Mea Kākau: William Ramirez
Lā O Ka Hana: 22 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
HOW IS THE PREPARATION AND ADMINISTRATION OF GANCICLOVIR AND CHEMOTHERAPEUTIC MEDICINES BY NURS...
Wikiō: HOW IS THE PREPARATION AND ADMINISTRATION OF GANCICLOVIR AND CHEMOTHERAPEUTIC MEDICINES BY NURS...

Anter

Hiki i ka Ganciclovir ke hoʻohaʻahaʻa i ka helu o nā ʻano āpau i loko o kou koko, e hoʻomaka ana i nā pilikia koʻikoʻi a me ka hoʻoweliweli ola. E haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka anemia (ʻaʻole lawe mai nā hunaola ʻulaʻula i lawa ka oxygen i nā ʻāpana āpau o ke kino); neutropenia (ʻoi aku ma mua o ka helu maʻamau o nā hunaola keokeo); thrombocytopenia (ʻoi aku ma mua o ka helu maʻamau o nā platelet); a i ʻole nā ​​koko a i ʻole nā ​​pilikia kahe ʻana ke kahe. E haʻi i kāu kauka inā ua ulu ʻoe i nā pilikia o ke koko ma ke ʻano he ʻaoʻao o nā lāʻau. E haʻi i kāu kauka a me kāu kauka lāʻau inā ʻoe e lawe a i ʻole lawe i kekahi o nā lāʻau aʻe: anticoagulants ('blood thinners') e like me warfarin (Coumadin); cancer chemotherapy chemotherapy; dapsone; flucytosine (Ancobon); heparin; nā immunosuppressants e like me azathioprine (Azasan, Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), sirolimus (Rapamune), a me tacrolimus (Prograf); interferons (Infergen, Intron A, PEGASYS, PEG-Intron, Roferon-A); nā lāʻau e mālama ai i ka maʻi pale maʻi kanaka (HIV) a loaʻa ka maʻi maʻi maʻi (AIDS) e like me didanosine (Videx), zalcitabine (HIVID), a i ʻole zidovudine (Retrovir, AZT); nā lāʻau anti-inflammatory nonsteroidal e mālama i ka ʻeha a me ka pehu ʻana e like me aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a me nā mea ʻē aʻe; pentamidine (NebuPent, Pentam); pyrimethamine (Daraprim, ma Fansidar); nā steroid e like me dexamethasone (Decadron), prednisone (Deltasone), a i ʻole nā ​​mea ʻē aʻe; trimethoprim / sulfamethoxazole (co-trimoxazole, Bactrim, Septra); aiʻole inā ua loaʻa iā ʻoe a loaʻa paha iā radiation (X-ray) therapy. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: luhi nui; ʻili mae; ʻeha poʻo; ʻūpā; huikau; puʻuwai wikiwiki; paʻakikī e hiamoe a hiamoe paha; nāwaliwali; pokole o ka hanu; kahe koko ʻole a ʻeha paha; a ʻeha ʻeha paha, kuni, haʻalulu, ʻū, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi.


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

ʻO nā holoholona Laboratory i hāʻawi ʻia i ka ganciclovir i hoʻomohala i nā kīnā hānau. ʻAʻole ʻike ʻia inā ganciclovir ke kumu o nā hānau hānau i ka poʻe. Inā hiki iā ʻoe ke hāpai, pono ʻoe e hoʻohana i ka kaohi hānau kūpono ʻoiai ke lawe nei i ka ganciclovir. Inā he kāne ʻoe a hiki i kāu pakanā ke hāpai, pono ʻoe e hoʻohana i kahi pale pale i ka wā e lawe ana i kēia lāʻau, a no 90 mau lā ma hope o kāu lapaʻau. E kamaʻilio me kāu kauka inā he mau nīnau kāu e pili ana i ka kaohi hānau. Mai hoʻohana i ka ganciclovir inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā hāpai ʻoe i ka lawe ʻana i ganciclovir, e kāhea koke i kāu kauka.

ʻO nā holoholona Laboratory i hāʻawi ʻia i ka ganciclovir i hoʻomohala i kahi helu sperm haʻahaʻa (ʻoi aku ka liʻiliʻi o nā keola hānau kāne) a me nā pilikia momona. ʻAʻole ʻike ʻia inā ganciclovir ke kumu o ka helu ʻana o ka sperm haʻahaʻa i nā kāne a i ʻole nā ​​pilikia me ka momona o nā wahine.

ʻO nā holoholona Laboratory i hāʻawi ʻia i ka ganciclovir i ulu i ka maʻi ʻaʻai. ʻAʻole ʻike ʻia inā hoʻonui ka ganciclovir i ka makaʻu o ka maʻi ʻaʻai i nā kānaka.


Hoʻomaopopo ka mea hana e hoʻohana wale ʻia ka ganciclovir no ka mālama ʻana i nā mea maʻi me kekahi mau maʻi no ka mea ʻo ka lāʻau ke kumu i nā hopena ʻino a ʻaʻole lawa ka ʻike i kēia manawa e kākoʻo i ka palekana a me ka maikaʻi i nā hui ʻē aʻe. (E ʻike i ka ʻāpana, no ke aha e kuhikuhi ʻia ai kēia lāʻau?)

E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka lawe ʻana i ganciclovir.

Hoʻohana ʻia nā capsule Ganciclovir e mālama i ka cytomegalovirus (CMV) retinitis (ʻike ʻia ka maka e hiki ai ke makapō) i ka poʻe e hana maʻamau ʻole ka ʻōnaehana pale. Hoʻohana ʻia nā capsule Ganciclovir e mālama iā CMV retinitis ma hope o ka mālama ʻia ʻana o ke ʻano e ka intravenous (injected into a vein) ganciclovir. Hoʻohana ʻia ʻo Ganciclovir i mea e pale aku ai i ka maʻi cytomegalovirus (CMV) i ka poʻe i loaʻa ka maʻi maʻi maʻi (AIDS) a i ʻole i loaʻa i kahi transplant a aia i ka maʻi CMV. ʻO Ganciclovir kahi papa o nā lāʻau i kapa ʻia nā antivirals. Hana ia ma ka pale ʻana i ka hoʻolaha ʻana o ka maʻi CMV a i ʻole ke hoʻolohi nei i ka ulu ʻana o CMV.


Hele mai ʻo Ganciclovir ma ke ʻano he capsule e lawe ma ka waha. Lawe pinepine ʻia ia me ka meaʻai ʻekolu a ʻeono manawa i ka lā. I mea e kōkua ai iā ʻoe e hoʻomanaʻo i ka lawe ʻana i ka ganciclovir, e lawe ia 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. Lawe pono i ka ganciclovir 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.

E ale i nā capsule holoʻokoʻa; mai wehe, wāwahi, nau wale a wāwahi paha iā lākou.

E akahele i ka lawelawe ʻana i nā capsule ganciclovir. Mai ʻae i kou ʻili, maka, waha, a ihu paha e launa me nā capsule ganciclovir haki a haki paha. Inā kū kēlā pilina, holoi maikaʻi i kou ʻili me ke kopa a me ka wai a holoi maikaʻi paha i kou mau maka me ka wai maʻamau.

E loaʻa maʻamau iā ʻoe (i loko o ka aa) ganciclovir no kekahi mau pule ma mua o kou hoʻomaka ʻana e lawe i nā capsule ganciclovir. Inā hele a hewa kou ʻano i kou wā lapaʻau, hāʻawi ʻia iā ʻoe i ka papa ʻelua o ka ganciclovir intravenous. Hiki i kāu kauka ke hōʻemi i kāu lāʻau o ganciclovir capsules inā ʻike ʻoe i nā hopena ʻaoʻao.

Mālama ʻo Ganciclovir iā CMV akā ʻaʻole ia e hoʻōla iā ia. Lōʻihi paha ka manawa ma mua o kou ʻike ʻana i ka pono piha o ganciclovir. E hoʻomau i ka lawe ʻana i ka ganciclovir ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka ganciclovir me ka walaʻau ʻole ʻana me kāu kauka. Ke kū nei e lawe i ka ganciclovir hikiwawe paha ke hoʻonui i ka nui o CMV i kou koko a i ʻole e pale aku ka maʻi virus i kēia lāʻau.

Ua ʻōlelo ka mea hana ʻaʻole pono e kuhikuhi 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 lawe ʻana i ganciclovir,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka ganciclovir, acyclovir (Zovirax), valganciclovir (Valcyte), a i ʻole nā ​​lāʻau ʻē aʻe.
  • mai lawe i ka ganciclovir inā ʻoe e lawe valganciclovir (Valcyte).
  • e haʻi i kāu kauka a me ka mea lapaʻau i nā lāʻau lapaʻau a me nā lāʻau ʻole ʻē aʻe, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei. E hoʻomaopopo pono e ʻōlelo i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o nā mea penei: aminoglycoside antibiotics e like me amikacin (Amikin), gentamicin (Garamycin), neomycin (New-Rx, New-Fradin), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi), a me nā mea ʻē aʻe; amphotericin B (Fungizone); captopril (Capoten, ma Capozide); diuretics ('pills wai'); foscarnet (Foscavir); nā hui gula e like me auranofin (Ridaura) a i ʻole aurothioglucose (Solganal); imipenem-cilastatin (Primaxin); immune globulin (gamma globulin, BayGam, Carimmune, Gammagard, a me nā mea ʻē aʻe); methicillin (Staphcillin); muromonab-CD3 (OKT3); mycophenolate mofetil (CellCept); nitrates e like me isosorbide dinitrate (Isordil, Sorbitrate) a i ʻole nā ​​huahana nitroglycerin; penicillamine (Cuprimine, Depen); primaquine; probenecid; rifampin (Rifadin, Rimactane); a i ʻole nā ​​analogos nukleoside e like me acyclovir (Zovirax), famciclovir (Famvir), a me ribavirin (Copegus, Rebetol, Virazole, i Rebetron). 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 Aʻoaʻo IMPORTANT a i ʻole kekahi o nā ʻano aʻe: nā maʻi noʻonoʻo; ka hopu ʻana; nā pilikia o ka maka ʻē aʻe ma mua o ka CMV retinitis; hakuʻala, a i ʻole maʻi maʻi ate.
  • e haʻi i kāu kauka inā ʻoe e hānai umauma ana. ʻAʻole pono ʻoe e hānai i ka umauma ʻoiai e lawe ana i ka ganciclovir. E kamaʻilio me kāu kauka e pili ana i kahi manawa e hoʻomaka palekana ai i ka hānai umauma ʻana ma hope o kou hōʻoki ʻana i ka lawe ʻana i ka ganciclovir.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka ganciclovir.
  • pono ʻoe e ʻike i ka ganciclovir e hiamoe ai ʻoe, ʻānai, wiwo ʻole, huikau ai ʻole hoʻi makaʻala ai ʻole e hoʻonāukiuki ai. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.

E inu pono i nā wai i ka wā e lawe ana ʻoe i ka ganciclovir.

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.

Hoʻokumu ʻo Ganciclovir 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
  • kōpaʻa
  • ʻeha ka ʻōpū
  • kāʻei
  • nalo ʻai ʻole
  • nā hoʻololi i ka hiki ke ʻono i ka meaʻai
  • waha maloo
  • ʻeha nā waha
  • moeʻuhane ʻano ʻole
  • hopohopo
  • kaumaha
  • ka houʻu ʻana
  • ʻōhinu
  • ʻeha a ʻeha ʻeha a ʻūʻī paha

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

  • ke ʻike nei i nā specks, nā uila o ke kukui, a i ʻole ka pale pouli ma luna o nā mea āpau
  • hoʻemi urination
  • hives
  • hūwī
  • ʻūlili
  • ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • numbness, ʻeha, puhi ʻana, a i ʻole nā ​​kani ʻana i nā lima a me nā wāwae
  • lulu lima ʻaʻole hiki iā ʻoe ke kāohi
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • ʻeha ka umauma
  • loli ke ʻano
  • ka hopu ʻana

Hoʻokumu paha ʻo Ganciclovir i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana 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 mālama i kēia lāʻau i loko o ka pahu i komo 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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • nausea
  • ka luaʻi
  • pāhoehoe
  • nalo ʻai ʻole
  • kahe koko ʻole ʻana a palapū paha
  • luhi nui loa
  • nāwaliwali
  • ʻili mae
  • ʻeha poʻo
  • ʻūpā
  • huikau
  • puʻuwai wikiwiki
  • paʻakikī i ka hiamoe
  • pokole o ka hanu
  • ʻeha ka ʻāʻī, ke kuni, ke anu, ka ʻū, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
  • hoʻemi urination
  • ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • ka hopu ʻana
  • melemele o ka ʻili a me nā maka
  • nā ʻōuli like flu
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū

Hiki i kāu kauka ke kauoha i nā hoʻokolokolo maka maʻamau ʻoiai ʻoe e lawe nei i kēia lāʻau. Mālama i nā manawa a pau me ka ophthalmologist (nā hoʻāʻo maka).

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka ganciclovir.

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. Mai hoʻokuʻu i kāu lako o ganciclovir i waho.

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 Cytovene® Waha waha
  • ʻO Nordexoyguanosine
  • ʻO Sodoma DHPG
  • ʻO Sodoma GCV

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

Nānā Hou - 05/15/2016

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