Pākuʻi Morphine

Anter

• Ma mua o ka hoʻohana ʻana i ka morphine injection,
• Hiki i ka Morphine 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 kiʻi i ka lāʻau olakino olakino.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

ʻO ke kūpale Morphine paha he ʻano maʻa, keu hoʻi me ka hoʻohana lōʻihi. E hoʻohana pono i ka injection morphine e like me ke kuhikuhi. Mai hoʻohana hou i ia mea, hoʻohana pinepine iā ia, a hoʻohana i ia i kahi ʻano ʻokoʻa ma mua o ke kuhikuhi a kāu kauka. ʻOiai ʻoe e hoʻohana nei i ka morphine, e kūkākūkā me kāu mea mālama ola i kāu pahuhopu mālama 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 ʻoe i ka morphine 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.

Hiki i ka Morphine ke hana i nā pilikia hanu koʻikoʻi a hoʻoweliweli paha, keu hoʻi i ka 24 a 72 mau hola mua o kāu mālama ʻana a i kēlā me kēia manawa e hoʻonui ʻia ai kāu mahele lāʻau. E nānā pono kāu kauka iā ʻoe i kāu wā e lapaʻau ai. E haʻi i kāu kauka inā he lohi kou hanu a i ʻole hānō. E haʻi paha kāu kauka iā ʻoe mai hoʻohana i ka injection morphine. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka maʻi o ka lolo e like me ka maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi e pili ana i nā akemāmā a me nā alaloa), kahi ʻeha poʻo, ka lolo lolo, a i ʻole kekahi ʻano e hoʻonui i ka nui o ke kaomi. i kou lolo. ʻOi aku ka kiʻekiʻe o ka pilikia e hoʻomohala ai ʻoe i nā pilikia hanu inā ʻoe he ʻelemakule a i ʻole nāwaliwali a ʻai ʻole ʻia paha ma muli o ka maʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e loaʻa i ka lāʻau lapaʻau pōpilikia: ka hanu lohi, hoʻomaha iki ma waena o nā hanu, a me ka liʻiliʻi o ka hanu.

ʻO ka lawe ʻana i kekahi mau lāʻau i ka wā o kāu mālama ʻana me ka injection morphine hiki ke hoʻonui i ka makaʻu e ʻike ʻoe i nā pilikia hanu koʻikoʻi a hoʻoweliweli paha i ke ola, hoʻomaha, a me ka coma. 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), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), a me triazolam (Halcion); nā lāʻau no ka nausea maʻi noʻonoʻo a ʻeha paha; nā mea hoʻomaha nāʻiʻo; nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers. Pono paha kāu kauka e hoʻololi i nā lāʻau o kāu mau lāʻau a e nānā pono iā ʻoe. Inā ʻoe e hoʻohana i ka morphine injection 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 mālama olakino pōpilikia: ka lualua ʻole ʻana, ka mālamalama, ka hiamoe nui, ka hanu a paʻakikī paha o ka hanu ʻana, a me ka pane ʻole ʻana paha. 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 wai ʻona, 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 ʻia ai me ka injection morphine e hoʻonui ai i ka makaʻala e ʻike ʻoe i kēia mau 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.

Mai ʻae i kekahi mea ʻē aʻe e hoʻohana i kāu lāʻau. Hiki iā Morphine ke hōʻeha a hōʻeha paha i ka make i kekahi poʻe e hoʻohana i kāu lāʻau, ʻo ia hoʻi nā keiki.

E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā ʻoe e hoʻohana maʻamau i ka morphine 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 kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i ka morphine injection.

Hoʻohana ʻia ka Morphine injection e hōʻoluʻolu i ka ʻeha a ʻeha nui. Aia ʻo Morphine 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 ʻōpala Morphine ma ke ʻano he hopena (wai) e hoʻokomo i ka intramuscularly (i kahi mākala) a i ʻole intravenous (i kahi aa). Hoʻokomo pinepine ʻia ia i kēlā me kēia hola i ka manawa e pono ai. E hoʻohana i ka injection morphine ma nā 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 ka injection morphine e like me ke kuhikuhi.

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

Inā ʻoe i hoʻohana i ka morphine injection no ka mea ʻoi aku ka lōʻihi ma mua o kekahi mau lā, mai hōʻoki i ka hoʻohana ʻana. Inā kū koke ʻoe i ka hoʻohana ʻana i ka morphine 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 morphine injection,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka morphine, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea hana i ka injection morphine. 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 i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻōlelo pono i kekahi o kēia mau mea: antihistamines (loaʻa i ke anuanu a me nā lāʻau āpau). cimetidine (Tagamet); cyclobenzaprine (Amrix); lithium (Lithobid, ma Librax); nā lāʻau no ka maʻi migraine e like me almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), a me zolmitriptan (Zomig); mirtazapine (Remeron); 5HT3 serotonin blockers e like me alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), a i ʻole palonosetron (Aloxi); nā mea kālailai serotonin-reuptake e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), a me sertraline (Zoloft); serotonin a norepinephrine reuptake inhibitors e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), a me venlafaxine (Effexor); tramadol (Conzip, Ultram, ma Ultracet); trazodone; a i ʻole tricyclic antidepressants ('mood elevators') e like me amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), and trimipram ( . E haʻi pū aku i kāu kauka a kauka paha inā ʻoe e lawe a loaʻa ana paha i nā mea ʻoihana monoamine oxidase (MAO) a i ʻole inā ua oki ʻoe i ka lawe ʻana iā lākou i loko o ʻelua mau pule i hala iho nei: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), a i ʻole tranylcypromine (Parnate). Nui paha nā lāʻau ʻē aʻe e launa pū me ka morphine, 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. 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 iā ʻoe a i ʻole loaʻa i kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo AOAO IMPORTANT a i ʻole ileus paralytic (ke ʻano e neʻe ʻole ai ka meaʻai i loko o nā ʻōpū). E haʻi paha kāu kauka iā ʻoe mai hoʻohana i ka morphine.
• e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi kahe haʻahaʻa, a i ʻole ka puʻuwai, ka ate, a me nā maʻi puʻupaʻa.
• 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 pilikia o ka hoʻohana ʻana i ka morphine.
• inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka morphine
• 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.
• pono ʻoe e ʻike i ka morphine ke kumu i ka lualua, ka ʻālohilohi, 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.
• pono ʻoe e ʻike i ka morphine ke kumu i ka paʻa paʻa. E kamaʻilio me kāu kauka e pili ana i ka loli ʻana i kāu papaʻai a i ʻole ka hoʻohana ʻana i nā lāʻau ʻē aʻe e pale a mālama ai i ka paʻa ʻana ke hoʻohana nei ʻoe i ka morphine.

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

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

• ʻeha poʻo
• ʻūpā
• ʻālohilohi
• loli ke ʻano

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 kiʻi i ka lāʻau olakino olakino.

• ka hopu ʻana
• hanu lohi
• hoʻomaha iki ma waena o nā hanu
• pokole o 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
• ʻūlili
• hūwī
• hives

Hoʻokumu paha ʻo Morphine 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).

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 monphine injection, 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, pāpaʻu, a i ʻole hanu maʻamau
• paʻakikī i ka hanu ʻana
• hiamoe
• hiki ʻole ke pane a ala paha
• anu, ʻili paʻalili
• nā haumāna liʻiliʻi
• ʻūlū puʻuwai
• ʻike hihi
• nausea
• maule ana

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka morphine.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua (ʻo ia hoʻi nā mea e pili ana i ka polū methylene), e haʻi i kāu kauka a me nā limahana o ka hale hana e hoʻohana nei ʻoe i ka morphine.

ʻAʻole hoʻopiha hou ʻia kēia palapala kuhikuhi. Inā ʻoe e hoʻohana ana i ka morphine e kaohi ai i kou ʻeha ma ke kumu lōʻihi, e hoʻomaopopo pono e hoʻonohonoho i nā manawa me kāu kauka i ʻole ʻoe e pau i ka lāʻau. Inā ʻoe e hoʻohana nei i ka morphine ma kahi manawa pōkole, e kāhea i kāu kauka inā hoʻomau ʻoe i ka ʻeha ma hope o kou hoʻopau ʻana i ka 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.

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• ʻO Duramorph^®
• ʻO Infumorph^®