医生意识到静脉注射抗生素的液体体积:一个基于面试的结构化研究
Jaleh Aghaie1, Marianne Lisby1,2, Marie Kristine Jessen1,3
1Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University Hospital, Aarhus University, Aarhus, Denmark.
Clinical and experimental emergency medicine
|May 23, 2024
概括
大多数医生都不知道静脉注射 (IV) 抗生素液体体积. 他们不会根据这些稀释剂量调整24小时的液体给药量,经常假设患者有液体耐受性.
科学领域:
- 内部医学 内部医学
- 临床药房 临床药房
- 临界护理医学 临界护理医学
背景情况:
- 作为药物稀释剂的静脉注射 (IV) 液体占住院患者吸收液体的很大一部分.
- 医生对IV抗生素稀释剂中的液体体积的认识尚不清楚.
- 这种意识对流体和抗生素管理策略的影响仍然不清楚.
研究的目的:
- 为了评估医生对IV抗生素注射后的液体体积的认识.
- 为了确定这种意识是否会影响24小时的液体管理或抗生素处方实践.
- 评估医生对医疗记录中流体体积可见性的偏好.
主要方法:
- 这是一项基于采访的横截面研究,涉及三个急诊室的100名医生.
- 在为疑似感染处方持续静脉注射抗生素后,采访了医生.
- 一个结构化的指南评估了意识,考虑和实践;计算了24小时抗生素液体体积.
主要成果:
- 53%的医生不知道IV抗生素的24小时液体体积 (中位数为400毫升).
- 76%的人没有考虑抗生素液体体积在24小时的液体管理总量.
- 96%的人不会调整处方液体,理由是假设患者的流体耐受性;79%的人希望能够看到稀释剂体积.
结论:
- 大多数医生对IV抗生素作为稀释剂使用的液体体积缺乏认识.
- 大多数医生不会在处方后调整液体的给药,假设液体耐受性.
- 医生表示,他们更喜欢在处方过程中增加稀释液体体积的可见性.
相关概念视频
01:30Acute Pharyngitis
584
Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
584
01:28Pleural Effusion II: Symptoms and Management
165
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
165
01:28Pneumonia IV: Management
322
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
322
01:09One-Compartment Model: IV Infusion
190
Intravenous (IV) infusion is often utilized when continuous and controlled drug delivery is necessary, such as during surgery or in the treatment of chronic diseases. This method offers numerous advantages, including immediate drug action, precise control over dosage, and bypassing the first-pass metabolism.
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
The one-compartment model for IV infusion uses mathematical equations to describe the rate of change in drug quantity in the body. At steady-state or infusion equilibrium, the drug input...
190
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
559
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
559
01:25Regulation of Water Intake
499
Osmolality refers to the number of solute particles per kilogram of solvent in a solution. Plasma osmolality specifically indicates the total number of solute particles per kilogram of water in blood plasma. This value reflects the body's hydration status and is tightly regulated through mechanisms controlling water intake and output. While water consumption is a conscious decision, the body has intrinsic regulatory systems to maintain fluid balance. Dehydration, a state of water deficit...
499