Methadone overdose

He mea ʻehaʻeha loa ʻo Methadone. Hoʻohana ʻia ia e mālama i ka lāʻau heroin. Hana ʻia ka Methadone overdose ke lawe hewa ʻia a manaʻo ʻole paha kekahi e ʻoi aku ma mua o ka maʻamau a i ʻole i koi ʻia i ka nui o kēia lāʻau. Hiki paha i kēia ma ke kuhi hewa a i ʻole ke kumu.

Hiki i ka Methadone overdose ke hana inā lawe kekahi i ka methadone me kekahi mau painkillers. Hoʻopili kēia mau painkillers i ka oxycontin, hydrocodone (Vicodin), a i ʻole morphine.

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 i ka Methadone ke onaona i ka nui.

Loaʻa nā lāʻau me kēia inoa inoa i ka methadone:

• Dolophine
• Methadose
• ʻO Physeptone

Loaʻa i nā lāʻau ʻē aʻe i ka methadone. Hoʻopili nā mea i luna i nā huahana methadone e ale ʻia a injected ʻia i kahi aa, mākala, a i ʻole ma lalo o ka ʻili.

Ma lalo nā ʻōuli o ka overdose methadone i nā ʻāpana like ʻole o ke kino.

NĀ MAKA, NOHO, NAHI, A ME NUI

• Nā haumāna liʻiliʻi

KUHI A ME NA INTESTINES

• Konipōpō
• ʻO Nusea a me ka luaʻi
• Spasms o ka ʻōpū a me ka ʻōpū

HEPU ME KE KOKO

• Kaomi haʻahaʻa
• Pulse nāwaliwali

LUNGS

• Nā pilikia hanu, e like me ka hanu, hana, a pāpaʻu paha
• ʻAʻohe hanu

ʻERLĀ NERVOUS

• Coma (hoʻemi i ka pae o ka ʻike a me ka nele o ka pane)
• Huikau
• Hoʻohuli manaʻo
• Puʻupuʻu
• Hiamoe
• Ka luhi
• Mīkini ʻili
• Nawaliwali

ʻIli

• Nā manamana lima polū a me nā lehelehe
• Anuanu, ʻili paʻalili

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 lāʻau (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 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 me ʻoe i ka haukapila, inā hiki.

E ana a mālama ka mea lawelawe i kāu mau hōʻailona koʻikoʻi, 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
• CT scan
• 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 nā hopena o ka methadone (kahi antidote) a mālama i nā ʻōuli ʻē aʻe
• Lanahu i hoʻā ʻia
• Laxative
• Kākoʻo hanu, me ka paipu ma o ka waha a pili i kahi mīkini hanu (ventilator)

Maikaʻi ka hilinaʻi ʻana o kekahi i ka nui o nā lāʻau make 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.

Inā hiki ke hāʻawi ʻia kahi lāʻau antidote, hoʻomaka koke ke ola ʻana mai kahi overdose. Eia nō naʻe, no ka hopena o nā hopena o methadone ma kahi o hoʻokahi lā, noho mau ke kanaka i ka haukapila i ka pō. Hiki iā lākou ke loaʻa i nā koina he nui o ka antidote.

ʻO ka poʻe e lawe ana i ka overdose nui e pau paha ka hanu ʻana. Loaʻa paha iā lākou ka hopu ʻana inā ʻaʻole loaʻa koke iā lākou ka lāʻau pale. ʻO nā kūpilikiʻi e like me ka pulumonia, ka hōʻino ʻana o nā mākala mai ka moe ʻana i ka ʻili paʻakikī no ka manawa lōʻihi, a i ʻole ka poino o ka lolo no ka nele o ka oxygen e hoʻokumu i ke kīnā mau.

Hiki i ka make ke hana i nā hihia koʻikoʻi.

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.

Kowalchuk A, Reed BC. Hoʻohana i nā maʻi. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 50.

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.