Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 20 Iune 2021
HōʻAno Hou I Ka Lā: 24 Ianuali 2025
Anonim
EMT/Paramedic Medication Notecards || Racemic Epinephrine
Wikiō: EMT/Paramedic Medication Notecards || Racemic Epinephrine

Anter

Hoʻohana ʻia ka hanu waha Epinephrine e hoʻōla i nā ʻōuli o ka hānō e kū mai kēlā me kēia manawa, e like me ke kani ʻana, ka paʻa o ka umauma, a me ka hanu liʻiliʻi i nā mākua a me nā keiki he 12 mau makahiki a ʻoi paha. ʻO ka inhalation oral Epinephrine i loko o kahi papa o nā lāʻau i kapa ʻia ʻo alpha- a me beta-adrenergic agonists (nā mea lawelawe simpathomimetic). Hana ia ma ka hoʻomaha a me ka wehe ʻana i nā ala ʻea i nā akemāmā e maʻalahi ai ka hanu.

Hiki mai ka inhalation waha o Epinephrine ma ke ʻano he aerosol (wai) e hake me ka waha. Hoʻohana ʻia ia e pono ai e kaohi i kāu ʻōuli hānō. E hāhai pono i nā ʻōkuhi ma ka lepili huahana, a nīnau i kāu kauka a i ʻole kauka lāʻau e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana i ka epinephrine oral inhalation 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 ke kuhikuhi.

Loaʻa ka inhalation waha o Epinephrine me ka ʻole o kauka. E hoʻohana wale ʻia kēia lāʻau inā ua haʻi ke kauka iā ʻoe he hānō kou.

Inā hoʻomaikaʻi ʻole kāu mau hōʻailona ma waena o 20 mau minuke o ka hoʻohana, inā ʻoi aku ka maikaʻi o kāu hānō, inā pono ʻoe ma mua o 8 mau inhalation i loko o 24 mau hola, a i ʻole he ʻoi aku ka nui o ka hānō hika i hoʻokahi pule, e ʻike koke i ke kauka . He hōʻailona paha kēia e lilo ana kou ʻānō i ʻino a pono ʻoe i kahi lapaʻau ʻokoʻa.


E inhale i ka aerosol me ka hoʻohana ʻana i kahi inhaler, e hāhai i kēia mau kaʻina hana:

  1. Wehe i ka pāpale.
  2. Inā ʻoe e hoʻohana ana i ka inhaler no ka manawa mua, pono ʻoe e prime. E hoʻoluliluli maikaʻi i ka mea inhaler, a hoʻoluliluli maikaʻi a laila kaomi i lalo i ka pahu kini e hoʻokuʻu ai i ka ʻehu i ka lewa, mai kou alo. E hana hou i kēia no 4 mau manawa (e laʻa, luliluli a laila ʻehu).
  3. I kēlā me kēia manawa ke hoʻohana ʻoe i kāu inhaler ma hope o ka manawa mua, hoʻoluliluli iā ia a laila e pīpī i ka lewa 1 manawa ma mua o kēlā me kēia hoʻohana.
  4. Ke mākaukau ʻoe e hoʻohana i ka lāʻau, waiho i ka inhaler i ka waha; inhale hohonu ʻoiai e kaomi ana i luna o ka inhaler a hoʻomau i ka hanu i ka hiki.
  5. Exhale a kali i 1 minuke.
  6. Inā hoʻomaikaʻi ʻole kāu mau ʻōuli, e hoʻohana i ka lua o ka inhalation ma ka hana hou ʻana i nā ʻanuʻu 3-5.
  7. Inā ua hoʻohana ʻoe i 2 sprays (1 mahele lāʻau); kali ma ka liʻiliʻi he 4 mau hola ma waena o kahi lāʻau. Mai hoʻohana i nā inhalation hou aʻe ma mua o 8 mau hola.
  8. E hoʻomaʻemaʻe i kāu inhaler i kēlā me kēia lā ma hope o ka hoʻohana ʻia e ka kahe wai ma o ka waha no 30 kekona. E hāhai pono i nā kuhikuhi a ka mea hana a nīnau i kāu kauka a kauka paha inā he nīnau paha kāu e pili ana i ka hoʻomaʻemaʻe ʻana i kāu mea hoʻōha.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.


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 epinephrine oral inhalation,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka epinephrine, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka hanu waha epinephrine. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • mai hoʻohana i ka inhalation oral epinephrine inā ʻoe e lawe ana i kahi mea hoʻopaneʻe monoamine oxidase (MAO) me isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), a me tranylcypromine (Parnate) a i ʻole ua oki ka lawe ʻana i kekahi o kēia mau lāʻau i loko o 2 mau pule i hala.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau i kuhikuhi ʻia a kuhikuhi ʻole ʻia, nā wikamina, nā papaʻai a me nā mea hoʻopōʻaiapili, ke lawe nei ʻoe a hoʻolālā paha e lawe E kuhikuhi pono i kekahi o kēia mau mea: nā lāʻau lapaʻau hānō ʻē aʻe; caffeine; nā lāʻau no ke kaumaha, psychiatric, a i ʻole nā ​​ʻano naʻau; nā lāʻau no ka momona a i ʻole ka kaohi paona; phenylephrine (Sudafed PE); aiʻole pseudoephedrine (Sudafed, ma Clarinex-D).
  • e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, keu hoʻi i hoʻohana ʻia no ka luhi a i ʻole e hoʻonui i ka ikehu.
  • e haʻi i kāu kauka inā ua loaʻa mua ʻoe i ka haukapila no ka mālama ʻana i ka hānō. Eia kekahi, e haʻi i kāu kauka inā loaʻa a i ʻole loaʻa i ke koko kiʻekiʻe, diabetes, paʻakikī i ka mimiki ma muli o ka hoʻonui ʻia ʻana o ka prostate, ka hopu ʻana, ka glaucoma huina ʻiki (kahi ʻano maka koʻikoʻi e hiki ai ke lilo i ka ʻike), a i ʻole ka thyroid a i ʻole ka maʻi puʻuwai.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka epinephrine oral inhalation, e kāhea i kāu kauka.

E kamaʻilio me kāu kauka e pili ana i ka inu ʻana a i ʻole ʻai ʻana i nā mea inu i loko o ka caffeine a i ʻole nā ​​meaʻai i ka hoʻohana ʻana i kēia lāʻau.


Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka hoʻohana ʻana i kāu inhaler a kāhea koke aku i kāu kauka:

  • wikiwiki, kuʻi, a i ʻole kuʻi puʻuwai puʻuwai
  • haʻalulu
  • hopohopo
  • ka hopu ʻana
  • paʻakikī e hiamoe a hiamoe paha

Hiki i ka inhalation oral Epinephrine ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana 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 wela o ka lumi a mamao aku mai ka wela nui (> 120 ° F [49 ° C] a wehe i ka lapalapa ahi. Mai kuʻi a puhi i ka ipu.

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

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.

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.

Mālama i nā manawa āpau me kāu kauka.

E noi i kāu kauka lāʻau i nā nīnau āu e pili ana i ka epinephrine oral inhalation.

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.

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