{"created":"2021-03-01T06:12:24.634938+00:00","id":8550,"links":{},"metadata":{"_buckets":{"deposit":"e08f724d-11d3-4fe2-af3d-7b4874f68051"},"_deposit":{"id":"8550","owners":[],"pid":{"revision_id":0,"type":"depid","value":"8550"},"status":"published"},"_oai":{"id":"oai:soar-ir.repo.nii.ac.jp:00008550","sets":["882:884:885:900"]},"author_link":["24691","24692","24693","24694","24695"],"item_10_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"52","bibliographicPageStart":"45","bibliographicVolumeNumber":"28","bibliographic_titles":[{"bibliographic_title":"信州大学医学部附属病院看護研究集録"}]}]},"item_10_description_20":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"移植術後患者の輸液は,免疫抑制剤使用による易感染性の為,感染予防を目的に,輸液フィルターの使用を原則としている。従来の輸液管理は,薬剤を輸液フィルターに通過させるか否かを主に考えた薬剤投与表を基に行っていた。しかし,移植術後患者の輸液は,使用する薬剤の種類が多く,複数の薬剤が同じルートを通過するため,使用していた薬剤が配合変化を起こし,輸液フィルターの目詰まりが起こり問題となった。このことをきっかけに,使用する薬剤の配合禁忌を調べ,配合禁忌表を作成し,輸液フィルターの使用方法と投与ルートの検討を行った。また,今回,ケイツーN[○!R]の配合変化に注目し,輸液フィルターの目詰まりの原因は,ケイツーN[○!R]を電解質および低分子ヘパリンと混注したことにより,配合変化を起こした微粒子が,時間と共に増大したことが考えられた。ケイツーN[○!R]を単独投与とし,輸液フィルターを通過させないことや,配合禁忌を考慮した薬剤投与ルートの再検討により,輸液フィルターの目詰まりや,ルートの閉塞がなくなり,輸液管理にかかる業務時間の短縮が図られた。また,閉塞アラームや,ルート交換・ルートの刺し換えが少なくなり,患者の安静が保てるようになった。","subitem_description_type":"Abstract"}]},"item_10_description_30":{"attribute_name":"資源タイプ（コンテンツの種類）","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_10_description_5":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"信州大学医学部附属病院看護研究集録 28(1): 45-52(1999)","subitem_description_type":"Other"}]},"item_10_link_3":{"attribute_name":"信州大学研究者総覧へのリンク","attribute_value_mlt":[{"subitem_link_text":"三田, 篤義","subitem_link_url":"http://soar-rd.shinshu-u.ac.jp/profile/ja.gFTNHVkh.html"}]},"item_10_publisher_4":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"信州大学医学部附属病院看護部"}]},"item_10_source_id_35":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1343-3059","subitem_source_identifier_type":"ISSN"}]},"item_10_source_id_40":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11387338","subitem_source_identifier_type":"NCID"}]},"item_1627890569677":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"矢口,  みゆき","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"近藤,  ゆかり","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西澤,  尊子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"相河,  ひろみ","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三田,  篤義","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-09-25"}],"displaytype":"detail","filename":"Nurshing_Research28-01-07.pdf","filesize":[{"value":"587.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Nurshing_Research28-01-07.pdf","url":"https://soar-ir.repo.nii.ac.jp/record/8550/files/Nurshing_Research28-01-07.pdf"},"version_id":"d8aa13c5-8562-480b-a3c7-c4c5ca8258a4"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"輸液フィルター","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"配合禁忌","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"移植","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"配合変化","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"移植用輸液ルートの再検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"移植用輸液ルートの再検討","subitem_title_language":"ja"},{"subitem_title":"Reevaluation of the Venous Infusion Lines Transplantation","subitem_title_language":"en"}]},"item_type_id":"10","owner":"1","path":["900"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2012-03-19"},"publish_date":"2012-03-19","publish_status":"0","recid":"8550","relation_version_is_last":true,"title":["移植用輸液ルートの再検討"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-02-10T00:18:21.448143+00:00"}