ʻO ka overdosis Hydrocodone a me acetaminophen
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ʻO Hydrocodone kahi mea hōʻeha i ka ʻohana opioid (pili i ka morphine). ʻO ka Acetaminophen kahi lāʻau lapaʻau i hoʻohana ʻia e mālama ai i ka ʻeha a me ka mumū. Hoʻohui ʻia lākou i hoʻokahi lāʻau lapaʻau e mālama ai i ka ʻeha. Hana ʻia kahi 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 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.
Hiki i nā acetaminophen a me ka hydrocodone ke hoʻopōʻino i ka nui.
ʻO Acetaminophen me ka hydrocodone ka mea pono i nā lāʻau painkillers e like me:
- Anexsia
- Anolor DH
- Norco
- ʻO Vicodin
Loaʻa pū i nā lāʻau me nā inoa ʻē aʻe ka hydrocodone a me ka acetaminophen.
ʻO nā ʻōuli o ka hydrocodone a me ka acetaminophen overdose pū kekahi:
- 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
- Coma (hoʻemi i ka pae o ka ʻike a me ka nele o ka pane)
- Huikau
- Puʻupuʻu
- Hiamoe
- Ka luhi
- ʻĀlohilohi
- Hōʻeha ke ake (mai ka overdose acetaminophen), ke kumu o ka ʻili melemele a me nā maka (jaundice)
- Ka nalowale o ka ʻike
- Kaomi haʻahaʻa
- Mīkini ʻili
- ʻO Nusea a me ka luaʻi
- Nā haumāna liʻiliʻi
- Ka hopu ʻana i nā maʻi
- Spasms o ka ʻōpū a me ka ʻōpū
- Nawaliwali
- Pulse nāwaliwali
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
- 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.
ʻO nā hoʻokolohua i hana ʻia e komo pū paha:
- Nā hoʻāʻo ʻana o ke koko a me ka mimi
- CT (kamepiula axial tomography, a i ʻole ke kiʻi kiʻekiʻe ʻana) scan o ke poʻo
- Pākuʻi x-ray
- ECG (electrocardiogram a i ʻole ka huli ʻana o ka naʻau)
Hiki ke hoʻopili ʻia i ka mālama ʻana:
- Lanahu i hoʻā ʻia
- Kākoʻo hanu, e like me ka oxygen, paipu ma o ka waha a me ka mīkini hanu (ventilator)
- Nā Fluids ma o kahi aa (e IV)
- Laxative
- ʻO ka lāʻau e hoʻohaʻahaʻa i ka pae acetaminophen i ke koko
- ʻO ka lāʻau e hoʻohuli i nā hopena o ka hydrocodone
- Tube ma ka waha i loko o ka ʻōpū e holoi i ka ʻōpū (gastric lavage), inā ʻaʻole hiki ke ale i nā lāʻau
Maikaʻi ka hilinaʻi o kekahi i ka nui o ka hydrocodone a me ka acetaminophen a lākou i ale ai 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 lāʻau o ka lāʻau e hoʻohuli i nā hopena o ka lāʻau. Hiki i nā pilikia ke kumu i ke kīnā mau. ʻO kēia mau pilikia kūpono he pneumonia, hōʻino i nā mākala mai ka moe ʻana i ka ʻili paʻakikī no kahi lōʻihi o ka manawa, ka pōʻino o ka lolo no ka nele o ka oxygen, hōʻeha a me ka maikaʻi ʻole o ka ate, a me ka hōʻino ʻana o ke ake a me ka ʻole. Inā ʻaʻohe pilikia, ʻaʻa ʻole nā hopena lōʻihi a me ka make.
Inā loaʻa ʻoe i ka lāʻau lapaʻau ma mua o ka loaʻa ʻana o nā pilikia koʻikoʻi me kou hanu ʻana, pono ʻoe i mau hopena lōʻihi loa, a hoʻi paha i ka maʻamau i loko o kekahi mau lā.
E ola paha ke kanaka i ka overdose hydrocodone a loaʻa ʻeha ʻeha ʻia mai ka ʻāpana acetaminophen o ka lāʻau, e like me ke kōpaʻa o ke akepaʻa, kahi e koi ai i kahi neʻe ʻana o ke ake.
Lorcet overdose; Lortab overdose; Overdosis ʻo Vicodin; Norco overdose
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.
Aronson JK. Paracetamol (acetaminophen) a me nā hui pū ʻana. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier; 2016: 474-493.
Hendrickson RG, McKeown NJ. ʻO Acetaminophen. 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 143.
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.