples were obtained before and after incision. A pain score was assigned to the patients in the postanaesthesia care unit (PACU). Sufentanil at all three doses prevented increases in SAP and HR with intubation and incision, provided superior pain relief in the PACU and did not prolong wake-up time. Sufentanil 1.0 and 1.5 micrograms.kg-1 allowed for a reduction in the halothane requirements. Sufentanil 1.5 micrograms.kg-1 was associated with lower catecholamine levels than in the placebo group following incision. Sufentanil supplementation at 1.0 and 1.5 micrograms.kg-1 was associated with bradycardia and/or hypotension during induction and an increased incidence of vomiting during the first 24 hours postoperatively. One patient in the sufentanil 1.0 micrograms.kg-1 group whose surgical time was less than 45 min exhibited respiratory depression in the PACU requiring narcotic reversal. In conclusion, sufentanil 0.5 micrograms.kg-1 improved immediate postoperative pain relief and is acceptable as a supplement during halothane anasethesia in infants and children. The associated side effects of larger doses of sufentanil (1.0 and 1.5 micrograms.kg-1) make their use as a supplement to halothane anaesthesia unacceptable.
Analgesics, Opioid↗
Reliability and validity of the Women's Health Care Skills Audit.
The Women's Health Care Skills Audit (WHCSA) is a behaviorally oriented instrument which is hypothesized to measure important, clinically relevant components of the basic women's health care skills of Family Nurse Practitioners. The purpose of this research was to examine the reliability and validity of the WHCSA. Two women's health care nurse practitioners independently evaluated the performance of 23 Family Nurse Practitioner students during client visits. Overall internal consistency and test-retest reliabilities of the instrument were high--.96 and .84 respectively. In addition, support for the convergent validity of the WHCSA was also obtained in the study. Results therefore indicate that the WHCSA is both reliable and valid and holds promise for use in documenting and evaluating basic Family Nurse Practitioner women's health care competencies.
Adult↗
The obstetrics scope of practice of master's prepared FNPs.
Ninety-four family nurse practitioners provided information about the extent of their obstetrics practice within the general activity categories of: diagnosing and managing normal pregnancy; diagnosing and managing problems in pregnancy; parent education during pregnancy; labor and delivery management; neonatal management and evaluation; and post-partum evaluation of the mother. Analysis of the results revealed that respondents provided education-related care more frequently than the management aspects of problem pregnancies, labor and delivery and neonatal care. Routine prenatal care--diagnosing pregnancy, counseling and referral of unwanted pregnancy, examining the pregnant woman, ordering and interpreting laboratory work, fundal measurement--was also more frequently carried out than were the other activity categories. In addition, more obstetrical work was done by individuals working in health departments than those in hospital outpatient clinics, and individuals titled family nurse practitioner diagnosed and managed normal pregnancies more frequently than those who had other titles.
Employment↗
Nurse practitioner-patient interactional analyses during well-child visits.
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Adult↗
Infant and preschool well-child care: master's- and nonmaster's-prepared pediatric nurse practitioners.
The nursing and medical literature reveals considerable debate over whether graduate or continuing education is the appropriate level for nurse practitioner preparation. These arguments have been rhetorical since the research literature lacks data on the scope of practice of master's- and nonmaster's-prepared nurse practitioners. The purpose of this study was to examine possible differences between the two types of practitioners in one area--well-child care provided by pediatric nurse practitioners (PNPs). A total of 236 master's- and nonmaster's-prepared PNPs completed a background questionnaire and checklists of nursing activities involving infant and preschool well-child care. Analysis of study results showed that master's PNPs performed more activities involving (1) assessment of physical and cognitive development of infants (p less than .003); (2) assessment of personality and socialization of preschool children (p less than .05); and (3) counseling and guidance involving the physical and cognitive development of infants (p less than .01). Master's PNPs also appeared to benefit more from their years in practice both in terms of the number of assessment activities (p less than .04) and management activities (p less than .06) they performed. Finally, master's PNPs engaged in more leadership activities than nonmaster's PNPs (p less than .005).
Adult↗