ʻOhana nui ʻo Hydromorphone

ʻO Hydromorphone kahi lāʻau lapaʻau i hoʻohana ʻia e hōʻoluʻolu i ka ʻehaʻeha loa. Hana ʻia ka Hydromorphone overdose ke lawe kekahi i nā mea ʻoi aku ma mua o ka maʻamau a i ʻole i koi ʻia no 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.

ʻO Hydromorphone kahi ʻano morphine. ʻO Hydromorphone kahi narcotic opioid, ʻo ia hoʻi he lāʻau ikaika loa ia e hiki ai ke hiamoe loa.

ʻAʻole pono ka poʻe e lawe i ka hydromorphone no ka ʻeha i ka wai ʻona. ʻO ka hoʻohui ʻana i ka waiʻona me kēia lāʻau e hoʻonui ai i ka manawa kūpono no nā hopena ʻino weliweli a me nā hōʻailona overdose.

Loaʻa nā lāʻau me kēia mau inoa i ka hydromorphone:

• Dilaudid
• ʻO Hydrostat
• ʻO Exalgo

Loaʻa i nā lāʻau ʻē aʻe kahi hydromorphone.

Nā hōʻailona o kahi overdosis hydromorphone e komo pū:

• Nā manamana lima a me nā lehelehe waihoʻoluʻu polū
• Nā pilikia hanu, me ka hanu mālie a me ka hana ʻana, ka hanu papau, a ʻaʻohe hanu
• Anuanu, ʻili paʻalili
• Mahana haʻahaʻa kino
• Koma
• Huikau
• Konipōpō
• Puʻupuʻu
• Hiamoe
• Ka luhi
• Kahe ʻana o ka ʻili
• Kāwili
• ʻĀlohilohi
• Ka nalowale o ka ʻike
• Kaomi haʻahaʻa
• Mīkini ʻili
• ʻO Nusea a me ka luaʻi
• Pinpoint haumana
• Spasms o ka ʻōpū a me ka ʻōpū
• Nawaliwali
• Pulse nāwaliwali

ʻLelo Aʻo: Hiki i kahi overdose koʻikoʻi o hydromorphone ke make i ka make.

Hiki i kēia ke lilo i kahi overdose koʻikoʻi. E ʻimi koke i ke kōkua lapaʻau.

E hoʻomākaukau i kēia ʻike:

• 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 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 ʻaole 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 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.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā hoʻāʻo ʻana o ke koko a me ka mimi
• Pākuʻi x-ray
• CT scan (kamepiula tomography a i ʻole ke kiʻi holomua)
• ECG (electrocardiogram, a i ʻole ka huli puʻuwai)

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• Nā Fluids ma o kahi aa (e IV)
• ʻO ka lāʻau e hoʻohuli i ka hopena o ka hydromorphone 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)

ʻO ka poʻe i loaʻa koke ka lāʻau (i kapa ʻia he antidote) e hoʻohuli i ka hopena o ka hydromorphone hiki ke hoʻōla i loko o 1 a 4 mau hola. Pono paha lākou e noho i ka haukapila no ka nui o nā lāʻau o ka antidote.

ʻO nā pilikia e like me ka pulumonia, ka hōʻino ʻana o nā mākala mai ka moe ʻana ma luna o kahi ʻāpana paʻakikī no ka manawa lōʻihi, a i ʻole ka poino o ka lolo no ka nele o ka oxygen e hopena ai i ke kīnā mau. Eia nō naʻe, ke ʻole he pilikia, ʻaʻohe loaʻa nā hopena lōʻihi a me ka make.

Aronson JK. ʻO nā agonists receptor opioid. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 348-380.

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.