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正常血压和高血压情况下,通过液体高度和导管尺寸比较液体流速

Comparison of Fluid Flow Rates by Fluid Height and Catheter Size in Normal and Hypertensive Blood-Pressure Scenarios.

作者信息

Kim Nayoung, Lee Hanna, Han Jeongwon

机构信息

College of Nursing Science, Kyung Hee University, 26, Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Republic of Korea.

Department of Nursing, Gangneung-Wonju National University, Gangneung-si 25457, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Dec 4;12(23):2445. doi: 10.3390/healthcare12232445.

DOI:10.3390/healthcare12232445
PMID:39685067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11641750/
Abstract

OBJECTIVES

This study is performed to determine the effects of fluid height, inner catheter diameter, and peripheral venous pressure on room-temperature intravenous fluid administration.

METHODS

We employed the Bernoulli equation, with frictional forces considered for volumetric analysis.

RESULTS

The results of this study demonstrate that infusion-set height, catheter size, fluid type, and blood pressure significantly affect flow rates. Under normotensive conditions, flow rates ranged from 58.2 to 10,743.18 cc/h, with the highest rates observed at a 1 m infusion-set height and larger catheters. Additionally, 6% hetastarch exhibited the lowest flow rates, while 0.9% normal saline showed the highest. Under hypertensive conditions, slightly higher infusion-set elevations were required for measurable flow rates, but they remained lower than those under normotensive conditions.

CONCLUSION

This study investigates the mechanics of peripheral venous fluid therapy and provides foundational data for future nursing research on fluid management.

摘要

目的

本研究旨在确定液体高度、内导管直径和外周静脉压力对室温静脉输液的影响。

方法

我们采用伯努利方程,并在体积分析中考虑了摩擦力。

结果

本研究结果表明,输液器高度、导管尺寸、液体类型和血压显著影响流速。在血压正常的情况下,流速范围为58.2至10743.18毫升/小时,在输液器高度为1米且使用较大导管时观察到最高流速。此外,6%羟乙基淀粉的流速最低,而0.9%生理盐水的流速最高。在高血压情况下,需要稍高的输液器高度才能获得可测量的流速,但仍低于血压正常情况下的流速。

结论

本研究探讨了外周静脉输液治疗的机制,并为未来液体管理的护理研究提供了基础数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8696/11641750/7574758208dc/healthcare-12-02445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8696/11641750/7eed334ac48a/healthcare-12-02445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8696/11641750/7574758208dc/healthcare-12-02445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8696/11641750/7eed334ac48a/healthcare-12-02445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8696/11641750/7574758208dc/healthcare-12-02445-g002.jpg

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Ther Adv Drug Saf. 2023 Jul 21;14:20420986231188602. doi: 10.1177/20420986231188602. eCollection 2023.
2
Precision and reliability study of hospital infusion pumps: a systematic review.医院输液泵的精度和可靠性研究:系统评价。
Biomed Eng Online. 2023 Mar 17;22(1):26. doi: 10.1186/s12938-023-01088-w.
3
Medication administration errors in the domain of infusion therapy in intensive care units: a survey study among nurses.
重症监护病房输液治疗领域的用药错误:一项针对护士的调查研究
Arch Public Health. 2023 Feb 15;81(1):23. doi: 10.1186/s13690-023-01041-2.
4
The Effects of Intravenous Fluid Viscosity on the Accuracy of Intravenous Infusion Flow Regulators.静脉输液粘滞度对静脉输液流速调节器准确性的影响。
J Korean Med Sci. 2022 Mar 7;37(9):e71. doi: 10.3346/jkms.2022.37.e71.
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2021 Infusion Therapy Standards of Practice Updates.2021 年输液治疗实践标准更新。
J Infus Nurs. 2021;44(4):189-190. doi: 10.1097/NAN.0000000000000436.
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Infusion Therapy Standards of Practice, 8th Edition.《输液治疗实践标准》第8版
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