• Title/Summary/Keyword: fluid output

Search Result 340, Processing Time 0.028 seconds

Development of Performance Measures Based on Nursing Process for Fluid Intake/Output and Tube Care (간호과정 적용 평가도구 개발 -수분섭취/배설간호와 튜브간호를 중심으로-)

  • Kim, Keum Soon;Choi, Yun Kyoung;Choi, Wan Hee;Ahn, Jung Won;Kim, Jin A;Park, Seung Mi;Choi, Kyung Ok;Kim, Eul Soon
    • Journal of Korean Clinical Nursing Research
    • /
    • v.18 no.1
    • /
    • pp.13-28
    • /
    • 2012
  • Purpose: This study was conducted to develop standards ensuring nursing process-based fluid intake/output and tube care, and to develop a performance measurement tool evaluating the level of care according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel's suggestions. Validity of the standards and the tool were examined using a survey of 293 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 3.86 and 4.02, respectively, out of 5.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care for fluid intake/output and tubes. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for fluid intake/output and tube interventions, such as intravenous catheters, nasogastric tube and urinary catheters.

Serum Lactate, Creatinine and Urine Output: Early Predictors of Mortality after Initial Fluid Resuscitation in Severe Burn Patients (중증 화상에서 초기 수액치료 이후 소변량, 혈중젖산, 크레아티닌 수치 변화와 이에 따른 사망률 예측)

  • Oh, Seyeol;Kym, Dohern
    • Journal of the Korean Burn Society
    • /
    • v.23 no.1
    • /
    • pp.1-6
    • /
    • 2020
  • Purpose: PL, creatinine and urine output are biomarkers of the suitability and prognosis of fluid therapy in severe burn patients. The purpose of this study is to evaluate the usefulness of predicting mortality by biomarkers and its change during initial fluid therapy for severe burn patients. Methods: A retrograde review was performed on 733 patients from January 2014 to December 2018 who were admitted as severe burn patients to our burn intensive care unit (BICU). Plasma lactate, serum creatinine and urine output were measured at the time of admission to the BICU and after 48 hours. ABSI score, Hangang score, APACHEII, revised Baux index and TBSA were collected after admission. Results: 733 patients were enrolled. PL was the most useful indicators for predicting mortality in burn patients at the time of admission (AUC: 0.813) and after 48 hours (AUC: 0.698). On the other hand, mortality prediction from initial fluid therapy for 48 hours showed different results. Only creatinine showed statistical differences (P<0.05) in mortality prediction. But there were no statistical differences in mortality prediction with PL and UO (P>0.05). Conclusion: In this study, PL was most useful predictor among biomarkers for predicting mortality. Improvement in creatinine levels during the first 48 hours is associated with improved mortality. Therefore, efforts are needed to improve creatinine levels.

Implementation of The Fluid Circulation Blood Pressure Simulator (유체 순환 혈압 시뮬레이터의 구현)

  • Kim, C.H.;Lee, K.W.;Nam, K.G.;Jeon, G.R.
    • Journal of Biomedical Engineering Research
    • /
    • v.28 no.6
    • /
    • pp.768-776
    • /
    • 2007
  • A new type of the fluid circulation blood pressure simulator was proposed to enhance the blood pressure simulator used for the development and evaluation of automatic sphygmomanometers. Various pressure waveform of fluid flowing in the pipe was reproduced by operating the proportional control valve after applying a pressure on the fluid in pressurized oil tank. After that, appropriate fluid was supplied by operating the proportional control valve, which enabled to reproduce various pressure wave of the fluid flowing in the tube. To accomplish this work, the mathematical model was carefully reviewed in cooperating with the proposed simulator. After modeling the driving signal as input signal and the pressure in internal tube as output signal, the simulation on system parameters such as internal volume, cross-section of orifice and supply pressure, which are sensitive to dynamic characteristic of system, was accomplished. System parameters affecting the dynamic characteristic were analyzed in the frequency bandwidth and also reflected to the design of the plant. The performance evaluator of fluid dynamic characteristic using proportional control signal was fabricated on the basis of obtained simulation result. An experimental apparatus was set-up and measurements on the dynamic characteristic, nonlinearity, and rising and falling response was carried out to verify the characteristic of the fluid dynamic model. Controller was designed and thereafter, simulation was performed to control the output signal with respect to the reference input in the fluid dynamic model using the proposed proportional control valve. Hybrid controller combined with an proportional controller and feed-forward controller was fabricated after applying a disturbance observer to the control plant. Comparison of the simulations between the conventional proportional controller and the proposed hybrid simulator indicated that even though the former showed good control performance.

A Study on the Organic Rankine Cycle Using R245fa (냉매(R245fa)를 이용한 유기랭킨 사이클에 관한 연구)

  • Cho, Soo-Yong;Cho, Chong-Hyun;Kim, Jinhan
    • The KSFM Journal of Fluid Machinery
    • /
    • v.16 no.3
    • /
    • pp.10-17
    • /
    • 2013
  • The organic Rankine cycle has been widely used to convert the renewable energy such as the solar energy, the geothermal energy, or the waste energy etc., to the electric power. Some previous studies focused to find what kind of refrigerant would be a best working fluid for the organic Rankine cycle. In this study, R245fa was chosen to the working fluid, and the cycle analysis was conducted for the output power of 30kW or less. In addition, properties (temperature, pressure, entropy, and enthalpy etc.) of the working fluid on the cycle were predicted when the turbine output power was controlled by adjusting the mass flowrate. The configuration of the turbine was a radial-type and the supersonic nozzles were applied as the stator. So, the turbine was operated in partial admission. The turbine efficiency and the optimum velocity ratio were considered in the cycle analysis for the low partial admission rate. The computed results show that the system efficiency is affected by the partial admission rate more than the temperature of the evaporator.

Impact of Upper Limb Joint Fluid Variation on Inflammatory Diseases Diagnosis

  • Hari, Krishnan G.;Ananda, Natarajan R.;Nanda, Anima
    • Journal of Electrical Engineering and Technology
    • /
    • v.9 no.6
    • /
    • pp.2114-2117
    • /
    • 2014
  • Joint pain is generally a common disorder not only for the old aged people but also for the immunocompromised patients. The present proposed study reveals the presence of inflammatory diseases in joint generally diagnosed by removing synovial fluid and changes in the volume and composition are examined for the presence of WBC and crystals. This study implement a non-invasive approach to identify the changes in joint fluid by measuring the changes in electrical property of the synovial tissue under the influence of electrical current signal with frequency range between 100 kHz to 300 kHz. The response of tissue for the current signal was measured in terms of potential drop across the tissue. The hardware system design consists of input and output sections. The input section which applies current signal to upper limb joint region is made of ICL8038 function generator IC with amplifier and voltage to current converter. The output section picks voltage variation using metal surface electrode, amplifier, ADC, PIC microcontroller and LCD interface. 100 patient inclusive of normal and disease affected patients where examined for upper limb synovial fluid variation and inflammatory diseases were identified.

An Experimental Study on the Small Power Generation of Temperature difference using the Freon-22 as Working Fluid (프레온-22를 작동유체로 사용한 소용량 온도차 발전에 관한 실험적 연구)

  • Jhoun, C.S.;Shin, I.H.;Huh, C.S.
    • Solar Energy
    • /
    • v.8 no.2
    • /
    • pp.26-38
    • /
    • 1988
  • If proper design and selection of the working fluid are made the power generation system of temperature difference could achieve more efficient results than others. This paper is to analysis the production of its power generation due to several parameters. Making the power generation system, the characteristics of power output are investigated to obtain its basic data for design. This results of this experiment are as follows. 1. The most proper working fluid in the system is Freon-22 having high stability and difference between the outlet pressure, $P_E$ of evaporator and outlet pressure, $P_c$ of Condenser. 2. With the increase of temperature difference between evaporator and condenser, the output in the system increases linearly. 3. The generation efficiency is largely dependent on the type or form of propeller, nozzle and optimum design of heat exchanger.

  • PDF

Effect of Nozzle Shape on the Performance and Internal Flow of a Cross-Flow Hydro Turbine (횡류수차 노즐형상이 성능과 내부유동에 미치는 영향)

  • Choi, Young-Do;Lim, Jae-Ik;Kim, You-Taek;Lee, Young-Ho
    • The KSFM Journal of Fluid Machinery
    • /
    • v.11 no.4
    • /
    • pp.45-51
    • /
    • 2008
  • The purpose of this study is to examine the effect of nozzle shape on the performance and internal flow of a cross-flow hydro turbine. CFD analysis for three kinds of nozzle shape is conducted to simulate the effect of nozzle shape. The results reveal that relatively narrow nozzle width is effective to increase the turbine efficiency and output power. Almost output power is achieved at Stage 1. Therefore, optimum design of the nozzle shape is necessary to improve the turbine performance. Recirculation flow in the runner passage decreases the turbine efficiency and output power because the flow make hydraulic loss and collision loss in the region. Air should be put into the runner passage and the recirculating flow should be suppressed by the air layer in the runner.

Performance Optimization of a Gas-Assisted Hydraulic Breaker with Dual Stroke (가스보조식 이중행정 유압브레이커의 성능 최적화)

  • Ryoo, Taek-Jik;Chang, Hyo-Whan
    • Transactions of The Korea Fluid Power Systems Society
    • /
    • v.7 no.1
    • /
    • pp.11-19
    • /
    • 2010
  • A gas-assisted hydraulic breaker uses both hydraulic and pneumatic energies and the appropriate balance between them mostly effects its performance. Mathematical modeling of the breaker is established and verified by experiment. Through sensitivity analysis using AMESim, the key design parameters are selected, which mostly affect the performance of the breaker. Taguchi method is used to optimize the key design parameters to maximize the output power for long and short strokes through simulation. As the result, the output power as well as the impact energy are increased significantly compared with the existing design. The pressure pulsation in the supply line is reduced to a tolerable level and the dynamic characteristics of the piston displacement is also improved by the optimization.

  • PDF

An Experimental Study of Partial Admitted Flow Characteristics on a Small Axial-Type Turbine (소형축류형 터빈에서의 부분분사 유동특성에 관한 연구)

  • Cho, Chong-Hyun;Cho, Soo-Yong;Choi, Sang-Kyu
    • The KSFM Journal of Fluid Machinery
    • /
    • v.7 no.6 s.27
    • /
    • pp.28-37
    • /
    • 2004
  • An experimental study is conducted to investigate flow characteristics on a small axial-type turbine which is applied as the rotating part of air tools. It operates in a partial admission due to consumption restriction of the high pressure air. In this operating condition, it is necessary to understand flow characteristics for obtaining the high specific output power. Tested turbine consists of two stages and the mean radius of flow passage is less than 10mm. A 6 bar pressure air is used to operate the turbine. The experimental results show that flow angles depend on the measuring location along the circumferential direction, but its discrepancy is alleviated along the axial direction. Absolute flow velocities show three times difference according to the measuring location at the exit of the first rotor due to the partial admission, but they show similar value at the exit of the second rotor by the velocity diffusion. From the measured flow angles and velocities, a ratio of output power obtained by the first and second rotor is estimated. It shows that the output power obtained by the second rotor is about $11\%$ to that by the first rotor at 60,000 RPM. It is effective therefore to improve the first rotor for increasing the turbine output power.

The Experience of Fluid Management in Hemodialysis Patients (혈액투석 환자의 수액관리 경험)

  • Kim, Yoonsoo;Kim, Miyoung
    • Journal of Korean Academy of Nursing
    • /
    • v.45 no.5
    • /
    • pp.773-782
    • /
    • 2015
  • Purpose: The purpose of this study was to explore the experience of fluid management in hemodialysis patients by describing how they manage fluid intake and what affects fluid management. Methods: Purposive sampling yielded 11 patients who have received hemodialysis for one year or longer in one general hospital. Data were collected through in-depth interviews and analysed using Giorgi's phenomenological method. Data collection and analysis were performed concurrently. Results: The findings regarding how hemodialysis patients manage fluid intake were classified into four constituents: 'recognizing the need for fluid control', 'observing the status of fluid accumulation', 'controlling fluid intake and output', 'getting used to fluid management'. The factors that affect fluid management of hemodialysis patients were revealed as 'willpower', 'change in the mindset', 'support system', and 'emotional state'. Conclusion: The study results show that hemodialysis patients manage fluid intake through food and exercise as well as interpersonal relationships. These findings suggest that strategies in the development of nursing interventions for hemodialysis patients should be directed at assisting them in familiarization with fluid management based on an understanding of their sociocultural contexts.