Simultaneous concept analysis of nursing diagnoses related to respiratory function.

AIM: To perform a simultaneous concept analysis of the concepts associated to nursing diagnoses ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange. BACKGROUND: Concepts about respiratory manifestations need to be well defined, especially in the current pandemic scenario. For that, the simultaneous concept analysis can help in the clarity and differentiation of similar concepts. METHODS: A concept analysis using the Walker and Avant approach and an integrative review. Data were collected by a group of nurses through a literature review. The group identified 10 articles that met the inclusion criteria and complemented the understanding of the concepts analysed through the sequential description of respiratory physiology in technical books. RESULTS: The final list included 28, 22, and 21 clinical indicators for ineffective breathing pattern, impaired gas exchange, and ineffective airway clearance, respectively. The former, the final proposal incorporated 13 indicators that were pointed out by the group and 15 defining characteristics of NANDA-International. For Impaired gas exchange, the indicator "decreased oxygen saturation" was included; among the defining characteristics of NANDA-International, "abnormal arterial blood gases" was excluded, and "abnormal breathing pattern" was subdivided into "alterations in respiratory depth," "bradypnea," "tachypnea," and "change in respiratory rhythm." The latter, only the "wide-eyed" was removed from the final list of clinical indicators, which subsequently consisted of nine indicators suggested by the group and 12 defining characteristics. CONCLUSION: This concept analysis may aid in the process of differentiation for ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange, and aid in safer diagnostic inference. This concept analysis can support the understanding of respiratory nursing diagnoses, helping nurses to identify and differentiate them more safely.

Nursing diagnosis neonatal hyperbilirubinemia: A survival analysis.

PURPOSE: To analyze the short-term survival of the nursing diagnosis of neonatal hyperbilirubinemia in hospitalized neonates within the first 24 h of life and over a maximum of 7 days. METHODS: A prospective open cohort study with a longitudinal design was developed with 120 newborns during the first 24 h of life. The survival rate after a nursing diagnosis of neonatal hyperbilirubinemia was analyzed for 7 days. FINDINGS: The number of new cases of neonatal hyperbilirubinemia during the follow-up was 82 (RR: 90.1%, daily incidence rate: 34.17%). The greatest manifestation of the diagnosis occurred in the first three days (n = 97). The median diagnostic survival time was 2 days (95% CI: 2-2). Yellow-orange skin color (RR = 8.08), yellow mucous membranes (RR = 2.05), yellow sclera (RR = 1.99), and female gender (RR = 1.36) had the highest risk ratios. CONCLUSIONS: A rapid impairment of neonatal hyperbilirubinemia in hospitalized neonates was observed. Some clinical indicators were associated with an increased risk for this diagnosis. IMPLICATIONS FOR NURSING PRACTICE: Studies on the prognostic capacity of the clinical indicators of nursing diagnoses like neonatal hyperbilirubinemia strengthen the clinical reasoning of nurses and subsidize diagnostic inferences and accurate clinical decisions.

Transporte inter-hospitalar de recém-nascido em estado crítico: revisão integrativa da literatura / Inter-hospital transport of newborns in critical condition:integrative literature review

Modelo do estudo: revisão integrativa. Objetivo: identificar condutas organizacionais descritas na literatura sobre transporte inter-hospitalar de recém-nascido em estado crítico de saúde realizado por meio de ambulância. Metodologia: revisão integrativa com consulta nas bases de dados: LILACS, CINAHL, MEDLINE, Web of Science e SCOPUS, no período de setembro a novembro de 2013. Para realizar a pesquisa, foram utilizados os descritores não controlados newborn transport, newborn infants, protocol e os controlados transporte de pacientes, recém-nascido e ambulâncias. A busca limitou-se a artigos publicados em português, inglês e espanhol, sem período estabelecido, que versassem sobre transporte inter-hospitalar de recém-nascido crítico por ambulância. Resultados: selecionou-se 12 artigos. As condutas identificadas foram: comunicação pré-transporte; composição da equipe que realizará o transporte; referência e contra referência; seleção do veículo para o transporte; equipamentos e medicações que poderão ser utilizados durante o transporte. Conclusões: Os estudos encontrados versam sobre importantes condutas a serem aplicadas em todas as fases do transporte inter-hospitalar do recém nascido por ambulância, importantes para uma assistência de qualidade e efetiva...

Study model: integrative review. Objective: to identify organizational behaviors described in the literature about inter-hospital transport of newborns in critical health condition performed by means of ambulance. Methodology: integrative review with query in the databases: LILACS, CINAHL, MEDLINE, Web of Science and Scopus, during the period from September to November 2013. In order to perform the research, the non-controlled descriptors newborn transport’, ‘newborn infants’ and ‘protocol’ were used, aswell as the controlled descriptors transport of patients’, ‘newborn’ and ‘ambulances’. The search was limited to papers published in Portuguese, English and Spanish, without an established period, which addressed the inter-hospital transport of critically ill newborn by ambulance. Results: 12 papers were selected. The identified behaviors were: pre-transport communication; composition of the team that will conduct the transport; reference and counter-reference; selection of vehicle for transportation; equipment and medications that may be used during transportation. Conclusions: The selected studies address the important measures to be applied at all stages of the inter-hospital transport of newborns by ambulance, which are important for quality and effective care...

Avaliação de parâmetros do perfil metabólico e do leite em diferentes categorias de vacas leiteiras da raça Jersey em rebanhos do Sul do Rio Grande do Sul / Evaluation of metabolic profile and milk standards in different categories of dairy herds in the Jersey breed in teh Southern of Rio Grande do sul

Desequilíbrios entre os nutrientes que ingressam no organismo animal, sua biotransformação e a eliminação das substâncias resultantes podem ocasionar alterações no metabolismo animal. A conseqüência direta dessa condição é a ocorrência das doenças metabó¬licas, também conhecidas como doenças da produção. Muitos desses desequilíbrios podem provocar doenças subclínicas que são de difícil percepção, limitando a produção de um modo persistente, provocando uma diminuição da produção, ocasionando perdas na rentabilidade do produtor e ainda possíveis alterações na composição e qualidade do leite. Os transtornos metabólicos podem ser detectados pelo estudo dos perfis bioquímicos no sangue. O objetivo deste estudo foi avaliar parâmetros do perfil metabólico e do leite em diferentes categorias de vacas leiteiras da raça Jersey em rebanhos do sul do Rio Grande do Sul. Foram utilizadas 59 vacas da raça Jersey de diferentes propriedades da região sul do Rio Grande do Sul, as fêmeas foram divididas em três grupos: o primeiro de vacas (L1) 7 a 80 dias de lactação, o segundo (L2) com vacas de 81 a 270 dias de lactação e o terceiro (vacas secas) com vacas de 45 a 10 dias pré¬parto. Amostras de sangue e leite foram coletadas e encaminhadas aos laboratórios da Univer¬sidade Federal de Pelotas/Brasil, onde foram mensurados os seguintes parâmetros: no sangue, glicose, uréia, albumina e aspartato transaminase (AST) e no leite, proteína verdadeira, lactose e gordura. Os resultados demonstraram diferenças nos parâmetros metabólicos na glicose, uréia e gama glutamil transferase (GGT), entre os grupos L1 e vacas secas, enquanto para os compo¬nentes do leite a diferença foi observada entre a gordura e a proteína verdadeira, sendo mais alta no grupo L2...

Instability between the nutrients in animal organism, their biotransformation and final substances elimination can cause changes in the animal metabolism. The consequence of this condition are metabolical diseases, known also as production diseases. Several of these imbalances can cause subclinical diseases, that are difficult to perception, limiting the production of a persistent manner, causing a decline in production, which causes losses in the profitability of the producer and possible changes in the composition and quality of milk. The metabolic disorders can be detected by the study of biochemical profiles in the blood. The objective of this study was evaluating parameters of metabolic profile and milk in different categories of dairy herds in the Jersey breed in the southern of Rio Grande do Sul. Fifty nine Jersey cows were used from different properties of the southern region of Rio Grande do Sul, the females were divided into three groups: the first of cows (L1) with 7 to 80 days of lactation, the second (L2) with cows of 81 to 270 days of lactation and the third (dry cow) with cows from 45 to 10 days prepartum. Samples of blood and milk were collected and forwarded to the laboratory of the Federal University of Pelotas / Brazil, where the following parameters were measured: blood, glucose, urea, albumin and aspartate transaminase (AST) and in the milk true protein, lactose and fat. The results showed differences in metabolic parameters in glucose, urea and gama glutamil transferase (GGT), between groups L1 and dry cows, while the components of milk for the difference was observed between fat and the true protein, being highest in the group L2. None of the animals showed amendments that confirmed metabolic disease, even subclinical, but the differences were observed between the different productive periods, coming to confirm the various metabolic and nutritional needs for each productive stage of the animals

Avaliação de parâmetros do perfil metabólico e do leite em diferentes categorias de vacas leiteiras da raça Jersey em rebanhos do Sul do Rio Grande do Sul / Evaluation of metabolic profile and milk standards in different categories of dairy herds in the Jersey breed in teh Southern of Rio Grande do sul

Desequilíbrios entre os nutrientes que ingressam no organismo animal, sua biotransformação e a eliminação das substâncias resultantes podem ocasionar alterações no metabolismo animal. A conseqüência direta dessa condição é a ocorrência das doenças metabó¬licas, também conhecidas como doenças da produção. Muitos desses desequilíbrios podem provocar doenças subclínicas que são de difícil percepção, limitando a produção de um modo persistente, provocando uma diminuição da produção, ocasionando perdas na rentabilidade do produtor e ainda possíveis alterações na composição e qualidade do leite. Os transtornos metabólicos podem ser detectados pelo estudo dos perfis bioquímicos no sangue. O objetivo deste estudo foi avaliar parâmetros do perfil metabólico e do leite em diferentes categorias de vacas leiteiras da raça Jersey em rebanhos do sul do Rio Grande do Sul. Foram utilizadas 59 vacas da raça Jersey de diferentes propriedades da região sul do Rio Grande do Sul, as fêmeas foram divididas em três grupos: o primeiro de vacas (L1) 7 a 80 dias de lactação, o segundo (L2) com vacas de 81 a 270 dias de lactação e o terceiro (vacas secas) com vacas de 45 a 10 dias pré¬parto. Amostras de sangue e leite foram coletadas e encaminhadas aos laboratórios da Univer¬sidade Federal de Pelotas/Brasil, onde foram mensurados os seguintes parâmetros: no sangue, glicose, uréia, albumina e aspartato transaminase (AST) e no leite, proteína verdadeira, lactose e gordura. Os resultados demonstraram diferenças nos parâmetros metabólicos na glicose, uréia e gama glutamil transferase (GGT), entre os grupos L1 e vacas secas, enquanto para os compo¬nentes do leite a diferença foi observada entre a gordura e a proteína verdadeira, sendo mais alta no grupo L2...(AU)

Instability between the nutrients in animal organism, their biotransformation and final substances elimination can cause changes in the animal metabolism. The consequence of this condition are metabolical diseases, known also as production diseases. Several of these imbalances can cause subclinical diseases, that are difficult to perception, limiting the production of a persistent manner, causing a decline in production, which causes losses in the profitability of the producer and possible changes in the composition and quality of milk. The metabolic disorders can be detected by the study of biochemical profiles in the blood. The objective of this study was evaluating parameters of metabolic profile and milk in different categories of dairy herds in the Jersey breed in the southern of Rio Grande do Sul. Fifty nine Jersey cows were used from different properties of the southern region of Rio Grande do Sul, the females were divided into three groups: the first of cows (L1) with 7 to 80 days of lactation, the second (L2) with cows of 81 to 270 days of lactation and the third (dry cow) with cows from 45 to 10 days prepartum. Samples of blood and milk were collected and forwarded to the laboratory of the Federal University of Pelotas / Brazil, where the following parameters were measured: blood, glucose, urea, albumin and aspartate transaminase (AST) and in the milk true protein, lactose and fat. The results showed differences in metabolic parameters in glucose, urea and gama glutamil transferase (GGT), between groups L1 and dry cows, while the components of milk for the difference was observed between fat and the true protein, being highest in the group L2. None of the animals showed amendments that confirmed metabolic disease, even subclinical, but the differences were observed between the different productive periods, coming to confirm the various metabolic and nutritional needs for each productive stage of the animals(AU)