• 제목/요약/키워드: Intravenous administration

검색결과 656건 처리시간 0.028초

병원간호사가 인식한 고위험 정맥주사 투약오류 원인 분석 (Analysis of the causes of high-risk intravenous medication errors recognized by hospital nurses)

  • 김미란
    • 문화기술의 융합
    • /
    • 제10권3호
    • /
    • pp.625-633
    • /
    • 2024
  • 병원간호사의 고위험 정맥주사 약물의 투약오류에 대한 인식과 경험을 파악하고 투약오류의 원인과 개선방안을 파악하기 위해 시도되었다. 연구 대상은 D시에 위치한 일개 대학병원에 근무하는 고위험 정맥투약 관련 업무경험이 있는 간호사를 대상으로 2021년 5월 16일~30일 간 자료 수집하였다. 연구 결과 고위험 정맥주사 투약안전 문제점의 핵심요인으로 병동 별 주요 약물의 투약 protocol 부재, 투약 주입기기의 작동 교육 부족, 표준화 된 고위험 정맥주사 투약수행 절차 미확립, 간호사 대상의 개별화 투약교육 부족, 병원 자체 약물집 부족 혹은 미비치, 비슷한 용기의 포장 약물 확인 부족의 6가지가 도출되었다. 간호실무적 차원에서 고위험 정맥주사 투약안전 프로그램을 적용하고 안전결과 지표를 확인할 수 있는 추후 연구 수행을 제언한다.

가감삼기탕(加減三寄湯) 전탕액(煎湯液)이 가토(家兎) 혈장(血漿) COrtisol 농도(濃度) 및 혈장(血漿) $PCO_2,\;PO_2$에 미치는 영향(影響) (Effects of Ga Gam Sam Kee Tang Water Extract on the Plasma Cortisol Concentration and Arterial Blood $PCO_2,\;PO_2$ in the Rabbit)

  • 이승우;한상환
    • 대한한방내과학회지
    • /
    • 제11권2호
    • /
    • pp.94-103
    • /
    • 1990
  • To evaluate effects of Ga Gam Sam Kee Tang(GGSKT) water extract on the plasma cortisol concentration and arterial blood $PCO_2,\;PO_2$ in the rabbit. The results obtained were as follows : 1. Intravenous administration of GGSKT water at the dose of $0.2m{\ell}/kg$ remarkably increased plasma cortisol concentration from 1 to 2 hours. 2. Oral administration of GGSKT water extract at the dose of $10m{\ell}/kg$ significantly decreased plasma cortisol concentration on 3 hours. 3. Intravenous administration of GGSKT water extract at the dose of $0.4m{\ell}/kg$ remarkably decreased arterial blood $PO_2$ on 2 hours. 4. Oral administration of GGSKT water extract at the dose of $1.0m{\ell}/kg$ significantly decreased arterial blood $PO_ 2$ on 2 hours and remarkably increased on 4 hours. 5. Intravenous administration of GGSKT water extract at the dose of $0.2m{\ell}/kg$ remarkably increased arterial blood $PCO_2$ on 4 hours. 6. Oral administration of GGSKT water extract at the dose of $2.0m{\ell}/kg$ significantly decreased arterial blood $PCO_2$ from 1 to 2 hours. These results suggest that therapeutic action of GGSKT water extract for athma may be related with the increment of plasma cortisol concentration and the decrease of arterial blood $PCO_2$.

  • PDF

Dose-Independent Pharmacokinetics of a New Reversible Proton Pump Inhibitor, KR-60436, after Intravenous and Oral Administration to Rats: Gastrointestinal First-Pass Effect

  • Yu, Su-Yeon;Shin, Jee-Hyun;Bae, Soo-Kyung;Kim, Eun-Jung;Kim, Yoon-Gyoon;Kim, Sun-Ok;Lee, Dong-Ha;Lim, Hong;Lee, Myung-Gull
    • 대한약학회:학술대회논문집
    • /
    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
    • /
    • pp.311.1-311.1
    • /
    • 2003
  • Dose-independent pharmacokinetic parameters of KR-60436, a new proton pump inhibitor, were evaluated after an intravenous, iv (5, 10, and 20 mg/kg) and an oral (20, 50, and 100 mg/kg) administration to rats. The hepatic, gastric, and intestinal first-pass effects were also measured after iv, intraportal (ip), intragastric (ig), and intraduodenal (id) administration at a dose of 20 mg/kg to rats. (omitted)

  • PDF

새로운 Anthracycline 항암제 DA-125의 조혈기독성 및 혈관장해성 (Hematotoxicity and Vascular Irritation of DA-125, A New Anthracycline Anticancer Agent)

  • 안병옥;백남기;김옥진;강경구;이순복;김원배;양중익;고광호
    • Biomolecules & Therapeutics
    • /
    • 제1권2호
    • /
    • pp.244-250
    • /
    • 1993
  • Hematotoxicity and vascular irritation of DA-125, a new anthracycline antitumor antibiotic, were investigated in mice and rabbits. In hematotoxicity study, healthy male ICR mice were treated with DA-125 by a single intravenous injection at doses of 18 and 24 mg/kg. After 4, 8, 12 and 16 days WBC count, RBC count, hemoglobin concentration, hematocrit value, and platelet counts were measured respectively. As a positive control, 12 mg/kg of doxorubicin (DXR) was used in the same manner. Remakable reductions of WBC counts in groups treated with DA-125 or DXR were observed 4 days after administration and returned to normal range 8 days after injection in groups of DA-125 18 mg/kg and DXR 12 mg/kg. The recovery of leukopenia induced in a group of DA-125 24 mg/kg took about 16 days after administration. The RBC counts, hemoglobin concentrations and hematocrit values also decreased in all drug treated groups on day 8 and recovered thereafter. The platelet counts of groups treated with DA-125 or DXR decreased on day 4 and recovered from day 8 of experiment. Local vascular irritation of DA-125 was also assessed in rabbits. The obtained results can be summarized as follows. 1. Thrombophlebitis was not induced even after daily intravenous administration of 0.4% solution of DA-125 or 0.2% solution of DXR for 7 days. 2. Macro- and microscopic observations revealed that the irritative activity of 0.4% solution of DA-125 in blood vessels was not so much different from that of saline when they were injected once a day into vein retroauricularis of rabbits for 7 days. 3. Mild inflammatory reaction was noted around vessels in rabbits treated with 0.2% solution of DXR after consecutive intravenous infusion for more than 5 days. 4. The potencies of vascular irritation of the test solutions were summarized in the following order; saline = 0.4% DA-125<0.2% DXR. These results indicated that DA-125 showed similar pattern of hematotoxicity with DXR but was less hematotoxic than DXR, and that 0.4% solution of DA-125 did not elicit unusual toxic properties when injected through intravenous route for clinical practice.

  • PDF

Toxicity Study of CKD-602, a Camptothecin Anticancer Agent: 5-Day Repeated Intravenous Administration in Rats

  • Han, Jung-Hee;Cha, Shin-Woo;Kim, Choong-Yong;Lee, Gab-Soo;Suh, Jeong-Eun;Kim, Joon-Kyum;Kim, Jong-Choon;Kang, Boo-Hyon
    • Biomolecules & Therapeutics
    • /
    • 제12권1호
    • /
    • pp.49-54
    • /
    • 2004
  • The present study was conducted to investigate the potential subacute toxicity of CKD-602 by a 5-day repeated intravenous administration in Sprague-Dawley rats. CKD-602 was administered intravenously to male rats at dose levels of 0, 0.08, 0.2, and 0.5 mg/kg for 5 days. Studies included general observation, body weight changes, ophthalmoscopic examination, hematology, se겨m biochemistry, gross findings at necropsy and organ weight measurement. There were no deaths in any treatment group and treatment related clinical sign was depilation in the 0.5 mg/kg groups. The decrease or suppression of body weight was also observed dose-dependently in all treatment groups. Decreased leukocyte in all treatment groups, decreased platelet in the above 0.2 mg/kg groups and increase in the serum levels of total cholesterol in the 0.5 mg/kg group were considered as a treatment related toxic effects. Decreased weight of thymus in all treatment groups anti decreased weight of spleen in the above 0.2 mg/kg group were observed. The intravenous administration of CKD-602 caused depilation and decreased weight and had toxic effect on the leukocyte, platelet, spleen and thymus. In the condition of this study, the target organs were spleen and thymus and the toxic effect level was determined to be 0.2 mg/kg, but no-observed-adverse-effect level (NOAEL) was considered to be lower than 0.08 mg/kg.

청상보하탕(淸上補下湯) 전탕액(煎湯液)이 가토(家兎) 혈장(血漿) Cortisol 농도(濃度) 및 동맥혈(動脈血) $PO_2,\;PCO_2$에 미치는 영향(影響) (Effects of Chung Sang Bo Ha Tang Water Extract on the Plasma Cortisol Concentration, Arterial Blood $PO_2$ and $PCO_2,$ in the Rabbit)

  • 권택현;한상환
    • 대한한방내과학회지
    • /
    • 제11권2호
    • /
    • pp.43-52
    • /
    • 1990
  • The following results were obtained from the observation on the change of plasma cortisol concentration and arterial blood $PO_2,\;PCO_2$ in the experiment of intravenous and oral administration of Chung Sang Bo Ha Tang Water Extract in the rabbit. 1. In intravenous administration, the plasma cortisol conce-ntration increased significantly about 2 hours after with a dose of $0.2m{\ell}/kg$, while the case of $0.4m{\ell}/kg$ reveals this significant increase of concentration about 3 hours after. 2. In oral administration, a significant increase of the plasma cortisol concentration was shown about 2 and 4 hours after with a dose of $1.2m{\ell}/kg$, on the other hand, an increase of concentration was shown at each hour in the case of $0.2m{\ell}/kg$, but it was not significant. 3. In oral administration, $PO_2$ in arterial blood increased significantly in the case of $0.2m{\ell}/kg$, and both the case of $0.1m{\ell}/kg$ and that of $0.2m{\ell}/kg$ gave a significant decrease of $PCO_2$ in arterial blood. With these results, it is verified that Chung Sang Bo Ha Tang has therapeutic effects on JISU(止嗽), JEONG CHEON(定喘), GEO DAM(祛痰) because intravenous and oral administration of it increases the plasma cortisol concentration, However, in the examination of $PO_2$ and $PCO_2$ in arterial blood, any remarkable result was not obtained.

  • PDF

Effect of Peripheral Administration of Kisspeptin-10 on Dynamic LH Secretion in Prepubertal Ewes

  • Wang, Jun;Sun, Lei;Zhang, Tao;Zhou, Haizhu;Lou, Yujie
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제25권6호
    • /
    • pp.785-788
    • /
    • 2012
  • The aim of the present study was to clarify the effect of kisspeptin-10 on LH secretion in prepubertal ewes. In experiment 1, prepubertal ewes fitted with indwelling jugular catheters were randomly assigned to receive 0, 0.5, 1 or 2 mg of kisspeptin-10 dissolved in saline, and serial blood samples were collected at 15-min intervals for 180 min to analyze the response curves of LH after injection. In experiment 2, prepubertal ewes fitted with indwelling jugular catheters were injected with 0 or 1 mg of kisspeptin-10 dissolved in saline and the injection was repeated 3 times at 1 h interval and serial blood samples were collected at 15-min intervals for 210 min to analyze the response curves of LH after injection. The results showed that single intravenous administration of 0.5, 1 and 2 mg of kisspeptin-10 all could significantly increased LH secretion in prepubertal ewes, and the effect of 1 and 2 mg of kisspeptin-10 on LH secretion was higher than that of 0.5 mg group. The results also showed that repeated intravenous administration of kisspeptin-10 could effectively increase LH secretion and repeated administration did not influence the effect of kisspeptin-10 on LH secretion in prepubertal ewe. In conclusion, the present study indicated that single or repeated intravenous administration of kisspeptin-10 could effectively increase LH secretion in prepubertal ewes.

Intravenous administration of L-tryptophan stimulates gastrointestinal hormones and melatonin secretions: study on beef cattle

  • Lee, Sang-Bum;Lee, Kyung-Won;Wang, Tao;Lee, Jae-Sung;Jung, U-Suk;Nejad, Jalil Ghassemi;Oh, Young-Kyoon;Baek, Youl-Chang;Kim, Kyoung Hoon;Lee, Hong-Gu
    • Journal of Animal Science and Technology
    • /
    • 제61권4호
    • /
    • pp.239-244
    • /
    • 2019
  • This study aimed to determine the effective dose of intravenous administration of L-tryptophan (L-T) on gastrointestinal hormones (GIH) secretions and melatonin using Hanwoo cattle. Three steers ($362{\pm}23kg$) fitted with indwelling jugular vein catheters were assigned in a $3{\times}3$ Latin square design. Treatments were intravenous administration of saline (control), 28.9 mg L-T/kg body weight (BW; low) and 57.8 mg L-T/kg BW (high) L-T for 1 day with 7 days of adaptation. Samples were collected after adaptation period at -60, 0, 30, 60, 90, 120, 150, 180, 240, and 300 min of sampling day. The levels of serum cholecystokinin (CCK) and secretin were higher (p < 0.05) in the high L-T group than those in the other groups. Serum Melatonin (MEL) levels were increased upon L-T administration (p < 0.05) in the high L-T group. Taken together, the effective dose of L-T administration was defined at 57.8 mg L-T/kg BW in order to stimulate increase of GIH and MEL.

치과 치료에 대한 심한 공포가 있는 환자들에서 미다졸람 정주 후 나타난 기이반응 -증례보고- (Paradoxical Reactions following Intravenous Midazolam in Patients with Severe Anxiety for Dental Treatment -A Case Report-)

  • 오세리
    • 대한치과마취과학회지
    • /
    • 제9권1호
    • /
    • pp.30-35
    • /
    • 2009
  • Intravenous midazolam has been frequently used for the relief of anxiety in dental treatment. This is likely the result of the sedative and anterograde amnestic properties of midazolam that are mediated through $\gamma$-Aminobutyric acid agonism. Unfortunately, Paradoxical reactions to midazolam include agitation, talkativeness, confusion, disinhibition, aggression,violent behavior, act of self-injury and need for restraints. These occur in less than 1% of all patients receiving midazolam, may occur at variable times after administration and are difficult to predict and diagnose. Two women with severe anxiety for dental treatment experienced paradoxical reactions associated with the use of intravenous midazolam. We are reviewed the management and prevention of paradoxical reactions and its different etiology.

  • PDF

혈압강하제 국산 자원생약의 개발에 관한 연구(II) -사철나무(화두중(和杜仲)) 수피(樹皮)의 가토(家兎) 혈압(血壓)에 미치는 영향- (Studies on the Development of Antihypertensive Agents from Korean Crude Drugs(II) -Influence of Euonymus japonicae Cortex on the Blood Pressure of Rabbits-)

  • 정명현;박정완
    • 생약학회지
    • /
    • 제6권1호
    • /
    • pp.35-38
    • /
    • 1975
  • Attempts were made to investigate the pharmacological actions of Euonymus japonicae Cortex which is used as a substitute of Eucommiae Cortex. Practically the influence of the alcohol extract of the bark on the blood pressure response of rabbit, was examined, and the results are as follows. 1) The intravenous injections of the alcohol extracts of the bark decreased the blood pressure of rabbits to 4.6 11.1 and 34.2 mmHg respectively. 2) The intravenous injection of 10 mg/kg of the alcohol extract after intravenous injection of atropine 4 mg/kg or that of propranolol 2 mg/kg did not give any notable change to the blood pressure. 3) The intravenous injection of 10 mg/kg of the alcohol extract slightly decreased the raised blood pressure caused by the administration of acetylcholine $10^{-8}g/kg\;and\;10^{-7}g/kg$.

  • PDF