Mea Kākau: Janice Evans
Lā O Ka Hana: 3 Iulai 2021
HōʻAno Hou I Ka Lā: 6 Malaki 2025
Anonim
Drugs in Hypertension: Diuretics – Cardiovascular Pharmacology | Lecturio
Wikiō: Drugs in Hypertension: Diuretics – Cardiovascular Pharmacology | Lecturio

Anter

Hoʻohana hoʻokahi ʻia ka hui ʻana o amiloride a me hydrochlorothiazide a i ʻole me ka hoʻohui pū ʻana me nā lāʻau ʻē aʻe e mālama i ke kiʻekiʻe o ke koko a me ka puʻuwai o ka puʻuwai i nā mea maʻi i loaʻa ka nui o ka potassium i loko o ko lākou mau kino a i ʻole nā ​​mea potassium haʻahaʻa i loko o ke kino e weliweli. ʻO Amiloride a me hydrochlorothiazide i kahi papa o nā lāʻau i kapa ʻia he diuretics ('pills wai'). Hana lākou ma o ka hoʻonāukiuki ʻana i nā puʻupaʻa i ka wai i koi ʻole ʻia a me ka paʻakai mai ke kino i ka mimi.

ʻO ke koko kiʻekiʻe kahi kūlana maʻamau a ke mālama ʻole ʻia, hiki ke hōʻeha i ka lolo, ka puʻuwai, nā kīʻaha koko, nā puʻupaʻa a me nā ʻāpana ʻē aʻe o ke kino. ʻO ka hōʻino ʻana i kēia mau ʻōpū ke kumu o ka maʻi puʻuwai, kahi puʻuwai puʻuwai, puʻuwai puʻuwai, hahau ʻana, holo pono ʻole ʻana o ka puʻuwai, nalo ʻana o ka ʻike, a me nā pilikia ʻē aʻe. Ma waho aʻe o ka lawe ʻana i ka lāʻau, kōkua ka hoʻololi ʻana i ka nohona i ke kaohi o kou kahe koko. Hoʻopili kēia mau hoʻololi i ka ʻai ʻana i ka papaʻai i haʻahaʻa i ka momona a me ka paʻakai, ka mālama ʻana i ke kaupaona olakino, hoʻoikaika kino ʻana ma ka liʻiliʻi he 30 mau minuke i ka nui o nā lā, ʻaʻole puhipaka, a me ka hoʻohana ʻana i ka wai ʻona me ke akahai.


ʻO ka hui ʻana o amiloride a me hydrochlorothiazide e hele mai ana ma ke ʻano he papa e lawe ʻia e ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā i ke kakahiaka me ka meaʻai. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka amiloride a me ka hydrochlorothiazide, e lawe a puni ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe i ka amiloride a me ka hydrochlorothiazide e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Mālama kēia lāʻau i ke kiʻekiʻe o ke koko a me ka puʻuwai o ka puʻuwai akā ʻaʻole ia e hoʻōla i kēia mau ʻano. E hoʻomau i ka amiloride a me ka hydrochlorothiazide ʻoiai inā ʻoluʻolu ʻoe. Mai hooki i ka lawe ʻana i ka amiloride a me ka hydrochlorothiazide me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i amiloride a me hydrochlorothiazide,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka amiloride, hydrochlorothiazide, sulfonamide i loaʻa nā lāʻau, kekahi lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o ka papa amiloride a me hydrochlorothiazide. E noi i kāu kauka lāʻau a nānā i ka ʻike hoʻomanawanui no kahi papa inoa o nā mea hoʻohui.
  • mai lawe i ka amiloride a me ka hydrochlorothiazide inā ʻoe e lawe ana i ka spironolactone (Aldactone, ma Aldactazide), nā lāʻau ʻē aʻe i loaʻa ka triamterene, a i ʻole nā ​​pākuʻi potassium a i ʻole nā ​​pāʻina lāʻau potassium.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, ma Lotrel), captopril (Capoten), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic) , perindopril (Aceon), quinapril (Accupril, in Accuretic), ramipril (Altace), and trandolapril (Mavik, in Tarka); angiotensin II receptor antagonists (ARB) e like me azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten, ma Teveten HCT), irbesartan (Avapro, ma Avalide), losartan (Cozaar, ma Hyzaar), olmesartan (Benicar, ma Azor, Benicar HCT), telmisartan (Micardis, ma Micardis HCT), a me valsartan (Diovan, ma Diovan HCT, Exforge); nā barbiturates e like me phenobarbital a me secobarbital (Seconal); corticosteroids e like me betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, a me nā mea ʻē aʻe), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol), prednisolone (Prelone, kekahi) (Rayos), a me triamcinolone (Aristocort, Azmacort); corticotropin (ACTH H.P., Acthar Gel); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); ka insulin a me nā lāʻau lapaʻau waha no ka maʻi kō; lithium (Lithobid); nā lāʻau no ke koko kiʻekiʻe; aiʻole nā ​​lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin, nā mea ʻē aʻe), indomethacin (Indocin), a me naproxen (Aleve, Naprosyn, a me nā mea ʻē aʻe); aiʻole tacrolimus (Astagraf XL, Prograf). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • inā ʻoe e lawe nei i ka cholestyramine a i ʻole colestipol, lawe iā lākou i hoʻokahi hola ma mua a i ʻole 4 mau hola ma hope o ka lawe ʻana i amiloride a me hydrochlorothiazide.
  • e haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi puʻuwai. E haʻi paha kāu kauka iā ʻoe mai lawe i ka amiloride a me ka hydrochlorothiazide.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi diabetes, gout, a i ʻole maʻi maʻi ate.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka amiloride a me ka hydrochlorothiazide, e kāhea koke i kāu kauka.
  • inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka amiloride a me ka hydrochlorothiazide.
  • pono ʻoe e ʻike ʻo ka amiloride a me ka hydrochlorothiazide ke kumu o ka lī ʻana, ka māmā ʻana, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe i ka amiloride a me ka hydrochlorothiazide. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna. Hiki i ka waiʻona ke hoʻohui i kēia mau hopena.

Inā kuhikuhi kāu kauka i ka paʻakai haʻahaʻa a paʻakai paʻakai paha, a i ʻole e ʻai a inu paha i hoʻonui ʻia ka nui o nā meaʻai waiwai potassium (e laʻa me ka maiʻa, nā huaʻā, nā huaʻā, a me ka wai ʻalani) i kāu papaʻai, e hāhai pono i kēia mau ʻōlelo aʻo.


E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hiki i ka Amiloride a me ka hydrochlorothiazide ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • hoʻohuhū ʻōpū
  • pāhoehoe
  • nalo ʻai ʻole
  • ʻeha ka ʻōpū
  • ʻenekini
  • ʻeha poʻo

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e ʻimi i ka lāʻau olakino olakino.

  • waha maloo; make wai; nausea; ka luaʻi; nawaliwali, luhi; hiamoe; hoʻomaha ʻole; huikau; nāwaliwali o ka mākala, ʻeha, a i ʻole nā ​​puʻupuʻu puʻuwai wikiwiki a me nā hōʻailona ʻē aʻe o ka make wai a me ke kaulike ʻole electrolyte
  • puʻuwai a i ʻole kōkō puʻuwai
  • kahe koko ʻole ʻana a palapū paha
  • melemele o ka ʻili a me nā maka
  • hūwī
  • hives
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).


E mālama i kēia lāʻau i loko o ka pahu i komo mai ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Pono e nānā pinepine i kou kaomi koko, a hana ʻia nā hoʻokolohua koko i kekahi manawa.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka amiloride a me ka hydrochlorothiazide.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • Holo-kaʻa®
  • Moduretic®

ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.

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