Mea Kākau: William Ramirez
Lā O Ka Hana: 19 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 13 Nowemapa 2024
Anonim
Pharmacology - Diuretics (Loops, Thiazide, Spironolactone) for Registered Nurse RN & PN NCLEX
Wikiō: Pharmacology - Diuretics (Loops, Thiazide, Spironolactone) for Registered Nurse RN & PN NCLEX

Anter

Ua hana ʻo Spironolactone i nā tumors i loko o nā holoholona laboratory. E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

Hoʻohana ʻia ka Spironolactone e mālama i kekahi mau mea maʻi me hyperaldosteronism (hana ke kino i ka aldostero he nui, kahi hormone kūlohelohe); nā pae potassium haʻahaʻa; puʻuwai puʻuwai; a i nā mea maʻi me ka edema (ka paʻa o ka wai) i hoʻokumu ʻia e nā ʻano like ʻole, e like me ke akepaʻa, a i ʻole nā ​​maʻi puʻupaʻa. Hoʻohana wale ʻia ia a me nā lāʻau ʻē aʻe e mālama i ke koko kiʻekiʻe. Aia ʻo Spironolactone i loko o ka papa o nā lāʻau i kapa ʻia nā antagonists receptor aldosteron. Kuhi ia i nā puʻupaʻa e hoʻopau i ka wai e pono ʻole ai a me ka sodium mai ke kino i loko o ka mimi akā hoʻemi ʻia ka nalo ʻana o ka potassium mai ke kino.

ʻO ke koko kiʻekiʻe kahi kūlana maʻamau a ke mālama ʻole ʻia, hiki ke hōʻeha i ka lolo, ka puʻuwai, nā kīʻaha koko, nā puʻupaʻa a me nā ʻāpana ʻē aʻe o ke kino. ʻO ka hōʻino ʻana i kēia mau ʻōpū ke kumu o ka maʻi puʻuwai, kahi puʻuwai puʻuwai, puʻuwai puʻuwai, hahau ʻana, holo pono ʻole ʻana o ka puʻuwai, nalo ʻana o ka ʻike, a me nā pilikia ʻē aʻe. Ma waho aʻe o ka lawe ʻana i ka lāʻau, kōkua ka hoʻololi ʻana i ka nohona i ke kaohi o kou kahe koko. Hoʻopili kēia mau hoʻololi i ka ʻai ʻana i ka papaʻai i haʻahaʻa i ka momona a me ka paʻakai, ka mālama ʻana i ke kaupaona olakino, hoʻoikaika kino ʻana ma ka liʻiliʻi he 30 mau minuke i ka nui o nā lā, ʻaʻole puhipaka, a me ka hoʻohana ʻana i ka wai ʻona me ke akahai.


Hele mai ʻo Spironolactone ma ke ʻano he papa a hoʻokuʻu ʻia (wai; Carospir) e lawe ma ka waha. Lawe ʻia ia i hoʻokahi a ʻelua paha manawa i ka lā. Lawe paʻa i ka spironolactone me ka ʻai a me ka ʻole o ka meaʻai i kēlā me kēia manawa. Lawe i ka spironolactone ma kahi o ka manawa like (s) 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 pololei i ka spironolactone 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.

E hoʻoluliluli maikaʻi i ka hoʻopiʻi waha ma mua o kēlā me kēia hoʻohana e kāwili kaulike i ka lāʻau.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa o spironolactone a hoʻonui iki i kāu lāʻau.

Hoʻokuʻu ka Spironolactone papa a hoʻokuʻu ʻia i ka lāʻau i ʻokoʻa i kou kino a ʻaʻole hiki ke hoʻololi ʻia i kekahi i kekahi. Lawe wale i ka huahana spironolactone i kuhikuhi ʻia e kāu kauka a mai kuapo i kahi huahana spironolactone ʻokoʻa ke ʻole kauka a kāu kauka e pono ai.


Mālama ʻo Spironolactone i ke koko kiʻekiʻe, edema, puʻuwai puʻuwai, a me hyperaldosteronism akā ʻaʻole e hoʻōla i kēia mau ʻano. Hiki paha ma kahi o 2 mau pule a ʻoi aku paha ma mua o ka hopena o ka spironolactone. E hoʻomau i ka lawe ʻana i ka spironolactone inā ʻoluʻolu ʻoe. Mai hoʻoki i ka lawe ʻana i ka spironolactone me ka ʻole o ke kamaʻilio ʻana me kāu kauka.

Hoʻohana pū ʻia ʻo Spironolactone me nā lāʻau ʻē aʻe e mālama i ka wā ʻōpio precocious (kahi kumu e komo koke ai nā keiki i ka wā ʻōpio, a laila e ulu ana i nā ʻano moekolohe ma nā kaikamahine ma mua o 8 mau makahiki a me nā keikikāne ma mua o 9 mau makahiki. ) a i ʻole myasthenia gravis (MG, kahi maʻi kahi e holo pono ʻole ai nā ʻalolo a ʻike paha ka poʻe maʻi i ka nāwaliwali; numbness; nalo ʻana o ka hoʻohuihui ʻana i nā mākala; a me nā pilikia me ka hihiʻo, ka ʻōlelo, a me ka kaohi o ka maʻi ʻaʻa. Hiki ke hoʻohana ʻia ʻo Spironolactone e mālama ai i kekahi mau maʻi wahine me ka lauoho helehelena ʻole. E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana i kēia lāʻau no kāu maʻi.


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 spironolactone,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka spironolactone; nā lāʻau lapaʻau ʻē aʻe; aiʻole kekahi o nā mea hana i nā papa spironolactone. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka inā lawe ʻoe i eplerenone (Inspra). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka spironolactone 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 ʻōlelo pono i kekahi o kēia mau mea: aminoglycoside antibiotics e like me amikacin, gentamicin, kanamycin, neomycin (Neo-Rx, Neo-Fradin), streptomycin, a me tobramycin (Tobi); Angiotensin-hoʻololi i ka ʻenemika (ACE) mea kāohi e like me benazepril (Lotensin, i Lotrel), captopril (Capoten), enalapril (Vasotec), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic), perindopril, ( Aceon), quinapril (Accupril, ma Accuretic, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, ma Tarka); angiotensin II antagonists (angiotensin receptor blockers; ARBs) e like me azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten, ma Teveten HCT), irbesartan (Avapro, ma Avalide), losartan (Cozaar Hyzaar), olmesartan (Benicar, ma Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, ma Micardis HCT), a me valsartan (Diovan, ma Diovan HCT, Exforge); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex), a me naproxen (Aleve, Naprosyn); barbiturates e like me phenobarbital; cholestyramine (Prevalite); cisplatin; digoxin (Lanoxin); diuretics ('pills wai') me nā diuretics potaring-sparing e like me amiloride (Midamor) a me triamterene (Dyrenium, ma Dyazide, ma Maxzide); heparin a i ʻole haʻahaʻa-molekope-kaumaha heparin enoxaparin (Lovenox); lithium (Lithobid); nā lāʻau e mālama ai i ke koko kiʻekiʻe; nā lāʻau narcotic no ka ʻeha; nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); pākuʻi potassium; a me trimethoprim (Primsol, ma Bactrim).
  • e haʻi aku i kāu kauka inā loaʻa iā ʻoe ka maʻi o Addison a i ʻole nā ​​kūlana ʻē aʻe i hiki ke kumu i ke kiʻekiʻe o ke koko o ka potassium, a i ʻole nā ​​maʻi puʻupaʻa. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka spironolactone.
  • e haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi ate.
  • e haʻi i kāu kauka inā hāpai ʻoe, a i ʻole hoʻolālā e hāpai ʻana, a i ʻole e hānai umauma ʻana. Inā hāpai ʻoe i ka lawe ʻana i ka spironolactone, 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 ʻoe e lawe nei i ka spironolactone.
  • pono ʻoe e ʻike i ka inu ʻana i ka ʻalekohola me kēia lāʻau i kumu e hoʻolilo ai i ka puʻuwai, ka ʻūlū, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. E kamaʻilio me kāu kauka e pili ana i ka inu ʻona ʻana ʻoiai ʻoe e lawe nei i ka spironolactone.

E hāhai i nā kuhikuhi a kāu kauka no kāu ʻai, me nā ʻōlelo aʻoaʻo no ka papa paʻakai paʻakai (sodium) a me ka papahana hoʻoikaika kino i kēlā me kēia lā. Hōʻalo i nā pāʻakai paʻakai i loaʻa i ka paʻakai iā ʻoe e lawe nei i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i ka nui o nā meaʻai momona potassium (e laʻa me ka maiʻa, pulu, puaʻa, a me ka wai ʻalani) i loaʻa i kāu papaʻai.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no kāu kaukona 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 Spironolactone ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ka luaʻi
  • pāhoehoe
  • ʻeha ka ʻōpū a i ʻole ke ʻūlū
  • hoʻonui ʻia a ʻeha paha nā umauma i nā kāne a i ʻole nā ​​wahine
  • wā kūleʻa maʻamau
  • kahe o ke kahe i ka post-menopausal ('ma hope o ka loli o ke ola', ka hopena o ka manawa menstrual o ka mahina) nā wahine
  • pilikia i ka mālama ʻana a i ʻole ke hoʻokō ʻana i kahi kūkulu
  • hohonu o ka leo
  • hoʻonui i ka ulu ʻana o ka lauoho ma nā ʻāpana o ke kino
  • hiamoe
  • luhi
  • hoʻomaha ʻole

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

  • nāwaliwali o ka mākala, ʻeha, a i ʻole ke kuʻi
  • ʻeha, puhi ʻana, numbness, a ʻūlū paha i nā lima a me nā wāwae
  • hiki ʻole ke hoʻoneʻe i nā lima a i ʻole nā ​​wāwae
  • nā hoʻololi i ka puʻuwai puʻuwai
  • huikau
  • nausea
  • luhi loa
  • waha maloʻo, make wai, ʻōpau, pono ʻole, ʻeha poʻo, a i ʻole nā ​​hōʻailona ʻē aʻe o ka make wai
  • kahe koko ʻole ʻana a palapū paha
  • nele i ka ikaika
  • nalo ʻai ʻole
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • melemele o ka ʻili a me nā maka
  • nā ʻōuli like flu
  • hūwī
  • hives
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • luaʻi koko
  • ke koko i nā noho
  • hoʻemi urination
  • maule ana

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 mai 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.

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.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • hiamoe
  • huikau
  • hūwī
  • nausea
  • ka luaʻi
  • ʻūpā
  • pāhoehoe
  • ʻūlū ana i nā lima a me nā wāwae
  • nalo o ke kani nāʻiʻo
  • nāwaliwali a kaumaha paha i nā wāwae
  • pā palu a i ʻole kuʻi ka puʻuwai

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka spironolactone.

Ma mua o ka hoʻāʻo ʻana o kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka spironolactone.

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.

  • Aldactone®
  • ʻO Carospir®
Nānā Hou - 02/15/2018

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