Mea Kākau: Clyde Lopez
Lā O Ka Hana: 25 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Digoxin Nursing Pharmacology NCLEX (Cardiac Glycosides)
Wikiō: Digoxin Nursing Pharmacology NCLEX (Cardiac Glycosides)

Anter

Hoʻohana ʻia ʻo Digoxin e mālama i ka puʻuwai puʻuwai a me nā puʻuwai puʻuwai (arrhythmia). Kōkua ia i ka puʻuwai e hana ʻoi aku ka maikaʻi a kōkua ia i ke kaohi i ka helu o kou puʻuwai.

Hele mai ʻo Digoxin ma ke ʻano he papa, capsule, a i ʻole pediatric elixir (wai) e lawe ʻia e ka waha. Lawe pinepine ʻia ʻo Digoxin i hoʻokahi manawa i ka lā. Hele mai ka pediatric elixir me kahi dropper māka kūikawā no ke ana ʻana i ka lāʻau. Inā he paʻakikī ʻoe, e noi i kāu kauka lāʻau e hōʻike iā ʻoe pehea e hoʻohana ai. He mea nui e lawe mau ʻoe i ka inoa like o digoxin. ʻOkoʻa ka mana o ka digoxin i ka nui o nā lāʻau lapaʻau a pono e hoʻololi ʻia kāu mahele lāʻau.

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. Lawe i ka digoxin e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Kōkua ʻo Digoxin i ka mālama ʻana i kou maʻi akā ʻaʻole e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka digoxin ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka digoxin me ke kamaʻilio ʻole ʻana me kāu kauka.


Hoʻohana ʻia ʻo Digoxin e mālama i ka ʻeha puʻuwai (angina) a hoʻohana ʻia paha ma hope o ka puʻuwai puʻuwai. E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau no kou maʻi.

Hoʻomaʻa 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 lawe ʻana i ka digoxin,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka digoxin, digitoxin, a i ʻole nā ​​lāʻau ʻē aʻe.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole āu e lawe ai, keu hoʻi i nā antacids, antibiotics, calcium, corticosteroids, diuretics ('pills wai'), nā lāʻau ʻē aʻe no ka maʻi puʻuwai, nā lāʻau thyroid, a me nā huaora.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe kekahi mau pilikia thyroid, arrhythmia puʻuwai, maʻi ʻaʻai, a i ʻole nā ​​maʻi puʻupaʻa.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka digoxin, e kāhea i kāu kauka.
  • e kamaʻilio i kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i kēia lāʻau inā he 65 kou mau makahiki a ʻoi paha. Pono nā mākua ʻelemakule e loaʻa i nā mahele haʻahaʻa o digoxin no ka mea ʻo nā kiʻekiʻe ʻoi aku ka hopena i nā hopena ʻino.
  • 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 lawe nei ʻoe i ka digoxin.
  • 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.
  • E hoʻomanaʻo hiki i ka waiʻona ke hoʻohui i ka hiamoe i hoʻokumu ʻia e kēia lāʻau.

Hiki i kāu kauka ke koi aku i ka papaʻai sodium haʻahaʻa (haʻahaʻa paʻakai) a me kahi pāʻina potassium. E noi i kāu kauka lāʻau a i ʻole kauka no kahi papa inoa o nā meaʻai i haʻahaʻa i ka sodium a kiʻekiʻe i ka potassium. E hāhai pono i nā kuhikuhi papaʻai āpau.


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

Hoʻokumu paha ʻo Digoxin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • dizziness a i ʻole ʻālohilohi
  • hiamoe
  • loli ka hihiʻo (pohihihi a melemele paha)
  • hūwī
  • kuʻi puʻuwai ʻole

Nui paha nā hopena ʻē aʻe. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:

  • hoʻohuhū ʻōpū
  • ka luaʻi
  • pāhoehoe
  • nalo ʻai ʻole
  • pehu o nā wāwae a i ʻole nā ​​lima
  • loaʻa kaumaha kaumaha
  • paʻakikī i ka hanu ʻana

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.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Pono kāu kauka e hoʻoholo i kāu pane i ka digoxin. Loaʻa paha iā ʻoe nā electrocardiograms (EKGs) a me nā hoʻokolohua koko i kēlā me kēia manawa, a pono e hoʻoponopono ʻia kāu mahele lāʻau. E noi paha kāu kauka iā ʻoe e nānā i kāu pulse (ka helu o ka puʻuwai). E noi i kāu kauka lāʻau a kauka paha e aʻo iā ʻoe pehea e lawe ai i kāu pulse. Inā wikiwiki a lohi paha kāu pulse ma mua o ka mea, e kāhea i kāu kauka.

Mai ʻae i kahi mea ʻē aʻe e lawe 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.

  • Cardoxin®
  • Digitek®
  • Lanoxicaps®
  • Lanoxin®
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