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Article Critique/PICC Study

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Essay / Research Paper Abstract

A 4 page article critique that examines a study performed by Tolomeo and Mackey (2003), which evaluated the use of peripherally inserted central catheters (PICCs) with cystic fibrosis patients. No additional sources cited.

Page Count:

4 pages (~225 words per page)

File: D0_khpicc.rtf

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Unformatted sample text from the term paper:

fibrosis (CF) is a common genetic disorder, which is characterized by chronic pulmonary infections, which frequently require intravenous (IV) antibiotics. Peripherally inserted central catheters (PICCs) have been shown to be effective in IV delivery within a variety of populations. This study evaluates the effectiveness of PICCs for CF patients. No serious complications with catheter use were encountered, but 18 patients in the sample group experienced minor complications and the rate of IV antibiotic completion with this model of IV access was high. Due to this evaluation, PICC access remains the standard of care for CF patients at the institution where the study was conducted. Key variables examined The key variable in this study was the use of PICC in regard to its efficacy as a delivery system for IV antibiotics. Statistically significant findings As the study sample in this group was quite small, this writer/tutor would say that there were no statistically significant findings, as the size of the sample group would make extrapolation to larger populations difficult. Brief overview of other outcomes Tolomeo and Mackey (2003) report that PICCs have several advantages over traditional short-term peripheral intravenous (PIV) catheters, which includes avoiding interruptions in therapy, minimizing vein wasting, and minimizing multiple venopunctures. Cost containment has also been indicated as an advantage of PICCs can be initiated at the bedside by a registered nurse, which avoid the need for general anesthesia and a surgical procedure (Tolomeo and Mackey, 2003). Reliability and validity concerns The authors of this study did not address reliability or validity concerns. Relevant population and sample size The study sample consisted of CF patients requiring high level of antibiotics at a CF center in New England. PICCs were offered to CF patients, both children and adults, who required more than 10 days of IV ...

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