ʻO ka hopena polyethylene glycol-electrolyte (PEG-ES)

Anter

• Ma mua o ka lawe ʻana iā PEG-ES,
• Hiki i ka PEG-ES ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e loaʻa i ke kōkua olakino pilikia.

Hoʻohana ʻia ʻo Polyethylene glycol-electrolyte solution (PEG-ES) e hoʻoneʻe ai i ke kolona (ʻōpū nui, ʻōpū) ma mua o kahi kolona (nānā i ka loko o ke kolona e nānā no ka maʻi ʻaʻai kolona a me nā mea ʻē aʻe ʻē aʻe) a barium enema (kahi hōʻike kahi hoʻopiha ke kolona i ka wai a laila lawe ʻia nā x-ray) i mea e ʻike pono ai ke kauka i nā paia o ke kolon. Aia ʻo PEG-ES i ka papa o nā lāʻau i kapa ʻia ʻo osmotic laxatives. Hana ia ma o ka hoʻoulu ʻana i ka wai i hiki ai ke hoʻolei ʻia ka pahu mai ka kolona. Aia i loko o ka lāʻau i nā electrolytes e pale aku i ka make wai a me nā hopena ʻē aʻe ʻē aʻe e hopena ʻia e ka wai kahe i ka wā e hoʻonele ʻia ai ke kolona.

ʻO ka hopena polyethylene glycol-electrolyte (PEG-ES) hele mai me he pauka e hui me ka wai a lawe i ka waha. Hāʻawi ʻia kekahi mau huahana PEG-ES ma o ka Tube nasogastric (Tube NG; he paipu e lawe ʻia ai ka wai a me ka lāʻau i loko o ka ʻōpū no ka poʻe hiki ʻole ke ʻai i ka meaʻai ma ka waha). Lawe ʻia ia i ke ahiahi ma mua a me / a i ʻole ke kakahiaka o ke kaʻina hana. E haʻi aku kāu kauka iā ʻoe i ka wā e hoʻomaka ai ʻoe e lawe i ka PEG-ES, a inā ʻoe e lawe i nā lāʻau āpau i hoʻokahi manawa a i ʻole lawe iā ia ma ke ʻano he ʻelua kaʻawale. 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 lawe iā PEG-ES pololei e like me ke kuhikuhi. Mai lawe i kahi mea a ʻoi aku paha o ia mea ma mua o ke kauka.

ʻAʻole paha ʻoe e ʻai i nā meaʻai paʻa a inu ʻole i ka waiū ma mua a i kou wā e mālama ai me PEG-ES. E loaʻa wale ʻoe i nā wai maopopo. E haʻi aku kāu kauka iā ʻoe i ka manawa e hoʻomaka ai i ka papa wai kūpono a hiki ke pane i nā nīnau e pili ana i nā wai i ʻae ʻia. ʻO nā laʻana o nā wai maʻemaʻe ka wai, ka wai huaʻai māmā me ka ʻole o ka pulp, ka pala, ka kofe a kī ʻole me ka waiū ʻole, gelatin flavored, popsicles, a me nā mea inu momona. Mai inu i ka wai ʻulaʻula a poni. Pono ʻoe e inu i kekahi wai o nā wai maopopo i ka wā o kou mālama ʻana e hoʻemi i ka manawa e make wai ʻoe i ka wā e hoʻonele ʻia ai kāu kolona. E haʻi i kāu kauka inā pilikia ʻoe i ka inu ʻana i nā wai piha i ka wā o kāu mālama ʻana.

Pono ʻoe e kāwili i kāu lāʻau me ka wai mehana me ka wai i mākaukau e inu. E heluhelu i nā ʻōkuhi i hiki mai me kāu lāʻau e ʻike ai i ka nui o ka wai āu e hoʻohui ai i ka pauka a inā ʻoe e kāwili iā ia i loko o ka pahu i komo ai a i loko o kahi pahu ʻē aʻe. E hāhai pono i kēia mau ʻōkuhi a e lūlū a hoʻowalewale i ka hui ʻana i hui like ʻia ka lāʻau. Inā hele mai kāu lāʻau lapaʻau me nā ʻeke ʻono, hiki iā ʻoe ke hoʻohui i nā ʻike o hoʻokahi packet i ka lāʻau e hoʻomaikaʻi ai i ka ʻono, akā ʻaʻole pono ʻoe e hoʻohui i nā mea ʻono ʻē aʻe i ka lāʻau. Mai kāwili i kāu lāʻau me kekahi wai ʻē aʻe ma mua o ka wai, a mai hoʻāʻo e ale i ka pauka lāʻau me ka huikau ʻole ʻia me ka wai. Ma hope o kou hoʻohuihui ʻana i kāu lāʻau, ʻoluʻolu ʻoe i loko o ka pahu hau e hoʻomaʻalahi i ka inu. Eia nō naʻe, inā e hāʻawi ana ʻoe i ka lāʻau i kahi pēpē, ʻaʻole pono ʻoe e anuanu.

E haʻi pololei kāu kauka iā ʻoe pehea e lawe ai iā PEG-ES. E haʻi ʻia paha ʻoe e inu i hoʻokahi aniani 8 (ʻUliona) mika o PEG-ES i kēlā me kēia 10 a 15 mau minuke, a e hoʻomau i ka inu ʻana a hiki i ka maʻemaʻe a me ka manuahi ʻole o kāu neʻe ʻana i ka wai. ʻOi aku ka maikaʻi e inu koke i kēlā me kēia aniani o ka lāʻau ma kahi o ka ʻū mālie ʻana. E hoʻolei i nā lāʻau i koe āu e hoʻohana ai no kēia lāʻau.

E loaʻa iā ʻoe nā neʻe ʻōpū he nui i kou mālama ʻana me PEG-ES. E nānā pono e noho kokoke i kahi halepaku mai ka manawa āu e lawe ai i kāu lāʻau mua o ka lāʻau a hiki i ka manawa o kāu koho kolone. E noi i kāu kauka e pili ana i nā mea ʻē aʻe hiki iā ʻoe ke hana e ʻoluʻolu i kēia manawa.

Hiki paha iā ʻoe ke ʻeha i ka ʻōpū a me ka momona i ka wā e lawe nei ʻoe i kāu lāʻau. Inā lilo kēia mau ʻōuli i mea koʻikoʻi, e inu lohi i kēlā me kēia aniani o ka lāʻau a ʻae i ka manawa hou ma waena o nā aniani inu o ka lāʻau. Kāhea i kāu kauka inā ʻaʻole hele aku kēia mau ʻōuli.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻikepili a ka mea hana (Guide Medication) inā loaʻa ia no ka brand o PEG-ES āu e lawe nei ke hoʻomaka ʻoe i ka lāʻau me kēia lāʻau. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

Ma mua o ka lawe ʻana iā PEG-ES,

• e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka PEG-ES, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka huahana PEG-ES āu e lawe nei. E noi i kāu kauka lāʻau a nānā paha i ka ʻike a ka mea hana no ka mea maʻi no kahi papa inoa o nā mea hoʻohui.
• 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 ʻike pono i kekahi o kēia mau mea: alprazolam (Xanax); amiodarone (Cordarone, Pacerone); amitriptyline; angiotensin hoʻololi i ka ʻenemika (ACE) nā mea kāohi e like me benazepril (Lotensin, i Lotrel), captopril, enalapril (Epanid, Vasotec, i Vaseretic), fosinopril, lisinopril (Prinivil, Qbrelis, Zestril, i Zestoretic), moexipril, perindopril (Aceon, inindopril (Aceon, inindopril (Aceon, inind) Prestalia), quinapril (Accupril, ma Accuretic, Quinaretic), ramipril (Altace), a me trandolapril (i Tarka); Angiotensin II receptor antagonists e like me candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ma Avalide), losartan (Cozaar, ma Hyzaar), olmesartan (Benicar, ma Azor a me Tribenzor), telmisartan (Micard ma Micardis HCT a me Twynsta), a me valsartan (Diovan, ma Byvalson, Diovan HCT, Entresto, Exforge, a me Exforge HCT); aspirin a me nā lāʻau anti-inflammatory nonsteroidal e like me ibuprofen (Motrin) a me naproxen (Aleve, Naprosyn); desipramine (Norpramin); diazepam (Diastat, Valium); disopyramide (Norpace); diuretics ('pills wai'); dofetilide (Tikosyn); erythromycin (E.E.S., Erythrocin); estazolam; flurazepam; lorazepam (Ativan); nā lāʻau no ka hopu ʻana i ka maʻi; midazolam (Versed); moxifloxacin (Avelox); pimozide (Orap); quinidine (Quinidex, ma Nuedexta); sotalol (Betapace, Betapace AF, Sorine); thioridazine; aiʻole triazolam (Halcion). 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 PEG-ES, 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.
• Mai lawe i nā laxatives ʻē aʻe i kāu mālama ʻana me PEG-ES.
• inā ʻoe e lawe i nā lāʻau ʻē aʻe ma ka waha, e lawe iā lākou ma kahi o 1 mau hola ma mua o kou hoʻomaka ʻana i kāu lāʻau me PEG-ES.
• e haʻi aku i kāu kauka inā he kīnā kāu i kou ʻōpū, kahi puka i ka uhi o kou ʻōpū a i ʻole ʻōpū, megacolon ʻona (kahi ola a hoʻoweliweli ʻino paha i ka ʻōpū), a i ʻole kekahi ʻano mea e hoʻopilikia ai i kou ʻōpū. a i ʻole ʻōpū. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe iā PEG-ES.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha i kahi puʻuwai kīnā ʻole, kahi wā QT hoʻolōʻihi (kahi ʻano hoʻoilina e hiki ai ke hōʻeha i ka puʻuwai ʻole, maule paha, a make koke paha), kahi puʻuwai puʻuwai hou, ʻeha o ka umauma, puʻuwai puʻuwai, puʻuwai hoʻonui ʻia, ka hopu ʻana, ka reflux waikawa, ka paʻakikī ʻana i ka ale ʻana, ka maʻi ʻōpū (nā kumu e hoʻoulu ai i ka pale o ka ʻōpū) e like me ka ulcerative colitis (kahi ʻano e hoʻoulu ai a me nā ʻeha i ka uhi ʻana o ke kolona -PD def deficit (kahi maʻi koko hoʻoilina), nā pae haʻahaʻa o ka sodium, magnesium, potassium, a i ʻole calcium i loko o kou koko, i kēlā me kēia ʻano e hoʻonui ai i ka makaʻu e ʻoki a ʻai paha ʻoe i ka meaʻai i kou mau māmā, a i ʻole nā ​​maʻi puʻupaʻa. Inā ʻoe e hoʻohana ana iā Moviprep^® a i ʻole Plenvu^® inoa PEG-ES, haʻi pū i kāu kauka inā loaʻa iā ʻoe phenylketonuria (PKU; kahi ʻano hoʻoilina e pono ai e ukali ʻia kahi papaʻai kūikawā e pale ai i ka noʻonoʻo noʻonoʻo).
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana.

E haʻi aku kāu kauka iā ʻoe i ka mea āu e ʻai ai a inu ai hoʻi ma mua, i ka wā, a ma hope o kāu mālama ʻana me PEG-ES. E hāhai pono i kēia mau ʻōkuhi.

Kāhea i kāu kauka inā hoʻopoina ʻoe ʻaʻole hiki ʻole ke lawe i kēia lāʻau e like me ke kuhikuhi.

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

• nausea
• ʻeha o ka ʻōpū, ʻūpī, a i ʻole piha
• ʻōhūhū
• hoʻonāukiuki pili pono
• nāwaliwali
• puʻuwai puʻuwai
• make wai
• pōloli
• haʻalulu

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

• hūwī
• hives
• ʻūlili
• pehu o nā maka, maka, waha, lehelehe, alelo, lima, lima, wāwae, kuʻekuʻe wāwae, a i ʻole nā ​​wāwae lalo
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• ka luaʻi
• ʻūpā
• ʻeha poʻo
• hoʻemi urination
• kuʻi puʻuwai ʻole
• ka hopu ʻana
• kahe kahe mai ka pololei

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 i ka hopena i loko o ka pahu hau. Inā ʻoe e hoʻohana ana iā Colyte^®, Pono pono^®, a i ʻole Trilyte^® nā hopena brand, e hoʻohana ia ma loko o 48 mau hola ma hope o ka hoʻohuihui ʻia. Inā ʻoe e hoʻohana nei iā Moviprep^® ka hopena brand, hoʻohana ia ma loko o 24 mau hola ma hope o ka hoʻohuihui ʻana. Inā ʻoe e hoʻohana ana iā Plenvu^® ka hopena brand, hoʻohana ia ma waena o 6 mau hola ma hope o ka hoʻohuihui ʻana.

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. E kauoha paha kāu kauka i kekahi mau hoʻokolohua hale hōʻike e nānā i ka pane o kou kino iā PEG-ES.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau.

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.

• ʻO CoLyte^®
• KANAKA^®
• Halflytely^®¶
• ʻO Moviprep^®
• Pono pono^®
• Plenvu^®
• Nukelea^®¶
• ʻO Trilyte^®

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