Pākuʻi Midazolam

Anter

• Ma mua o ka loaʻa ʻana o ka injection midazolam,
• Hoʻokumu paha ka pahu Midazolam 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 a i ʻole nā ​​mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Hoʻokumu paha ka injection Midazolam i nā pilikia hanu koʻikoʻi a hoʻoweliweli paha e like me ka papau, hoʻolōʻihi, a hoʻomaha iki paha i ka hanu ʻana e hiki ai i ka ʻeha lolo mau loa a make paha. E loaʻa wale iā ʻoe kēia lāʻau i loko o kahi haukapila a i ʻole ke keʻena o ke kauka e pono ai nā mea e pono ai e nānā i kou puʻuwai a me kou mau māmā a hāʻawi i ka mālama ola me ka wikiwiki ke lohi a kū paha kou hanu E nānā pono kāu kauka a kahu hānai paha iā ʻoe ma hope o ka loaʻa ʻana o kēia lāʻau i mea e hanu pono ai. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi maʻi nui a i ʻole inā i loaʻa iā ʻoe i kahi māmā, ʻeha, a me nā pilikia hanu a i ʻole nā ​​maʻi puʻuwai. E haʻi i kāu kauka a me kāu kauka lāʻau inā ʻoe e lawe i kekahi o nā lāʻau aʻe: antidepressants; barbiturates e like me secobarbital (Seconal); droperidol (Inapsine); nā lāʻau no ka hopohopo, nā maʻi noʻonoʻo, a i ʻole ka hopu ʻana i ka maʻi; nā lāʻau lapaʻau opiate no ka puʻu e like me codeine (i Triacin-C, ma Tuzistra XR) a i ʻole hydrocodone (i Anexsia, i Norco, i Zyfrel) a i ʻole no ka ʻeha e like me codeine, fentanyl (Actiq, Duragesic, Subsys, a me nā mea ʻē aʻe), hydromorphone (Dilaudid , Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (i Oxycet, i Percocet, i Roxicet, a me nā mea ʻē aʻe), a me tramadol (Conzip, Ultram, i Ultracet) ; nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers.

Hoʻohana ʻia ka injection Midazolam ma mua o nā kaʻina hana olakino a me ke ʻoki ʻana e hoʻoulu ai i ka hiamoe, hoʻomaha i ka hopohopo, a pale i kekahi hoʻomanaʻo ʻana o ka hanana. Hāʻawi ʻia ia i kekahi manawa ma ke ʻano he ʻāpana o ka anesthesia i ka wā o ke kaha ʻana e hana i ka nalowale o ka ʻike. Hoʻohana pū ʻia ʻo Midazolam injection e hoʻoliʻiliʻi i ka ʻike i nā poʻe maʻi nui i nā keʻena mālama mālama nui (ICU) e hanu nei me ke kōkua o kahi mīkini. Aia ʻo Midazolam injection i loko o ka papa o nā lāʻau i kapa ʻia benzodiazepines. Hana ia ma ka hoʻolōʻihi ʻana i ka hana i ka lolo e ʻae i ka hoʻomaha a hoʻemi i ka ʻike.

Hele mai ka injection Midazolam ma ke ʻano he hopena (wai) e ʻāko ʻia i loko o ka mākala a i ʻole ka uaua e ke kauka a kahu hānai paha i kahi haukapila a i ʻole ke keʻena maʻi.

Inā loaʻa iā ʻoe ka pahu waena midazolam i ka ICU ma kahi lōʻihi o ka manawa, e hilinaʻi paha kou kino iā ia. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau lapaʻau e pale i ka haʻalele ʻana i nā ʻōuli e like me ka hopu ʻana, ka lulu ʻole ʻana o kahi ʻāpana o ke kino, nā haʻalulu (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole ola), ʻōpū a me nā ʻūhā o ka mākala, nausea, luaʻi, sweating, wikiwiki puʻuwai puʻuwai, paʻakikī e hiamoe a hiamoe paha, a kaumaha.

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 loaʻa ʻana o ka injection midazolam,

• e haʻi i kāu kauka a me ka kauka inā ua maʻi ʻoe i ka midazolam a i ʻole nā ​​lāʻau ʻē aʻe.
• e haʻi i kāu kauka inā ʻoe e lawe nei i kekahi mau lāʻau no ka maʻi pale maʻi (HIV) e like me amprenavir (Agenerase), atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), efavirenz (Sustiva, i Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (in Kaletra), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra), saquinavir (Invirase), and tipranavir (Aptivus). E hoʻoholo paha kāu kauka ʻaʻole e hāʻawi iā ʻoe i ka injection midazolam inā ʻoe e lawe i hoʻokahi a ʻoi paha o kēia mau lāʻau.
• 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 nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: aminophylline (Truphylline); kekahi mau antifungals e like me itraconazole (Sporanox) a me ketoconazole (Nizoral); kekahi mau blockers channel calcium e like me diltiazem (Cartia, Cardizem, Tiazac, kekahi) a me verapamil (Calan, Isoptin, Verelan, a me nā mea ʻē aʻe); cimetidine (Tagamet); dalfopristin-quinupristin (Synercid); a me erythromycin (E-mycin, E.E.S.). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka midazolam, 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.
• e haʻi i kāu kauka inā loaʻa ka glaucoma (hoʻonui kaomi i nā maka e hiki ai ke lilo i ka nihi o ka ʻike. E hoʻoholo paha kāu kauka ʻaʻole e hāʻawi iā ʻoe i ka injection midazolam.
• e haʻi i kāu kauka inā ua kū hou ʻoe i ka inu ʻana i ka nui o ka waiʻona a i ʻole inā he ʻeha a he maʻi ate paha kāu.
• 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 i nā pilikia a me nā pōmaikaʻi o ka loaʻa ʻana o ka injection midazolam inā ʻoe he 65 mau makahiki a ʻoi paha. Pono i nā mākua ʻelemakule e loaʻa i nā kaomi haʻahaʻa o ka hoʻopili ʻana o midazolam no ka mea ʻoi aku ka hopena o nā hopena kiʻekiʻe i nā hopena ʻino.
• pono ʻoe e ʻike i ka midazolam hiki iā ʻoe ke hiamoe loa a hoʻopili paha i kou hoʻomanaʻo, noʻonoʻo, a me nā neʻe. Mai hoʻokele kaʻa a hana i nā hana ʻē aʻe e koi iā ʻoe e makaʻala piha no 24 mau hola ma hope o ka loaʻa ʻana o ka midazolam a hiki i ka pau ʻana o nā hopena o ka lāʻau. Inā loaʻa kāu keiki i ke kuhi midazolam, e kiaʻi pono iā ia e ʻike pono ʻaʻole e hina i ka wā e hele ana i kēia manawa.
• pono ʻoe e ʻike hiki i ka waiʻona ke hana i nā hopena ʻino mai ka midazolam injection i ʻoi aku ka maikaʻi.
• pono ʻoe e ʻike i kekahi mau noiʻi ʻana i nā keiki ʻōpio i hāpai i nā hopohopo e hoʻohana pinepine a lōʻihi paha (> 3 mau hola) o nā lāʻau anesthetic ākea a sedation paha e like me midazolam i nā pēpē a me nā keiki ma mua o 3 mau makahiki a i ʻole nā ​​wahine i nā mahina i hala iho nei o hiki i kā lākou hāpai ʻana ke hoʻololi i ka ulu ʻana o ka lolo o ke keiki. Hōʻike nā noiʻi ʻē aʻe i nā pēpē a me nā kamaliʻi ʻaʻole hiki ke loaʻa nā hopena maikaʻi ʻole i kahi lāʻau hoʻokahi a pōkole hoʻi i ka lāʻau anesthetic a me ka sedation. Eia nō naʻe, pono i kahi noiʻi hou e hoʻomaopopo piha i nā hopena o ka hōʻike ʻana i ka anesthesia i ka ulu ʻana o ka lolo i nā keiki ʻōpio. Pono nā mākua a me nā mea mālama i nā keiki ma mua o 3 mau makahiki a me nā wahine hāpai e kamaʻilio me kā lākou kauka e pili ana i nā pilikia o ka anesthesia ma ka ulu ʻana o ka lolo a me ka manawa kūpono o nā kaʻina hana e koi ai i nā lāʻau anesthetic ākea a sedation paha.

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

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

• ʻeha poʻo
• hiamoe
• nausea
• ka luaʻi
• hiccups
• ʻūhā
• ʻeha, ʻulaʻula, a paʻakikī paha o ka ʻili ma ka pūnaewele injection

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻ sectionlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka:

• hoohaunaele
• hoʻomaha ʻole
• luliluli ʻole ʻana i kahi ʻāpana o ke kino
• ʻoʻoleʻa a ʻino hoʻi i nā lima a me nā wāwae
• hoʻouka kaua
• ka hopu ʻana
• ka neʻe ʻole o ka neʻe ʻana o ka maka
• hives
• hūwī
• ʻūlili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hoʻokumu paha ka pahu Midazolam i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka loaʻa ʻana o 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.

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

• hiamoe
• huikau
• nā pilikia me ke kaulike a me ka neʻe
• lohi i nā reflexes
• lohi ka hanu ʻana a me ke kuʻi puʻuwai
• koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)

Mālama i nā manawa āpau me kāu kauka.

E noi i kāu kauka a kauka paha inā he nīnau paha kāu e pili ana i ka injection midazolam.

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.

• Palapala ʻia^® Pākuʻi