Pākuʻi Epinephrine
Anter
- Ma mua o ka hoʻohana ʻana i ka lāʻau epinephrine,
- Hiki i nā lāʻau epinephrine ke kumu i nā hopena ʻaoʻao.Ke loaʻa ʻoe i ka lāʻau olakino olakino ma hope o kou hoʻokomo ʻana i ka epinephrine, e haʻi i kāu kauka inā ʻoe e ʻike nei i kekahi o kēia mau hopena ʻaoʻao.
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hoʻohana ʻia ka pīpī Epinephrine me ka lāʻau lapaʻau olakino e mālama ai i nā hopena maʻi e hoʻoweliweli ai i ke ola i hopena ʻia e nā nahu a nā ʻūlū, nā meaʻai, nā lāʻau, ka hopena, a me nā kumu ʻē aʻe. Aia ʻo Epinephrine i loko o ka papa o nā lāʻau i kapa ʻia ʻo alpha- a me beta-adrenergic agonists (nā mea lawelawe simpathomimetic). Hana ia ma ka hoʻomaha ʻana i nā mākala i nā ala ākea a hoʻopaʻa i nā kīʻaha koko.
Hele mai ka pīpī Epinephrine ma ke ʻano he hoʻopihapiha hoʻopihapiha hoʻopihapiha piha i kahi hopena (wai) a i loko o nā hue e hoʻokomo i ka subcutaneously (ma lalo o ka ʻili) a i ʻole intramuscularly (i ka mākala). Hoʻokomo pinepine ʻia ia e like me ka mea e pono ai ma ka hōʻailona mua o kahi hopena maʻi ʻino. E hoʻohana i ka hoʻopili ʻana o epinephrine e like me ke kuhikuhi ʻana; mai hoʻokomo pinepine iā ia a i ʻole e hoʻomoe i nā mea ʻoi aku a ʻoi paha o ia ma mua o ke kauka.
E noi i kāu kauka a kauka paha e hōʻike iā ʻoe a me kekahi o kāu poʻe kahu i hiki ke hoʻopili ʻia i ka lāʻau i ka hoʻohana ʻana i ka hāmeʻa hoʻopī akomi prefilled. Loaʻa i nā hāmeʻa hoʻomaʻamaʻa e hoʻomaʻamaʻa pehea e hoʻohana ai i ka hāmeʻa pahu kui akomi i ka wā o kahi pilikia. ʻAʻole i loaʻa i nā hāmeʻa hoʻomaʻamaʻa ka lāʻau lapaʻau a ʻaʻohe nila. Ma mua o kou hoʻohana ʻana i ka hoʻopili ʻana epinephrine no ka manawa mua, e heluhelu i ka ʻike hoʻomanawanui e hele pū ana me ia. Aia kēia ʻikepili i nā ʻōkuhi no ka pehea e hoʻohana ai i ka hāmeʻa hoʻopili akomi prefilled. E nīnau pono i kāu kauka lāʻau a kauka paha inā he nīnau kāu a i ʻole nā mea mālama e pili ana i ka hoʻopili ʻana i kēia lāʻau.
Pono ʻoe e hoʻopili i ka pīpī epinephrine ke manaʻo ʻoe e loaʻa ana iā ʻoe kahi hopena maʻi maʻi nui. ʻO nā hōʻailona o ka hopena maʻi kūpilikiʻi e pili ana i ka pani ʻana o ke ala o ke kahawai, ka hū ʻana, ka ʻū ʻana, ka hū ʻana, ka hives, ka ʻili ʻana, ka pehu ʻana, ka ʻulaʻula o ka ʻili, ka puʻuwai puʻuwai, ka nāwaliwali o ka naʻau, ka hopohopo, ka huikau, ka ʻeha o ka ʻōpū, ka nalowale ʻana o ka mimi a i ʻole ka ʻōpū, nāwaliwali, aiʻole ka nalowale o ka ʻike. E kamaʻilio me kāu kauka e pili ana i kēia mau ʻōuli a ʻike pono ʻoe e maopopo pehea e haʻi ai ke loaʻa iā ʻoe kahi hopena maʻi ʻino a pono e hoʻokomo i ka epinephrine.
Mālama me ʻoe a i ʻole loaʻa i nā manawa āpau i hiki ai iā ʻoe ke hoʻokomo koke i ka epinephrine ke hoʻomaka ka hopena maʻi maʻi. E makaʻala i ka lā palena pau i hehi ʻia ma ka hāmeʻa a hoʻololi i ka hāmeʻa ke hala kēia lā. E nānā i ka hopena ma ka hāmeʻa mai kēlā me kēia manawa. Inā hemo ka hopena a i ʻole he mau ʻāpana, e kāhea i kāu kauka e kiʻi i kahi hāmeʻa hou.
Kōkua ka pīpī Epinephrine e mālama i nā hopena maʻi kūpilikiʻi akā ʻaʻole ia e lawe i kahi o ka lāʻau lapaʻau. E kiʻi koke i ka lāʻau olakino ma hope koke iho o kou hoʻopili ʻana i ka epinephrine. E hoʻomaha mālie ʻoiai ʻoe e kali nei no ka lāʻau lapaʻau olakino.
ʻO ka hapa nui o nā hāmeʻa pahuhoho paʻa i lawa ka hoʻonā no hoʻokahi mahele lāʻau o epinephrine. Inā hoʻomau a hoʻi paha kāu mau hōʻailona ma hope o ke kuʻi mua, hiki i kāu kauka ke haʻi iā ʻoe e hoʻohana i ka lua o ka mahele lāʻau epinephrine injection me kahi mea hou i hoʻokomo ʻia. E ʻike pono pehea ʻoe e hoʻopili ai i ka lua o ka lāʻau a pehea e haʻi ai inā pono ʻoe e hoʻopili i kahi lāʻau ʻelua. Pono wale kahi mea mālama ola e hāʻawi i nā mea ʻoi aku ma mua o 2 no hoʻokahi hanana maʻi maʻi.
E hoʻopili wale ʻia ʻo Epinephrine ma waenakonu o ka ʻaoʻao i waho o ka ʻūhā, a hiki ke injected ma o ka lole inā pono i kahi ulia pōpilikia. Inā ʻoe e hoʻokomo i ka epinephrine i kahi keiki ʻōpio e neʻe i ka wā o ke kōkō ʻana, e hoʻopaʻa paʻa i ko lākou wāwae i ka wahi a kaohi i ka neʻe ʻana o ke keiki ma mua a i ka wā o ke kōkō. Mai hoʻokomo i ka epinephrine i loko o ka ʻūpā a i ʻole ʻāpana ʻē aʻe o kou kino e like me nā manamana lima, nā lima, a i ʻole nā wāwae a i ʻole i loko o kahi aa. Mai kau i kou manamana nui, nā manamana lima, a hāʻawi ʻole i ka wahi o ke kui kele o ka hāmeʻa pahu kui akomi. Inā kuhi hewa ʻia ka epinephrine i kēia mau wahi, e loaʻa koke i ka lāʻau lapaʻau maʻi pōpilikia.
Ma hope o kou kuʻi ʻana i ka mahele lāʻau o ka hoʻopili ʻana epinephrine, e noho kekahi mau hopena i ka mea hoʻopili. He maʻamau kēia a ʻaʻole ia he manaʻo ʻaʻole ʻoe i loaʻa i ka piha piha. Mai hoʻohana i ka wai keu; hoʻolei i ke koena wai a me ka hāmeʻa kūpono. Lawe i ka hāmeʻa i hoʻohana ʻia me ʻoe i ka lumi pilikia a i ʻole noi aku i kāu kauka, kauka, a i ʻole ka mea lawelawe olakino pehea e hoʻolilo ai i nā hāmeʻa hoʻohana ʻia me ka palekana.
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 lāʻau epinephrine,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka epinephrine, nā lāʻau ʻē aʻe, nā sulfites, a i ʻole kekahi o nā mea ʻē aʻe i loko o ka epinephrine injection. E haʻi paha kāu kauka iā ʻoe e hoʻohana i ka lāʻau epinephrine ʻoiai inā he maʻi ʻoe i kekahi o nā mea hana no ka mea he lāʻau mālama ola ia. ʻAʻole i loaʻa i ka epinephrine akomi hoʻohemo hāmeʻa ka palekana a palekana hoʻi e hoʻohana inā loaʻa iā ʻoe kahi alapiʻi latex.
- 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 hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: kekahi antidepressants e like me amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), maprotiline, mirtazapine (Remeron), nortriptyline (Pamelline), (Vivactil), a me trimipramine (Surmontil); antihistamines e like me chlorpheniramine (Chlor-Trimeton) a me diphenhydramine (Benadryl); beta blockers e like me propranolol (Hemangeol, Inderal LA, Innopran XL); digoxin (Lanoxicaps, Lanoxin); diuretics ('pills wai'); nā lāʻau lapaʻau ergot e like me dihydroergotamine (D.H.E. 45, Migranal), ergoloid mesylates (Hydergine), ergotamine (Ergomar, ma Cafergot, ma Migergot), a me methylergonovine (Methergine); levothyroxine (Levo-T, Levoxyl, Tironsint, nā mea ʻē aʻe); nā lāʻau no ke kuʻi puʻuwai kūlike ʻole e like me quinidine (i Nuedexta); a me phentolamine (Oraverse, Regitine). E haʻi pū aku i kāu kauka inā e lawe ana ʻoe i kahi mea kāpae monoamine oxidase e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate) a i ʻole ua oki ka lawe ʻana iā ia i loko o nā pule ʻelua i hala. Pono paha kāu kauka e nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole ʻeha mau ka umauma, kūpikipikiʻole o ka puʻuwai, ke koko kiʻekiʻe, a i ʻole nā maʻi puʻuwai. hānō; mimikō; hyperthyroidism (kahi thyroid overactive); pheochromocytoma (adrenal gland tumor); kaumaha a i ʻole nā maʻi noʻonoʻo ʻē aʻe; aiʻole ka maʻi ʻo Parkinson.
E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. E kamaʻilio me kāu kauka e pili ana inā a pehea ʻoe e hoʻohana ai i ka lāʻau epinephrine inā hāpai ʻoe.
Hiki i nā lāʻau epinephrine ke kumu i nā hopena ʻaoʻao.Ke loaʻa ʻoe i ka lāʻau olakino olakino ma hope o kou hoʻokomo ʻana i ka epinephrine, e haʻi i kāu kauka inā ʻoe e ʻike nei i kekahi o kēia mau hopena ʻaoʻao.
- ʻulaʻula ʻula, pehu, mahana, a palupalu paha ma ke kahua o ka hoʻopili ʻana
- paʻakikī i ka hanu ʻana
- kuʻi, wikiwiki, a i ʻole kuʻi puʻuwai puʻuwai
- nausea
- ka luaʻi
- ka houʻu ʻana
- ʻūpā
- hopohopo, hopohopo, a hoʻomaha ʻole paha
- nāwaliwali
- ʻili mae
- ʻeha poʻo
- ke hoʻoluliluli ʻole ʻole ʻana i kahi ʻāpana o kou kino
E mālama i kēia lāʻau i loko o ka ea e lawe ana i ka paipu i hiki mai ai, pani paʻa ʻia, a ʻaʻole i hiki i nā kamaliʻi. E mālama iā ia i ka mahana o ka lumi a mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (ʻaʻole i loko o ka lua. Mai hoʻopili i ka pahu epinephrine a waiho iā ia i kāu kaʻa, keu hoʻi i ka wā wela a anuanu. Inā hoʻokuʻu ʻia ka hāmeʻa hoʻokomo ʻālua prefilled, e nānā inā ua haki a i ʻole ka liu ʻana. E hoʻolei i nā lāʻau i hōʻino ʻia a i ʻole pono ʻole e hoʻohana ʻia a e ʻike pono e loaʻa kahi pani.
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:
- ka nāwaliwali koke a i ʻole ka helu ʻana ma kekahi ʻaoʻao o ke kino
- pilikia paʻakikī i ka ʻōlelo ʻana
- lohi a wikiwiki paha ka helu o ka naʻau
- pokole o ka hanu
- hanu wikiwiki
- huikau
- nāwaliwali a nāwaliwali paha
- anu, ʻili ʻili
- hoʻemi urination
Mālama i nā manawa āpau me kāu kauka.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. Inā ʻoe e hoʻohana i kahi hāmeʻa hoʻoheheʻe automate prefilled, e ʻike pono e loaʻa koke kahi pani. 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.
- ʻAdrenaclick®¶
- ʻAdrenalin®
- Auvi-Q®
- ʻEpiPen® Injector Auto
- EpiPen® Jr. Mea Hoʻokomo Auto
- ʻO Symjepi®
- ʻO Twinject®¶
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 11/15/2018