Mea Kākau: Gregory Harris
Lā O Ka Hana: 11 Apelila 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2024
Anonim
Nitroglycerin Medication Nursing Sublingual Tablets & Oral Spray Pharmacology Review & Adminstration
Wikiō: Nitroglycerin Medication Nursing Sublingual Tablets & Oral Spray Pharmacology Review & Adminstration

Anter

Hoʻohana ʻia nā papa Nitroglycerin sublingual e mālama 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 puʻuwai). Hoʻohana ʻia ia ma mua o nā hana i hiki ke hoʻokumu i nā ʻanela o ka angina i mea e pale ai i ka angina mai ka hanana ʻana. Aia ʻo Nitroglycerin i kahi papa o nā lāʻau i kapa ʻia vasodilators. Hana ia ma ka hoʻomaha ʻana i nā kīʻaha koko no laila ʻaʻole pono ka puʻuwai e hana paʻakikī a no laila ʻaʻole pono ka nui o ka oxygen.

Hele mai ʻo Nitroglycerin ma ke ʻano he papa sublingual e lawe ma lalo o ke alelo. Lawe pinepine ʻia nā papa e pono ai, ʻo 5 a 10 mau minuke paha ma mua o nā hana i hiki ke hoʻouka i ka angina a i ʻole ka hōʻailona mua o kahi hoʻouka. 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 nitroglycerin 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.

ʻAʻole paha e holo pono ʻo Nitroglycerin ma hope o kāu hoʻohana ʻana ia no kekahi manawa a i ʻole inā ua lawe ʻoe i nā kau. E lawe i nā papa liʻiliʻi e pono ai e hōʻoluʻolu i ka ʻeha o kāu hoʻouka ʻana. 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.


E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i nā papa nitroglycerin e mālama ai i nā hōʻeha angina. E haʻi paha kāu kauka iā ʻoe e noho i lalo a lawe i hoʻokahi lāʻau o nitroglycerin ke hoʻomaka kahi hoʻouka. Inā ʻaʻole hoʻomaikaʻi nui kāu mau ʻōuli a i ʻole inā māhuahua lākou ma hope o kou lawe ʻana i kēia lāʻau, e haʻi ʻia ʻoe e kāhea koke i ke kōkua olakino pilikia. Inā ʻaʻole e hele pau loa kāu mau hōʻailona ma hope o kou lawe ʻana i ka mahele mua, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i ka lua o ka lāʻau ma hope o ka hala ʻana o 5 mau minuke a me ke kolu o ka lāʻau ma hope o ka lāʻau ʻelua. Kāhea koke no ke kōkua lapaʻau maʻi inā ʻaʻole i hala ka ʻeha o kou umauma 5 mau minuke ma hope o kou lawe ʻana i ke kolu o ka lāʻau.

Mai nau, ʻānai, a ale ʻole paha i nā papa sublingual o nitroglycerin. Akā, kau i ka papa ma lalo o kou alelo a i ʻole ma waena o kou papalina a me ka gum a kali a hemo ia. ʻIke paha ʻoe i ke ahi a ʻū paha i kou waha i ka wā e hemo ai ka papa. He maʻamau kēia akā ʻaʻole ia he hōʻailona e holo nei ka papapa. Mai hopohopo i ka hana ʻole o ka papa inā ʻaʻole ʻoe e ʻike i ke ahi a me ke kani.


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 a hoʻohana ʻana paha i ka nitroglycerin,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i nā patch nitroglycerin, capsules, papa, hamo, a i ʻole ka ʻehu; nā lāʻau lapaʻau ʻē aʻe; aiʻole i kekahi o nā mea hoʻohui i nā papa sublingual 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 lawe i ka 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, ma Normozide, ma Trandate HCT), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betapace, Sorine ), a me timolol; calcium blockers blockers e like me amlodipine, diltiazem (Cardizem, Cartia, Diltzac, kekahi), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Adalat, Afeditab CR, Procardia), a me verapamil (Calan, Covera, Verelan, ma Tarka) ; diuretics (paila wai); nā lāʻau lapaʻau ergot-type e like me bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (D.H.E. 45, Migranal), ergoloid mesylates (Hydergine), ergotamine (i Cafergot, i Migergot), a me methylergonovine (Methergine) heparin; 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.
  • pono ʻoe e ʻike ʻaʻole e hemo maʻalahi nā papa sublingual nitroglycerin i loko o kou waha inā ʻoe e lawe i nā lāʻau i kumu i ka waha maloʻo e like me antihistamines; antidepressants me amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a me trimipramine (Surmontil); ipratropium (Atrovent); a i ʻole nā ​​lāʻau no ka maʻi huhū o ka ʻōpū, ka maʻi neʻe, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia mimi. Inā kū kēia, e hoʻohana i kahi huahana lawaiʻa a i ʻole chew gum e hoʻonui i ka nui o ka lawai i kou waha i mea e hemo ai ka papa.
  • e haʻi i kāu kauka inā loaʻa koke ʻoe i kahi puʻuwai puʻuwai a inā he anemia kou (ka helu haʻahaʻa o nā hunaola ʻulaʻula) a i ʻole kekahi ʻano e hoʻonui i ke kaomi i kou iwi poʻo. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka nitroglycerin.
  • e haʻi i kāu kauka inā manaʻo ʻoe ua make wai ʻoe a inā loaʻa a i ʻole loaʻa paha ʻoe i ka puʻuwai ʻole, ke kahe o ke koko haʻahaʻa, a i ʻole ka hypertrophic cardiomyopathy (ka mānoanoa o nā mākala 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 lawe ʻana i nitroglycerin, e kāhea i kāu kauka.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha ʻoe e lawe nei i ka nitroglycerin.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā mea inu ʻona ʻoiai ʻoe e lawe nei i ka nitroglycerin. Hiki i ka waiʻona ke hana i nā hopena ʻino mai nitroglycerin i ʻoi aku ka maikaʻi.
  • pono ʻoe e ʻike ʻo ka nitroglycerin ke kumu o ka puʻupuʻu, ka uila, a me ka maʻule ke ala koke ʻoe mai kahi kūlana moe, a i kēlā me kēia manawa, keu hoʻi inā inu ʻoe i nā mea 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 ke akahele e pale i ka hāʻule ʻana i ka wā o kāu mālama ʻana me nitroglycerin.
  • pono ʻoe e ʻike e ʻike paha ʻoe i ka huhū poʻo i kou wā e mālama ai me 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 āu e lawe ai i ka nitroglycerin i mea e hōʻalo ai i ka maʻi poʻo no ka mea a laila ʻaʻole holo pono paha ka lāʻau.

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


Lawe pinepine ʻia ʻo Nitroglycerin sublingual tablets e pono ai e mālama i nā ʻāpana o ka angina; mai lawe iā lākou i kahi manawa maʻamau.

Hiki i ka Nitroglycerin ke kumu 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:

  • 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:

  • ʻike hihi
  • waha maloo
  • ʻehu, hū, a me ka ʻili ʻana o ka ʻili
  • hives
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • nausea
  • ka luaʻi
  • nāwaliwali
  • ka houʻu ʻana
  • ʻili mae

Hiki i ka Nitroglycerin sublingual ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe 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 loko o ka pahu i komo mai ai, pani paʻa ʻia ma hope o kēlā me kēia hoʻohana ʻana, a me kahi 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.

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
  • loli ka hihiʻo
  • 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.

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

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.

  • Nitrostat®
Nānā Hou - 03/15/2017

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