Phenytoin Pākuʻi
Anter
- Ma mua o ka loaʻa ʻana o ka phenytoin injection,
- Hiki i ka Phenytoin ke hoʻonui i kāu kō kō. E kamaʻilio me kāu kauka e pili ana i nā ʻōuli o ke kō kō kiʻekiʻe a me nā mea e hana ai inā ʻike ʻoe i kēia mau ʻōuli.
- Hoʻokumu paha ka phenytoin injection 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 nā ʻōuli i lalo a i ʻole nā mea i helu ʻia i ka ʻĀLU MAKAHIKI kūikawā, e kāhea koke i kāu kauka:
- Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:
Hiki paha iā ʻoe ke ʻike i ke kaomi haʻahaʻa haʻahaʻa a hoʻoweliweli paha i ke ola a i ʻole nā puʻuwai puʻuwai ʻole ke loaʻa ʻoe i ka phenytoin injection a ma hope paha. E haʻi i kāu kauka inā loaʻa a i ʻole loaʻa paha ʻoe i nā rhythm puʻuwai kūpono ʻole a i ʻole ka poli puʻuwai (ke ʻano i hāʻawi ʻole ʻia nā hōʻailona uila mai nā keʻena kiʻekiʻe o ka puʻuwai a i nā keʻena haʻahaʻa). ʻAʻole paha makemake kāu kauka iā ʻoe e loaʻa ka injection phenytoin. Eia kekahi, e haʻi i kāu kauka inā loaʻa paha iā ʻoe ka puʻuwai puʻuwai a i ʻole ke koko haʻahaʻa. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e haʻi koke aku i kāu kauka: lōlō, luhi, kuʻi puʻuwai ʻole, a ʻehaʻeha paha.
E loaʻa iā ʻoe kēlā me kēia mahele lāʻau o ka phenytoin injection i loko o kahi keʻena lapaʻau, a e nānā pono ke kauka a kahu hānai paha iā ʻoe ke loaʻa nei nā lāʻau a ma hope.
Hoʻohana ʻia ka injection Phenytoin e mālama i ka hopu ʻana i nā tonic-clonic kumu nui (i ʻike ʻia ma ke ʻano he hopu nui ʻino; ka hopu ʻana e pili ana i ke kino holoʻokoʻa) a mālama a pale aku i ka hopu ʻana i hoʻomaka ʻia i ka wā a ma hope paha o ka ʻoki ʻana i ka lolo a i ʻole ʻōnaehana. Hiki paha ke hoʻohana i ka injection Phenytoin e kāohi i kekahi ʻano o ka hopu ʻana i ka poʻe hiki ʻole ke lawe i ka phenytoin waha. Aia ʻo Phenytoin i kahi papa o nā lāʻau i kapa ʻia anticonvulsants. Hana ia ma ka hoʻemi ʻana i ka hana uila uila ʻole i ka lolo.
Hele mai ka injection Phenytoin ma ke ʻano he hopena (wai) e hoʻomoʻi lohi ʻia i loko o ke aniani (i kahi aa) e ke kauka a kahu wahine paha i kahi wahi olakino. Hoʻokomo pinepine ʻia ia i kēlā me kēia 6 a 8 mau hola.
E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.
Hoʻohana pū ʻia ʻo Phenytoin injection e kaohi i ke kuʻi puʻuwai ʻole. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou 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 loaʻa ʻana o ka phenytoin injection,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka phenytoin, nā lāʻau hydantoin ʻē aʻe e like me ethotoin (Peganone) a i ʻole fosphenytoin (Cerebyx), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka phenytoin injection. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka inā lawe ʻoe i delavirdine (Rescriptor). ʻAʻole paha makemake kāu kauka iā ʻoe e loaʻa ka phenytoin injection inā ʻoe e lawe i kēia 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: albendazole (Albenza); amiodarone (Nexterone, Pacerone); anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); nā lāʻau antifungal e like me fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Onmel, Sporanox, Tolsura), miconazole (Oravig), posaconazole (Noxafil), a me voriconazole (Vfend); kekahi mau antivirals e like me efavirenz (Sustiva, in Atripla), indinavir (Crixivan), lopinavir (in Kaletra), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra), and saquinavir (Invirase); bleomycin; capecitabine (Xeloda); kalapona; chloramphenicol; chlordiazepoxide (Librium, ma Librax); nā lāʻau kolesterol e like me atorvastatin (Lipitor, i Caduet), fluvastatin (Lescol), a me simvastatin (Zocor, i Vytorin); cisplatin; clozapine (Fazaclo, Versacloz); cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Valium); diazoxide (Proglycem); digoxin (Lanoxin); disopyramide (Norpace); disulfiram (Antabuse); doxorubicin (Doxil); doxycycline (Acticlate, Doryx, Monodox, Oracea, Vibramycin); fluorouracil; fluoxetine (Prozac, Sarafem, ma Symbyax, nā mea ʻē aʻe); fluvoxamine (Luvox); waikawa folic; fosamprenavir (Lexiva); furosemide (Lasix); H2 nā antagonists e like me cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), a me ranitidine (Zantac); nā pale hormonal (nā lāʻau kaohi hānau, nā paleki, nā apo, a i ʻole nā injection); hōʻaʻano pani hone (HRT); irinotecan (Camptosar); isoniazid (Laniazid, ma Rifamate, ma Rifater); nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; nā lāʻau ʻē aʻe no ka hopu ʻana e like me ka carbamazepine (Carbatrol, Equetro, Tegretol, a me nā mea ʻē aʻe), ethosuximide (Zarontin), felbamate (Felbatol), lamotrigine (Lamictal), methsuximide (Celontin), oxcarbazepine (Trilepta, Oxtellar XR), phenobarbital ), a me ka waikawa valproic (Depakene); methadone (Dolophine, Methadose); methotrexate (Otrexup, Rasuvo, Trexall, Xatmep); methylphenidate (Daytrana, Concerta, Metadate, Ritalin); mexiletine; nifedipine (Adalat, Procardia), nimodipine (Nymalize), nisoldipine (Sular); omeprazole (Prilosec); nā steroid oral e like me dexamethasone, methylprednisolone (Medrol), prednisolone, a me prednisone (Rayos); paclitaxel (Abraxane, Taxol); paroxetine (Paxil, Pexeva); praziquantel (Biltricide); quetiapine (Seroquel); quinidine (i Nuedexta); reserpine; rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); nā mea ʻeha salicylate e like me aspirin, choline magnesium trisalicylate, choline salicylate, diflunisal, magnesium salicylate (Doan's, kekahi poʻe ʻē aʻe), a me salsalate; sertraline (Zoloft); nā lāʻauʻaeʻa sulfa; teniposide; theophylline (Elixophyllin, Theo-24, Theochron); ticlopidine; tolbutamide; trazodone; verapamil (Calan, Verelan, ma Tarka); vigabatrin (Sabril); a me ka wikamina D. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a i ʻole e nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
- e haʻi i kāu kauka inā ua hoʻomohala ʻoe i kahi pilikia o ke ake i ka lawe ʻana i ka phenytoin. ʻAʻole paha makemake kāu kauka iā ʻoe e loaʻa ka injection phenytoin.
- e haʻi i kāu kauka inā inu ʻoe a ua inu paha i ka nui o ka waiʻona. E haʻi i kāu kauka inā loaʻa iā ʻoe kahi hoʻokolohua hoʻokolohua e hōʻike ai he kumu pilikia kāu i hoʻoili ʻia e hiki ai ke loaʻa i kahi ʻili koʻikoʻi i ka phenytoin. Eia kekahi, e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi diabetes, porphyria (ke ʻano e kūkulu ai kekahi mau mea kūlohelohe i loko o ke kino a hōʻeha paha i ka ʻōpū, hoʻololi i ka noʻonoʻo a me ka lawena, a i ʻole nā hōʻailona ʻē aʻe), nā haʻahaʻa haʻahaʻa o ka albumin i kāu. ke koko, a i ʻole ka hakuʻala a me ka maʻi ate.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. ʻAʻole pono ʻoe e hāpai i ka wā e loaʻa ana iā phenytoin. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana hānau hānau hiki iā ʻoe ke hoʻohana i kāu wā o kāu mālama ʻana. Inā hāpai ʻoe i ka loaʻa ʻana o ka phenytoin, e kāhea i kāu kauka. Pōʻino paha ʻo Phenytoin i ka fetus.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e loaʻa ana iā ʻoe ka phenytoin.
- pono ʻoe e ʻike he hiki i kēia lāʻau ke hoʻonāukiuki, hiamoe, a me nā pilikia me ka laulima. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
- e kamaʻilio me kāu kauka e pili ana i ka hoʻohana palekana ʻana o ka waiʻona i kou wā e lawe nei i kēia lāʻau.
- e kamaʻilio me kāu kauka e pili ana i ke ala maikaʻi loa e mālama ai i kou mau niho, gums, a me kou waha i kou wā e mālama ai me ka phenytoin. He mea nui e mālama pono i kou waha e hoʻoliʻiliʻi i ka makaʻu o ka gum i hopena ʻia e phenytoin.
Hiki i ka Phenytoin ke hoʻonui i kāu kō kō. E kamaʻilio me kāu kauka e pili ana i nā ʻōuli o ke kō kō kiʻekiʻe a me nā mea e hana ai inā ʻike ʻoe i kēia mau ʻōuli.
Hoʻokumu paha ka phenytoin injection i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- paʻakikī e hiamoe a hiamoe paha
- neʻe ʻole o ka maka o ka maka
- neʻe kino ʻole
- nalo o ke kūlike
- huikau
- haʻi waha
- ʻeha poʻo
- nā loli i kou ʻano o ka ʻono
- kōpaʻa
- ulu lauoho makemake ʻole ʻia
- coarsening o ka helehelena
- hoʻonui o nā lehelehe
- ulu nui o nā kāpili
- ʻeha a ʻūlū ʻana o ka peni
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā mea i helu ʻia i ka ʻĀLU MAKAHIKI kūikawā, e kāhea koke i kāu kauka:
- pehu, hoʻoliʻiliʻi, a i ʻole ʻeha ma ka pūnaewele injection
- hūwī
- hives
- ʻūlili
- ka pehu o nā maka, ka maka, ka ʻāʻī, ke alelo, nā lima, nā lima, nā kuʻekuʻe wāwae, a me nā wāwae lalo
- pilikia i ka hanu ʻana a i ʻole ke ale ʻana
- hulahula
- ʻōpū pehu
- nausea
- ka luaʻi
- melemele o ka ʻili a me nā maka
- ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
- luhi nui loa
- ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
- ʻulaʻula ʻulaʻula a poni paha i ka ʻili
- nalo ʻai ʻole
- nā ʻōuli like flu
- fiva, ʻāʻī puʻupuʻu, ʻūlū, puʻu waha, a palapū maʻalahi paha, a me ka ʻōhū o ka maka
Hoʻokumu paha ka phenytoin injection i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe 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).
ʻO ka lawe ʻana i ka phenytoin e hoʻonui paha i ka makaʻu e hoʻomohala ʻoe i nā pilikia me kāu mau lymph node me ka maʻi o Hodgkin (maʻi ʻaʻai e hoʻomaka i ka ʻōnaehana lymph). E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka hoʻohana ʻana i kēia lāʻau e mālama ai i kou ʻano.
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:
- neʻe ʻole o ka maka o ka maka
- nalo o ke kūlike
- ʻolelo lohi a lohi paha
- luhi
- ʻike hihi
- luliluli ʻole ʻana i kahi ʻāpana o ke kino
- nausea
- ka luaʻi
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 kāu pane i ka phenytoin injection.
Ma mua o ka hoʻāʻo ʻana i kahi lumi hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke loaʻa nei ʻoe i ka phenytoin injection
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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¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 12/15/2019