Mea Kākau: Clyde Lopez
Lā O Ka Hana: 25 Iulai 2021
HōʻAno Hou I Ka Lā: 23 Iune 2024
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How to Apply & Remove Transdermal Patch (Fentanyl) | Medication Administration for Nursing Students
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Hoʻohana ʻia nā pālua Nitroglycerin transdermal e pale i nā ʻāpana o ka angina (ʻeha o ka umauma) i ka poʻe i loaʻa i nā maʻi o ke aʻa koko (hoʻoliʻiliʻi o nā kīʻaha koko e hāʻawi i ke koko i ka naʻau) Hiki ke hoʻohana wale ʻia nā pālua Nitroglycerin transdermal i mea e pale aku ai i ka hōʻeha o ka angina; ʻaʻole hiki iā lākou ke hoʻohana i ka hōʻeha i ka angina ke hoʻomaka ia. Aia ʻo Nitroglycerin i kahi papa o nā lāʻau i kapa ʻia vasodilators. Hana ia ma ka hoʻomaha ʻana i nā kīʻaha koko i mea e pono ʻole ai ka puʻuwai e hana ʻoʻoleʻa a no laila ʻaʻole pono ka nui o ka oxygen.

Hele mai ʻo Transdermal nitroglycerin ma ke ʻano he patch e hoʻopili i ka ʻili. Hoʻohana pinepine ia i hoʻokahi manawa i ka lā, komo no 12 a 14 mau hola, a laila hemo. E noi i nā pā nitroglycerin ma kahi o 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. E hoʻohana pono i nā pālolo nitroglycerin e like me ke kuhikuhi. Mai hoʻopili i nā pākuʻi ʻoi aku a ʻoi paha a i ʻole hoʻopili i nā pākuʻi ma mua o ka mea i kauoha ʻia e kāu kauka.


Koho i kahi ma luna o kou kino o luna a i ʻole nā ​​lima luna e hoʻopili i kāu pāʻā. Mai hoʻopili i ka pale i kou mau lima ma lalo o nā kuʻekuʻe, i kou mau wāwae ma lalo o nā kuli, a i ʻole nā ​​ʻili pelu. Hoʻopili i ka pale e hoʻomaʻemaʻe, maloʻo, ʻili lauoho ʻole i hoʻonāukiuki ʻia, ʻili ʻia, puhi ʻia, wāwahi ʻia, a i ʻole calloused. Koho i kahi ʻokoʻa i kēlā me kēia lā.

Hiki paha iā ʻoe ke ʻauʻau ʻoiai ke ʻaʻa nei i ka ʻili nitroglycerin.

Inā hoʻokuʻu a hāʻule paha kahi pāʻā, e pani iā ​​ia me kahi mea hou.

E hoʻohana ai i nā pāhono nitroglycerin, e hāhai i nā ʻanuʻu ma lalo. Hiki ke hoʻopili ʻia i nā ʻāpana like ʻole o nā pā nitroglycerin i nā ʻano ʻokoʻa iki, no laila e mālama pono i nā kuhikuhi i hoʻopili ʻia me kāu mau pāʻina.

  1. E holoi i kou mau lima.
  2. E paʻa i ka pā i mua i ke alo o ke ea.
  3. Kulou i nā ʻaoʻao o ka pā mai ʻoe a laila iā ʻoe a hiki i kou lohe ʻana i kahi paʻi.
  4. Peel i kekahi ʻaoʻao o ke kākoʻo lula.
  5. E hoʻohana i ka ʻaoʻao ʻē aʻe o ka patch ma ke ʻano he ʻau, a hoʻopili i ka lāʻau i ka hapalua o kou ʻili i kahi āu i koho ai.
  6. E kaomi i ka ʻaoʻao pipili o ka palaka i ka ʻili a hoʻomālie iā ia.
  7. Pelu aku i kekahi ʻaoʻao o ka pā. Paʻa i ke koena o ke kākoʻo ʻula i hoʻohana ʻia a huki iā ia e huki i ka ʻili i ka ʻili.
  8. E holoi hou i kou mau lima.
  9. Ke mākaukau ʻoe e hemo i ka palaki, kaomi i lalo ma kona kikowaena e hāpai i nā kihi mai ka ʻili.
  10. E hoʻopaʻa mālie i ka lihi a ʻili mālie i ka ʻili mai ka ʻili.
  11. E pelu i ka pā i ka hapalua me ka ʻaoʻao pipili i kaomi ʻia a kāpae pono iā ia me ka palekana, i hiki ʻole i nā keiki a me nā holoholona. Loaʻa i ka patch i hoʻohana ʻia nā lāʻau lapaʻau hana i hiki ke hōʻeha i nā poʻe ʻē aʻe.
  12. E holoi i ka ʻili i uhi ʻia me ka pā me ke kopa a me ka wai. ʻUlaʻula paha ka ʻili a mahana paha no ka manawa pōkole. Hiki paha iā ʻoe ke noi i ka lotion inā maloʻo ka ʻili, a pono ʻoe e kāhea i kāu kauka inā ʻaʻole e hele ka ʻulaʻula ma hope o kahi manawa pōkole.

ʻAʻole e hana hou nā pālolo Nitroglycerin ma hope o kāu hoʻohana ʻana iā lākou no kekahi manawa. I mea e pale aku ai i kēia, e ʻōlelo paha kāu kauka iā ʻoe e ʻaʻale i kēlā me kēia pale no 12 a 14 mau hola wale nō i kēlā me kēia lā i loaʻa i kahi manawa ke hōʻike ʻole ʻia ʻoe i ka nitroglycerin i kēlā me kēia lā. Inā pinepine pinepine kāu hōʻeha angina, ʻoi aku ka lōʻihi, a i ʻoi aku paha ke koʻikoʻi i kēlā me kēia manawa i kāu wā e lapaʻau ai, e kāhea i kāu kauka.


Kōkua nā pale Nitroglycerin i ka pale ʻana i ka angina akā ʻaʻole hoʻōla i ka maʻi coronary artery. E hoʻomau i ka hoʻohana ʻana i nā pā nitroglycerin ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka hoʻohana ʻana i nā pā nitroglycerin me ke kamaʻilio ʻole ʻana me kāu kauka.

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

Ma mua o ka hoʻohana ʻana i nā pā nitroglycerin,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i nā patch nitroglycerin, papa, ʻehu, a hamo paha; nā lāʻau lapaʻau ʻē aʻe; mea hoʻopili a i ʻole kekahi o nā mea hoʻohui i nā palaka ʻili nitroglycerin. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka inā e lawe ana ʻoe i riociguat (Adempas) a i ʻole inā lawe ʻoe i kahi mea hōʻoki phosphodiesterase (PDE-5) e like me avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), a vardenafil (Levitra, Staxyn). E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i nā pā nitroglycerin inā ʻoe e lawe i kekahi o kēia mau lāʻau.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E haʻi pono i kekahi o kēia mau mea: aspirin; beta blockers e like me atenolol (Tenormin), carteolol, labetalol (Trandate), metoprolol (Lopressor), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), a me timolol; nā poloka kalipuna e like me amlodipine (Norvasc), diltiazem (Cardizem), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Procardia), a me verapamil (Calan, Isoptin); nā lāʻau lapaʻau ergot-type e like me bromocriptine (Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot), methylergonovine (Methergine), methysergide (Sansert) Permax); nā lāʻau no ke koko kiʻekiʻe, ka puʻuwai puʻuwai, a i ʻole ka puʻuwai puʻuwai ʻole. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā manaʻo ʻoe ua make wai ʻoe, inā ua loaʻa koke ʻoe i kahi puʻuwai puʻuwai, a inā ʻoe i loaʻa a i ʻole loaʻa ʻole i kahi puʻuwai puʻuwai, ke koko haʻahaʻa, a i ʻole hypertrophic cardiomyopathy (ka mānoanoa o ka puʻuwai puʻuwai).
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i nā pā nitroglycerin, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i nā pā nitroglycerin.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i nā pākuʻi ʻili nitroglycerin. Hiki i ka waiʻona ke hana i nā hopena ʻino mai nā patch nitroglycerin i ʻoi aku ka maikaʻi.
  • pono ʻoe e ʻike i ka pā ʻana o nā pā nitroglycerin i ka poniuniu, uila, a maule hoʻi ke ala koke ʻoe mai kahi kūlana wahaheʻe, a i ʻole i kēlā me kēia manawa, keu hoʻi inā inu ʻoe i nā inu ʻona I mea e hōʻalo ai i kēia pilikia, e ala mālie, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna. E mālama i nā akaʻi e hōʻalo i ka hāʻule ʻana i ka wā o kāu mālama ʻana me nā patch nitroglycerin.
  • pono ʻoe e ʻike hiki iā ʻoe ke ʻike i ka hōʻeha poʻo i kēlā me kēia lā i kāu mālama ʻana me nā patch nitroglycerin. He hōʻailona paha kēia mau poʻo poʻo i ka hana ʻana o ka lāʻau e like me ka mea e pono ai. Mai hoʻāʻo e hoʻololi i nā manawa a i ʻole ke ala e hoʻopili ai i nā pā nitroglycerin e hōʻalo ai i ka maʻi poʻo no ka mea a laila ʻaʻole holo pono paha ka lāʻau. E haʻi paha kāu kauka iā ʻoe e lawe i kahi mea hōʻoluʻolu ʻeha e mālama ai i kou ʻeha poʻo.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.


E noi i ka pākuʻi i hala ke hoʻomanaʻo ʻoe iā ia. Inā kokoke i ka manawa e noi i kāu pākuʻi aʻe, e lele i ka pāleo nalo a hoʻomau i kāu papa hana maʻamau. Wehe i kāu kāpili i kāu manawa i hoʻonohonoho pinepine ʻia inā ʻoe e noi ma hope ma mua o ka maʻamau. Mai hoʻopili i nā pālua i mea e make ai kahi mahele lāʻau i hala.

Hiki i nā paukū Nitroglycerin ke hopena i nā hopena ʻaoʻao. E haʻi i kāu kauka inā loaʻa kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻĀina KĀNĀWAI ʻino a mai hele aku paha:

  • ʻulaʻula a i ʻole huhū paha o ka ʻili i uhi ʻia e ka palaki
  • ʻōhinu

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

  • lohi a wikiwiki paha ka puʻuwai puʻuwai
  • ʻeha ka ʻeha o ka umauma
  • hūwī
  • hives
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hiki i nā pālani Nitroglycerin ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke hoʻohana nei ʻoe 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 hiki ʻole i nā keiki. 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. E hoʻolei i nā lāʻau i hala i ka wā kahiko a pono ʻole paha.

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.

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

  • ʻeha poʻo
  • huikau
  • fiva
  • ʻūpā
  • lohi a kuʻi paha ka puʻuwai puʻuwai
  • nausea
  • ka luaʻi
  • ʻōpū koko
  • maule ana
  • pokole o ka hanu
  • ka houʻu ʻana
  • ʻōhinu
  • anu, ʻili paʻalili
  • nalowale o ka hiki ke hoʻoneʻe i ke kino
  • koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)
  • ka hopu ʻana

Mālama i nā manawa āpau me kāu kauka.

Mai ʻae i kekahi e hoʻohana 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.

  • Minitran® Patch
  • ʻO Nitro-Dur® Patch
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