Hoʻopiʻi nui Propoxyphene

ʻO Propoxyphene kahi lāʻau e hoʻohana ai e hōʻoluʻolu i ka ʻeha. ʻO ia kekahi o nā ʻano kemika i kapa ʻia ʻo opioids a i ʻole nā ​​opiates, i loaʻa mua ʻia mai ka lāʻau poppy a hoʻohana ʻia no ka hōʻeha ʻeha a i ʻole nā ​​hopena hōʻoluʻolu Propoxyphene overdose i ka wā e lawe ai kekahi me ka manaʻo nui ʻole a nui ʻole paha o kēia lāʻau.

Ua lawe ka US Food and Drug Administration (FDA) i kēia lāʻau mai ka mākeke i Kekemapa 2010 ma muli o ka hiki ke hoʻonāukiuki i ka haunaele o ka naʻau make.

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.

Propoxyphene

ʻO nā inoa inoa pū kekahi:

• Darvocet
• Darvon
• Darvon-N
• Dolene

Kahakaha: ʻAʻole paha piha kēia papa inoa.

Pākuʻi ʻia paha nā ʻōuli:

Nā maka, nā pepeiao, ka ihu, a me ka puʻu:

• Lohe hoʻolohe
• Pinpoint haumana

Nā moku puʻuwai a me ke koko:

• Nā haunaele puʻuwai puʻuwai
• Kaomi haʻahaʻa
• Pulse nāwaliwali

Lungs:

• Mālie ka hanu, hana, a pāpaʻu paha
• ʻAʻohe hanu

Muscle:

• Musical spasticity
• Hoʻopōʻino Muscle mai ka neʻe ʻole i ka wā koma

ʻŌnaehana hopohopo:

• Koma
• Huikau
• Hiamoe
• Ka hopu ʻana i nā maʻi

ʻIli:

• Cyanosis (nā manamana lima polū a i ʻole nā ​​lehelehe)
• Jaundice (huli melemele)
• Rash

ʻŌpū a me nā ʻōpū:

• Nualea, luaʻi
• Spasms o ka ʻōpū a me ka ʻōpū (ʻōpū 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.

Kōkua ka ʻikepili aʻe no ke kōkua pilikia:

• ʻO ka makahiki o ke kanaka, kaupaona, a me ke kūlana
• Ka inoa o ka huahana (nā mea hoʻohui a me nā 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 helu hotline 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.

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 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 e mālama ai i nā hōʻailona, ​​e like me ka naloxone, kahi lāʻau hoʻōla e hoʻohuli i nā 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.

Propoxyphene hydrochloride; Dextropropoxyphene

Aronson JK. Dextropropoxyphene. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 906-908.

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.