Ka inu ʻona ʻana me Barbiturate

ʻO Barbiturates nā lāʻau i hōʻoluʻolu a hiamoe. Hana ʻia kahi overdose barbiturate ke lawe kekahi i nā mea ʻoi aku ma mua o ka maʻamau a i ʻole i koi ʻia no kēia lāʻau. Hiki paha i kēia ma ke kuhi hewa a i ʻole ke kumu. Hoʻoweliweli ke ola overdose.

I nā mahele haʻahaʻa haʻahaʻa, e hoʻohāinu paha ʻoe iā ʻoe i nā barbiturates.

Pāʻona ʻo Barbiturates. ʻO ka poʻe e hoʻohana iā lākou e lilo i ka hilinaʻi iā lākou. ʻO ke kū ʻana iā lākou (ka haʻalele ʻana) hiki ke hoʻoweliweli i ke ola. Ke ahonui i nā hopena hoʻololi i ke ʻano o barbiturates e hoʻomohala wikiwiki me ka hoʻohana pinepine ʻana. Akā, ʻo ka hoʻomanawanui ʻana i nā hopena make e hoʻomāhuahua hou aʻe, a piʻi ka makaʻu o ka lāʻau make nui me ka hoʻohana mau.

ʻO kēia ʻatikala no ka ʻike wale nō. Mai hoʻohana iā ia e mālama a mālama i kahi overdose maoli. Inā ʻo ʻoe a ʻo kekahi paha āu me nā overdoses, kāhea i kāu helu pilikia kūloko (e like me 911), a i ʻole hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau make ma ke kāhea ʻana i ka laina laina kōkua Poison Help manuahi (1-800-222-1222) mai kēlā me kēia wahi. ma ʻAmelika Hui Pū ʻIa.

ʻO ka hoʻohana ʻana i ka barbiturate kahi pilikia nui i ka maʻi no nā poʻe he nui. ʻO ka hapa nui o ka poʻe e lawe i kēia mau lāʻau no ka hopu ʻana i nā maʻi a i ʻole nā ​​syndrome ʻeha ʻaʻole hana hoʻomāinoino iā lākou, akā ʻo ka poʻe e hana, hoʻomaka ma ka hoʻohana ʻana i ka lāʻau i kauoha ʻia no lākou a i ʻole nā ​​lālā ʻohana.

ʻO ka hapa nui o kēia ʻano lāʻau e hoʻopili i nā lāʻau lapaʻau, ka wai ʻona maʻamau a me nā barbiturates, a i ʻole nā ​​barbiturates a me nā opiates e like me heroin, oxycodone, a fentanyl paha.

Lawe kekahi mea hoʻohana i kahi hui o kēia mau lāʻau āpau. ʻO ka poʻe e hoʻohana i ia mau hui like ʻana:

• Hiki i nā mea hoʻohana hou ʻike ʻole i kēia hui ʻana ke hiki i ke koma a i ʻole ka make
• Hoʻohana nā mea hoʻohana ʻike i hoʻohana iā lākou ma ke kumu e hoʻololi i ko lākou ʻike

ʻO nā ʻōuli o ka intoxication barbiturate a me ka overdose pū kekahi:

• Ka loli o ka ʻike
• Ka paʻakikī i ka noʻonoʻo ʻana
• Hiamoe a koma paha
• Hoʻoholo hewa
• Ka nele o ka hoʻonohonoho ʻana
• Hā hanu
• ʻOwlelo lohi, lohi
• Palaualelo
• Pāhoihoi

ʻO ka hoʻohana nui a lōʻihi hoʻi o nā barbiturates, e like me phenobarbital, hiki ke hana i nā ʻōuli maʻi mau aʻe:

• Hoʻololi i ka makaʻala
• Hoʻoemi i ka hana
• Huhū
• Poho hoʻomanaʻo

E mālama ka mea mālama ola i nā ʻōuli nui o ke kanaka, e like me ka mahana, ka lāʻau, ka hanu, a me ke kahe o ke koko. ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Pākuʻi x-ray
• ECG (electrocardiogram)

Ma ka haukapila, hiki i ka mālama ulia pōpilikia ke:

• Hana ʻia nā lanahu e ka waha a i ʻole ka paipu ma o ka ihu i loko o ka ʻōpū
• Kākoʻo hanu, me ka oxygen, paipu ma o ka waha i loko o ka puʻu, a me ka mīkini hanu
• Nā Fluids ma o kahi aa (e IV)
• Lapaʻau e mālama i nā ʻōuli

Hāʻawi ʻia kahi lāʻau i kapa ʻia ʻo naloxone (Narcan) inā ʻo ka opiate kahi ʻāpana o ka hoʻohuihui. Hoʻomaopopo pinepine kēia lāʻau i ka noʻonoʻo a me ka hanu, akā he hana pōkole kāna hana, a pono paha e hāʻawi pinepine ʻia.

ʻAʻohe lāʻau lapaʻau pololei no nā barbiturates. ʻO kahi antidote kahi lāʻau e hoʻohuli i nā hopena o kekahi lāʻau a lāʻau ʻē aʻe paha.

Ma kahi o 1 i ka 10 mau kānaka e overdose ma ka barbiturates a i ʻole ka huikau i loaʻa nā barbiturates e make. Make pinepine lākou mai ka pilikia o ka puʻuwai a me ka hanu.

ʻO nā pilikia o kahi overdose:

• Koma
• Make
• ʻO ka hōʻeha poʻo a me ke kūpikipiki mai ka hāʻule ʻana i ka wā inu
• Hānau hewa i nā wahine hāpai a hōʻino paha i ka pēpē e ulu ana i ka ʻōpū
• ʻO ka ʻāʻī a me ka ʻeha o ke kuamoʻo a me ka palu mai ka hāʻule ʻana ke ona
• ʻO Poniaonia mai ka reflex gag depressed a me ka makemake nui (ka wai a meaʻai paha i lalo i nā paipu bronchial i loko o nā akemāmā)
• ʻO ka hōʻino nui i nā mākala mai ka moe ʻana i ka ʻili paʻakikī ʻoiai e ʻike ʻole ana, a hiki i ka hōʻeha mau loa ʻana o ka hakuʻala

Kāhea i kāu helu pilikia kūloko, e like me 911, inā ua lawe kekahi i ka barbiturates a me he mea lā ua luhi loa a loaʻa paha nā pilikia hanu.

Hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau hoʻomake lāʻau kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help free (1800-222-1222) mai nā wahi a pau o ʻAmelika Hui Pū ʻIa. E hoʻokuʻu kēia lālani lāhui iā ʻoe e kamaʻilio me nā loea i ka lāʻau make. E hāʻawi lākou iā ʻoe i nā ʻōkuhi ʻē aʻe.

He lawelawe manuahi kēia a pilikino. Hoʻohana nā kikowaena mālama lāʻau ʻona āpau i ʻAmelika Hui Pū ʻIa i kēia helu aupuni. E kāhea ʻoe inā he nīnau kāu e pili ana i ka lāʻau make a lāʻau hoʻomake lāʻau paha. ʻAʻole pono ia e pilikia. Hiki iā ʻoe ke kāhea no nā kumu, 24 mau hola i ka lā, 7 mau lā o ka pule.

Intoxication - barbiturates

Aronson JK. ʻO Barbiturates. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 819-826.

ʻO Gussow L, ʻo Carlson A. ʻO nā hypnotics hōʻoluʻolu. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 159.