Nitroglycerin Spray
Anter
- E hoʻohana ai i ka ehu, e hāhai i kēia mau kaʻina hana:
- Ma mua o ka hoʻohana ʻana i nitroglycerin,
- Hiki i ka Nitroglycerin ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā loaʻa kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻĀina KĀNĀWAI ʻino 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 aku 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:
Nitroglycerin spray is used to treat episodes of angina (chest pain) i ka poʻe i loaʻa ka maʻi o ke aʻa coronary (ka hoʻopili ʻana o nā kīʻaha koko e hāʻawi i ke koko i ka puʻuwai). Hiki ke hoʻohana ʻia i ka ʻehu ma mua o nā hana i hiki ke hoʻokumu i nā ʻanela o ka angina i mea e pale ʻole ai i ka angina. Aia ʻo Nitroglycerin i kahi papa o nā lāʻau i kapa ʻia vasodilators. Hana ia ma ka hoʻomaha ʻana i nā kīʻaha koko no laila ʻaʻole pono ka puʻuwai e hana paʻakikī a no laila ʻaʻole pono ka nui o ka oxygen.
Hele mai ʻo Nitroglycerin ma kahi ʻehu e hoʻohana ai ma lalo o ke alelo. Hoʻohana mau ʻia ka ʻehu e like me ka mea e pono ai, ʻo 5 a 10 mau minuke paha ma mua o nā hana i hiki ke hoʻouka i ka angina a i ka hōʻailona mua o kahi hoʻouka. 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 ka nitroglycerin e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
ʻAʻole paha e holo pono ʻo Nitroglycerin ma hope o kāu hoʻohana ʻana ia no kekahi manawa a i ʻole inā ua hoʻohana ʻoe i nā nui. E hoʻohana i ka helu ʻoi loa o nā spray e pono ai e hōʻoluʻolu i ka ʻeha o kāu hoʻouka ʻana. Inā pinepine pinepine kāu hōʻeha angina, ʻoi aku ka lōʻihi, a i ʻoi aku paha ke koʻikoʻi i kēlā me kēia manawa i kāu wā e lapaʻau ai, e kāhea i kāu kauka.
E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka spray nitroglycerin e mālama ai i nā hōʻeha angina. E haʻi paha kāu kauka iā ʻoe e noho i lalo a hoʻohana i hoʻokahi lāʻau o nitroglycerin ke hoʻomaka kahi hoʻouka. Inā hoʻomaikaʻi nui ʻole kāu mau ʻōuli a i ʻole inā māhuahua lākou ma hope o kou hoʻohana ʻana i kēia lāʻau, e haʻi ʻia ʻoe e kāhea koke i ke kōkua olakino pilikia. Inā ʻaʻole e hele a nalowale loa kāu mau hōʻailona ma hope o kou hoʻohana ʻana i ka mahele mua, hiki i kāu kauka ke ʻōlelo iā ʻoe e hoʻohana i ka lua o ka mahele ma hope o ka hala ʻana o 5 mau minuke a me ke kolu o ka lāʻau ma hope o ka lāʻau ʻelua. Kāhea koke no ke kōkua lapaʻau maʻi inā ʻaʻole i hala ka ʻeha o kou umauma 5 mau minuke ma hope o kou hoʻohana ʻana i ke kolu o ka lāʻau.
E hoʻohana ai i ka ehu, e hāhai i kēia mau kaʻina hana:
- Noho i lalo inā hiki, a paʻa i ka ipu me ka hoʻoluliluli ʻole ʻia. Wehe i ka pāpale ea.
- Inā ʻoe e hoʻohana ana i ka ipu no ka manawa mua, e kū pololei i ka ipu i kuhikuhi ʻia ia iā ʻoe iho a me nā mea ʻē aʻe, a kaomi i ke pihi 10 mau manawa ke hoʻohana ʻana iā Nitromist a i ʻole 5 mau manawa i ka hoʻohana ʻana i nā pumpspray Nitrolingual e hoʻonui i ka ipu.Inā ʻaʻole ʻoe e hoʻohana ana i ka ipu no ka manawa mua akā ʻaʻole hoʻohana ia i loko o 6 mau pule, kaomi i ka pihi 2 mau manawa e uku hou i ka ipu ke hoʻohana ʻo Nitromist a i ʻole 1 manawa ke hoʻohana nei i nā pumpspray Nitrolingual. Inā ʻaʻole i hoʻohana ʻia ʻo Nitrolingual i 3 mau mahina a ʻoi aku paha, kaomi i ka pihi a 5 mau manawa e hoʻouka hou i ka ipu.
- Wehe i kou waha. E kū pololei i ka ipu, ma kahi kokoke i kou waha i hiki.
- E hoʻohana i kou manamana lima e kaomi ikaika i ke pihi. E hoʻokuʻu kēia i kahi spray i loko o kou waha. Mai inhale i ka ehī.
- Pani i kou waha. Mai kuha i ka lāʻau a holoi paha i kou waha no 5 a 10 mau minuke.
- E kuapo i ka pāpale ea ma ka ipu.
- E hōʻoia i ka pae o ka wai i loko o ka ipu mai kēlā me kēia manawa e ʻike pono e loaʻa mau ka lāʻau ma ka lima. E kū pololei i ka ipu i kou nānā ʻana. Inā hiki ka wai i luna a waena o ka lua ma ka ʻaoʻao o ka ipu, pono ʻoe e kauoha hou aku i ka lāʻau. Inā ka wai i lalo o ka lua, ʻaʻole e huki hou ka ipu i nā kaha piha o ka lāʻau.
Mai hoʻāʻo e wehe i ka ipu o ka ʻehu nitroglycerin. Puhi paha kēia huahana i ke ahi, no laila mai hoʻohana ma kahi o ka lapalapa ahi, a ʻaʻole e ʻae i ka ipu e hoʻopau ʻia ma hope o ka hoʻohana.
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 nitroglycerin,
- e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i nā patch nitroglycerin, papa, mea hamo, a i ʻole ka ʻehu; nā lāʻau lapaʻau ʻē aʻe; a i ʻole kekahi o nā mea hoʻohui i nā papa nitroglycerin a i ʻole ka ʻehu. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā e lawe ana ʻoe i riociguat (Adempas) a i ʻole inā lawe ʻoe i kahi mea hōʻoki phosphodiesterase (PDE-5) e like me avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), a vardenafil (Levitra, Staxyn). E haʻi paha kāu kauka iā ʻoe mai hoʻohana i ka nitroglycerin inā ʻoe e lawe i hoʻokahi aʻoi aku paha o kēia mau lāʻau.
- 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 haʻi pono i kekahi o kēia mau mea: aspirin; beta blockers e like me atenolol (Tenormin, ma Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard, ma Corzide), propranolol (Hemangeol, Inderal LA, Innopran XL), sotalol (Betapace, Sorine ), a me timolol; nā poloka kalipuna e like me amlodipine (Norvasc, ma Tekamlo), diltiazem (Cardizem, Cartia, Dilacor, a me kekahi), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), a me verapamil (Calan, Covera, Verelan, nā poʻe ʻē aʻe); nā lāʻau lapaʻau ergot-type e like me bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine, ergotamine (Ergomar, i Cafergot, i Migergot), methylergonovine (Methergine) ; ʻaʻole loaʻa hou ma US), a me pergolide (Permax; ʻaʻole loaʻa hou ma US); nā lāʻau no ke koko kiʻekiʻe, ka puʻuwai puʻuwai, a i ʻole ka puʻuwai puʻuwai ʻole. 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 manaʻo ʻoe he anemia kou (kahi haʻahaʻa ma mua o ka helu maʻamau o nā hunaola ʻulaʻula), a i ʻole loaʻa i kekahi ʻano e hoʻonui i ke kaomi i kou lolo a i ʻole ka iwi poʻo. E haʻi paha kāu kauka iā ʻoe mai hoʻohana i ka nitroglycerin.
- e haʻi i kāu kauka inā manaʻo ʻoe ua make wai ʻoe, inā ua loaʻa koke ʻoe i kahi puʻuwai puʻuwai, a inā loaʻa a i ʻole loaʻa paha iā ʻoe ke koko haʻahaʻa, ka puʻuwai puʻuwai, a i ʻole hypertrophic cardiomyopathy.
- 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 ka nitroglycerin, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana nei ʻoe i ka nitroglycerin.
- pono ʻoe e ʻike e ʻike paha ʻoe i ka huhū poʻo i kou wā e mālama ai me nitroglycerin. He hōʻailona paha kēia mau poʻo poʻo i ka hana ʻana o ka lāʻau e like me ka mea e pono ai. Mai hoʻāʻo e hoʻololi i nā manawa āu e hoʻohana ai i ka nitroglycerin i mea e hōʻalo ai i ka maʻi poʻo no ka mea a laila ʻaʻole holo pono paha ka lāʻau.
- e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i ka nitroglycerin. Hiki i ka waiʻona ke hana i nā hopena ʻino mai nitroglycerin i ʻoi aku ka maikaʻi.
Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.
Hoʻohana mau ʻia ka Nitroglycerin spray e like me ka mea e pono ai e mālama i nā ʻāpana o ka angina; mai hoʻohana ia ma ka manawa i hoʻonohonoho ʻia.
Hiki i ka Nitroglycerin ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā loaʻa kekahi o kēia mau ʻōuli a i ʻole nā mea i helu ʻia i ka ʻĀina KĀNĀWAI ʻino a mai hele aku paha:
- ʻōhinu
- wikiwiki a kuʻi paha i ka puʻuwai puʻuwai
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- ʻehu, hū, a me ka ʻili ʻana o ka ʻili
- nausea
- ka luaʻi
- nāwaliwali
- ka houʻu ʻana
- ʻili mae
Hiki i ka Nitroglycerin ke kumu 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 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.
Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
- ʻeha poʻo
- huikau
- fiva
- ʻūpā
- nā hoʻololi i ka hihiʻo
- lohi a kuʻi paha ka puʻuwai puʻuwai
- nausea
- ka luaʻi
- ʻōpū koko
- maule ana
- pokole o ka hanu
- ka houʻu ʻana
- ʻōhinu
- anu, ʻili paʻalili
- nalowale o ka hiki ke hoʻoneʻe i ke kino
- koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)
- ka hopu ʻana
Mālama i nā manawa āpau me kāu kauka.
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.
- Nitrolingual® Pumpspray
- Nitromist®