Naloxone Hoʻokomo
Anter
- Ma mua o ka hoʻohana ʻana i ka injection naloxone,
- Hoʻokumu paha ka injection Naloxone 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 loaʻa i ka lāʻau lapaʻau maʻi pōpilikia:
Hoʻohana ʻia ka injection Naloxone a me ka naloxone prefilled auto-injection injection (Evzio) me ka lāʻau lapaʻau olakino e hoʻohuli i nā hopena hoʻoweliweli o kahi overdose opiate (narcotic) i ʻike ʻia a i manaʻo ʻia paha. Hoʻohana pū ʻia ʻo Naloxone injection ma hope o ke kaha ʻana e hoʻohuli i nā hopena o nā opiates i hāʻawi ʻia i ka wā o ke ʻoki. Hāʻawi ʻia ka injection Naloxone i nā keiki hānau hou e hōʻemi i nā hopena o nā opiates i loaʻa i ka makuahine hāpai ma mua o ka hānau ʻana. ʻO Naloxone injection kahi i loko o ka papa o nā lāʻau i kapa ʻia ʻo nā opagon antagonists. 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.
Hele mai ka injection Naloxone ma ke ʻano he solution (wai) e injected intravenous (i kahi aa), intramuscularly (i loko o kahi mākala), a i ʻole subcutaneously (ma lalo pono o ka ʻili). Hele mai ia me he prefilled auto-injection injection i piha i kahi hopena e hoʻokomo ʻia i ka intramuscularly a i ʻole ka subcutaneously. Hāʻawi pinepine ʻia e like me ka mea e pono ai e mālama i nā overdosis opiate.
ʻAʻole hiki iā ʻoe ke mālama iā ʻoe iho inā ʻoe e ʻike i kahi overdosis opiate. Pono ʻoe e ʻike pono i 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 inā e ʻike ana ʻoe i kahi overdose, pehea e hoʻohana ai i ka naloxone injection, a he aha ka mea e hana ai a hiki i ke kōkua ʻana mai o nā kōkua olakino. E hōʻike kāu kauka a kauka paha iā ʻoe a me nā lālā o kou ʻohana pehea e hoʻohana ai i ka lāʻau. ʻO ʻoe a me nā mea e pono e hāʻawi i ka lāʻau e heluhelu i nā ʻōkuhi e hele mai me ka nasal injection. E noi i kāu kauka lāʻau no nā ʻōkuhi a kipa paha i ka pūnaewele o ka mea hana e kiʻi i nā kuhikuhi.
ʻAʻole hiki i ka naloxone injection ke hoʻohuli i nā hopena o kekahi mau opiates e like me buprenorphine (Belbuca, Buprenex, Butrans) a me pentazocine (Talwin) a koi paha i nā lāʻau naloxone hou aʻe.
ʻAʻole hiki iā ʻoe ke mālama iā ʻoe iho inā ʻoe e ʻike i kahi overdosis opiate. Pono ʻoe e ʻike pono i 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 inā e ʻike ana ʻoe i kahi overdose, pehea e hoʻopili ai i ka naloxone, a he aha ka mea e hana ai a hiki i ke kōkua kōkua kōkua kūikawā E hōʻike kāu kauka a kauka paha iā ʻoe a me nā lālā o kou ʻohana pehea e lawelawe ai i ka lāʻau. ʻO ʻoe a me nā mea e pono ana e lawelawe i nā lāʻau e pono e heluhelu i nā ʻōkuhi e hele mai me ka hāmeʻa a hoʻomaʻamaʻa me ka mea hoʻomaʻamaʻa i hoʻolako ʻia me ka lāʻau. E noi i kāu kauka lāʻau no nā ʻōkuhi a kipa paha i ka pūnaewele o ka mea hana. I ka hihia o ka ulia pōpilikia, ʻo ke kanaka i hoʻomaʻamaʻa ʻole ʻia e hoʻokomo i ka naloxone e hoʻāʻo nō e hoʻokomo i ka lāʻau.
Inā hāʻawi ʻia ʻoe i kahi hāmeʻa hoʻopili akomi, pono ʻoe e mālama i ka hāmeʻa i nā manawa āpau inā ʻike ʻoe i kahi overdosis opioid. E makaʻala i ka lā palena pau i kāu 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.
Loaʻa i ka hāmeʻa hoʻokomo ʻiʻo kahi ʻōnaehana leo uila e hāʻawi i nā ʻanuʻu a me nā ʻanuʻu no ka hoʻohana ʻana i kahi pilikia. Hiki i ke kanaka e hoʻokomo ana iā naloxone iā ʻoe ke hāhai i kēia mau kuhikuhi, akā pono ʻo ia e ʻike ʻaʻole pono ke kali no ka ʻōnaehana leo e hoʻopau i hoʻokahi kuhikuhi ma mua o ka hoʻomaka ʻana i ka anuʻu hou. Eia kekahi, i kekahi manawa ʻaʻole holo paha ka ʻōnaehana leo a lohe ʻole paha ke kanaka i nā ʻōkuhi. Eia naʻe, e holo nō ka hāmeʻa a e hoʻomoʻi i ka lāʻau inā ʻaʻole holo ka leo leo.
ʻO nā ʻōuli o ka overdose opioid me ka hiamoe nui; ʻaʻole ala aʻe ke kamaʻilio ʻia me ka leo nui a i ʻole ke wāwī paʻa ʻia ka waena o kou umauma; pāpaʻu a oki paha ka hanu ʻana; a i ʻole nā haumāna liʻiliʻi (pōʻaiʻeleʻele i waenakonu o nā maka). Inā ʻike kekahi e ʻike nei ʻoe i kēia mau hōʻailona, pono ʻo ia e hāʻawi iā ʻoe i kāu lā ma mua o ka naloxone i loko o ka mākala a i ʻole ma lalo o ka ʻili o kou ʻūhā. Hiki ke ʻimi ʻia ka lāʻau i loko o kou kapa inā pono i kahi ulia pōpilikia. Ma hope o ka hoʻokomo ʻana i ka naloxone, pono ke kanaka e kāhea koke iā 911 a laila noho me ʻoe a kiaʻi iā ʻoe a hiki i ka hōʻea ʻana mai o ke kōkua olakino pilikia. E hoʻi paha kāu mau hōʻailona i loko o kekahi mau minuke ma hope o kou loaʻa ʻana i kahi naloxone injection. Inā hoʻi kāu mau ʻōuli, pono i ke kanaka e hoʻohana i kahi hāmeʻa hoʻopili hou e hāʻawi iā ʻoe i kahi lāʻau ʻē aʻe o ka naloxone. Hāʻawi ʻia nā injection hou i kēlā me kēia minuke 2-3 inā hoʻi nā ʻōuli ma mua o ka hōʻea ʻana o ke kōkua olakino.
Hoʻohana wale ʻia kēlā me kēia mekini hoʻopihapiha akomi prefilled a laila pono e hoʻolei ʻia.Mai hoʻāʻo e hoʻololi i ka pale palekana ʻulaʻula ma ka hāmeʻa hoʻōki auto ma hope o kou hemo ʻana, ʻoiai inā ʻaʻole ʻoe i hoʻokomo i ka lāʻau. Ma kahi o, pani i ka hāmeʻa i hoʻohana ʻia i ka hihia i waho ma mua o ka hoʻolei ʻana. E noi i kāu kauka a kauka paha pehea e hoʻopau palekana ai i nā hāmeʻa injection i hoʻohana ʻia.
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 injection naloxone,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka hoʻopili naloxone, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka naloxone injection. E noi i kāu kauka lāʻau a nānā paha i ka ʻike hoʻomanawanui o ka mea hana 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. ʻO nā lāʻau he nui e hoʻopili i kou puʻuwai a i ʻole ke kaomi koko e hoʻonui paha i ka makaʻu e hoʻomohala ʻoe i nā hopena koʻikoʻi o ka inikolo naloxone. E ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei.
- e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā ʻoe ka puʻuwai, puʻuwai, a me nā maʻi ate.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā loaʻa ʻoe i ka naloxone injection i ka wā hāpai, pono paha i kāu kauka e nānā pono i kāu pēpē i hānau ʻole ʻia ma hope o kou loaʻa ʻana i ka lāʻau.
Hoʻokumu paha ka injection Naloxone i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻeha, puhi ʻana, a ʻulaʻula paha i ka pūnaewele injection
- ka houʻu ʻana
- ʻālohilohi wela a i ʻole ka paheʻe ʻana
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e loaʻa i ka lāʻau lapaʻau maʻi pōpilikia:
- wikiwiki, kuʻi, a i ʻole kuʻi puʻuwai puʻuwai
- ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole. (hallucination)
- nalowale o ka ʻike
- ka hopu ʻana
- nā hōʻailona o ka haʻalele ʻana o ka opiate e like me ke ʻeha o ke kino, ka palahī, ka puʻuwai wikiwiki, ka wela, ka ihu ihu, ka ʻū ʻana, ka hou ʻana, ka ʻū ʻana, ka ʻū, ka luaʻi, ka pīhoihoi, ka hoʻomaha ʻole, ka huhū, ka haʻalulu a haʻalulu paha, nā ʻōpū o ka ʻōpū, nāwaliwali, a me ke ʻano o ka lauoho. ma ka ʻili e kū ana ma ka hopena
- ke uē nei ma mua o ka maʻamau (i nā pēpē i mālama ʻia me ka injection naloxone)
- ʻoi aku ka ikaika ma mua o nā reflexes maʻamau (i nā pēpē i mālama ʻia me ka injection naloxone)
Hoʻokumu paha ka injection Naloxone i nā hopena ʻē aʻe. E haʻi 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).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama i ka hāmeʻa pahu kui akomi i ka mahana wela o ka lumi a mamao aku mai ke kukui. Inā ua hoʻoneʻe ʻia ke kiaʻi palekana ʻulaʻula, hoʻolei palekana i ka hāmeʻa hoʻoheheʻe akomi.
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
Mai ʻae i kekahi e hoʻohana i kāu lāʻau. 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.
- ʻO Narcan®¶
- Evzio®
- N-Allylnoroxymorphone Hydrochloride
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 02/15/2016