APLIKASI LOAD CELL UNTUK SISTEM MONITORING VOLUME CAIRAN INFUS

Infusion is very important for patients who need additional fluids in the body. Intravenous fluids are injected into the body using needles, through veins. Delayed replacement of IV fluids can pose a very high risk for the patient's condition. One of the risk is that the blood can be sucked back and flow in the IV tube, because there is a difference fluid pressure between the vein and the infusion bag. Therefore, controlling the volume of infusion fluid is very necessary so the infusion bag containing the intravenous fluid must not be used up.To minimize the risk is by replacing the IV bag that must be done in a timely manner. So to find out the amount of infusion fluid volume in the infusion bag it will be designed and realized an instrument that can measure the volume of infusion fluid by weighing the weight of the infusion bag. This tool can stop the flow of IV fluids that flow into veins when the IV fluid will be depleted.The result of this research is that the system will stop the infusion fluid flow by activating the pinch valve by clamping the infusion hose so that the fluid can stop when the infusion fluid volume will run out. Discontinuation of infusion fluid occurs when the remaining infusion fluid volume is 10 mL

A Novel Approach of Controlling Stoppage of Drip Infusion Using Image Processing on Raspberry PI Platform

Intravenous drip diffusion is a common practice to treat patients in hospitals. During treatment, nurses must check the condition of the infusion bag frequently before running out of fluid. This research proposes a novel method of checking the infusion bag using an image processing technique on a compact Raspberry PI platform. The infusion monitoring system proposed here is based solely on capturing the image of the infusion bag and the accompanying bag/ tube. When the infusion fluid enters the patient, the surface of the liquid will decrease, and at the end will reach the bottom of the infusion bag. When the image of the fluid surface touches the bottom of the infusion bag, a mechanism will trigger a relay, and then activate a pinch valve to stop the flow of the infusion fluid before it runs out. The entire system incorporates a digital camera and Raspberry as the image processor. The surface of the liquid is determined using the Canny Edge Detection algorithm, and its relative position in the tube is determined using the Hough Line Transform. The raw picture of the infusion bag and the processed image are then sent via a wireless network to become part of a larger system and can be monitored via a simple smartphone equipped with the proper application, thus becoming an Internet of Things (IoT). With this approach, nurses can carry on other tasks in caring for the patients while this system substitutes some work on checking the infusion fluid.

Prevalence and determinants of intravenous admixture preparation errors: A prospective observational study in a university hospital

Background Intravenous admixture preparation errors (IAPEs) may lead to patient harm. Insight into the prevalence as well as the determinants associated with these IAPEs is needed to elicit preventive measures. Aim The primary aim of this study was to assess the prevalence of IAPEs. Secondary aims were to identify the type, severity, and determinants of IAPEs. Method A prospective observational study was performed in a Dutch university hospital. IAPE data were collected by disguised observation. The primary outcome was the proportion of admixtures with one or more IAPEs. Descriptive statistics were used for the prevalence, type, and severity of IAPEs. Mixed-effects logistic regression analyses were used to estimate the determinants of IAPEs. Results A total of 533 IAPEs occurred in 367 of 614 admixtures (59.8%) prepared by nursing staff. The most prevalent errors were wrong preparation technique (n = 257) and wrong volume of infusion fluid (n = 107). Fifty-nine IAPEs (11.1%) were potentially harmful. The following variables were associated with IAPEs: multistep versus single-step preparations (adjusted odds ratio [ORadj] 4.08, 95% confidence interval [CI] 2.27–7.35); interruption versus no interruption (ORadj 2.32, CI 1.13–4.74); weekend versus weekdays (ORadj 2.12, CI 1.14–3.95); time window 2 p.m.-6 p.m. versus 7 a.m.-10 a.m. (ORadj 3.38, CI 1.60–7.15); and paediatric versus adult wards (ORadj 0.14, CI 0.06–0.37). Conclusion IAPEs, including harmful IAPEs, occurred frequently. The determinants associated with IAPEs point to factors associated with preparation complexity and working conditions. Strategies to reduce the occurrence of IAPEs and therefore patient harm should target the identified determinants.

Incidence of Phlebitis Following the Use of Peripheral IV Line at X Hospital

Introduction: Intravenous (IV) line infusion therapy is a therapy given to patients who are admitted or having a specific therapy. The IV-line therapy may include fluid therapy, medication administration and blood therapy. Based on the data found in Hospital X, there were 30 incidence of phlebitis in 2017. This study aimed to describe the factors of phlebitis incidence in X hospital. Method: This study was a retrospective study using 50 clinical record of the inpatient patients. The inclusion criteria were all documents of those who are hospitalized at least three days. Result: The result describes three factors following the incidence of phlebitis, such as intrinsic factors, chemical factors, and mechanical factors. The Intrinsic factors included age, gender and medical diagnosis. While Mechanical factors consist of the size of catheter, location and length of infusion. The Chemical factors were of infusion fluid type and infusion rate. Conclusion: The conclusion of this study was the three factors are modifiable factors. Thus, nurses need to assess and evaluate patients’ infusion in order to prevent a higher case of phlebitis. As a recommendation for further study is to analyze the correlation between those factors to the incidence of phlebitis.

RANCANG BANGUN SISTEM INFUS CERDAS

The rapid development of the world of technology that covers almost all sides of life has encouraged innovation and human creation to make various tools with automatic work systems. Giving fluids using intravenous fluids is one way to enter fluids intravenously to meet the needs of fluids, electrolytes, drug administration, and feeding. The process of replacing intravenous fluids that has reached the minimum replacement limit must be carried out promptly and quickly, so that there will be no delay in changing intravenous fluids which will result in unstable pressure on the infusion set which will result in blood clots.In its testing, this tool can display information on the total number of intravenous fluid drops, and the condition of the remaining infusion fluid level on the LCD, as well as an additional display of the number of intravenous fluid drops per minute on theapplications client PC and / or smartphone. Adjusting the position of the mini servo of the infusion tap, can be adjusted when the appliance is not or not connected to the client. The sensor optocoupler used can also detect every drop of intravenous fluid. The reading of the sensor optocoupler used can experience an error by a difference of 100% if the dripping of the intravenous fluid is too slow. This is caused by the drip that is read twice by the sensor because one drop of intravenous fluid is read again after more than 50 milli second.Key words: microcontroller, nodemcu esp8266, optocoupler, load cell, mini servo sg90, smart infusion.

Smart Intravenous Infusion Dosing System

Intravenous (IV) infusion therapy allows the infusion fluid to be inserted directly into the patient’s vein. It is used to place medications directly into the bloodstream or for blood transfusions. The probability that a hospitalized patient will receive some kind of infusion therapy, intravenously, is 60–80%. The paper presents a smart IV infusion dosing system for detection, signaling, and monitoring of liquid in an IV bottle at a remote location. It consists of (i) the sensing and computation layer—a system for detection and signaling of fluid levels in the IV bottle and a system for regulation and closing of infusion flow, (ii) the communication layer—a wireless exchange of information between the hardware part of the system and the client, and (iii) the user layer—monitoring and visualization of IV therapy reception at a remote location in real time. All layers are modular, allowing upgrades of the entire system. The proposed system alerts medical staff to continuous and timely changes of IV bottles, which can have positive effects on increasing the success of IV therapy, especially in oncology patients. The prescribed drip time of IV chemotherapy for the full effect of cytostatics should be imperative.

PEMANFANTAN CAIRAN INFUS SEBAGAI PENGGANTI REAGEN ALTERNATIF HAYEM DALAM PEMERIKSAAN HITUNG JUMLAH ERITROSIT

Anemiasufferers in Indonesia are increasing. Anemia diagnosisconfirmed by examining red blood cell (RBC) which requires Hayem as reagent. Problemof running out reagents still widely found that distrupts health services.0.9% infusion fluid is physiological solution and readily available. Therefore, this study aims to ultilize 0.9% intravenous fluids as alternative to Hayem in RBC examination by analyzing differences in results of alternative reagents to Hayem reagent. This type of research is experimental, using normality test, t-test, and linear regression.Carried out in the hematology laboratory of Nahdlatul Ulama University Surabaya in February 2020.Use 25 samples from students and health faculty staff with average infusion fluid ie 4,54 x 106 /µL (SD 0,59 x 106 /µL) while Hayem reagent ie 4,63 x 106 /µL (SD 0,52 x 106 /µL)and there is no difference two results (P = 0.197). fluid normality test was obtained Sig.= 0,716, while Hayem reagent Sig.= 0,923. Paired sample t-test obtained Sig.= 0,197. Resultsof linear regression test showed correlation coefficient of 0.823 and coefficient determination of 67.8% (P = 0.000) with equation Y = 0.725X + 1.339. It was concluded that 0.9% infusion fluid could be used as alternative reagent for Hayem in RBC examination.

HUBUNGAN CAIRAN INFUS DAN LOKASI PEMASANGAN INFUS DENGAN KEJADIAN FLEBITIS DI RUMAH SAKIT DKT BANDAR LAMPUNG

ABSTRACT: CORELATION BETWEEN INFUSION FLUID USE AND LOCATION OF INFUSION WITH PHLEBITIS OCCURRENCE IN DKT HOSPITAL BANDAR LAMPUNG 2020 Background:Phlebitis is venous inflammation caused by either chemical or mechanical irritation. The incidence of phlebitis in 2019 DKT Hospital is 1.8% cases while the indicator limit for phlebitis is 1.5%.Purpose:Determine the corelation between infusion fluid use and location of infusion with phlebitis occurrence in DKT Hospital Bandar Lampung 2020Methods:The type of research is a quantitative study with a case control approach. The study population is 55 patients with phlebitis as a sample cases and 55 patients without phlebitis as control patients. Dats Analysis using univariate analysis and bivariate.Results :It shows the relation between the type of infusion fluid (pv =0,000; OR=8.5) and location of infusion (pv=0.002; OR=3.5) with phlebitis occurrence in DKT Hospital Bandar Lampung.Conclusion:From the results of the study it was suggested perfecting the SOP and disseminating information on hypertonic infusion fluid and monitoring it regularly and continuously Keywords: Phlebitis, type of fluid, location of infusion INTISARI:HUBUNGAN CAIRAN INFUS DAN LOKASI PEMASANGAN INFUS DENGAN KEJADIAN FLEBITIS DI RUMAH SAKIT DKT BANDAR LAMPUNG TAHUN 2020Latar Belakang:Flebitisadalah inflamasi vena yang disebabkan baik iritasi kimia atau mekanik. Angka kejadian flebitis di RS DKT Tahun 2019 adalah 1,8% kasus flebitis sedangkan batas indikator flebitis adalah 1,5%.Tujuan: Untuk mengetahui hubungan antara penggunaan cairan infus dan lokasi pemasangan infus dengan kejadian flebitis di RS DKT Bandar Lampung Tahun 2020.Metode:Jenis penelitian adalah kuantitatif dengan pendekatan case control. Populasi penelitian ini adalah 55 pasien flebitis sebagai sampel kasus dan 55 pasien yang tidak flebitis sebagai pasien kontrol.Analisis menggunakan analisis univariat, bivariat (chi square).Hasil: Hasil penelitian menunjukkan ada hubungan jenis cairan infus (pv=0,000; OR=8,5) dan lokasi pemasangan infus (pv=0,002; OR=3,5)dengan kejadian flebitis di Rumah Sakit DKT Bandar Lampung tahun 2020.Kesimpulan: Dari hasil penelitian disarankan bahwa Rumah Sakit DKT untuk menyempurnakan SPO dan sosialisasi tentang pemberian cairan infus hipertonis dan monitoring secara berkala dan berkesinambungan. Kata kunci: Kejadian flebitis, jenis cairan infus dan lokasi pemasangan infus