Kaumaha nui ʻo Morphine

ʻO Morphine kahi mea ʻehaʻeha loa. ʻO ia kekahi o nā ʻano kemika i kapa ʻia ʻo opioids a i ʻole nā ​​opiates, i kiʻi mua ʻia mai ka lāʻau poppy a hoʻohana ʻia no ka ʻeha a i ʻole nā ​​hopena hoʻomalule. Hana ʻia ka overdose Morphine ke hana a kanaka paha ma kahi o ka lāʻau.

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

Morphine sulfate

ʻO nā lāʻau lapaʻau inoa o ka morphine me:

• Arymo ER
• ʻAmi-aniani
• ʻO Depodur
• ʻO Duramorphy
• ʻO Infumorph
• Kadian
• MS Contin
• MorphaBond
• Roxanol

Kahakaha: ʻAʻole paha piha kēia papa inoa.

Pākuʻi ʻia paha nā ʻōuli:

• Nā manamana lima a me nā lehelehe
• Koma
• Konipōpō
• Hanu paʻakikī, hanu pāpaʻu, hanu lohi a hana, ʻaʻohe hanu
• Hiamoe
• Pinpoint haumana
• Hoʻopōʻino Muscle mai ka neʻe ʻole i ka wā koma
• Nualea, luaʻi
• Ka hopu ʻana i ka hiki
• Spasms o ka ʻōpū a me nā ʻōpū o ka ʻōpū

E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole ke haʻi ʻia e Poison Control a i ʻole kahi ʻoihana mālama ola. Hana i ka hanu waha he waha inā kū ke kanaka i ka hanu.

Inā hiki, e hoʻoholo i kēia ʻike:

• Ka makahiki o ke kanaka, kaupaona, a me ke kūlana (ʻo kahi laʻana, e ala a makaala paha ke kanaka?)
• Ka inoa o ka huahana (nā mea hoʻohui a me nā ikaika, inā ʻike ʻia)
• Ka manawa ua ale ʻia
• Ua ale ʻia ka nui

Eia naʻe, mai hoʻopanee i ke kāhea ʻana i ke kōkua inā ʻaʻole loaʻa koke kēia ʻike.

Hiki ke kiʻi pololei ʻia kāu kikowaena lāʻau hoʻomake lāʻau kūloko ma ke kāhea ʻana i ka laina laina kōkua Poison Help manuahi (1-800-222-1222) mai nā wahi a pau o ʻAmelika Hui Pū ʻIa. E hoʻokuʻu kēia laina wela 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 i ʻole ka pale ʻana i ka lāʻau make. 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.

Lawe i ka ipu me ʻoe i ka haukapila, inā hiki.

E ana a 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.

E mālama ʻia nā ʻōuli ma ke kūpono. E loaʻa paha i ke kanaka:

• Lanahu i hoʻā ʻia
• Kākoʻo Airway, e like me ka oxygen, paipu hanu ma o ka waha (intubation), a me ka mīkini hanu (ventilator)
• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Pākuʻi x-ray
• EKG (electrocardiogram, a i ʻole ka huli puʻuwai)
• Nā Fluids ma o kahi aa (IV)
• Laxative
• Nā lāʻau lapaʻau e mālama ai i nā ʻōuli, me naloxone, kahi lāʻau hoʻōla e hoʻohuli i ka hopena o ka lāʻau make; pono paha nā lāʻau he nui

Aia ke ʻano o ke kanaka ma muli o ke koʻikoʻi o ka overdose a me ka wikiwiki e loaʻa ai ka lāʻau. Inā hiki ke hāʻawi ʻia i ka antagonist narcotic kūpono (ka lāʻau e pale aku i nā hopena o nā narcotics), loaʻa ka hoʻōla ʻia mai kahi overdose huikau i loko o 24 a 48 mau hola. Eia naʻe, inā ua hoʻolōʻihi ʻia kahi koma a me ka haʻalulu (hōʻino i nā ʻōnaehana o loko he nui), hiki i kahi hopena ʻoi aku ka nui.

Aronson JK. Morphine. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 1111-1127.

Nikolaides JK, Thompson TM. Opioids. 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 156.