Hoʻokō nui Phenytoin
ʻO Phenytoin kahi lāʻau i hoʻohana ʻia e mālama ai i ka haunaele a me ka hopu ʻana. Hana ʻia ʻo Phenytoin overdose ke hana hewa a manaʻo ʻole paha kekahi i ka nui o kēia lāʻau.
ʻO kēia no ka ʻike wale nō a ʻaʻole no ka hoʻohana ʻana i ka mālama a mālama ʻana paha i kahi overdose maoli. 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.
Diphenylhydantoin
ʻO Phenytoin ka inoa laulā o nā lāʻau e like me:
- ʻO Cerebyx
- Dilantin
- Dilantin-125
- ʻO Phenytek
ʻAʻole paha piha kēia papa inoa.
Hiki i nā ʻōuli o ka phenytoin overdose ke hoʻopili pū ʻia:
- Koma
- Huikau
- Ka hopu ʻana (i kekahi manawa)
- Puʻupuʻu
- Fiva
- Kaomi haʻahaʻa
- Pākuʻi ka mākala a i ʻole nā spasms
- Hiamoe
- ʻO ka neʻe ʻana o ka maka ʻaoʻao a ʻaoʻao (nystagmus)
- ʻLelo lohi
- Gums pehu
- Tremor (haʻalulu ʻole)
- Kūmau ʻole
Kōkua ka ʻikepili aʻe no ke kōkua pilikia:
- ʻO ka makahiki o ke kanaka, kaupaona, a me ke kūlana
- Ka inoa o ka huahana (a me nā mea hoʻohui a me ka ikaika inā ʻike ʻia)
- Ka manawa i ale ʻia
- Ua ale ʻia ka nui
- Inā ua kau ʻia ka lāʻau no ke kanaka
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 pū i ka ipu pila iā 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 hana ʻia nā hoʻokolohua koko e nānā i nā pae phenytoin. E mālama ʻia nā ʻōuli ma ke kūpono. E loaʻa paha i ke kanaka:
- Lanahu i hoʻā ʻia
- Kākoʻo Airway, me ka oxygen, kaomi hanu ma o ka waha (intubation), a me ka ventilator (mīkini hanu)
- Nā hoʻāʻo ʻana o ke koko a me ka mimi
- Pākuʻi x-ray
- ECG (electrocardiogram, a i ʻole ka huli puʻuwai)
- Nā Fluids ma o ke aa (intravenous a i ʻole IV)
- Laxative
- Nā lāʻau lapaʻau e mālama ai i nā ʻōuli
Aia ke ʻano o ke kanaka ma muli o ke koʻikoʻi o ka overdose a me ka wikiwiki e loaʻa ai ka lāʻau. Inā ua hoʻolōʻihi ʻia kahi koma a me ka haʻalulu (hōʻino i nā ʻōnaehana o loko he nui), hiki i kahi hopena ʻoi aku ke koʻikoʻi.
Diphenylhydantoin
Aronson JK. ʻO Phenytoin a me fosphenytoin. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 709-718.
Pollack CV, Merino FT. Ka hopu ʻana i nā maʻi. 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 15.