Morphine

Anter

• Ma mua o ka lawe ʻana i ka morphine,
• Hiki i ka Morphine 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 ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

He maʻa mau paha ka Morphine, keu hoʻi me ka hoʻohana lōʻihi. Lawe pono i ka morphine e like me ke kuhikuhi. Mai lawe i nā mea hou aʻe, lawe pinepine iā ia, a i ʻole lawe i kahi ʻano ʻokoʻa ma mua o ke kuhikuhi a kāu kauka. ʻOiai ʻoe e lawe ana i ka morphine, e kūkākūkā me kāu kauka no 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 mea i kou ʻohana a inu paha i ka nui o ka wai ʻona, hoʻohana a hoʻohana paha i nā lāʻau lapaʻau o ke alanui, a i ʻole hoʻohana nui ʻole i nā lāʻau i kuhikuhi ʻia, a i ʻole loaʻa paha iā ʻoe i ke kaumaha a i ʻole. kekahi maʻi noʻonoʻo. Aia kekahi pilikia nui aʻe e hoʻohana ʻoe i ka morphine inā loaʻa a i ʻole loaʻa i kekahi o kēia mau ʻano. E kamaʻilio koke me kāu kauka olakino a noi aku i ke alakaʻi inā ʻoe e manaʻo he maʻi opioid kāu a kāhea paha i ka US Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline ma 1-800-662-HELP.

Hiki i ka Morphine ke hana i nā pilikia hanu koʻikoʻi a hoʻoweliweli paha, keu hoʻi i ka 24 a 72 mau hola mua o kāu mālama ʻana a i kēlā me kēia manawa e hoʻonui ʻia ai kāu mahele lāʻau. E nānā pono kāu kauka iā ʻoe i kāu wā e lapaʻau ai. E hoʻoponopono pono kāu kauka i kāu lāʻau lapaʻau e kāohi i kou ʻeha a hoʻemi i ka makaʻu e ʻike ʻoe i nā pilikia hanu koʻikoʻi. E haʻi i kāu kauka inā he lohi kou hanu a i ʻole hānō. E haʻi paha kāu kauka iā ʻoe mai lawe i ka morphine. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka maʻi o ka maʻi e like me ka maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi pūpū e komo pū ana me ka bronchitis mau a me ka emphysema), kahi poʻo poʻo, kahi tumo lolo, a me nā ʻano e hoʻonui i ka nui o kaomi i kou lolo. ʻOi aku ka kiʻekiʻe o ka pilikia e hoʻomohala ai ʻoe i nā pilikia hanu inā ʻoe he ʻelemakule a i ʻole nāwaliwali a ʻai ʻole ʻia paha ma muli o ka maʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e loaʻa i ka lāʻau lapaʻau pōpilikia: ka hanu lohi, hoʻomaha iki ma waena o nā hanu, a me ka liʻiliʻi o ka hanu.

ʻO ka lawe ʻana i kekahi mau lāʻau ʻē aʻe i kāu mālama ʻana me ka morphine hiki ke hoʻonui i ka makaʻu e ʻike ʻoe i nā pilikia hanu a i ʻole nā ​​pilikia hanu ʻē aʻe, hoʻoweliweli i ke ola, hoʻomaha, a koma paha. 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), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), a me triazolam (Halcion); cimetidine (Tagamet); nā lāʻau ʻeha narcotic ʻē aʻe; nā lāʻau no ka maʻi noʻonoʻo a i ʻole ka nausea; nā mea hoʻomaha nāʻiʻo; nā mea hoʻonanea; paina moe; a i ʻole nā ​​tranquilizers. Pono paha kāu kauka e hoʻololi i nā lāʻau o kāu mau lāʻau a e nānā pono iā ʻoe. Inā lawe ʻoe i ka morphine 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. 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 ai me ka morphine e hoʻonui ai i ka makaʻu e ʻike ʻoe i nā pilikia hanu a i ʻole nā ​​hopena ʻē aʻe weliweli. Inā ʻoe e lawe i nā capsule hana lōʻihi ʻo Avinza, he mea nui ia ʻaʻole ʻoe e inu i nā mea inu i loaʻa ka ʻalekō a lawe paha i nā lāʻau lapaʻau a lāʻau ʻole i hōʻike ʻole ʻia i ka wai ʻona. Hiki paha i ka waiʻona ke kumu i ka morphine ma Avinza^® e hoʻokuʻu koke ʻia nā capsule hana lōʻihi i loko o kou kino, e hoʻomaka ana i nā pilikia olakino koʻikoʻi a i ʻole ka make. Mai inu i ka ʻalekohola, lawe i nā lāʻau lapaʻau a lāʻau ʻole i hōʻike ʻia i loaʻa ka ʻalekohola, a i ʻole hoʻohana i nā lāʻau i ke alanui i kou wā e mālama ai me nā huahana morphine ʻē aʻe.

Mai ʻae i kekahi mea ʻē aʻe e lawe i kāu lāʻau. Hiki paha i ka Morphine ke hōʻeha a hōʻeha paha i ka make i kekahi poʻe ʻē aʻe e lawe i kāu lāʻau, ʻo ia hoʻi nā keiki. E mālama i ka morphine i kahi wahi palekana i hiki ʻole i kahi mea ʻē aʻe ke lawe me ka ʻole. E mālama pono i ka mālama ʻana i ka morphine mai kahi hiki aku o nā keiki. E mālama i ka nui o nā papa, a i ʻole nā ​​capsule, a i ʻole ka nui o ka wai i koe i ʻike ʻoe inā e nalowale kekahi lāʻau. E hoʻolei i nā capsule morphine pono ʻole, papa, a wai kūpono paha e like me nā ʻōlelo aʻo. (E nānā Kahu a me ka hoʻolilo.)

E ale i nā papa hoʻokuʻu hoʻokuʻu ʻia a i ʻole nā ​​capsule holoʻokoʻa. Mai hoʻokaʻawale, nau wale, hoʻonā a wāwahi paha iā lākou. Inā ʻoe e ale i ka haʻihaʻi, nāhelehele, nāhaʻi ʻia, a hoʻoheheʻe ʻia i nā papa hoʻolōʻihi lōʻihi a i ʻole nā ​​capsule, loaʻa paha iā ʻoe ka nui o ka morphine i hoʻokahi manawa ma kahi o ka loaʻa lohi o ka lāʻau i ka manawa. ʻO kēia ke kumu o nā pilikia hanu koʻikoʻi a make paha. Inā ʻaʻole hiki iā ʻoe ke ale i nā capsule holoʻokoʻa, e hāhai i nā ʻōkuhi ma ka '' HOW pehea e hoʻohana ai i kēia lāʻau? '' ʻĀpana ma lalo e hoʻonā i nā mea o ka capsule i ka applesauce.

Loaʻa ka hopena Morphine waha (wai) i ʻekolu mau noʻonoʻo like ʻole (ka nui o nā lāʻau i loko o kahi hāʻawi i hāʻawi ʻia o ka hopena). ʻO ka hopena me ke kiʻekiʻe kiʻekiʻe (100 mg / 5 ML) e lawe wale ʻia e ka poʻe hoʻomanawanui (hoʻohana ʻia i nā hopena o ka lāʻau) i nā lāʻau lapaʻau opioid. I kēlā me kēia manawa ke loaʻa iā ʻoe kāu lāʻau lapaʻau, e nānā pono e loaʻa iā ʻoe ka hopena me ke kau ʻana i kuhikuhi ʻia e kāu kauka. E ʻike pono ʻike ʻoe i ka nui o nā lāʻau āu e lawe ai a pehea e ana ai i kāu lāʻau.

E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā lawe pinepine ʻoe i ka morphine i kou wā hāpai, ʻike paha kāu pēpē i nā hōʻailona haʻalele i ka hoʻoweliweli ma hope o ka hānau ʻana. E haʻi koke i ke kauka o kāu pēpē inā ʻike kāu pēpē i kekahi o nā ʻōuli i lalo: ka huhū, hyperactivity, hiamoe maʻamau, uē kiʻekiʻe, hoʻoluliluli ʻole ʻia o kahi ʻāpana o ke kino, ka luaʻi, ka maʻi pākī, a i ʻole ka loaʻa ʻole o ke kaumaha.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke Alakaʻi Medication) ke hoʻomaka ʻoe i ka lāʻau me morphine a i kēlā me kēia manawa e hoʻopihapiha ʻoe i kāu kuhikuhi inā loaʻa kahi Alakaʻi lāʻau no ka huahana morphine āu e lawe nei. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

Hoʻohana ʻia ʻo Morphine e hōʻoluʻolu i ka ʻehaʻeha a ʻeha nui. Hoʻohana wale ʻia ʻo Morphine i nā papa hoʻokuʻu a me nā capsule e hōʻoluʻolu i ka ʻehaʻeha (a puni ka uaki) ʻaʻole hiki ke kaohi ʻia e ka hoʻohana ʻana o nā lāʻau ʻeha ʻē aʻe. ʻAʻole pono e hoʻohana ʻia nā papa kīʻaha hoʻonui ʻia Morphine e mālama i ka ʻeha e hiki ke mālama ʻia e nā lāʻau i lawe ʻia e pono ai. Aia ʻo Morphine 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 Morphine ma ke ʻano he hopena (wai), kahi hoʻolōʻihi (hana lōʻihi), a ma ke ʻano he capsule hoʻolōʻihi (hana lōʻihi) e lawe ma ka waha. Lawe pinepine ʻia ka hopena waha i kēlā me kēia 4 hola e pono ai no ka ʻeha. ʻO ka inoa ʻo MS Contin a me Arymo ER i nā papa hoʻolōʻihi hoʻolōʻihi ʻia e lawe pinepine ʻia i kēlā me kēia 8 a i kēlā me kēia 12 hola. Lawe pinepine ʻia ʻo Morphabond i kēlā me kēia 12 mau hola. Lawe pinepine ʻia nā capsule hoʻolaha hoʻokuʻu Kadian me a me ka ʻole o ka meaʻai i kēlā me kēia 12 mau hola a i kēlā me kēia 24 mau hola. 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.

Inā ʻoe e lawe i ka hopena morphine, e hoʻohana i ke kīʻaha dosing a i ʻole syringe e hiki mai me ka lāʻau e ana i kāu mahele lāʻau. E ʻike pono ʻike ʻoe i ehia mau mililita o ka wai āu e lawe ai. E nīnau i kāu kauka lāʻau inā he nīnau kāu e pili ana i ka nui o nā lāʻau āu e lawe ai a pehea e hoʻohana ai i ke kīʻaha dosing a i ʻole syringe.

Inā ʻoe e lawe nei i nā capsule hoʻokuʻu hoʻokuʻu Kadian a loaʻa iā ʻoe kahi ʻōpū gastrostomy (hoʻokomo ʻia i ka lāʻau ʻai hānai), e noi i kāu kauka a i ʻole kauka lāʻau pehea e lawelawe ai i ka lāʻau ma o kāu pahu.

Inā ʻaʻole hiki iā ʻoe ke ale i nā capsule hoʻokuʻu lōʻihi (Kadian), hiki iā ʻoe ke wehe pono i kahi capsule, e kāpīpī i nā lei āpau i loaʻa i kahi puna o ke anuanu a me nā keʻena wela o ka lumi, a ale koke i ka huikau āpau me ka nau ʻole a me ka ʻānai ʻana. nā lei A laila holoi i kou waha me kahi wai liʻiliʻi a ale i ka wai e ʻike pono ua moni ʻoe i nā lāʻau āpau. Mai hoʻopili i nā lei i nā meaʻai ʻē aʻe. Mai mālama i nā huikau o nā lāʻau a me nā ʻōpala no ka manawa hope.

Inā ʻoe e lawe i nā papa hoʻokuʻu hoʻokuʻu (Arymo ER), e ale iā lākou i kēlā me kēia manawa me ka nui o ka wai. E ale i nā papa hoʻokuʻu hoʻokuʻu lōʻihi ma hope o ka waiho ʻana i loko o kou waha. Mai presoak, pulu, a palu i nā papa hoʻolōʻihi ʻia ma mua o kou waiho ʻana i loko o kou waha.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka morphine a hoʻonui iki i kāu lāʻau a hiki i ka kaohi ʻia ʻana o kou ʻeha. Hiki i kāu kauka ke hoʻoponopono i kāu lāʻau i kēlā me kēia manawa i ka wā o kāu mālama ʻana inā ʻaʻole kaohi ʻia kou ʻeha. Inā manaʻo ʻoe ʻaʻole kaohi ʻia kou ʻeha, e kāhea i kāu kauka. Mai hoʻololi i ka lāʻau o kāu lāʻau me ke kamaʻilio ʻole ʻana me kāu kauka.

Mai hōʻoki i ka lawe ʻana i ka morphine me ke kamaʻilio ʻole ʻana me kāu kauka. Hiki i kāu kauka ke hōʻemi i kāu lāʻau. Inā kū koke ʻoe i ka lawe ʻana i ka morphine, ʻike paha ʻoe i ka haʻalele ʻana i nā hōʻailona e like me ka hoʻomaha ʻole; waimaka waimaka; ihu ihu; e uwo ana; ukiuki; hopohopo; kāhili; paʻakikī e hiamoe a hiamoe paha; haʻalulu; kua, ʻami, a ʻeha pū paha; nausea; ka luaʻi; lilo o ka makemake ʻole; pāhoehoe; ʻōpū ka ʻōpū; nāwaliwali; puʻuwai wikiwiki; a hanu wikiwiki paha.

Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka morphine,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka morphine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana ʻole i ke ʻano o ka huahana morphine āu e manaʻo ai e lawe. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hana ʻole.
• 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 nā lāʻau i helu ʻia i ka ʻĀINA AOAO IMPORTANT a me nā mea o kēia mau mea: antihistamines (loaʻa i ke anuanu a me nā lāʻau āpau). buprenorphine (Belbuca, Butrans, ma Suboxone, nā mea ʻē aʻe); butorphanol; cyclobenzaprine (Amrix); dextromethorphan (ʻike ʻia i loko o nā lāʻau lapaʻau he nui; ma Nuedexta); diuretics ('pills wai'); lithium (Lithobid); 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); nalbuphine; pentazocine (Talwin); quinidine (i Nuedexta); 5HT₃ nā poloka serotonin e like me alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), a i ʻole palonosetron (Aloxi); 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); tramadol (Conzip, Ultram, i Ultracet), trazodone (Oleptro); a i ʻole nā ​​tridclic antidepressants ('mood elevators') e like me amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a me trimipramine (Surmont). E haʻi pū aku i kāu kauka inā lawe ʻoe i kekahi o nā mea hoʻopaneʻe monoamine oxidase (MAO), a i ʻole inā ua oki ʻoe i ka lawe ʻana iā lākou i loko o 2 mau pule i hala iho nei: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate). Nui paha nā lāʻau ʻē aʻe e launa pū me ka morphine, 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 e nānā pono paha 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 loaʻa i kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo AOAO IMPORTANT a i ʻole ileus paralytic (ke ʻano e neʻe ʻole ai ka meaʻai i loko o nā ʻōpū). E haʻi paha kāu kauka iā ʻoe mai lawe i ka morphine.
• e haʻi i kāu kauka inā loaʻa paha iā ʻoe kahi blockage i kou ʻōpū a i ʻole nā ​​ʻōpū; ka hopu ʻana; pilikia i ka ale ʻana; prostatic hypertrophy (hoʻonui i kahi kāne hānau keiki); pilikia mimi; haʻahaʻa ke koko; ʻO ka maʻi ʻo Addison (ke ʻano ʻaʻole lawa ka adrenal gland i kekahi mau mea kūlohelohe) a i ʻole ke akepaʻa, ka hakuʻala, ka pancreas, ka thyroid, a i ʻole ka maʻi gallbladder.
• e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū.
• 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 lawe ʻana i ka morphine.
• inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka morphine.
• pono ʻoe e ʻike i kēia lāʻau ʻana 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 i ka morphine ke kumu i ka lualua, ka ʻālohilohi, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. 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.
• pono ʻoe e ʻike i ka morphine ke kumu i ka paʻa paʻa. E kamaʻilio me kāu kauka e pili ana i ka loli ʻana i kāu papaʻai a i ʻole ka hoʻohana ʻana i nā lāʻau ʻē aʻe e pale a mālama ai i ka paʻa ʻana ke lawe ʻoe i ka morphine.

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

Inā ʻoe e lawe i nā papa morphine a i ʻole ka wai, e ʻōlelo paha kāu kauka iā ʻoe e lawe i ka lāʻau e pono ai.

Inā ua haʻi ʻia ʻoe e lawe i nā lāʻau i hoʻonohonoho ʻia o nā papa a i ʻole ka wai a i ʻole ke lawe nei ʻoe i kahi huahana hoʻokuʻu lōʻihi, e lawe i ka lāʻau i hala ke hoʻomanaʻo koke ʻoe iā ia, a mai lawe i ka lāʻau aʻe i kāu manawa i hoʻonohonoho pinepine ʻia. Ma kahi o, e ʻae i ka manawa like āu e ʻae ai ma waena o nā kau ma mua o ka lawe ʻana i kāu kaha aʻe. Inā ʻoe e hoʻomanaʻo ke kokoke ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

• hiamoe
• ʻeha o ka ʻōpū a me nā hāhā
• waha maloo
• ʻeha poʻo
• hopohopo
• loli ke ʻano
• nā haumāna liʻiliʻi (pōʻaiʻeleʻele i ka waena o nā maka
• pilikia i ka mimi ʻana a ʻeha paha i ka wā e mimi ai

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

• uliuli a poni paha i ka ʻili
• nā hoʻololi i ka puʻuwai puʻuwai
• 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
• ka hopu ʻana
• hiamoe nui loa
• maule ana
• ʻeha ka umauma
• fiva
• hives
• hūwī
• ʻūlili
• pehu o nā maka, maka, waha, lehelehe a ʻāʻī paha
• hulahula
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hoʻokumu paha ʻo Morphine 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).

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 ʻoe e hoʻolei koke i nā lāʻau i hala ka lā a pono ʻole paha ma o ka papahana hoʻihoʻi lāʻau. Inā ʻaʻohe ou papahana hoʻihoʻi ma kahi kokoke a i ʻole hiki iā ʻoe ke komo koke, e kīloi i nā papa hoʻolōʻihi hoʻolōʻihi ʻia ka morphine, nā capsule hoʻolōʻihi ʻia, a me ka wai i hala ʻole a pono ʻole paha i lalo o ka lua no ka mea ʻaʻole e lawe kekahi. lākou. 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

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 lawe ana i ka morphine, 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, pāpaʻu, a i ʻole hanu maʻamau
• paʻakikī i ka hanu ʻana
• hiamoe
• hiki ʻole ke pane a ala paha
• nā mākala palupalu
• anu, ʻili paʻalili
• nā haumāna liʻiliʻi
• ʻūlū puʻuwai
• ʻike hihi
• nausea
• 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 morphine.

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

ʻAʻole hoʻopiha hou ʻia kēia palapala kuhikuhi. Inā lawe ʻoe i ka morphine e kaohi i kou ʻeha ma ke kumu lōʻihi, e hoʻomaopopo pono e hoʻonohonoho i nā manawa me kāu kauka i ʻole ʻoe e pau i ka lāʻau. Inā lawe ʻoe i ka morphine ma kahi manawa pōkole, e kāhea i kāu kauka inā hoʻomau ʻoe i ka ʻeha ma hope o kou hoʻopau ʻana i ka lāʻau.

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.

• Arymo^® ER
• ʻO Avinza^®¶
• Kadian^®
• Morphabond^®
• MS Contin^®
• ʻO Oramorph^® SR^¶
• Roxanol-T^¶

• ʻO Embeda^® (me ka Morphine, Naltrexone)^¶

^¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.