在实施节水策略之前和之后使用大量静脉注射液体
1Department of Pharmacy, St. Joseph's/Candler, Savannah, GA, USA.
概括
流体节约策略将1000毫升静脉注射液袋的使用量减少了52%,用于0.9%的化和39%的乳酸林格溶液,减轻了供应链中断的影响.
科学领域:
- 医疗保健管理的管理
- 供应链管理 供应链管理
- 临床药房 临床药房
背景情况:
- 医疗供应链容易受到不可预测的干扰.
- 缺乏0.9%的化和乳酸林格溶液等必需液体可能会对患者的护理产生重大影响.
- 需要采取积极的战略,以确保关键医疗用品的持续可用性.
研究的目的:
- 在社区卫生系统中实施和评估流体保护策略.
- 评估这种策略对使用0.9%化和乳酸林格溶液的1000毫升袋的影响.
- 了解在供应链挑战期间保护工作的有效性.
主要方法:
- 在一个由两家医院组成的社区卫生系统中实施了一项流体保护策略.
- 该战略包括指导声明和对流体订单的强制性修改.
- 1000毫升0.9%的化和乳酸林格袋的利用率在实施前和实施后进行了比较.
主要成果:
- 1000毫升0.9%的化袋的利用率下降了52%.
- 使用1000毫升的乳酸林格溶液袋减少了39%.
- 与前一年的使用率相比,这些减少被观察到.
结论:
- 节水策略可以有效地减少必要的静脉注射液体的消耗.
- 具有可衡量的结果的多学科方法对于管理供应链中断至关重要.
- 医疗机构应该考虑实施类似的策略,以提高对短缺的抵御力.
相关概念视频
One-Compartment Model: IV Infusion
165
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...
165
Heart Failure VI: Adjunct Therapies
1
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
1
Heart Failure Drugs: Diuretics
346
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
346
Two-Compartment Open Model: IV Infusion
195
A two-compartment model is a vital tool in pharmacokinetics, providing an essential understanding of drug behavior, especially for those administered via zero-order intravenous infusion. This model outlines two compartments: the central compartment, where elimination occurs, and the peripheral compartment.
The model illustrates the decrease in plasma drug concentration from the central compartment with a specific equation. It shows that under steady-state conditions, the drug's input rate...
The model illustrates the decrease in plasma drug concentration from the central compartment with a specific equation. It shows that under steady-state conditions, the drug's input rate...
195
Heart Failure V: Nursing Interventions
1
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
1
Fluid Movement Between Compartments
491
The force applied by fluids against a surface, known as hydrostatic pressure, initiates the transfer of fluid among different compartments. Within our blood vessels, the blood's hydrostatic pressure is a result of the heart's pumping action. At the arteriolar end of capillaries, hydrostatic pressure (capillary blood pressure) exceeds the opposing colloid osmotic pressure created primarily by plasma proteins like albumin. This discrepancy in pressure propels plasma and nutrients from the...
491


