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Biomedical subjects

L C Simko

Publications and source records attributed to L C Simko.

6 recordsLinked to original sources

Adults with congenital heart disease: utilizing quality of life and Husted's nursing theory as a conceptual framework.

Adults with Congenital Heart Disease (CHD) are a new and growing population of clients who pose a challenge to both medicine and nursing. An analysis of the literature has resulted in the development of a new conceptual framework utilizing the concept analysis of Quality of Life and Husted and Husted's ethical decision making in nursing in the care of the adult with CHD. Additionally, application of Husted and Husted's theory will be explored with a critical care case study.

Adult↗

Critical care in Nicaragua.

Critical care nursing in Nicaragua is vastly different than critical care practiced in the United States. The current status of critical care nursing in Nicaragua is challenging at best. Medical personnel do not have access to arterial blood gases, blood cultures, and capillary blood glucose monitoring. The strengths and challenges present in Nicaraguan critical care has made the nursing staff rely on keen and astute nursing assessment of their patients. Due to the lack of technology in Nicaragua, creativity and improvising are a must in caring for a critically ill patient. However, the concerns and issues facing the nurses in Nicaragua are very similar to those experienced by critical care nurses in the United States. Critical care nursing in Nicaragua is indeed true nursing at its finest.

Critical Care↗

Preoperative antioxidant and allopurinol therapy for reducing reperfusion-induced injury in patients undergoing cardiothoracic surgery.

Administration of vitamin E, vitamin C, and allopurinol to reduce reperfusion-induced injury remains controversial. Clinical trials are being conducted, and the results are promising. No adverse side effects have been reported with the short-term use of these drugs. The cost of the pre-operative medication is approximately $5 per week, which favors its use. The ability of nurses to be effective advocates of patients receiving these drugs is vital. What appears to be a trivial medication regimen may save myocardial cells and promote an uncomplicated postoperative period.

Aged↗

Water fluoridation: time to reexamine the issue.

Water fluoridation was instituted as a public health measure more than 50 years ago to help limit dental caries. However, with the advent of fluoridated dentifrices, fluoridated infant formulas, and commercially prepared beverages with fluoridated water, the incidence of dental fluorosis is increasing. Health care professionals need to understand the history of water fluoridation, examine the benefits and complications of fluoride, and, if need be, take an informed political stance on an issue that is affecting large numbers among our pediatric population.

Child, Preschool↗