Mea Kākau: William Ramirez
Lā O Ka Hana: 19 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 8 Mei 2024
Anonim
Pharmacology - Diuretics (Loops, Thiazide, Spironolactone) for Registered Nurse RN & PN NCLEX
Wikiō: Pharmacology - Diuretics (Loops, Thiazide, Spironolactone) for Registered Nurse RN & PN NCLEX

Anter

Ua hana ʻo Spironolactone i nā tumors i loko o nā holoholona laboratory. E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

ʻAʻole pono e hoʻohana i kēia lāʻau i kou hoʻomaka mua ʻana i kāu lāʻau.Pono ʻoe e lawe i kēia lāʻau wale nō ma hope o ke kau pono ʻia ʻana o nā lāʻau kūpono o spironolactone a me hydrochlorothiazide e kāu kauka.

Hoʻohana ʻia ka hui ʻana o spironolactone a me hydrochlorothiazide e mālama i ke kahe kiʻekiʻe. Hoʻohana ʻia kēia lāʻau lapaʻau e mālama ai i nā mea maʻi me ka edema (ka paʻa o ka wai) i hoʻokumu ʻia e nā ʻano like ʻole, e like me ka puʻuwai, ka ate, a me nā maʻi puʻupaʻa. Aia ʻo Spironolactone i loko o ka papa o nā lāʻau i kapa ʻia nā antagonists receptor aldosteron. Kuhi ia i nā puʻupaʻa e hoʻopau i ka wai e pono ʻole ai a me ka sodium mai ke kino i ka mimi, akā hoʻemi ia i ka nalo ʻana o ka potassium mai ke kino. Aia ʻo Hydrochlorothiazide i loko o ka papa o nā lāʻau i kapa ʻia he diuretics ('' pills wai ''). Hana ia e ke kīloi ʻana i nā puʻupaʻa e kāpae i ka wai pono ʻole 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 pū ʻana o spironolactone a me hydrochlorothiazide e hele mai ana ma ke ʻano he papa e lawe ʻia e ka waha. Lawe ʻia ia i hoʻokahi a ʻelua paha manawa i ka lā. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka spironolactone a me ka hydrochlorothiazide, e lawe a puni ka manawa like (s) i kēlā me kēia lā. Inā ʻoe e lawe i hoʻokahi manawa i ka lā, lawe i ke kakahiaka; inā ʻoe e lawe i ʻelua mau manawa i ka lā, lawe i ke kakahiaka a i ke awakea o ke awakea e hōʻalo ai i ka hele i ka lua i ka pō. 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 spironolactone 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 koko kiʻekiʻe a me ka edema, akā ʻaʻole ia e hoʻōla i kēia mau ʻano. E hoʻomau i ka lawe ʻana i ka spironolactone a me ka hydrochlorothiazide ʻoiai inā ʻoluʻolu ʻoe. Mai hooki i ka lawe ʻana i ka spironolactone 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 ka spironolactone a me ka hydrochlorothiazide,

  • e haʻi aku i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka spironolactone, hydrochlorothiazide, thiazide diuretics ('' pills wai ''), nā lāʻau i hoʻokumu ʻia ʻo sulfa, penicillin, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka papa spironolactone a me hydrochlorothiazide 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 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 hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: ald testosterone ālai i nā lāʻau e like me eplerenone (Inspra), angiotensin-hoʻololi i nā ʻenemika (ACE) nā mea kāohi e like me benazepril (Lotensin, i Lotrel), captopril (Capoten), enalapril (Vasotec, i Vaseretic), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic), perindopril (Aceon), quinapril (Accupril, i Accuretic, i Quinaretic), ramipril (Altace), a me trandolapril (Mavik, i Tarka); angiotensin II antagonists (angiotensin receptor blockers; ARBs) e like me azilsartan (Edarbi, ma Edarbyclor), candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten, ma Teveten HCT), irbesartan (Avapro, ma Avalide), losartan (Coza ma Hyzaar), olmesartan (Benicar, ma Azor, Benicar HCT), telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (Diovan, ma Diovan HCT, Exforge); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); digoxin (Lanoxin); heparin a me nā heparins kaumaha molaki haʻahaʻa e like me enoxaparin (Lovenox); lithium (Lithobid); nā lāʻau no ka maʻi diabetes a i ʻole ke koko kiʻekiʻe; diuretics potaring-sparing ('' pills wai '') e like me amiloride (Midamor) a i ʻole triamterene (Dyrenium, ma Dyazide, ma Maxzide); a me nā pākuʻi potassium. 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 he kiʻekiʻe kou i ke koko o ka calcium a i ʻole ka potassium a i ʻole loaʻa i ka maʻi ʻo Addison a i ʻole nā ​​kūlana ʻē aʻe i hiki ke kumu i nā kiʻekiʻe o ke koko o ka potassium, a i ʻole nā ​​maʻi puʻupaʻa a ate paha. E haʻi paha kāu kauka iā ʻoe mai lawe i ka spironolactone a me ka hydrochlorothiazide.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i loaʻa paha i ka hānō, ka systemus lupus erythematosus (SLE, kahi maʻi kūpilikiʻi mau), diabetes, a me ka gout.
  • 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 spironolactone a me hydrochlorothiazide, e kāhea 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 spironolactone a me ka hydrochlorothiazide.
  • pono ʻoe e ʻike i kēia lāʻau ʻana e hiamoe ai ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • E hoʻomanaʻo hiki i ka waiʻona ke hoʻohui i ka hiamoe i hoʻokumu ʻia e kēia lāʻau.

E hāhai i nā kuhikuhi a kāu kauka no ka paʻakai paʻakai a paʻakai haʻahaʻa a me ka papahana hoʻoikaika kino i kēlā me kēia lā. Hōʻalo i nā paʻakai paʻakai paʻakai. Palena i kāu lawe ʻana i nā meaʻai waiwai potassium (e laʻa me ka maiʻa, pulu, puaʻa, a me ka wai ʻalani). E noi i kāu kauka no ka ʻōlelo aʻoaʻo e pili ana i kāu mau meaʻai.


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 Spironolactone 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:

  • nausea
  • ka luaʻi
  • pāhoehoe
  • nalo ʻai ʻole
  • ʻeha ka ʻōpū
  • urination pinepine
  • ʻūpā
  • ʻeha poʻo
  • nā umauma hoʻonui a ʻeha paha
  • wā kūleʻa maʻamau
  • pilikia i ka mālama ʻana a i ʻole ke hoʻokō ʻana i kahi kūkulu
  • kahe o ke kahe i ka post-menopausal ('ma hope o ka loli o ke ola', ka hopena o ka manawa menstrual o ka mahina) nā wahine
  • hiamoe

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:

  • nāwaliwali o nā mākala a i ʻole nā ​​ʻūlū
  • nā loli i ka hihiʻo a i ʻole ka ʻeha o ka maka
  • wikiwiki, hoʻemi kaumaha nui loa
  • luhi
  • puʻuwai a i ʻole kōkō puʻuwai
  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • melemele o ka ʻili a me nā maka
  • ʻāwīwī o ka ʻili
  • ʻūlili
  • fiva
  • huikau

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.

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.

  • ʻAmeleka® (i loaʻa Spironolactone, Hydrochlorothiazide)
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