Lomotil overdose
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ʻO Lomotil kahi lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka maʻi pākī. Hana ʻia ʻo Lomotil 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 loaʻa ʻoe a i ʻole kekahi mea āu e launa pū ai, 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 free (1-800-222-1222) mai nā wahi a ʻAmelika Hui Pū ʻIa.
Loaʻa i loko o Lomotil nā lāʻau ʻelua i hiki ke hōʻeha i ka nui. O lākou:
- ʻAtropine
- Diphenoxylate (he opioid)
Loaʻa nā lāʻau me kēia inoa i ka atropine a me diphenoxylate:
- Lofene
- ʻO Logen
- Lomanate
- Lomotil
- Lonox
Loaʻa i nā lāʻau ʻē aʻe i atropine a me diphenoxylate.
Nā hōʻailona o kahi Lomotil overdose e komo pū:
- Kū mālie ka hanu ʻana, a i ʻole kū ka hanu
- Kuʻi puʻuwai (palpitations)
- Kuʻi puʻuwai wikiwiki
- Hoʻomaha a paʻa paha o ka ʻōpū
- Coma (hoʻemi i ka pae o ka ʻike, nele i ka pane ʻole)
- Konipōpō
- Ka hopu ʻana (convulsions)
- Hiamoe
- ʻO nā membrane maloʻo maloʻo i ka waha
- Hoʻololi nā maka i ka nui o nā haumāna (maliʻi, liʻiliʻi paha, a nui paha)
- Neʻe wikiwiki nā maka mai kekahi ʻaoʻao a i kekahi ʻaoʻao
- ʻIli ʻula
- Hallucination (ʻike a hoʻolohe ʻana i nā mea ʻaʻole ma laila)
- Hoʻomaha ʻole
- Pilikia urination
- ʻO ka luaʻi
Kahakaha: Hiki i nā ʻōuli ke hala i 12 mau hola e ʻikea.
E ʻimi koke i ke kōkua lapaʻau. Mai hoʻolei i kahi kanaka ke ʻole ke kāohi lāʻau ʻona a i ʻole ke kahu olakino e haʻi aku iā ʻoe.
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 ka ikaika, inā ʻike ʻia)
- Ka manawa ua ale ʻia
- Ua ale ʻia ka nui
- Inā ua kau ʻia ka lāʻau no ke kanaka
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 ʻae kēia helu hotline aupuni 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. E mālama ʻia nā ʻōuli.
ʻO nā hoʻokolohua i hana ʻia e komo pū paha:
- Pākuʻi x-ray
- ECG (electrocardiogram a i ʻole ka huli ʻana o ka naʻau)
- Nā Fluids ma o kahi aa (e IV)
- Laxative
- Lanahu i hoʻā ʻia
- ʻO ka lāʻau e hoʻohuli i ka hopena o atropine
- ʻO ka lāʻau e hoʻohuli i ka hopena o ka diphenoxylate
- Kākoʻo hanu, me ka paipu ma o ka waha a pili i kahi mīkini hanu (ventilator)
Pono paha kekahi poʻe e noho i ka haukapila e nānā ʻia.
Maikaʻi ka hilinaʻi o kekahi i ka nui o ka lāʻau i ale ʻia a me ka wikiwiki e loaʻa ai ka lāʻau. Hāʻawi ʻia ke kōkua lapaʻau wikiwiki, ʻo ka ʻoi aku ka maikaʻi o ka manawa no ka hoʻōla.
Pono paha kahi noho haukapila no ka nui o nā kaukana o nā lāʻau e hoʻohuli i nā hopena o ka lāʻau. ʻO nā kūpilikiʻi, e like me ka niumonia, hōʻino nā mākala mai ka moe ʻana i ka ʻili paʻakikī no kahi 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.
ʻO ka poʻe i loaʻa koke ka lāʻau e hoʻohuli i ka hopena o ka opioid e ʻoi aku ka maikaʻi ma waena o 24 a 48 mau hola. Eia nō naʻe, ʻaʻole hana nā keiki.
Diphenoxylate me ka overropose atropine; Atropine me ka overdosis diphenoxylate
Aronson JK. ʻAtropine. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 754-755.
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.
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.