The syringe driver is the most useful method of drug administration for delivering a continuous subcutaneous infusion when other routes are inappropriate. Palliative care patients often have multiple symptoms that require the use of numerous drugs; as the patient's condition deteriorates the oral route is often no longer suitable and the syringe driver is then used to ensure continued symptom control. This route increases patient comfort as it avoids the need for repeated injections, plasma concentration levels of drugs remain constant and it maintains the patient's sense of independence. This highly practical book provides a wealth of information on the use of the syringe driver and on drug compatibilities for doctors, nurses and pharmacists who work in palliative care. The reader is presented with an overview of syringe drivers and continuous subcutaneous infusions followed by referenced information about drugs that are likely to be encountered, compatibility tables and information about symptom control in the last few days of life, concentrating specifically on the use of the syringe driver. This book will prove to be an essential source of information for doctors, nurses and pharmacists who work in palliative medicine.
Les informations fournies dans la section « Synopsis » peuvent faire référence à une autre édition de ce titre.
The delivery of two, three, four or even five drugs in the same syringe is now considered routine practice. A continuous subcutaneous infusion is an effective method of drug administration that is particularly suited to palliative care when other routes are inappropriate. Palliative care patients frequently have multiple symptoms that require the use of numerous drugs; as the patient's condition deteriorates, the oral route is often no longer suitable and the syringe driver ensures continued symptom control. This route increases patient comfort as it avoids the need for repeated injections, plasma concentration levels of drugs remain constant, and it maintains the patient's sense of independence. There have been several developments in this field since the first edition of this book was published, including new devices and drugs. The compatibility data are greatly expanded, covering an extensive list of drug combinations. The book consists of four chapters. The first chapter provides an overview of syringe drivers and continuous subcutaneous infusions, including detailed set up information. The second chapter provides detailed, referenced information about drugs that are likely to be delivered via a continuous subcutaneous infusion. The third chapter concentrates on the use of continuous subcutaneous infusions to control specific symptoms. Finally, an extensive list of compatibility tables is located in the fourth chapter.
What...are the benefits of 'upgrading' to this new edition...[i]s it worth the investment? Will it make a difference to your practice? The answer to both these questions is undoubtedly, yes. The second edition is a 'must have.' I cannot recommend this book highly enough. If using or advising on CSCIs in clincal practice, having the first edition of The Syringe Driver is not good enough. The text itself is essential, but only the newest edition will do. (European Journal of Cancer Care, Vol 16)
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