Thiamine deficiency in congestive heart failure.
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Biomedical subjects
Publications and source records attributed to M M Huth.
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Several published studies have reported that children are capable of having a relationship with God. There is little documentation of the influence of stressful situations such as hospitalization on this relationship. Twenty-eight hospitalized subjects (8 to 10 years old) were interviewed using a picture and storytelling technique. Three core processes were identified: how children told a story about a hospitalized child; attributes assigned to God; and responses of children to God in an illness situation. The findings suggest that the child's relationship with God could be helpful in coping with the fears and anxieties normally present during hospitalization. The findings also support those of others who found children can view illness as a punishment from God.
In an open-label study, we compared the efficacy and safety of intravenous infusion of fenoldopam mesylate with that of sodium nitroprusside in patients with severe hypertension or in hypertensive crisis. Both antihypertensive medications were infused at a maximal dose increment of 0.2 microgram/kg/min (fenoldopam) and 1 microgram/kg/min (nitroprusside), with a maximal infusion rate of 1.5 micrograms/kg/min fenoldopam mesylate or 8 micrograms/kg/min sodium nitroprusside. Once the desired reduction in diastolic blood pressure was achieved (less than 110 mm Hg if initial diastolic blood pressure was 120-149 mm Hg, or by at least 40 mm Hg if initial diastolic blood pressure was 150-190 mm Hg), the maximal infusion rate used was maintained for at least 1 hour, and then, the infusion was slowed gradually over 2 hours. After the infusion treatment, patients remained in the hospital for 2 days of follow-up. Both antihypertensive agents successfully controlled the blood pressure in all the patients by the end of the maintenance periods. Between the baseline and the end of the maintenance period, analysis of variance showed that the changes in the variables induced by fenoldopam mesylate did not differ significantly from those induced by sodium nitroprusside. The incidence of side effects listed were similar in both groups of patients. The detection of toxic levels of thiocyanate in two patients treated with nitroprusside, however, shows that fenoldopam might be preferable for the control of a hypertensive crisis or severe hypertension in patients with decreased renal function.
PURPOSE: To present a middle-range nursing theory of acute pain management that provides direction for practice and research. CLIENT POPULATION: Patients from 6 months to 12 years old who have acute pain. CONCLUSIONS: The potential of the proposed theory, Acute Pain Management in Infants and Children, is to assist nurses in managing clinical pain and to expand the knowledge and research base in children's pain. PRACTICE IMPLICATIONS: To provide clinicians with prescriptions for pain reduction and a conceptual basis for pain interventions. Statement and theory testing are needed to determine adequacy of this theory for infants and children experiencing acute pain.
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