ʻO ka overdose o Cardiac glycoside

ʻO Cardiac glycosides nā lāʻau no ka mālama ʻana i ka puʻuwai puʻuwai a me kekahi puʻuwai puʻuwai ʻole. ʻO lākou kekahi o nā papa o nā lāʻau i hoʻohana ʻia e mālama i ka puʻuwai a me nā kūlana e pili ana. ʻO kēia mau lāʻau ke kumu maʻamau o ka lāʻau make.

Hana ʻia ka Cardiac glycoside overdose ke lawe kekahi i nā mea i ʻoi aku ma mua o ka maʻamau a i ʻole ka papa kuhikuhi o kēia lāʻau. Hiki paha i kēia ma ke kuhi hewa a i ʻole ke kumu.

Loaʻa nā glycosides Cardiac i kekahi mau mea kanu, me nā lau o ka digitalis (foxglove) mea kanu. ʻO kēia mea kanu ke kumu kumu o kēia lāʻau. ʻO ka poʻe e ʻai i ka nui o kēia mau lau e hoʻomohala i nā hōʻailona o kahi overdose.

Hiki ke loaʻa ka lāʻau make lōʻihi (wā lōʻihi) i ka poʻe e lawe i nā glycosides cardiac i kēlā me kēia lā. Hiki i kēia ke hana inā hoʻomohala kekahi i nā pilikia o ka puʻupaʻa a i ʻole maloʻo loa (ʻo ia hoʻi i nā mahina kauwela wela). Kū pinepine kēia pilikia i ka poʻe kahiko.

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 Cardiac glycoside kahi kemika i loaʻa nā hopena ma ka puʻuwai, ʻōpū, ʻōpū, a me nā ʻōnaehana. ʻO ia ka mea hana i nā lāʻau naʻau like ʻole. Hiki ke onaona inā lawe ʻia i ka nui.

Loaʻa ka lāʻau digoxin i nā glycosides puʻuwai.

Ma waho aʻe o ka mea kanu foxglove, kūlohelohe pū kekahi nā glycosides cardiac i nā mea kanu e like me Lily-of-the-Valley a me oleander, i waena o kekahi mau mea ʻē aʻe.

Maopopo ʻole paha nā ʻōuli, keu hoʻi i ka poʻe kahiko.

Kū paha lākou i nā ʻāpana like ʻole o ke kino. ʻO nā mea me ka asterisk ( *) e pili ana iā lākou e hana maʻamau i nā overdosis mau.

NĀ MAKA, NOHO, NAHI, A ME NUI

• ʻIke makapō
• Halos puni nā mea (melemele, ʻōmaʻomaʻo, keʻokeʻo) *

ʻIli

• ʻO ka hopena āpau, e like me ka hiki iā Stevens-Johnson Syndrome (hōʻeleu nui a paʻakikī i ka ale ʻana a me ka hanu ʻana)
• ʻO Hives
• Rash

KUHI A ME NA INTESTINES

• Pohā
• Ka nele o ka makemake *
• ʻO Nusea a me ka luaʻi
• ʻEha ʻeha

HEPU ME KE KOKO

• Kuʻi puʻuwai kūlike ʻole (ai ʻole kuʻi puʻuwai lohi)
• Pākuʻi (haʻahaʻa haʻahaʻa haʻahaʻa)
• Nawaliwali

ʻERLĀ NERVOUS

• Huikau
• Kaumaha *
• Hiamoe
• Mauleʻa
• Haleluia *
• ʻEha poʻo
• Lethargy a nāwaliwali paha

OLA MENTAL

• Apathy (ʻaʻole nānā i kekahi mea)

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 huahana (a me ka 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 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.

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 lāʻau, ka hanu ʻana, 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:

• Nā wai kūpikipiki (hāʻawi ʻia ma o ke aa)
• Lapaʻau e mālama i nā ʻōuli, e like me kahi antidote (ʻaoʻao hoʻokahuli)
• Lanahu i hoʻā ʻia
• Laxatives
• Pacemaker no ka puʻuwai no nā haunaele o ka puʻuwai koʻikoʻi
• Kākoʻo hanu, me ka paipu ma o ka waha i loko o nā akemāmā a pili i kahi mīkini hanu (ventilator)
• ʻO ka dialysis kidney (mīkini kidney) ma nā hihia koʻikoʻi

Hiki i ka hoʻohaʻahaʻa o ka naʻau a me nā haunaele o ka puʻuwai ke hana i nā hopena maikaʻi ʻole. Hiki i ka make ke hana, keu hoʻi i nā keiki ʻōpio a me nā mākua makua. Pilikia paha ka poʻe ʻelemākule i nā pilikia o ka lāʻau līlū cardiac glycoside lōʻihi.

Digoxin overdosis; ʻO Digitoxin overdose; Lanoxin overdose; Overdose o Purgoxin; Overdose Allocar; Overdosis o Corramedan; Hoʻopiʻi nui crystodigin

Aronson JK. ʻO Cardiac glycosides. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 117-157.

ʻO Cole JB. Nā lāʻau Cardiovascular. 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 147.