Mea Kākau: Virginia Floyd
Lā O Ka Hana: 14 Aukake 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Diphenoxylate/Atropine Nursing Considerations, Side Effects, and Mechanism of Action
Wikiō: Diphenoxylate/Atropine Nursing Considerations, Side Effects, and Mechanism of Action

Anter

Hoʻohana ʻia ʻo Diphenoxylate me nā ʻano lāʻau ʻē aʻe e like me ka wai a me ka electrolyte e pani ai no ka mālama ʻana i ka maʻi diarrhea. ʻAʻole pono e hāʻawi ʻia ʻo Diphenoxylate i nā keiki ma mua o 2 mau makahiki. Aia ʻo Diphenoxylate i loko o ka papa o nā lāʻau i kapa ʻia he agidiarrheal agents. Hana ia ma ka hoʻemi ʻana i ka hana o ka ʻōpū.

Hele mai ʻo Diphenoxylate ma ke ʻano he papa a me ka hopena (wai) e lawe ma ka waha. Lawe ʻia ia e like me ka mea e pono ai a 4 mau manawa i ka 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 pono i ka diphenoxylate e like me ke kuhikuhi. Mai lawe i nā mea hou aʻe a lawe pinepine paha ma mua o ka mea i kauoha ʻia e kāu kauka.

Hiki mai ka hopena waha i kahi pahu me kahi dropper kūikawā no ke ana ʻana i ka lāʻau. E noi i kāu kauka lāʻau inā he mau nīnau kāu e pili ana i ke ana ʻana i kahi lāʻau.

Pono e hoʻomaikaʻi i kāu mau hōʻailona diarrhea ma waena o 48 mau hola o ka mālama ʻana me diphenoxylate. E haʻi paha kāu kauka iā ʻoe e hōʻemi i kāu lāʻau i ka hoʻomaikaʻi ʻana o kāu mau hōʻailona. Inā hoʻomaikaʻi ʻole kāu mau ʻōuli a i ʻole ke piʻi ʻoi aku ka maikaʻi ma waena o 10 mau lā o ka mālama ʻana, e kāhea i kāu kauka a oki i ka lawe ʻana i ka diphenoxylate.


Hiki i ka Diphenoxylate ke hana maʻa. Mai lawe i kahi lāʻau nui, lawe pinepine iā ia, a i ʻole no kahi manawa lōʻihi ma mua o ka mea a kāu kauka e haʻi aku ai iā ʻoe. Hoʻohui ʻia ʻo Atropine i ka papakū diphenoxylate e hana i nā hopena ʻoluʻolu ʻole inā lawe ʻia kēia lāʻau i nā lāʻau kiʻekiʻe ma mua o ka mea i ʻōlelo ʻia.

Kuhi 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 ka diphenoxylate,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka diphenoxylate, atropine, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea ʻē aʻe ʻē aʻe i ka papaha diphenoxylate a i ʻole ka hopena. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • 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 ʻōlelo pono i kekahi o kēia mau mea: nā lāʻau i loaʻa ka wai ʻona (Nyquil, elixirs, a me nā mea ʻē aʻe); antihistamines; cyclobenzaprine (Amrix); nā barbiturates e like me pentobarbital (Nembutal), phenobarbital, a i ʻole secobarbital (Seconal); nā benzodiazepines e like me alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), and triaz; buspirone; nā lāʻau no ka maʻi noʻonoʻo; nā mea hoʻomaha nāʻiʻo; nā lāʻau i loaʻa i ka opioid e like me meperidine (Demerol); nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers. E haʻi aku i kāu kauka a kauka paha inā ʻoe e lawe nei i nā lāʻau aʻe a i ʻole ua oki ka lawe ʻana iā lākou i loko o nā pule ʻelua i hala iho nei: monoamine oxidase (MAO) mea kāohi e like me isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) a i ʻole tranylcypromine (Parnate). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me diphenoxylate, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa.
  • e haʻi i kāu kauka inā he jaundice (melemele o ka ʻili a i ʻole nā ​​maka i hoʻokumu ʻia e nā pilikia o ke ake); maʻi hū koko; diarrhea me kahi kuni, mucus i kāu pahu, a i ʻole nā ​​ʻōpū o ka ʻōpū, ʻeha, a ʻōhū paha. aiʻole diarrhea e kū i ka wā a ma hope paha o ka lawe ʻana i nā lāʻau ʻaloʻalo. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka diphenoxylate.
  • e haʻi i kāu kauka inā loaʻa ʻoe i Down Syndrome (kahi ʻano hoʻoilina e hoʻokumu ana i kahi pilikia o ka ulu a me nā pilikia o ke kino), a inā i loaʻa iā ʻoe a ua loaʻa paha iā ʻoe i kahi colitis ulcerative (kahi ʻano e hoʻoulu ai a me nā ʻeha i ka uhi o ke kolona a me ke kiko), ke akepaʻa, a i ʻole nā ​​maʻi hakuʻala.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka diphenoxylate, e kāhea i kāu kauka.
  • ma mua o ke kāpili ʻana, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho ʻo ʻoe ke lawe nei i kēia lāʻau.
  • pono ʻoe e ʻike i kēia lāʻau hiki ke hiamoe a hoʻoluhi. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā mea inu ʻona ʻoiai ʻoe e lawe nei i ka diphenoxylate. Hiki i ka waiʻona ke hana i nā hopena ʻino mai diphenoxylate i ʻoi aku ka maikaʻi.

E mālama pono i nā ʻōlelo papaʻai āpau i hana ʻia e kāu kauka. Inu nui i nā wai maopopo e pani i nā wai i nalowale ke loaʻa nei ka maʻi pākī.


Inā ʻoe e lawe i nā lāʻau i hoʻopaʻa ʻia o diphenoxylate, e lawe i ka lāʻau i hala i kou hoʻomanaʻo ʻana iā ia. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i ka papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

  • nausea
  • ka luaʻi
  • nalo ʻai ʻole
  • ʻeha poʻo
  • hoʻomaha ʻole
  • luhi
  • huikau
  • loli i ke ʻano
  • hōʻoluʻolu o ka ʻōpū

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino pilikia.

  • ʻōlohelohe i nā lima a me nā wāwae
  • ʻeha mau e hoʻomaka i ka wahi o ka ʻōpū akā e pālahalaha paha i ka hope
  • ʻōpū ʻōpū
  • pokole o ka hanu
  • hives
  • hūwī
  • ʻūlili
  • ka pehu o nā maka, ka maka, ke elelo, nā lehelehe, ka naue, ka waha, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • pilikia i ka ale ʻana a me ka hanu ʻana
  • hulahula
  • ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole

Hiki i ka Diphenoxylate ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.


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 ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela a mai ka nui o ka wela a me ka makū (ʻaʻole i loko o ka lua) a me nā kukui. E hoʻolei i nā hāʻina i koe 90 mau lā ma hope o ka wehe ʻana o ka ʻōmole.

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

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.

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.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • fiva, puʻuwai wikiwiki, hoʻemi i ka urination, kaomi ʻana, ka maloʻo o ka ʻili, ka ihu, a me ka waha
  • maloʻo o ka ʻili, ihu, a waha paha
  • nā loli i ka nui o nā haumāna (ʻeleʻele i ka waena o nā maka)
  • neʻe ʻole o ka maka o ka maka
  • hoʻomaha ʻole
  • ʻōhinu
  • fiva
  • kuʻi ka puʻuwai wikiwiki
  • hoʻemi i nā reflexes
  • luhi nui loa
  • paʻakikī i ka hanu ʻana
  • nalowale o ka ʻike
  • ka hopu ʻana
  • paʻakikī e ʻōlelo
  • ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole

Mālama i nā manawa āpau me kāu kauka.

Ma mua o ka hoʻāʻo ʻana o kahi keʻena hoʻokolohua (ʻo ia hoʻi nā mea e pili ana i ka polū methylene), e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i diphenoxylate.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. ʻO Diphenoxylate kahi mea i kāohi ʻia. Hiki ke hoʻopiha hou ʻia nā kuhikuhi ma nā helu kau palena wale nō; e noi i kāu kauka lāʻau inā he nīnau kāu.

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.

  • Colonaid® (i loaʻa Atropine, Diphenoxylate)
  • Di-Atro® (i loaʻa Atropine, Diphenoxylate)
  • Lo-Trol® (i loaʻa Atropine, Diphenoxylate)
  • ʻO Logen® (i loaʻa Atropine, Diphenoxylate)
  • Lomanate® (i loaʻa Atropine, Diphenoxylate)
  • Lomotil® (i loaʻa Atropine, Diphenoxylate)
  • Lonox® (i loaʻa Atropine, Diphenoxylate)
  • Low-Quel® (i loaʻa Atropine, Diphenoxylate)

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

Nānā Hou - 04/15/2018

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