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患有心内膜炎的阿片类药物依赖患者:应对疼痛和药物滥用戒断问题。

The opiate-dependent patient with endocarditis: addressing pain and substance abuse withdrawal.

作者信息

Broyles Lauren Matukaitis, Korniewicz Denise M

机构信息

University of Maryland Medical System, Baltimore 21201, USA.

出版信息

AACN Clin Issues. 2002 Aug;13(3):431-51. doi: 10.1097/00044067-200208000-00009.

DOI:10.1097/00044067-200208000-00009
PMID:12151996
Abstract

Intravenous drug use is associated with infectious diseases such as endocarditis. Patients often require intensive medical and nursing management in the intensive care unit as well as simultaneous intensive pain, withdrawal, and psychosocial management for the tolerance and behavior issues commonly associated with this population. To provide comprehensive care, the advanced practice nurse needs to understand the relation between intravenous drug use and the development of infective endocarditis. Furthermore, the advanced practice nurse must have skill in making distinctions between pain and opiate withdrawal, selecting a strategy for treating these syndromes, and providing the intravenous drug-using patient with support and aftercare resources.

摘要

静脉注射吸毒与诸如心内膜炎等传染病相关。患者通常需要在重症监护病房接受强化医疗和护理管理,同时针对该人群常见的耐受性和行为问题进行强化疼痛、戒毒和心理社会管理。为提供全面护理,高级执业护士需要了解静脉注射吸毒与感染性心内膜炎发病之间的关系。此外,高级执业护士必须具备区分疼痛和阿片类药物戒断反应的技能,选择治疗这些综合征的策略,并为静脉注射吸毒患者提供支持和后续护理资源。

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