Hoʻomoʻo Hydromorphone

Anter

• Ma mua o ka hoʻohana ʻana i ka hydromorphone injection,
• Hoʻokumu paha ka injection Hydromorphone 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 hōʻoki i ka lawe ʻana i ka hydromorphone injection a kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

He hana maʻamau paha ke kuhi Hydromorphone, keu hoʻi me ka hoʻohana lōʻihi, a hoʻolōʻihi a kū hoʻi i ka hanu ʻana a i ʻole ka make ke hoʻohana ʻia ia. Inject hydromorphone injection pono pololei e like me ke kuhikuhi. Mai hoʻohana i nā mea hou aʻe a hoʻohana pinepine paha ma mua o ka mea i kauoha ʻia e kāu kauka, ʻoiai e hoʻohana ana i ka hydromorphone injection, e kūkākūkā me kāu mea mālama ola i kāu mau pahuhopu hōʻeha ʻeha, ka lōʻihi o ka lapaʻau ʻana, a me nā ala ʻē aʻe e mālama ai i kou ʻeha. E haʻi i kāu kauka inā inu ʻoe a i ʻole kekahi mea i kou ʻohana a inu paha i ka nui o ka wai ʻona, hoʻohana a hoʻohana paha i nā lāʻau lapaʻau o ke alanui, a i ʻole hoʻohana nui ʻole i nā lāʻau i kuhikuhi ʻia, a i ʻole loaʻa paha iā ʻoe i ke kaumaha a i ʻole. kekahi maʻi noʻonoʻo. Aia kekahi pilikia nui aʻe e hoʻohana nui ʻoe i ka hydromorphone inā loaʻa a i ʻole loaʻa i kekahi o kēia mau ʻano. E kamaʻilio koke me kāu mea mālama ola a noi aku i ke alakaʻi inā ʻoe e manaʻo he ʻaʻa opioid ʻoe a kāhea paha i ka US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ma 1-800-662-HELP.

Loaʻa ka hoʻopili ʻana o Hydromorphone ma ke ʻano he hopena ikaika maʻa mau (Dilaudid) a me kahi hopena paʻa (Dilaudid-HP) i loaʻa ka hydromorphone hou aʻe i kēlā me kēia milliliter o ka hopena. Pono wale kāu kauka e kuhikuhi i ka hopena noʻonoʻo inā ʻoe i ʻae i ka opioid (ua mālama ʻia me kekahi mau kaha o nā lāʻau narcotic no 1 mau pule, e ʻae ana i kou kino e hoʻoponopono i kēia ʻano lāʻau). Hiki i ka hopena paʻa ke kumu i nā hopena ʻino a i ʻole ka make ke hoʻohana ʻia ia e kekahi kanaka i ʻole ka hoʻomanawanui opioid. E ʻike pono ʻike ʻoe i ka hopena hydromorphone i kauoha ʻia e kāu kauka, a e hōʻoia mau inā loaʻa nā lāʻau kūpono.

Mai ʻae i kekahi mea ʻē aʻe e hoʻohana i kāu lāʻau. E mālama i ka pahu uila hydromorphone ma kahi palekana i hiki ʻole i kekahi mea ʻē aʻe ke hoʻohana me ka ʻole a ma ke kumu paha. E mālama i ka nui o ka lāʻau i koe i ʻike ʻoe inā e nalowale kekahi.

ʻO ka lawe ʻana i kekahi mau lāʻau i ka wā o kou mālama ʻia ʻana me ka hoʻopili ʻana o ka hydromorphone i mea e hoʻonui ai i ka makaʻu e hoʻomohala ʻoe i nā pilikia hanu koʻikoʻi, hoʻoweliweli, a i ʻole koma. E haʻi i kāu kauka inā lawe a hoʻolālā paha ʻoe e lawe i kekahi o nā lāʻau aʻe: benzodiazepines e like me alprazolam (Xanax), chlordiazepoxide (Librium, in Librax), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), a me triazolam (Halcion); nā lāʻau no ka maʻi noʻonoʻo a i ʻole ka nausea; nā mea hoʻomaha nāʻiʻo; nā lāʻau ʻeha narcotic ʻē aʻe; nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono iā ʻoe. Inā ʻoe e hoʻohana i ka hoʻopili hydromorphone me kekahi o kēia mau lāʻau a hoʻomohala ʻoe i kekahi o nā ʻōuli aʻe, e kāhea koke i kāu kauka a i ʻole e ʻimi i ka lāʻau olakino pōpilikia. E ʻike pono i kāu mea mālama a ʻohana paha o ka ʻohana i nā hōʻailona e koʻikoʻi paha i hiki iā lākou ke kāhea i ke kauka a i ʻole ka mālama olakino pilikia inā ʻaʻole hiki iā ʻoe ke ʻimi i ka lāʻau iā ʻoe iho.

ʻO ka inu ʻana i ka waiʻona, lawe i nā lāʻau lapaʻau a lāʻau ʻole i hōʻike ʻole ʻia i loko o ka wai ʻona, a i ʻole ka hoʻohana ʻana i nā lāʻau i ke alanui i kou wā e mālama ai me ka injection hydromorphone e hoʻonui ai i ka makaʻu e ʻike ʻoe i nā hopena ʻino a weliweli hoʻi i ke ola. Mai inu i ka ʻalekohola, lawe i ka lāʻau i kuhikuhi ʻia a i ʻole nā ​​lāʻau i hōʻike ʻole ʻia i loaʻa ka ʻalekohola, a i ʻole hoʻohana i nā lāʻau i ke alanui i kāu wā e lapaʻau ai.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka loaʻa ʻana o ka hydromorphone injection.

Hoʻohana ʻia ka injection Hydromorphone e hoʻomaha i ka ʻeha. Aia ka injection Hydromorphone i kahi papa o nā lāʻau i kapa ʻia he analgesics opiate (narcotic). Hana ia e ka hoʻololi ʻana i ke ala o ka lolo a me ka ʻōnaehana e pane ai i ka ʻeha.

Hele mai ka injection Hydromorphone ma ke ʻano he hopena (wai) e hoʻokomo i lalo o ka ʻili, i kahi aa, a i ʻole i kahi mākala. Hoʻokomo pinepine ʻia ia i kēlā me kēia 2 a 3 mau hola e pono ai. E hoʻohana pono i ka injection hydromorphone e like me ke kuhikuhi.

Hiki paha i kāu kauka ke hoʻoponopono i kāu mahele lāʻau o ka hoʻopili hydromorphone i kou wā e hoʻomaʻamaʻa ai, kaukaʻi ʻia i ka maikaʻi o ka mālama ʻia o kou ʻeha a me nā hopena ʻaoʻao āu e ʻike ai. E kamaʻilio me kāu kauka e pili ana i kou ʻano e mālama ai me ka injection hydromorphone.

Inā ʻoe i hoʻohana i ka pahu uila hydromorphone no ka lōʻihi ma mua o kekahi mau lā, mai hōʻoki i ka hoʻohana ʻana. Inā kū koke ʻoe i ka hoʻohana ʻana i ka hydromorphone injection, ʻike paha ʻoe i ka haʻalele ʻana i nā hōʻailona me ka hoʻomaha ʻole; waimaka waimaka; ihu ihu; e uwo ana; kāhili; haʻalulu; ʻeha, kua a ʻeha pū paha. hoʻonui i nā haumāna; ukiuki; hopohopo; nāwaliwali; ʻōpū ka ʻōpū; paʻakikī e hiamoe a hiamoe paha; nausea; lilo o ka makemake ʻole; ka luaʻi; pāhoehoe; hanu wikiwiki; aiʻole ka puʻuwai wikiwiki. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau.

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 ka hydromorphone injection,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka hoʻopili hydromorphone, nā lāʻau ʻē aʻe, sulfites, latex, a i ʻole kekahi o nā mea hana i loko o ka hopena injection hydromorphone. 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 hōʻike pono i nā lāʻau i helu ʻia i ka ʻĀINA Aʻoaʻo koʻikoʻi a me kekahi o kēia mau mea: buprenorphine (Belbuca, Buprenex, Butrans, ma Bunavail); butorphanol; ipratropium (Atrovent, i Combivent Respimat); nā lāʻau no ka glaucoma, ka maʻi huhū o ka maʻi, ka maʻi ʻo Parkinson, nā maʻi ulcer, a me nā pilikia urinary; a me pentazocine (Talwin). E haʻi pū aku i kāu kauka a kauka paha inā ʻoe e lawe i kekahi o nā lāʻau aʻe a i ʻole ua oki ka lawe ʻana iā lākou i loko o nā pule he 2 i hala: isocarboxazid (Marplan), 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.
• E haʻi i kāu kauka inā loaʻa ʻoe i ka hānō, lohi ka hanu ʻana, kahi poloka ma kou ʻōpū a i ʻole nā ​​ʻōpū, a i ʻole parustic ileus (ke ʻano e neʻe ʻole ai ka meaʻai i loko o nā ʻōpū). E haʻi paha kāu kauka iā ʻoe mai hoʻohana i ka injection hydromorphone.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole ʻeha ʻeha poʻo ʻoe, kahi tumo lolo, a i ʻole kekahi ʻano mea i hōʻino ai i kou lolo. i kekahi ʻano e hoʻonui i ke kaomi i kou lolo; kyphoscoliosis (hāwele o ka iwi kuamoʻo i hiki ai ke pilikia i ka hanu); haʻahaʻa ke koko; hypothyroidism (ke ʻano a ka thyroid gland e hana ai i ka liʻiliʻi hormone ma mua o ka maʻamau); maʻi pūhaka e like me ka maʻi pulmonary ākea mau loa (kahi hui o nā maʻi e pili ana i nā akemāmā a me nā alaloa); ʻO ka maʻi ʻo Addison (kahi e hana ai ka momona adrenal ma mua o ka maʻamau); ka hopu ʻana; haʻalulu delirium (ʻōuli withdrawal ʻōuli i hiki i nā poʻe i inu i ka nui o ka waiʻona i ka manawa a ua oki ka inu ʻana); ka paʻa urethral (blockage o ka paipu e hiki ai i ka mimi e haʻalele i ke kino); he prostate hoʻonui ʻia (kahi kāne hānau kāne); a i ʻole ka gallbladder, pancreas, ate, a i ʻole nā ​​maʻi ʻaʻai.
• e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā lawe pinepine ʻoe i ka hydromorphone i kou wā hāpai, ʻike paha kāu pēpē i nā hōʻailona haʻalele i ka hoʻoweliweli ma hope o ka hānau ʻana. E haʻi koke i ke kauka o kāu pēpē inā ʻike kāu pēpē i kekahi o nā ʻōuli i lalo: ka huhū, hyperactivity, hiamoe maʻamau, uē kiʻekiʻe, hoʻoluliluli ʻole ʻia o kahi ʻāpana o ke kino, ka luaʻi, ka maʻi pākī, a i ʻole ka loaʻa ʻole o ke kaumaha.
• e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū.
• pono ʻoe e ʻike i kēia lāʻau i hoʻemi ai i ka momona i nā kāne a me nā wahine. E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka hoʻohana ʻana i ka hydromorphone.
• inā ke hana ʻoki ʻia ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana ana ʻoe i ka hydromorphone injection.
• pono ʻoe e ʻike i ka hana ʻana o ka hydromorphone injection iā ʻoe e hiamoe ai. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
• pono ʻoe e ʻike ʻo ka hoʻopili ʻana o ka hydromorphone i kumu e hoʻolilo ai i ka puʻupuʻu, ka uila, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna.

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

Inā ʻoe e hoʻohana ana i ka hydromorphone injection i kahi papa manawa maʻamau, e hoʻohana 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 kāu papa hana maʻamau. Mai hoʻohana i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ka injection Hydromorphone i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• nausea
• ka luaʻi
• kōpaʻa
• waha maloo
• ʻālohilohi
• hiamoe
• ʻōhinu
• ʻūlili
• loli ke ʻano

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

• lohi a kū hoʻi i ka hanu
• ka hoʻonāukiuki, nā haʻalulu (ʻike ʻana i nā mea a i ʻole lohe i nā leo i ʻole), ke kuni, ka hou ʻana, ka huikau, ka puʻuwai puʻuwai wikiwiki, ka haʻalulu, ka ʻāʻī nui a i ʻole ka twitching, ka nalo ʻana o ka hoʻohui, nausea, ka luaʻi, a i ʻole ka palahī.
• nausea, luaʻi, nalo o ka makemake ʻole, nāwaliwali, a me ka luʻuluʻu
• hiki ʻole ke kiʻi a mālama i kahi kūkulu
• kūlohelohe menstruation
• hoʻemi i ka moekolohe
• hūwī
• hives
• pehu o nā maka, maka, lehelehe, alelo, waha, a ʻāʻī paha
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana
• hulahula
• ka hopu ʻana
• maule ana

Hoʻokumu paha ka injection Hydromorphone 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 haʻi aku kāu mea mālama ola iā ʻoe pehea e mālama ai i kāu lāʻau. E mālama i kāu lāʻau i kuhikuhi wale ʻia. E hoʻomaopopo pono i ka mālama pono ʻana i kāu lāʻau. E hoʻolei i nā lāʻau i hala i ka wā kahiko a pono ʻole paha. E kamaʻilio me kāu kauka no ka hoʻolilo pono ʻana i kāu lāʻau.

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.

ʻOiai e hoʻohana ana i ka hydromorphone, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi lāʻau hoʻopakele i kapa ʻia ʻo naloxone e loaʻa koke (e laʻa me ka home, keʻena). Hoʻohana ʻia ʻo Naloxone e hoʻohuli i nā hopena hoʻoweliweli i ke ola o kahi overdose. Hana ia ma ka pale ʻana i nā hopena o nā opiates e hōʻoluʻolu i nā hōʻailona weliweli i hoʻokumu ʻia e nā kiʻekiʻe o nā opiates i ke koko. Kau kauka paha iā ʻoe e kuhikuhi iā ʻoe i ka naloxone inā ʻoe e noho ana i kahi home kahi o nā keiki liʻiliʻi a i ʻole kekahi i hōʻino i ke alanui a i ʻole nā ​​lāʻau i kuhikuhi ʻia. Pono ʻoe e ʻike ʻo ʻoe a me nā lālā o kou ʻohana, nā mea mālama, a i ʻole ka poʻe e noho manawa ana me ʻoe e ʻike pehea e ʻike ai i kahi overdose, pehea e hoʻohana ai i ka naloxone, a me nā mea e hana ai a hiki i ke kōkua ʻana mai o nā kōkua lapaʻau kūikawā. E hōʻike kāu kauka a kauka paha iā ʻoe a me nā lālā o kou ʻohana pehea e hoʻohana ai i ka lāʻau. E noi i kāu kauka lāʻau no nā ʻōkuhi a kipa paha i ka pūnaewele o ka mea hana e kiʻi i nā kuhikuhi. Inā kū nā hōʻailona o kahi overdose, pono i kahi hoaaloha a ʻohana paha o ka ʻohana e hāʻawi i ka lāʻau mua o ka naloxone, e kāhea koke iā 911, a noho me ʻoe a nānā pono iā ʻoe a hiki i ke kōkua kōkua olakino pilikia E hoʻi paha kāu mau hōʻailona i loko o kekahi mau minuke ma hope o kou loaʻa ʻana i ka naloxone. Inā hoʻi kāu mau ʻōuli, pono i ke kanaka e hāʻawi iā ʻoe i kahi lāʻau ʻē aʻe o ka naloxone. Hāʻawi ʻia i nā kaha hou i kēlā me kēia 2 a 3 mau minuke, inā hoʻi nā ʻōuli ma mua o ka hōʻea ʻana o ke kōkua olakino.

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

• hanu mālie a pāpaʻu paha
• paʻakikī i ka hanu ʻana
• hiamoe
• hiki ʻole ke pane a ala paha
• nāwaliwali o nā mākala
• anu, ʻili paʻalili
• ʻākiki a ākea paha o nā haumāna (pōʻaiʻele i ka waena o ka maka)
• lohi a kūlia paha i ke kuʻi puʻuwai
• ʻūpā
• maule ana
• ʻūhū

Mālama i nā manawa āpau me kāu kauka.

ʻAʻole hoʻopiha hou ʻia kēia palapala kuhikuhi. Inā hoʻomau ʻoe i ka ʻeha ma hope o kou hoʻopau ʻana i ka injection hydromorphone, kāhea i kāu kauka.

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.

• Dilaudid^®
• Dilaudid-HP^®

• dihydromorphinone