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USMLE-Rx: Theophylline overdose
Wikiō: USMLE-Rx: Theophylline overdose

ʻO Aminophylline a me theophylline nā lāʻau i hoʻohana ʻia e mālama ai i nā maʻi o ka maʻi e like me ka hānō. Kōkua lākou i ka pale ʻana a me ka mālama ʻana i nā pilikia o ka hanu ʻana a me nā pilikia hanu ʻē aʻe, e like me ka pilikia o ka hanu e pili ana i ka hānau mua ʻana. Hana ʻia ʻo Aminophylline a i ʻole theophylline overdose ke lawe kekahi i nā mea i ʻoi aku i ka maʻamau a i ʻole i koi ʻia o kēia mau lāʻau. Hiki paha i kēia ma ke kuhi hewa a i ʻole ke kumu.

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 mea paha āu me kahi overdose, 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 manuahi (1-800-222-1222) mai nā wahi a ʻAmelika Hui Pū ʻIa.

Hiki ke ʻona ʻo Aminophylline a me theophylline i nā kaona nui.

ʻIke ʻia ʻo Aminophylline a me theophylline i nā lāʻau lapaʻau e mālama ai i nā maʻi o ka maʻi e like me:

  • Asthma
  • ʻO Bronchitis
  • Emphysema
  • COPD (maʻi pulmonary ākea ākea)

Loaʻa i nā huahana ʻē aʻe i ka aminophylline a me theophylline.


ʻO nā hōʻailona hoʻoweliweli loa i ke ola o ka theophylline overdose ka hopu a me nā haunaele i ka puʻuwai puʻuwai.

Pākuʻi ʻia paha nā ʻōuli i nā mākua:

KUHI A ME NA INTESTINES

  • Hoʻonui i ka makemake
  • Hoʻonui wai make wai
  • Nusea
  • ʻO ka luaʻi (me ke koko paha)

HEPU ME KE KOKO

  • Ke koko kiʻekiʻe a haʻahaʻa paha
  • Paʻi kuʻi ʻole
  • Helu puʻuwai wikiwiki
  • Kuʻi puʻuwai (palpitations)

LUNGS

  • Pilikia hanu

MUSCLES A HUI

  • ʻO ke kuʻi ʻana o ka mākala a me ka cramping

ʻERLĀ NERVOUS

  • Nā neʻe maʻamau
  • Manaʻo huikau, hoʻoholo maikaʻi ʻole a me ka hoʻonāukiuki (psychosis ke koʻikoʻi loa)
  • Convulsions (hopu 'ia)
  • Puʻupuʻu
  • Fiva
  • ʻEha poʻo
  • Huhū, hoʻomaha ʻole
  • Hoʻoulu
  • Pilikia hiamoe

Pākuʻi ʻia paha nā ʻōuli i nā pēpē:

KUHI A ME NA INTESTINES

  • Nusea
  • ʻO ka luaʻi

HEPU ME KE KOKO


  • Paʻi kuʻi ʻole
  • Kaomi haʻahaʻa
  • Kuʻi puʻuwai wikiwiki
  • Pāhaʻi

LUNGS

  • Wikiwiki, hanu hohonu

MUSCLES A HUI

  • Pākuʻi kaʻiʻo
  • Pākuʻi

ʻERLĀ NERVOUS

  • Convulsions (hopu 'ia)
  • Huhū
  • Nā haʻalulu

E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i ke kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole kahi mea mālama ola e ʻōlelo iā ʻoe e hana pēlā.

E hoʻomākaukau i kēia ʻike:

  • Ka makahiki o ke kanaka, kaupaona, a me ke kūlana
  • Ka inoa o ka lāʻau (nā mea hoʻohui a me nā ikaika, inā ʻike ʻia)
  • Ka manawa ua ale ʻia
  • Ua ale ʻia ka nui

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 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 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 hāʻawi i nā hōʻailona koʻikoʻi o ke kanaka, e like me ka mahana, ka pālū, ka hanu 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, a i ʻole ka huli puʻuwai)

Hiki ke hoʻopili ʻia i ka mālama ʻana:

  • Lanahu i hoʻā ʻia
  • Nā wai kūpikipiki (hāʻawi ʻia ma o ke aa)
  • Laxative
  • Lapaʻau e mālama i nā ʻōuli
  • E pīhoihoi i ka puʻuwai, no nā haunaele puʻuwai koʻikoʻi
  • Kākoʻo hanu, me ka paipu ma o ka waha i loko o nā akemāmā a pili i kahi mīkini hanu
  • Dialysis (mīkini hakuʻala), i nā hihia koʻikoʻi

He paʻakikī paha ke kāohi i nā kuʻi a me nā puʻuwai kūlike ʻole. Kū paha kekahi mau ʻōuli i 12 mau hola ma hope o ka overdose.

Hiki i ka make ke hana me nā overdosis nui, keu hoʻi i ka poʻe ʻōpio a makua paha.

ʻO ke kumu lāʻau Theophylline; Xanthine overdose

Aronson JK. ʻO Theophylline a me nā mea hoʻohui like. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 813-831.

Aronson JK. Xanthines. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 530-531.

Meehan TJ. Hele i ka mea maʻi ʻona. 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 139.

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