.

298
Guideline 92
Guideline

Guideline
Guideline

( )

Guideline
Guideline




Guideline

1)

2) Guideline

 ( )
3. Guideline


1)

2)

3) Guideline


1. Guideline

2.

3.


1) .
2)

3)
4)

( Qualitative : Indepth
interview)

Intern
Vital sign
Resuscitate
NSAID


case

guideline


Target population :
Inclusion criteria :

Exclusion criteria :

Independent :
Dependent : ,
Guideline
Sampling technique : Non- probabillistic sampling

 ( )
Sample size ( 16 )

Intern I 8
Intern II 5
Intern III 3
intern

Duration


1. DSS
2. DHF grade II

3. DHF grade I


1
6

- 0.9% Nss 10 cc/kg
81.25 %
v/s
- V/S 1 hr 81.25
Serial Hct
- Serial Hct 4 hr 87.5



68.75

shock
10 cc/kg/hr rate 8,6,4,2 cc/kg/hr
68.75

 ( )

resuscitate

- Dextran-40 10 cc/kg/hr
37.5

 ( )
1
3
Intern
Initial fluid
1
2
3

Improve

0.9%Nss 10
rate 10,8,6,4
cc/kg/hr (75%) cc/kg/hr (50%)
0.9%Nss 10
rate 10,8,6,4
cc/kg/hr (80%) cc/kg/hr (80%)
0.9%Nss 10
rate 10,8,6,4
cc/kg/hr (100%) cc/kg/hr (100%)

Progression

Record
V/S
Dextran
1 hr
(62.5%)
(87.5%)
Load
1 hr
Dextran (60%)
(60%)
0.9%Nss 20 cc/kg/hr 1 hr
Dextran(100%) (100%)

Serial
Hct
4 hr
(87.5%)
4 hr
(80%)
4 hr
(100%)

 ( )

2


- 5% D/Nss maintenance 50

- V/S 6 . 43.75

 ( )
3
- Serial Hct 4 . 62.5

4
- Record urine input/out
- 87.5

 ( )
2
2
Intern
Initial fluid
1
5%D/Nss MT (50%)
2
5%D/Nss MT (60%)
3

5%D/Nss 80%MT
(66.7%)

Record V/S
6 hr (62.5%)
4 hr (40%)
6 hr (40%)
4 hr (66.7%)

Serial Hct
4 hr (62.5%)
4 hr (60%)
4 hr (60%)

 ( )

3


- 5 % D/Nss rate Maintenance 37.5

- V/S 4 . 68.75

 ( )
3
- serial Hct 6 . 75

 ( )
3
1
Intern
Initial fluid
1 5%D/Nss MT (37.5%)
2 *
3
*

5%D/Nss MT (66.67%)

Record V/S
4 hr (87.5%)
4 hr (40%)
6 hr (40%)
4 hr (66.67%)

Serial Hct
6 hr (87.5%)
6 hr (80%)
**

5%D/Nss MT, 5%D/Nss 80%MT, 5%D/Nss /2 MT, 0.9%Nss MT, 5%D/Nss

MT+3%deficit, 5%D/Nss 50%MT

** serial Hct 6 hr, 4 hr, 24 hr 8 hr,



Guideline

.Guideline

Guideline

(
41.17)


.

Guideline
complication
Guideline Guideline
( 23.52)

( )
Guideline
Guideline

Guideline
( 23.52)

( )
..Guideline

complication (
11.76)
* 1

( )

Guideline
Guideline
.
Guideline
Guideline
complication (
62.50)

( )
.
Guideline
Guideline
clinical, severity,
complication ( 31.25)

( )
.
( 6.25)


1 1

Guideline Guideline

DHF grade
Guideline
rate IV 10 cc/kg/hr
7,5,3 cc/kg/hr 8,6,4,2
cc/kg/hr rate IV


2 2
-
Guideline
shock

maintain V/S


-
V/S 1-2 hr shock


3 3
-


-


Guideline
1.

maintain vital sign
Guideline
pulmonary edema
load

 Guideline ( )
2. Clinical

guideline


3.

guideline

 Guideline ( )
4.


1.
Pulse Full

2. 1

 ( )
3.


1. Guideline


2. load
10 ,8,6,4 cc/Kg
3.
DHF with pneumonia , DHF with Underlying disease

 ( )
4.




5.

..
.