• Title/Summary/Keyword: IV injection

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Automatic Flow Control and Network Monitoring of IV Injection (자동 IV 주사 유량 자동 제어 및 네트워크 모니터링)

  • Kim, Jin-Nam;Kwon, Won-Tae;Lee, Kang-Hee
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.21 no.1
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    • pp.161-166
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    • 2012
  • Intravenous (IV) injection is widely used to supply Ringer solution directly into a vein in hospital. Generally, a passive injection method has been used, which causes the inconsistent flow rate of fluid and inappropriate control of injection time by a patient. It leads to an unnecessary nurse's overwork and decrement of IV injection's effect. To solve these problems, flow control infusion pumps have been developed. But because of relatively heavy weight and high price, its usage has been limited. In the present study, a new automatic IV injection system is developed. It is installed with a small pressing mechanism driven by a small electric motor to regulate the flow rate by pressing tube. Proportional integral derivative (PID) feedback control algorithm is applied to control the electric motor. The system is smaller in size and uses lower power than the existing commercial product. The newly developed system is also installed with networking capability, which enables monitoring the status of several automatic IV injection system at the same time.

IV Morphine Produced Spinal Antinociception Partly by Nitric Oxide (모르핀 정맥 투여시 척수 진통 작용 기전에 기여하는 Nitric Oxide)

  • Song, Ho-Kyung;Park, Soo-Seog;Kim, Jung-Tae
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.1-6
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    • 1998
  • Background: The role of nitric oxide(NO) in analgesia from opioids is controversial. On the one hand, IV morphine analgesia is enhanced by IV injection of NO synthase inhibitors. On the other hand, IV morphine results in increased release of NO in the spinal cord. There have been no behavioral studies examining the interaction between IV morphine and intrathecal injection of drugs which affect NO synthesis. Method: Rats were prepared with chronic lumbar intrathecal catheters and were tested withdrawal latency on the hot plate after 3~5 days of surgery. Antinociception was determinined in response to a heat stimulus to the hind paw before and after IV injection of morphine, 2.5 mg/kg. Twenty minutes after morphine injection, rats received intrathecal injection of saline or the NO synthase inhibitors, L-NMMA or TRIM, the NO scavenger, PTIO, or the NO synthase substrate, L-Arginine. Intrathecal injections, separated by 15 min, were made in each rats and measurements were obtained every 5 min. Result: Mophine produced a 60~70% maximal antinociceptive response to a heat stimulus in all animals for 60 min in control experiments. Intrathecal injection of idazoxane decreased antinociception of IV morphine. The NO synthase inhibitors and the NO scavenger produced dose-dependent decreases in antinociceptive effect of morphine, whereas saline as a control group and L-Arginine as the NO substrate had no effect on antinociception of morphine. Conclusion: The present study supports the evidences that systemic morphine increase the nitrite in cerebrospinal fluid and dorsal horn. These data suggest that the synthesis of NO in the spinal cord may be important to the analgesic effect of IV morphine and increased NO in spinal cord has different action from the supraspinal NO.

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A Study on the Nurse's Recognition and Performance in Intravenous Therapy Management (간호사의 정맥주사 관리에 대한 인식과 수행에 관한 연구)

  • Kim Myung-Hee;Kim Youn-Hwa
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.207-224
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    • 1998
  • The purposes of this study were to identify nurse's recognition and performance and to represent the factors of hindrance in the IV therapy management. The subjects were 420 nurses who worked at five general hospitals in Pusan. Tha data were collected using a questionnaire and the period of data collection was from January 1 to January 31, 1998. The instrument for this study was made by author oneself on the basis of guidelines Simmons et al', CDC' Stanley' and Kurdi' guideline, Cllinical Nurse's Association' that consist of 68 items for 5 fields ; pre-injection, just before-injection, needle-injection, during injection, post-injection field. Cron-bach Alpha coefficient of recognition and performance in the IV therapy management was .93 and .87. The datas were analized by a SPSS program using frequency, percent, paired t-test, t-test and oneway ANOVA. The results obtained were as follows : 1. The mean score of recognition in IV therapy management was significantly higher than that of performance(t=5.86, P<.001). 2. The items of lower than mean score of each fields in performance were the identification of drugs, hands washing, patient teaching about medication, disinfectional methods of the injection site and the rubber stopper in bottle, the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, use of tape and armboard, changing the IV tubing, labeling the dressing over the injection site, observation and recordings of patient's condition after medication and confirmation of the needle length at the needle removal. 3. The factors of hindrance in IV therapy were 'having no time', 'insufficiency of goods', 'unknowing of methods', 'no disadvantage', and 'factors of doctor's doing'. The most important factor was 'have no time', especially item of hands washing. The other factors of hindrance showed high frequency in the following items ; 'insufficiency of goods' in the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, 'unknowing of methods' in the certification of drugs compatibility, 'no disadvantage' in the labeling the dressing over the injection site, and 'factors of doctor's doing' in the changing the subclavian catheter dressing and checking the glucose level during the TPN infusion. In conclusion, there is necessity of educational program which can improve the nurse's knowledge of drugs, disinfection methods, comfort of patient and recordings in IV therapy management and alternative plan which are political and financial aids such as setting up the sink, giving of paper towels and necessary goods in the IV therapy for reducing the factors of hindrance for IV therapy management.

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The Relationship of Pain, Depression and Anxiety which Patients Recognize on Intravenous Injection - Focus on Pain Relating Factors - (정맥주사 투여 시 대상자가 인지하는 통증, 우울 및 불안과의 관계 - 통증 관련요인을 중심으로 -)

  • Kim, Hee-Jeong;Chaung, Seung-Kyo;Kim, Kyung-Hee;Kang, Kyoung-Ah
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.3
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    • pp.306-314
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    • 2007
  • Purpose: The purpose of this study was to identify factors that have an influence on the pain which patients recognize when receiving an intravenous injection. Method: Participants were 111 patients who were admitting to C University Hospital. The collected data were analyzed using the SPSS 11.0 program. Results: For the participants, factors related to administration of medication were the following: Phlebitis scale, who administers the IV injection, failure to complete the IV injection, explaination of the IV injection and rate of injection. Level of pain, depression and anxiety in the participants was as follows: Pain ($4.86{\pm}2.09$), depression ($35.76{\pm}9.91$), anxiety ($32.34{\pm}8.87$). There were positive correlations between pain and depression (r= .437, p< .000), between pain and anxiety (r= .478, p< .000), and between depression and anxiety (r= .544, p< .000). Conclusion: Such findings provide new insights into the dynamic relationships between depression, anxiety and pain which patients recognize when having an intravenous injection. Further studies should be conducted to establish the causal relation between depression, anxiety and pain and to determine appropriate nursing interventions.

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Comparison of Training Effectiveness for IV Injections: Intravenous (IV) Arm Model versus Computer Simulator (마네킹 모델과 컴퓨터 시뮬레이터를 이용한 정맥주사 실습교육의 효과 비교)

  • Hwang, Juhee;Kim, Hyunjung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.3
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    • pp.302-310
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    • 2014
  • Purpose: The purpose of this study was to compare the effectiveness of training using an intravenous (IV) arm model versus a computer simulator for IV injections. Method: Study was a quasi-experimental study conducted with 106 nursing students. Participants were divided into two groups: the IV Arm Group using a mannequin arm model (control group) and the Computer Simulator Group using the Virtual IV demonstration (experimental group). Theoretical lectures and video presentations on IV injections were given to both groups. Each group went through the training practice using the IV arm or computer simulator. After the completion of training, questionnaires were given to the students to evaluate their learning attitudes and experiences, self-confidence in IV injection, and satisfaction with the training materials. Results: Student satisfaction with the training materials including the reality, usefulness, and educational effects showed notable differences between the two groups with the Computer Simulator group reporting more positive effects that the IV Arm group. However, there was no statistical difference between the two groups in the categories of learning attitude, learning experience, or self-confidence. Conclusion: While there was a differences in strengths and weaknesses of the two methods, both methods should be considered for practice and further study needs to be done on educational effectiveness.

Comparison of Injection Uniformity as the Dividing Plate Installation in Fuel Manifold (연료 매니폴드내의 분리판 장착에 따른 분사균일성 비교)

  • Yoo Doc-Koon;Cho Won-Kook;Seol Woo-Seok
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2006.05a
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    • pp.130-134
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    • 2006
  • The injection uniformity of the fuel manifold in a liquid rocket engine has been analyzed with dividing plates to improve the cooling performance at the face plate. Three dimensional computational fluid dynamics analysis has been performed to compare the injection uniformity for 5 candidate designs and has been verified to compare with the measured data for the optimal manifold design. For the case I and II, the coolant mass flux increases as the whole working fluid is enforced to flow under the dividing plate. The injection uniformity decreases due to the variation of mass flux at the end of dividing plate and the concentration of mass flow rate at the center of manifold. However case III and IV have uniform injection performance due to reduced mass flux concentration as the coolant can flow along both upper passage and lower passage of the dividing plate. Among the candidate designs, case IV is thought to be the optimal dividing plate with regard to cooling performance and injection uniformity.

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Observation on the Clinical Sign and Blood Pictures of Thoroughbred Racehorses with Acepromazine (경주마에서의 Acepromazine Maleate 투여에 따른 임상증상과 혈액상의 변화 조사)

  • Kim Byung-Sun;Lim Young-Jae;Choi Hee-In;Park Seong-Jun
    • Journal of Veterinary Clinics
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    • v.11 no.1
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    • pp.419-426
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    • 1994
  • Acepromazine maleate(sedaject) was injected to 3 and 5 thoroughbred racehorses at 0.2mg/kg/bw, intramurculary(IM) and 0.1mg/kg/bw, intravenously(IV) respectively, and investigated the changes of clinical signs and blood pictures In before and after injection. Sedation was induced within 15 minutes after injection at the two groups and general sedation with towering of the upper eyelids and penile protrusion lasted about 7~9 hours and 9~11 hours at IV group and IM group following injection respectively. Heart beat and respiratory rates were induced within 15 minutes and then slowly returned to preinjection levels at 3 and 7 hours in the two group following injection respectively. Body temperature was decreased within IS minutes and the effect was Peaked after 30 minutes and 3 hours in IV group and IM group respectively, and then slowly returned to preinjection levels. RBC parameters, Hb and PCV were decreased about 30% at 1~5 hours and then returned to preinjection values at 13~24 hours in two groups Total WBC number were decreased slightly within 30 minutes and then returned to preinjection level at 13~24 hours in IV group but being still decreased 24 hours after dosing in IM group serum glucose level, SGOT and ALP activity were not changed significantly. Generally the set of sedation and awakening signs were faster in IV group than in IM group and RBC parameters and total WBC were depressed markedly in IM group than in IV group.

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Studies on the Determination of Heavy Metal Ions by Flow Injection, the Photochemical Characterization and Polymerization of Eight-Coordinated Complex(Part I): Spectrophotometric Determination of Uranium and Thorium Ions by Flow Injection Analysis using Chrome Azurol S in the Presence of Surfactant (금속이온의 흐름주입법에 의한 정량, 8-배위착물의 광학적 특성 및 중합체에 관한 연구(제1보): 계면활성제 존재하에서 Chrome Azurol S를 사용하여 우라늄 및 토륨이온의 흐름 주입법에 의한 분광광도 정량)

  • Chang, Choo-Hwan;Kang, Sam-Woo;Son, Byung-Chan;Cho, Kwang-Hee
    • Analytical Science and Technology
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    • v.8 no.1
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    • pp.1-7
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    • 1995
  • Spectrophotometric determination of U(VI) and Th(IV) by Flow injection method is described. Chrome Azurol S forms water soluble complexes with U(VI) and Th(IV) in the presence of cethyltrimethylammonium bromide. The maximum adsorption of U(VI) and Th(IV) complexes are at 600nm with molar absorptivity of $2.3{\times}10^5Lmol^{-1}cm^{-1}$ and 611nm with molar absorptivity of $3.8{\times}10^5Lmol^{-1}cm^{-1}$ in acetate buffer medium having pH 5.0 and 5.5. The calibration curves of U(VI) and Th(IV) are linear over the range of 0.1~0.8ppm and the correlation coefficients are ca. 0.9960 and 0.9930 respectively. The detection limits(S/N) are 20ppb for U(VI) and 15ppb for Th(IV). The relative standard deviation are ${\pm}1.8%$ for U(VI) and ${\pm}2.1%$ for Th(IV). The sample throughput was ca. $50hr^{-1}$.

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The Change of Muscle Fiber by Aquatic Exercise on Rats Induced by Steroids Injection (스테로이드를 투여한 흰쥐에서 수중운동에 의한 근 섬유의 변화)

  • Yoon, Se-Won;Lee, Jung-Woo;Choi, Suk-Joo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.1 no.2
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    • pp.21-30
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    • 2003
  • The purpose of this study was to know the effect of aquatic-exercise on muscle atrophy which induced by steroid injection. The forty-eight Sparague-Dawley adult male rats were assigned to the 4 groups; GroupI(distilled water injection), GroupII(steroid injection), GroupIII(distilled water injection and aquatic exercise), GroupIV(steroid injection and aquatic exercise). We observed their body weight, histological change by PAS stein. The results of this study were as follows; 1. After 2 weeks, the change of weights appeared that non-steroid injection groups increase weight and steroid injection groups decreased weight hasty. after 4 weeks, weights recovered from weight before test. It was possible to explain the change of weight by type II muscle fiber increase. 2. In histological change of muscle fibers, atrophy didn't observed in test group I, because type II muscle fibers were developed well. we observed not only injury of muscle fiber and muscle atrophy but specifically grouping type I muscle fiber in test group II. normal arrangement of muscle fibers were visible in test group and type II muscle fibers increased. we could observe muscle recovery because of type II muscle fibers increase in test group IV. therefore, it was seem that type II cell was recovering through aquatic exercise.

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Cardioprotective Potency of the Antioxidante Amifostine in the Ischemic and Reperfused Isolated Rat Heart (항산화제 Amifostine의 허혈 및 재관류시 흰쥐 적출심장의 심근 보호기능)

  • 허강배;천수봉;김송명
    • Journal of Chest Surgery
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    • v.31 no.9
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    • pp.845-854
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    • 1998
  • Background: S-2-(3 aminoprophlamino) ethylphosphorothioic acid(WR-2721) is one of the radical scavenging thiols. We tested its protective effects in the reperfused heart. Material and Method: The experimental setup was the constant pressure Langendorffs perfusion system. We investigated the radical scavenging properties of this compound in isolated rat hearts which were exposed to 20 minutes ischemia and 20 minutes reperfusion. Four experimental groups were used:group I, control, Amifostine 50 mg(1 mL) peritoneal injection 30 minutes before ischemia(group II), Amifostine 10 mg(0.2 mL) injection during ischemia through coronary artery(group III),and Amifostine 50 mg(1 mL) peritoneal injection 2 hrs before ischemia(group IV). The experimental parameters were the levels of latate, CK-MB, and adenosine deaminase(ADA) in frozen myocardium, the quantity of coronary flow,and left ventricular developed pressure, and it's dp/dt. Statistical analysis was performed using repeated measured analysis of variance and student t-test. Result: The coronary flow of group II and IV were less than group I and III at equilibrium state but recovery of coronary flow at reperfusion state of group II, III, and IV were more increased compared with group I. The change of systolic left ventricular devoloping pressure of group II and IV were less than control group at equilibrium state, which seemed to be the influence of the pharmacological hypotensive effect of amifostine. But it was higher compared with group I at reperfusion state. The lactic acid contents of group II were less than control group in frozen myocardium.(Group I was 0.20 0.29 mM/g vs Group II, which was 0.10 0.11 mM/g). The quantity of CK-MB in myocardial tissue was highest in group IV (P=0.026 I: 120.0 97.8 U/L vs IV: 242.2 79.15 U/L). The adenosine deaminase contents in the coronary flow and frozen myocardium were not significantly different among each group. Conclusion: Amifostine seemed to have significant cardioprotective effect during ischemia and reperfusion injuries of myocardium.

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