• 제목/요약/키워드: IV injection

검색결과 224건 처리시간 0.027초

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

  • 김진남;권원태;이강희
    • 한국생산제조학회지
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    • 제21권1호
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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.

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

  • 송호경;박수석;김정태
    • The Korean Journal of Pain
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    • 제11권1호
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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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간호사의 정맥주사 관리에 대한 인식과 수행에 관한 연구 (A Study on the Nurse's Recognition and Performance in Intravenous Therapy Management)

  • 김명희;김윤화
    • 기본간호학회지
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    • 제5권2호
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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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정맥주사 투여 시 대상자가 인지하는 통증, 우울 및 불안과의 관계 - 통증 관련요인을 중심으로 - (The Relationship of Pain, Depression and Anxiety which Patients Recognize on Intravenous Injection - Focus on Pain Relating Factors -)

  • 김희정;정승교;김경희;강경아
    • 기본간호학회지
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    • 제14권3호
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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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마네킹 모델과 컴퓨터 시뮬레이터를 이용한 정맥주사 실습교육의 효과 비교 (Comparison of Training Effectiveness for IV Injections: Intravenous (IV) Arm Model versus Computer Simulator)

  • 황주희;김현정
    • 기본간호학회지
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    • 제21권3호
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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.

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

  • 유덕근;조원국;설우석
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2006년도 제26회 춘계학술대회논문집
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    • pp.130-134
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    • 2006
  • 분사면 냉각성능을 개선하기 위한 액체로켓 엔진 연료 매니폴드내의 분리판 설치에 따른 분사균일성 변화를 관찰하였다. 3차원 전산유동해석으로 5개 후보 설계에 대하여 분사균일성을 비교하였으며 최적설계에 대하여 측정결과와 비교함으로써 해석방법을 검증하였다. case I과 II는 매니폴드로 공급되는 유량 전체가 분리판 아래로만 흘러 유속이 크게 증가한다. 하지만 분리판이 끝나는 지점에서의 유속변화와 분사면 중심에서의 유량의 집중으로 분사균일성이 크게 저하된다. 이에 비해 분리판이 입구에서 떨어져 장착된 case III와 IV는 유동이 분리판 위, 아래로 흐를 수 있어 유량집중이 완화되므로 균일한 분사특성을 가진다. 비교한 5가지 설계 중 냉각성능과 분사균일성 측면에서 case IV가 최적으로 판단된다.

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

  • 김병선;임영재;최희인;박성준
    • 한국임상수의학회지
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    • 제11권1호
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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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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 (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)

  • 장주환;강삼우;손병찬;조광희
    • 분석과학
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    • 제8권1호
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    • pp.1-7
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    • 1995
  • 흐름주입법에 의해 분광광도법으로 U(VI) 및 Th(IV) 이온을 정량하였다. Chrome Azurol S는 양이온 계면활성제인 CTAB 존재하에서 U(VI) 및 Th(IV) 이온과 착물을 형성한다. 아세트산 완충용액에서 U(VI) 착물의 최대 흡수 파장은 pH 5.0에서 600nm이고 몰흡광계수는 약 $2.3{\times}10^5Lmol^{-1}cm^{-1}$이며, Th(IV) 착물의 최대 흡수파장은 pH 5.5에서 611nm이고 몰흡광계수는 약 $3.8{\times}10^5Lmol^{-1}cm^{-1}$였다. FIA에 의한 U(VI) 및 Th(IV)의 검정곡선은 0.1~0.8ppm 범위에서 직선 관계를 보였고, 이 검정곡선은 상관계수는 0.9960 및 0.9930이었다. 검출한계(S/N)는 U(VI)에 대하여는 20ppb이고, Th(IV)에 대하여는 15ppb였다. 상대표준편차는 시료 0.4ppm에 대하여 각각 ${\pm}1.8%$${\pm}2.1%$이고 시료의 분석속도는 약 $50hr^{-1}$이었다.

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

  • 윤세원;이정우;최석주
    • 대한임상전기생리학회지
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    • 제1권2호
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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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항산화제 Amifostine의 허혈 및 재관류시 흰쥐 적출심장의 심근 보호기능 (Cardioprotective Potency of the Antioxidante Amifostine in the Ischemic and Reperfused Isolated Rat Heart)

  • 허강배;천수봉;김송명
    • Journal of Chest Surgery
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    • 제31권9호
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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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