• Journal of the korean veterinary medical association
• /
• v.29 no.1
• /
• pp.7-17
• /
• 1993

특히 소화기계 질환 사례가 많은 우리나라의 수의임상에서 수액요법은 환축의 생사를 갈라 놓을 수 있을 만큼 그 중요성이 크게 인식되고 있다. 따라서 본고는 수액요법에 대한 복습과 새로운 수액요법 방법을 알리고자 'Veterinary technician'이란 잡지(1992년 6월호, 8월호)에 실린 'Update on fluid adminis-tration과 Intraosseous Infusion'을 번역 기고한다.

• Journal of Hospice and Palliative Care
• /
• v.13 no.4
• /
• pp.243-251
• /
• 2010

Purpose: This study was conducted to investigate how nurses who take care of terminal patients perceive fluid therapy and how this therapy is currently being used in hospitals. Methods: This survey included 200 nurses, 87 of whom were working in the oncology units of 3 university hospitals in Seoul, Korea, and 113 were working in 18 hospice centers. The data for this study were collected by means of structured questionnaires and analyzed by using the Statistical Analysis System software. The differences in perception towards fluid therapy between nurses working in oncology units and those working in hospice centers were examined using the $x^2$ test and analysis of covariance. Results: Fluid therapy was perceived more negatively by the nurses from hospice centers than by those from oncology units. Continuous subcutaneous infusion was used in hospice centers, but not in oncology units. In addition, the average amount of fluid infused daily differed significantly between the oncology units and hospice centers. Conclusion: Our results show that there were differences in the perception towards fluid therapy between nurses in different clinical settings. Nurses caring for terminal and palliative care patients should not simply provide or withhold fluid therapy, but rather develop a wider range of views on fluid therapy, focusing on effective alternative interventions.

• Journal of Hospice and Palliative Care
• /
• v.12 no.4
• /
• pp.220-227
• /
• 2009

Purpose: The purpose of the study was to investigate how much understand about artificial hydration in patients with terminal cancer, according to the subject groups, including patients, families, and general public. Methods: Data were collected from June 2007 to December 2007 and the participants included 22 hospitalized patients in the hospice unit of S Hospital, 100 families, and 101 participants who participated in a hospice education program for the general public. The questionnaire was developed through literature review, interview with patients' families, and expertise consultation. Data were analyzed using descriptive statistics with an SAS program. Results: Understanding of artificial hydration among patients, families and general public was examined from three perspectives. From an ethical perspective, 'if you receive artificial hydration, you can live longer', 45.5%, 63%, and 52.4% of the above three groups, respectively, answered "yes". From an emotional perspective, 'artificial hydration must be provided', 81.8%, 70% and 58.4%, respectively, agreed. From a cultural perspective, 'if artificial hydration is not provided for the patient, the families will feel painful', 95.5%, 83%, and 88.2%, respectively, answered "yes". Conclusion: This study found the differences in understanding of artificial hydration among patients, families and general public, and also found that less than 50 percent of the participants understood artificial hydration appropriately. We suggest, therefore, that patients' understanding about artificial hydration should be determined in the clinical setting and then followed by individualized education according to given medical situations.

• Journal of the korean veterinary medical association
• /
• v.21 no.10
• /
• pp.596-604
• /
• 1985

• Journal of the korean veterinary medical association
• /
• v.20 no.3
• /
• pp.169-176
• /
• 1984

• Journal of the korean veterinary medical association
• /
• v.44 no.3
• /
• pp.281-287
• /
• 2008

• Journal of the korean veterinary medical association
• /
• v.23 no.6
• /
• pp.397-400
• /
• 1987

• Journal of the korean veterinary medical association
• /
• v.44 no.2
• /
• pp.176-180
• /
• 2008

혈장과 합성 클로이드의 사용은 환자 관리에 중요하며 소생요법의 기본적인 부분을 차지한다. 하지만 각각의 환자를 위한 가장 적절한 클로이드 용액을 선택은 어려울 수 있다. 환자의 내재질환에 대한 병적 과정, 최근 심혈관 상태, 응고계 상태뿐만 아니라 각각의 클로이드 용액에 대한 성질과 부작용을 이해함으로써 개개의 환자를 위한 적절한 수액요법을 적용할 수 있다.

• Childhood Kidney Diseases
• /
• v.15 no.2
• /
• pp.107-115
• /
• 2011

Acute kidney injury (AKI) is associated with mortality and may lead to increased medical expense. A modified criteria (pediatric RIFLE [pRIFLE]: Risk, Injury, Failure, Loss, and End-stage renal disease) has been proposed to standardize the definition of AKI. The common causes of AKI are renal ischemia, nephrotoxic medications, and sepsis. A majority of critically ill children develop AKI by the pRIFLE criteria and need to receive intensive care early in the course of AKI. Factors influencing patient survival (pediatric intensive care unit discharge) are known to be low blood pressure at the onset of renal replacement therapy (RRT), the use of vasoactive pressors during RRT, and the degrees of fluid overload at the initiation of RRT. Early intervention of continuous RRT (CRRT) has been introduced to reduce mortality and fluid overload that affects poor prognosis in patients with AKI. Here, we briefly review the practical prescription of pediatric CRRT and literatures on the outcomes of patients with AKI receiving CRRT and associations among AKI, fluid overload, and CRRT. In conclusion, we suggest that an increased emphasis should be placed on the early initiation of CRRT and fluid overload in the management of pediatric AKI.

• Journal of the korean veterinary medical association
• /
• v.34 no.4
• /
• pp.247-252
• /
• 1998