       Document 0319
 DOCN  M9590319
 TI    Nurse initiated continuous positive airways pressure in the management
       of severe Pneumocystis carinii pneumonia.
 DT    9509
 AU    Sheard P; Clinical Nurse Educator HIV/AIDS Unit. St. Vincent's Hospital;
       Sydney Limited, Darlinghurst, NSW.
 SO    Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:182 (unnumbered
       abstract). Unique Identifier : AIDSLINE ASHM6/95291780
 AB    Inpatients with Pneumocystis carinii pneumonia (PCP) are assessed on
       admission by nurses for activities of daily living, vital signs and
       pulse oximetry. If observations indicate hypoxaemia then oxygen therapy
       is indicated. Oxygen therapy is administered to maintain a peripheral
       oxygen saturation of > 90%. Oxygen therapy is provided by nasal prongs,
       Hudson mask or mask continuous positive airways pressure (CPAP). This
       session will focus on: 1) St Vincent's Hospital Darlinghurst protocol
       for nurse initiated CPAP. CPAP is instituted by the nursing staff
       whenever a patient is unable to maintain peripheral O2 saturations on 8
       litres/min via a puritan mask. 2) Nursing considerations of severe PCP
       and the use of CPAP, 3) benefits to morbidity and mortality of early
       intervention with CPAP, 4) possible changes to the St Vincent's Hospital
       protocol for nurse initiated CPAP in the light of recent experiences.
 DE    AIDS-Related Opportunistic Infections/BLOOD/*NURSING  Human  Nursing
       Assessment  Oxygen/BLOOD  Patient Admission  Pneumonia, Pneumocystis
       carinii/BLOOD/*NURSING  Positive-Pressure Respiration/*NURSING  Survival
       Rate  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

