Rectal Hydromorphone

Anter

• E hoʻohana ai i nā kākoʻo, e hāhai i kēia mau kaʻina hana:
• Ma mua o ka hoʻohana ʻana i nā kākoʻo hydromorphone,
• Hiki i nā hydrosorphone suppositories 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:

Hiki ke maʻa mau ka Hydromorphone rectal, keu hoʻi me ka hoʻohana lōʻihi. E hoʻohana pono i ka hydromorphone rectal e like me ke kuhikuhi. Mai hoʻohana i kahi mahele lāʻau nui aku, hoʻohana pinepine iā ia, a hoʻohana ia no kahi manawa lōʻihi o ka manawa a i ʻole ʻano ʻokoʻa ma mua o ka mea i kauoha ʻia e kāu kauka. ʻOiai ʻoe e hoʻohana nei i ka hydromorphone rectal, e kūkākūkā me kāu mea mālama ola i kāu mau pahuhopu hōʻeha 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 i kou ʻohana a inu paha i ka nui o ka wai ʻona, hoʻohana a hoʻohana mua paha i nā lāʻau lapaʻau o ke alanui, a i ʻole loaʻa i ka overdose, a i ʻole hoʻohana nui ʻia i nā lāʻau i kuhikuhi ʻia, a i ʻole loaʻa paha iā ʻoe ke kaumaha a i ʻole. kekahi maʻi noʻonoʻo. Aia kekahi pilikia nui aʻe e hoʻohana nui ʻoe i ka hydromorphone rectal 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.

ʻO ka lawe ʻana i kekahi mau lāʻau i ka wā o kāu mālama ʻana me ka hydromorphone rectal e hoʻonui ai i ka makaʻu e hoʻomohala 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), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan) , oxazepam, temazepam (Restoril), a me triazolam (Halcion); nā lāʻau no ka maʻi noʻonoʻo a i ʻole ka nausea; nā mea hoʻomaha nāʻiʻo; nā lāʻau ʻeha ʻē aʻe; nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono iā ʻoe. Inā ʻoe e hoʻohana i ka hydromorphone rectal 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 ʻana a paʻakikī paha, a me ka pane ʻole ʻana. 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 waiʻona, 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 hydromorphone rectal e hoʻonui ai i ka makaʻu e ʻike ʻoe i kēia mau hopena ʻino a weliweli hoʻi i ke ola. Mai inu i ka ʻalekohola, lawe i nā lāʻau lapaʻau a i ʻole nā ​​lāʻau i hōʻike ʻole ʻia i loaʻa wai ʻona, a hoʻohana i nā lāʻau lapaʻau i ke alanui i kou wā e lapaʻau ai.

E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka hoʻohana ʻana i ka hydromorphone rectal.

Hoʻohana ʻia nā kākoʻo Hydromorphone e hōʻoluʻolu i ka ʻeha a ʻeha nui. Aia ʻo Hydromorphone 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 ʻo Hydromorphone ma ke ʻano he suppository e hoʻokomo i ka polima. Hoʻokomo ʻia ia i hoʻokahi manawa i kēlā me kēia 6 a 8 mau hola. Hoʻokomo i ka hydromorphone 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 nā kākoʻo hydromorphone e like me ke kuhikuhi.

Mai hōʻoki i ka hoʻohana ʻana i nā kākoʻo hydromorphone me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka hoʻohana ʻana i nā kākoʻo hydromorphone, ʻike paha ʻoe i ka haʻalele ʻana i nā ʻōuli me ka hoʻomaha ʻole, nā maka luha, ka ihu ihu, ka ʻū ʻana, ka hou ʻana, ka ʻalalā ʻana, ka lauoho e kū ana i ka wēlau, ka ʻeha a me ka ʻeha pū, ka hoʻonui ʻia ʻana o nā haumāna (pōʻaiʻeleʻele i waenakonu o ka maka), huhū, hopohopo, ʻehaʻeha, palupalu, ʻōpū o ka ʻōpū, paʻakikī e hiamoe a hiamoe paha, nausea, pau ʻole o ka makemake, ka luaʻi, ka maʻi hē, hanu wikiwiki, a i ʻole ka puʻuwai puʻuwai. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau.

E hoʻohana ai i nā kākoʻo, e hāhai i kēia mau kaʻina hana:

1. Wehe i ka wahī.
2. Hoʻomoʻu i ka piko o ka waihona i ka wai.
3. Moe i kou ʻaoʻao hema a hāpai i kou kuli ʻākau i kou umauma (pono e moe i ka lima hema i ka ʻaoʻao ʻākau a hāpai i ke kuli hema).
4. E hoʻohana ana i kou manamana lima, e hoʻokomo i ka waihona ma kahi o 1 ʻīniha (2.5 centimita) i loko o ka pelaha.
5. E paʻa ma kou manamana lima no kekahi mau manawa.
6. Kū i luna ma hope o 15 mau minuke. E holoi holoi i kou mau lima a hoʻomaka hou i nā hana maʻamau.

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 nā kākoʻo hydromorphone,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka hydromorphone, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o nā kākoʻo hydromorphone. 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 he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻōlelo pono i kekahi o kēia mau mea: cyclobenzaprine (Amrix); dextromethorphan (ʻike ʻia i loko o nā lāʻau lapaʻau he nui; ma Nuedexta); lithium (Lithobid, ma Librax); nā lāʻau no ka hopu ʻana i 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); nā lāʻau narcotic no ka ʻeha ʻē aʻe ma mua o ka hydromorphone; 5HT₃ nā poloka serotonin e like me alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), a i ʻole palonosetron (Aloxi, i Akynzeo); 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 me nā norepinephrine reuptake inhibitors e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), a me venlafaxine (Effexor); trazodone; a me nā tricyclic antidepressants ('mood elevators') e like me amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a me trimipramine (Surmontil). 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). Hiki paha i nā lāʻau ʻē aʻe ke launa pū me ka hydromorphone, 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 i nā huahana lāʻau āu e lawe nei, ʻo ka wort a me ka tryptophan o St.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole ʻeha ʻeha poʻo paha a i ʻole kekahi ʻano i hōʻino ʻia i kou lolo, nā ʻano e hoʻonui ai i ke kaomi i kou lolo. hanu i ka hanu ʻana; a i ʻole kekahi ʻano e hoʻopili i kou hanu ʻana e like me ka hānō, maʻi pulmonary obstructive maʻi mau loa (COPD; kahi hui o nā maʻi e like me ka bronchitis mau a me ka emphysema e pili ana i nā akemāmā a me nā alaloa), ai ʻole kyphoscoliosis E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i nā kākoʻo hydromorphone.
• e haʻi i kāu kauka inā he makua ʻelemakule ʻoe a i ʻole inā nāwaliwali a maʻi ʻole ʻia ʻoe e ka maʻi. E haʻi aku i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā hypothyroidism (kahi e hana ai ka gland thyroid i ka liʻiliʻi o ka hormone ma mua o ka maʻamau); ʻO ka maʻi ʻo Addison (kahi e hana ai ka momona adrenal ma mua o ka maʻamau); nā kūlana e kūpilikiʻi i ka mimiki e like me ka prostate hoʻonui ʻia (kahi kāne hānau hānau) a i ʻole ke koʻikoʻi urethral (blockage o ka paipu e ʻae ai i ka mimi e haʻalele i ke kino); aiʻole ka ate a me nā maʻi pākī.

• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i nā kākoʻo hydromorphone, e kāhea i kāu kauka.

• 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 nā kākoʻo hydromorphone.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i nā kākoʻo hydromorphone.
• pono ʻoe e ʻike i ka hydromorphone paha 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 ʻo ka hydromorphone paha ke kumu o ka puʻupuʻu, ka uila, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe e hoʻohana i nā kākoʻo hydromorphone. 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.

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

E hoʻohana 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 hoʻohana i kahi lāʻau pālua e pani no kahi mea i hala.

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

• kōpaʻa
• hiamoe
• loli ke ʻano
• huikau
• pilikia urino
• ʻākoʻako o nā haumāna (pōʻaiʻeleʻele i waenakonu o nā maka)

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.

• lohi a kū hoʻi i ka hanu
• hanu kūpono ʻole a i ʻole kū a hoʻomaka
• 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

Hiki i nā hydrosorphone suppositories ke hana 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).

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 loko o ka pahu hau. E hoʻolei i nā lāʻau i hala i ka wā kahiko a pono ʻole paha. E kamaʻilio me kāu kauka lāʻau e pili ana i ka hoʻolei kūpono ʻana o kāu lāʻau.

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

E mālama i nā waihona hydromorphone i loko o ka pahu hau i kahi wahi palekana i hiki ʻole i kekahi mea ʻē aʻe ke lawe i ka lāʻau me ka hewa ʻole a ma ke kumu paha. E mālama i ka nui o nā waihona i koe a ʻike ʻoe inā e nalowale kekahi.

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 hydromorphone rectal, 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 mālie a pāpaʻu paha
• paʻakikī i ka hanu ʻana
• hiamoe
• hiki ʻole ke pane a ala paha
• nāwaliwali o nā mākala
• anu, ʻili paʻalili
• ʻākiki a ākea paha o nā haumāna (pōʻaiʻele i ka waena o ka maka)
• lohi a kūlia paha i ke kuʻi puʻuwai
• ʻūpā
• 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 hydromorphone.

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

ʻAʻole hoʻopiha hou ʻia kēia palapala kuhikuhi. Inā hoʻomau ʻoe i ka ʻeha ma hope o kou hoʻopau ʻana i nā kākoʻo hydromorphone, e kāhea i kāu kauka.

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.

• loaʻa maʻamau

• dihydromorphinone