scholarly journals GAMBARAN LAMA KERJA ATRAKURIUM PADA PASIEN YANG MENJALANI ANESTESIA UMUM DI IBS RSUP PROF KANDOU MANADO NOVEMBER-DESEMBER 2013

e-CliniC ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Rosiana Lamerkabel ◽  
Harold Tambajong ◽  
Diana Lalenoh

Abstrak: Obat pelumpuh otot adalah obat yang digunakan selama anestesi dan memfasilitasi intubasi. Pelumpuh otot non depolarisasi merupakan antagonis dari fase I blok pelumpuh otot depolarisasi, karena ia menduduki reseptor asetilkolin sehingga depolarisasi oleh suksinilkolin sebagian dicegah. Atrakurium adalah salah satu obat pelumpuh otot non depolarisasi yang mempunyai struktur benziliquinolin yang berasal dari tanaman Leontice Leontopeltalum, keunggulan adalah metabolisme terjadi di dalam darah, tidak bergantung di pada fungsi hati dan ginjal, tidak mempunyai efek akumulasi pada pemberian berulang. Tujuan penelitian ini adalah untuk mengetahui gambaran lama kerja dari obat pelumpuh obat non depolarisasi atrakurium.Penelitian ini merupakan penelitian deskriptif prospektif yang dilakukan pada ruang pasca bedah Instalansi Bedah Sentral RSUP.Prof. DR. R. D. Kandou Manado dengan subjek berjumlah 10 orang yang telah memenuhi kriteria inklusi. Dapat disimpulkan bahwa rerata gambaran lama kerja adalah 35,6 menit. Kata kunci: pelumpuh otot non depolarisasi, atrakurium     Abstract: Muscle relaxant drugs are drugs used during anesthesia and facilitate intubation . Non- depolarizing muscle relaxants is an antagonist of the phase I block of depolarizing muscle relaxants , because it occupies the acetylcholine receptors so that depolarization by succinylcholine partially prevented . Atracurium is one of the non- depolarizing muscle relaxant drugs that have a structure that is derived from plants benziliquinolin LeonticeLeontopeltalum , excellence is metabolism occurs in the blood , does not depend on the function of the liver and kidney , had no effect on the accumulation of repeated administration . The purpose of this study is to describe the work of the old non- depolarizing paralytic drug drug atracurium . This study is a prospective descriptive study conducted on postoperative space Installation Central Surgical Hospital .Prof .DR . R. D. Kandou Manado with the subject of 10 people who have met the inclusion criteria . It can be concluded that the average length of employment was 35.6 overview minutes. Keywords: Muscle relaxants, Atracurium

2019 ◽  
Vol 13 ◽  
Author(s):  
Yuri Henrique Andrade de Oliveira ◽  
Mayara Layla De Oliveira Moy ◽  
Janice Pires da Silva ◽  
Lourival Freitas da Silva Netto ◽  
Samire Santos Galvão ◽  
...  

Objetivo: relatar a experiência por meio de uma ação educativa para adolescentes em uma escola pública. Método: trata-se de um estudo descritivo, tipo relato de experiencia. Elencaram-se, como critérios de inclusão para a pesquisa, adolescentes de uma turma do nono ano do Ensino Fundamental II e alunos com 14 a 16 anos. Utilizaram-se metodologias ativas de roda de conversa, vídeos e gincana científica que contribuíram para o processo de conhecimento dos alunos. Resultados: realizou-se a ação em quatro momentos. percebeu-se durante a ação que os adolescentes ainda tinham certas dificuldades sobre o assunto. Conclusão: sensibilizaram-se, pela ação educativa, os envolvidos em relação à temática, e os acadêmicos conseguiram impactar os participantes da ação para um melhor entendimento a respeito da definição e causas das patologias, diferenças, sintomas, principais alimentos envolvidos na alergia e intolerância alimentar. Descritores: Enfermagem; Educação em Saúde; Educação em Enfermagem; Adolescentes; Intolerância Alimentar; Hipersensibilidade Alimentar. ABSTRACTObjective: to report the experience through an educational action for adolescents in a public school. Method: this is a descriptive study, kind of experience report. The inclusion criteria for the research were adolescents from a ninth grade elementary school class and students aged 14 to 16 years. Active methodologies of conversation wheel, videos and scientific scavenger games were used that contributed to the students' knowledge process. Results: the action was performed in four moments. It was noticed during the action that the teenagers still had some difficulties on the subject. Conclusion: those involved in the theme were sensitized by the educational action, and the academics were able to impact the participants of the action for a better understanding of the definition and causes of pathologies, differences, symptoms, main foods involved in food allergy and intolerance. Nursing; Descriptors: Nursing; Health Education; Education. Adolescent; Food Intolerance; Food Hypersensitivity.RESUMENObjetivo: informar la experiencia a través de una acción educativa para adolescentes en una escuela pública. Método: este es un estudio descriptivo, tipo de informe de experiencia. Los criterios de inclusión para la investigación fueron adolescentes de una clase de primaria de noveno grado y estudiantes de 14 a 16 años. Se utilizaron metodologías activas de rueda de conversación, videos y juegos de búsqueda científica que contribuyeron al proceso de conocimiento de los estudiantes. Resultados: la acción se realizó en cuatro momentos. Se notó durante la acción que los adolescentes todavía tenían algunas dificultades sobre el tema. Conclusión: los involucrados en el tema fueron sensibilizados por la acción educativa, y los académicos pudieron impactar a los participantes de la acción para una mejor comprensión de la definición y las causas de las patologías, diferencias, síntomas, alimentos principales involucrados en alergia e intolerancia alimentaria. Descriptores: Enfermería; Educación en Salud; Educación en Enfermería; Adolescente; Intolerancia Alimentaria; Hipersensibilidad a los Alimentos.


1970 ◽  
Vol 5 (4) ◽  
pp. 13-19
Author(s):  
Cristiane Rosa Guedes ◽  
Bianca Del Ducca Alvarenga ◽  
Isabella Rotella ◽  
Débora Vitória Alexandrina Lisboa Vilella

RESUMOObjetivo: Identificar o significado para o enfermeiro em prestar cuidados para pacientes com Depressão.  Materiais e métodos: Estudo exploratório e descritivo com abordagem qualitativa, a amostra foi de 12 enfermeiras, o cenário de estudo foram Unidades Básicas de Saúde e Estratégias de Saúde da Família, urbanas da cidade de Itajubá-MG. A coleta de dados foi por meio do roteiro de entrevista semiestruturada composta por questionário contendo uma pergunta inerente ao assunto. Resultados: Encontramos oito categorias como estigma da depressão, suicídio, dificuldade em lidar, tempo escasso, envolvimento familiar, aceitação da doença, acolhimento e dar medicamento, de acordo com os discursos dos sujeitos coletados na entrevista. Conclusão: Os enfermeiros não estão em contato direto com portadores de depressão no seu trabalho, não entendem que é sua tarefa identificar e encaminha-los para tratamento especializado. Sugerimos que outros estudos sejam desenvolvidos sobre essa temática.Palavras-chave: Depressão. Relação Enfermeiro-Paciente. Assistência de Enfermagem. ABSTRACTObjective: To identify the meaning for nurses when providing care for patients with depression. Materials and Methods: exploratory and descriptive study with qualitative approach, the sample consisted of 12 nurses, the study scenario was the urban Unidades Básicas de Saúde e Estrategia de Saúde da Família, in the city of Itajubá. Data collection was done through semi-structured interview guides consisting of a questionnaire containing a question related to the subject. Results and Discussion: we found eight categories as stigma of depression, suicide, coping difficulties, scarce time, family involvement, acceptance of the disease, host and give medicine, according to the speeches of the subjects collected in the interview. Conclusion: nurses are not in direct contact with individuals with depression in their work, do not understand that it is their job to identify and refer them to specialized treatment. We suggest that other studies be developed on this theme.Keywords: Depression, Nurse-patient Relationship, Nursing care.


2018 ◽  
Vol 52 ◽  
pp. 77 ◽  
Author(s):  
María Beatriz Duarte-Gómez ◽  
Silvia Magali Cuadra-Hernández ◽  
Myriam Ruiz-Rodríguez ◽  
Armando Arredondo ◽  
Jesús David Cortés-GilI

OBJECTIVE: To analyze the impacts of the care to the population displaced by violence on the health system and the challenges that this entails. METHODS: This is a narrative review of the national and international literature in PubMed, SciELO, WHO/PAHO, and Bireme. Inclusion criteria were date of publication ( from 2000), relation with the subject, and language (Spanish or English). We found 292 documents, of which 91 met the inclusion criteria. RESULTS: The main challenges are the intersectoral, participatory, and integral approach (with emphasis on mental health and sexual and reproductive health), ensured accessibility to health services, the need for a reliable registration and information system of the population displaced by violence and its characteristics, and the addressing of the biopsychosocial problems of the different groups, especially women, persons with disabilities or infectious diseases, adolescents, children, ethnic minorities, older adults and the lesbian, gay, bisexual, transsexual, and intersexual population. CONCLUSIONS: The lack of political will to accept and see the internal displacement by violence and its importance as a humanitarian and public health problem is an obstacle to the adequate and timely care of the population displaced by violence in Mexico.


2021 ◽  
pp. 074880682199140
Author(s):  
Manish J. Patel ◽  
Mit M. Patel ◽  
Brittany T. Abud ◽  
Robert T. Cristel

YouTube proves to be a source of health information for patients. This is the first study to analyze the source reliability and educational value of YouTube videos on facial filler treatments. On August 12, 2020, YouTube.com was queried using the keywords “facial filler” or “dermal filler” or “fillers.” A total of 100 were initially reviewed in which 74 videos met the inclusion criteria and were included in the final analysis. Video characteristics were recorded, and each video was graded for source reliability and educational value by using the Journal of the American Medical Association (JAMA) benchmark criteria and the Global Quality Score (GQS), respectively. Furthermore, each video was assessed to determine whether there was discussion of 5 different topics that were deemed to be useful to patients prior to undergoing a facial filler treatment. A total of 74 videos met the inclusion criteria and had an average length of 436 seconds (7 minutes and 16 seconds), 146 805 views, 1906 likes, 73 dislikes, and 241 comments. Forty-five videos (61%) were posted with an intention to educate patients, whereas 29 videos (39%) were posted with an intention to describe a patient’s experience with facial filler treatment. Patient education videos were found to have a significantly higher educational value ( PGQS < .001). Patient experience videos showed no difference in reliability score ( PJAMA > .05) to patient education videos, but patient experience videos were found to have lower educational value compared with patient education videos ( PGQS < .001). In addition, both categories are not providing sufficient information for informed decision-making prior to treatment deemed by the 5 selected categories we found most informative. As patients will continue to seek educational material online, clinicians should use this information to help primarily educate patients with standardized and accurate information about their treatment.


2020 ◽  
Vol 36 (06) ◽  
pp. 773-777
Author(s):  
Manish Patel ◽  
Mit M. Patel ◽  
Robert T. Cristel

YouTube is a common source of medical information for patients. This is the first study to assess the reliability and educational value of YouTube videos on neurotoxin procedures. YouTube.com was searched on June 15, 2020 using the keyword “Botox” or “neurotoxin.” A total of 100 videos were reviewed. Sixty-one videos met the inclusion criteria and were included in the final analysis. Video characteristics were noted, and a score was assigned to each video using the Journal of the American Medical Association (JAMA) benchmark criteria and the Global Quality Score (GQS) to measure source reliability and educational value, respectively. A total of 61 videos that met the inclusion criteria had an average length of 589 seconds (9 minutes and 49 seconds), 210,673 views, 5,295 likes, 318 dislikes, and 478 comments. A total of 30 videos (49%) were posted with an intention to educate patients while 31 videos (51%) were posted with the intention to detail a personal experience with neurotoxin. Patient education videos were significantly more reliable (P JAMA< 0.001) and had more educational value (P GQS < 0.001) but were less popular than “personal experience videos.” Personal-experience videos posted by patients had higher popularity, more likes and comments, yet lower scores on reliability and education. Patients will continue to seek educational material online, and clinicians should utilize this information to help primarily educate patients with standardized and accurate information about their treatment. Key Points


1998 ◽  
Vol 95 ◽  
pp. 55 ◽  
Author(s):  
Félix Carvalho ◽  
Eduarda Fernandes ◽  
Fernando Remiño ◽  
Paulo Sousa ◽  
Maria de Lourdes Bastos

2020 ◽  
Vol 8 (4) ◽  
pp. 336-347
Author(s):  
Mida Nurani ◽  
Mayya Shofa Mahfud ◽  
Riska Lail Agustin ◽  
Hendrata Vive Kananda

The purpose of this research is to analyze the mathematics literacy skills of high school students in terms of gender, especially in the material linear program. This research is a qualitative descriptive study. Data Collection was carried out on the eleventh-grade students of SMA Negeri 1 Meraksa Aji. The subject was 31 students which consisted of 14 females and 17 males. The data was collected using tests and interviews and analyze use method triangulation. The results showed that female students' literacy skills were better than male students. Female students find the indicators of interpreting mathematics to solve problems, formulate problems systematically and use concepts, facts, procedures, and reasoning in mathematics. Meanwhile, male students have only fulfilled the indicators of interpreting mathematics to solve problems.


2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.


2002 ◽  
Vol 95 (5) ◽  
pp. 1459
Author(s):  
Matthias Paul ◽  
Christoph H. Kindler ◽  
C. Spencer Yost

1993 ◽  
Vol 21 (4) ◽  
pp. 444-446 ◽  
Author(s):  
C. C. P. Eagle ◽  
D. F. Capes

A new spring-driven syringe pump (Springfusor 10®, Go Medical Industries, Subiaco, W.A.) was evaluated for infusion of muscle relaxants in 50 surgical cases. After an initial bolus dose, atracurium was given at a rate of 25 to 37.5 mg/hour and vecuronium at a rate of 4 to 6 mg/hour. The mean infusion rate was found to be 4% above the nominal rate of 5 ml/hour and the accuracy in all cases was within ± 20%. The Springfusor was found to be rugged, cheap and easy to use. It lacks dose flexibility but is suitable for continuous background infusion of muscle relaxants during surgery.


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