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N C Osguthorpe

Publications and source records attributed to N C Osguthorpe.

5 recordsLinked to original sources
PubMed1995

An immunization update for primary health care providers.

Despite notoriously low immunization levels among children in the United States in recent decades, provisional statistics for 1994 are encouraging. This may be related to several recent governmental initiatives that have focused attention on immunizations. A new vaccination schedule, effective January 1995, marked major progress in the clarification of immunization guidelines. This article discusses current recommendations for both pediatric and adult immunizations. The text includes information about the current incidence of communicable diseases, recent governmental policies affecting availability of vaccines, standards for immunization practice, and guidelines for storage and handling of vaccines. A table outlines recommended vaccines in the following areas: 1) vaccine antigen, dose, and route, 2) routine schedule for administration, 3) precautions and contraindications, 4) adverse reactions, 5) serious adverse reactions, and 6) education.

Adolescent↗
PubMed1988

Ectopic pregnancy. Surgical intervention and perioperative nursing care.

Because of the wide variety of ectopic pregnancies, there is no established routine for surgical removal. Fortunately, many are small, unruptured tubal pregnancies that can be easily removed via laparoscopy. But because these procedures and skills are relatively new, most surgeons continue to use a laparotomy in the treatment of ectopic pregnancy. A skilled OR team is required when faced with a ruptured ectopic pregnancy. The Centers for Disease Control, Atlanta, reports that of the 165 deaths resulting from ectopic pregnancies it studied, hemorrhage was the cause of death in 88% of the cases. According to the study, only one third of these women had surgery, but the researchers suggest that prompt surgical intervention may be the key to preventing mortality.

Female↗
PubMedDate not supplied

Ectopic pregnancy.

One out of every 100 to 300 pregnancies is ectopic, and the prevalence is increasing. The classic triad of symptoms; amenorrhea, abdominal pain, and abnormal bleeding, varies greatly among individuals, and ectopic pregnancies frequently are confused with other conditions, such as ovarian cyst, pelvic inflammatory disease, and spontaneous abortion. Ruptured ectopic pregnancies cause hemorrhage and shock and are the leading cause of maternal mortality in the first trimester. Although conservation surgery and tuboplasty have improved the fertility outlook of the ectopic patient, only one-third of such women will be delivered of a live baby. In this overview of ectopic pregnancy, the etiology, symptoms, physical findings, and management/treatment are presented.

Female↗