Dilantin overdose

ʻO Dilantin kahi lāʻau i hoʻohana ʻia e pale aku ai i ka hopu ʻana i nā maʻi. Hana ʻia ka overdose ke lawe kekahi i nā mea 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.

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 hōʻeha ʻo Dilantin i ka nui.

ʻO Dilantin ka inoa inoa o phenytoin.

ʻOkoʻa nā ʻōuli o kahi Dilantin overdose. Pākuʻi ʻia lākou:

• Koma
• Huikau
• Ke hele wāwae a hele wāwae paha (hōʻailona mua)
• Unsteadiness, uncoordinated neʻe (hōʻailona mua)
• Involuntary, jerky, neʻe hou ʻana o nā maka maka i kapa ʻia ʻo nystagmus (hōʻailona mua)
• Ka hopu ʻana i nā maʻi
• Tremor (kaohi ʻole, hoʻoluliluli pinepine o nā lima a me nā wāwae)
• Hiamoe
• ʻ .lelo lohi a lohi paha
• Lethargy
• Kaomi haʻahaʻa
• ʻO Nusea a me ka luaʻi
• Gums pehu
• Fever (pohihihi)
• Pā ʻoi loa ka ʻili (kakaʻī)
• Pāloli a kuʻi ʻole paha ka puʻuwai (ʻo ka mea maʻamau ke lawe ʻia me ke aniani, e like me ka haukapila)
• ʻO ka pehu ʻana a me ka hoʻomaʻemaʻe purolish o ka lima (ke lawe wale ʻia me ke aniani, e like me ka haukapila)

E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i ke kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole ke kahu olakino e ʻōlelo ai iā ʻoe.

E hoʻomākaukau 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 ka ikaika, inā ʻike ʻia)
• Ka manawa ua ale ʻia
• Ua ale ʻia ka nui
• Inā ua kau ʻia ka lāʻau no ke kanaka

Mai hoʻopaneʻe i ke kāhea ʻana i ke kōkua inā ʻaʻohe loaʻa 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 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 i ka haukapila me ʻoe, 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
• CT scan
• ECG (electrocardiogram, hoʻoliʻiliʻi naʻau)

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Nā Fluids ma o kahi aa (e IV)
• ʻO ka lāʻau e hoʻohuli i nā hopena o ka lāʻau a mālama i nā ʻōuli
• Lanahu i hoʻā ʻia
• Laxative
• Kākoʻo hanu, me ka paipu ma o ka waha i loko o nā akemāmā a pili i kahi mīkini hanu (ventilator)

Aia ka nānā i ka nui o ka overdose:

• Hoʻohaʻahaʻa haʻahaʻa - ʻO ke kākoʻo wale nō ke kākoʻo e pono ai. Loaʻa paha ka hoʻōla.
• Overdose kaulike - Me ka lapaʻau kūpono, hana pinepine ke kanaka i kahi ola hou i loko o 24 a 48 mau hola.
• Overdose koʻikoʻi - Inā ʻaʻole i ʻike ke kanaka a i ʻole he hōʻailona koʻikoʻi koʻikoʻi kona, e pono ai nā lāʻau hoʻomāinoino nui aku. 3 a 5 mau lā paha ma mua o ka ʻike o ke kanaka. ʻO nā kūpilikiʻi e like me ka pulumonia, ka hōʻino ʻana o nā mākala mai ka moe ʻana i ka ʻili paʻakikī no kekahi manawa lōʻihi, a i ʻole ka poino o ka lolo no ka nele o ka oxygen e hoʻokumu i ke kīnā mau. Eia nō naʻe, ke ʻole he pilikia, ʻike ʻole ʻia nā hopena wā lōʻihi a me ka make. Inā kū ka make, mai ka holo pono ole o ke ake.

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.

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.