Mea Kākau: Gregory Harris
Lā O Ka Hana: 7 Apelila 2021
HōʻAno Hou I Ka Lā: 25 Kepakemapa 2024
Anonim
Antiarrthmic Drugs - Class 1a Agents (Quinidine)
Wikiō: Antiarrthmic Drugs - Class 1a Agents (Quinidine)

Anter

ʻO ka lawe ʻana i nā lāʻau antiarrhythmic, me ka quinidine, hiki ke hoʻonui i ka make o ka make. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi puʻuwai e like me ka pilikia o ka nohona a i ʻole ka puʻuwai puʻuwai (HF; kahi e hiki ʻole ai i ka puʻuwai ke pauma i ke koko i nā ʻāpana ʻē aʻe o ke kino). Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka: ka puʻuwai puʻuwai ʻole a i ʻole ka ʻeha o ka umauma.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i ka quinidine. Hiki i ka Quinidine ke hoʻonui i ka manawa o ka loaʻa ʻana o ka arrhythmias (nā puʻuwai puʻuwai ʻole) a ʻaʻole i hōʻoia ʻia e kōkua i ka poʻe me ka ʻole o nā arrhythmias hoʻoweliweli e ola lōʻihi.

Hoʻohana ʻia ka Quinidine e mālama i kekahi ʻano o nā puʻuwai kūlohelohe ʻole. Aia ʻo Quinidine i ka papa o nā lāʻau i kapa ʻia nā lāʻau antiarrhythmic. Hana ia e ka pale ʻana i kou puʻuwai i ka hana kūpono ʻole.

Hele mai ʻo Quinidine ma ke ʻano he papa (quinidine sulfate) a me kahi papa hoʻolōʻihi (hana lōʻihi) (quinidine gluconate) e lawe i ka waha. Lawe pinepine ʻia ka papa Quinidine sulfate i kēlā me kēia 6 hola. Lawe pinepine ʻia nā papa quinidine gluconate i kēlā me kēia 8 a 12 mau hola. Lawe i ka quinidine ma nā manawa like i kēlā me kēia lā. 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 quinidine 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.


Hoʻokaʻawale ʻia ka papa hoʻolōʻihi hoʻolōʻihi i ka hapalua. E ale i ka papa holoʻokoʻa a hapa paha; mai nahu a paopao iā lākou.

Kōkua ʻo Quinidine e kaohi i kou ʻano akā ʻaʻole e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka quinidine inā ʻoluʻolu ʻoe. Mai hōʻoki i ka lawe ʻana i ka quinidine me ke kamaʻilio ʻole ʻana me kāu kauka.

Hoʻohana ʻia ʻo Quinidine i kekahi manawa e mālama i ka malaria. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

Ma mua o ka lawe ʻana i ka quinidine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka quinidine, quinine, a i ʻole nā ​​lāʻau ʻē aʻe.
  • e haʻi i kāu kauka a me ka mea lapaʻau i nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻopihapiha āu e lawe ai a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: acetazolamide; amiodarone (Nexterone, Pacerone); antidepressants; nā poloka kalipuna e like me diltiazem (Cardizem, Cartia, Diltzac, a me nā mea ʻē aʻe), felodipine, nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine, a verapamil (Calan, Covera, Verelan, ma Tarka); cimetidine (Tagamet HB); nā huahana codeine; digoxin (Lanoxin); diuretics ('pills wai'); ketoconazole; nā lāʻau no ka maʻi noʻonoʻo e like me haloperidol (Haldol), perphenazine, a me thioridazine; methazolamide; mexiletine; phenobarbital; phenytoin (Dilantin, Phenytek); propranolol (Hemangeol, Inderal, Innopran); sodium bicarbonate (Arm a me Hammer Baking Soda, ma Zegerid OTC); a me warfarin (Coumadin, Jantoven). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka quinidine, 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.
  • e haʻi i kāu kauka inā loaʻa ʻoe i ka poloka puʻuwai (ke ʻano i hāʻawi ʻole ʻia nā hōʻailona uila mai nā keʻena o luna o ka puʻuwai a i nā keʻena o lalo) a i ʻole loaʻa iā thrombositopenia immune (ITP; idiopathic thrombositopenic purpura; kahi ʻano hoʻomau e hiki ai hana maʻalahi i ka palapū a i ʻole ke kahe ʻana o ke kahe ma muli o ka helu haʻahaʻa o nā platelet i loko o ke koko) a i ʻole myasthenia gravis (kahi maʻi o ka ʻōnaehana hopohopo e hoʻonāwaliwali i nā mākala). E haʻi paha kāu kauka iā ʻoe mai lawe i ka quinidine.
  • e haʻi i kāu kauka inā loaʻa a i ʻole loaʻa iā ʻoe kahi wā QT hoʻolōʻihi (ke ʻano e hoʻonui ai i ka makaʻu o ka hoʻomohala ʻana i kahi puʻuwai kūwaho ʻole e hiki ai ke maʻule a make koke paha); he puʻuwai puʻuwai nā kiʻekiʻe o ke koko o ka calcium, magnesium a potasiuma paha i kou koko; aiʻole ka ate a me nā maʻi pākī.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka quinidine, e kāhea i kāu kauka.
  • 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 ana ʻoe i ka quinidine.

Mai inu i ka wai kawa i ka wā e lawe ana i kēia lāʻau. Mai hoʻololi i ka nui o ka paʻakai i kāu papaʻai me ke kamaʻilio ʻole ʻana me kāu kauka.


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.

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

  • pāhoehoe
  • nausea
  • ka luaʻi
  • puʻuwai puʻuwai
  • fiva
  • ʻūpā
  • ʻālohilohi
  • ʻeha poʻo
  • luhi
  • nāwaliwali
  • hūwī
  • paʻakikī i ka hiamoe
  • haʻalulu

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:

  • kani i nā pepeiao a i ʻole ka nalo ʻana o ka lohe
  • loli ka hihiʻo (ʻike maka ʻole a i ʻole ka ʻike māmā)
  • huikau
  • kahe koko ʻole ʻana a palapū paha
  • nalo o ka makemake ʻole, kahoʻi, maka melemele a i ʻole ka ʻili, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, a me ka mimi ʻeleʻele

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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • kuʻi puʻuwai ʻole
  • pāhoehoe
  • ka luaʻi
  • ʻeha poʻo
  • kani i nā pepeiao a i ʻole ka nalo ʻana o ka lohe
  • loli ka hihiʻo (ʻike maka ʻole a i ʻole ka ʻike māmā)
  • huikau

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 quinidine.

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.

  • Cardioquin®
  • ʻO Cin-Quin®
  • Duraquin®
  • Quinact®
  • ʻO Quinaglute®
  • ʻO Quinalan®
  • ʻO Quinatime®
  • ʻO Quinidex®
  • ʻO Quinora®

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

Nānā Hou - 07/15/2020

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