Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 18 Iune 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
#Nalbuphine,  #machanism  #indication,#contraindication, #side effects, available form and dose
Wikiō: #Nalbuphine, #machanism #indication,#contraindication, #side effects, available form and dose

Anter

Nalbuphine injection hiki ke maʻa. Mai hoʻohana hou i ia mea, hoʻohana pinepine iā ia, a hoʻohana i ia i kahi ʻano ʻokoʻa ma mua o ke kuhikuhi a kāu kauka. E haʻi i kāu kauka inā inu ʻoe a i ʻole kekahi i kou ʻohana a inu paha i ka nui o ka wai ʻona, hoʻohana a hoʻohana mua paha i nā lāʻau lapaʻau o ke alanui, hoʻohana nui ʻole i nā lāʻau i kuhikuhi ʻia, a i ʻole loaʻa paha i kahi overdose, a i ʻole inā ua loaʻa paha iā ʻoe ke kaumaha a i ʻole kekahi. ka maʻi noʻonoʻo. Aia kekahi pilikia nui aʻe e hoʻohana nui ʻoe i ka injection nalbuphine inā loaʻa a i ʻole loaʻa i kekahi o kēia mau ʻano.

Hoʻokumu paha ka injection Nalbuphine 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 ke hoʻonui ʻia kāu mahele lāʻau. E nānā pono kāu kauka iā ʻoe i kāu wā e lapaʻau ai. E haʻi i kāu kauka inā he lohi kou hanu a i ʻole hānō. E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka injection nalbuphine. E haʻi pū aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka maʻi o ka lolo e like me ka maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi e pili ana i nā akemāmā a me nā alaloa), kahi ʻeha poʻo, kahi tumo lolo, a i ʻole kekahi 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.


E haʻi i kāu kauka inā hāpai ʻoe a hoʻolālā paha e hāpai. Inā ʻoe e hoʻohana mau i ka hoʻopili ʻana i ka nalbuphine 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.

Hiki i ka injection Nalbuphine ke hoʻonui i ka makaʻu o nā pilikia hanu koʻikoʻi a hoʻoweliweli paha i ke ola, hoʻomaha, a me ke koma inā hoʻohana ʻia me kekahi mau lāʻau. E haʻi i kāu kauka inā ʻoe e lawe a hoʻolālā paha e lawe: benzodiazepines e like me alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), a me triazolam (Halcion); nā lāʻau no ka maʻi noʻonoʻo a nausea paha, nā lāʻau ʻē aʻe no ka ʻeha; 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 ʻoe e hoʻohana i ka injection nalbuphine 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: ka lualua ʻole ʻana, ka mālamalama, ka hiamoe nui, ka hanu ʻana a paʻakikī paha, a me ka pane ʻole ʻana. 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 wai ʻona a hoʻohana ʻana paha i nā lāʻau i ke alanui i kou wā e mālama ai me ka nalbuphine e hoʻonui pū ai i ka makaʻala e ʻike ʻoe i kēia mau hopena ʻino a weliweli hoʻi i ke ola. Mai inu i ka ʻalekohola, lawe i nā lāʻau i kuhikuhi ʻia a i ʻole kuhikuhi ʻia i loaʻa i ka wai ʻona, a i ʻole hoʻohana i nā lāʻau i ke alanui i kou wā e lapaʻau ai.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu (s) o ka hoʻohana ʻana i ka inikuna nalbuphine.

Hoʻohana ʻia ka injection Nalbuphine e hoʻōla i ke kaumaha i ka ʻehaʻeha loa. Hoʻohana pū ʻia ia me nā lāʻau ʻē aʻe a me nā mea anesthesic i mua, i ka wā, a ma hope o ke kaha ʻana a me nā kaʻina olakino ʻē aʻe. Aia ʻo Nalbuphine injection i loko o ka papa o nā lāʻau i kapa ʻia ʻo opioid agonist-antagonists. Hana ia e ka hoʻololi ʻana i ke ʻano o ke kino i ka ʻeha.

Hele mai ka injection Nalbuphine ma ke ʻano he hopena (wai) e hoʻomoʻi subcutaneʻu (ma lalo o ka ʻili), intravenously (i kahi aa), a i ʻole intramuscularly (i kahi mākala). Mālama ʻia kahi injection Nalbuphine e ke kauka a kahu maʻi paha. Hoʻokomo pinepine ʻia ia i kēlā me kēia 3 a 6 mau hola e pono ai.


Hiki i kāu kauka ke hoʻomaʻamaʻa i kāu lāʻau o ka inikolo nalbuphine i kou wā e hoʻomaʻamaʻa ai, kaukaʻi ʻia i ka maikaʻi o ka mālama ʻia o kou ʻeha a me nā hopena ʻaoʻao āu e ʻike ai. E kamaʻilio me kāu kauka e pili ana i kou ʻano e mālama ai me ka inikū nalbuphine.

Hiki iā ʻoe ke loaʻa i ka inikua nalbuphine i kahi haukapila, a i ʻole hoʻohana paha ʻoe i ka lāʻau i ka home. Inā ʻoe e hoʻohana ana i ka ʻume nalbuphine ma ka home, e hoʻohana ia 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 i ʻole kahi lawelawe mālama ola ʻē aʻe e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka pahu kui nalbuphine e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Inā ʻoe i hoʻohana i ka ʻume nalbuphine no ka lōʻihi ma mua o kekahi mau lā, mai hōʻoki i ka hoʻohana ʻana. Inā kū koke ʻoe i ka hoʻohana ʻana i ka inikua nalbuphine, ʻike paha ʻoe i ka hōʻailona haʻalele ʻana me ka hoʻomaha ʻole; waimaka waimaka; ihu ihu; e uwo ana; kāhili; haʻalulu; ʻeha, kua a ʻeha pū paha. hoʻonui i nā haumāna; ukiuki; hopohopo; nāwaliwali; ʻōpū ka ʻōpū; paʻakikī e hiamoe a hiamoe paha; nausea; lilo o ka makemake ʻole; ka luaʻi; pāhoehoe; hanu wikiwiki; aiʻole ka puʻuwai wikiwiki. E hoʻoliʻiliʻi paha kāu kauka i kāu lāʻau.

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 nalbuphine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka nalbuphine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka inikua nalbuphine. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e ʻōlelo i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: nā lāʻau no ka ulu ʻana o ka migraine e like me almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, ma Treximet), a me zolmitriptan (Zomig, Zomig-ZMT); mirtazapine (Remeron); 5HT3 serotonin blockers e like me alosetron (Lotronex), dolasetron (Anzemet), granisetron (Sancuso, Sustol), ondansetron (Zofran, Zuplenz), a i ʻole palonosetron (Aloxi, i Akynzeo); nā mea kālailai serotonin-reuptake e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), a me sertraline (Zoloft); serotonin a norepinephrine reuptake inhibitors e like me duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), a me milnacipran (Savella), venlafaxine (Effexor); tramadol; trazodone; a me nā tricyclic antidepressants ('mood elevators') e like me amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), and trimipram . E haʻi pū aku i kāu kauka a kauka paha inā ʻoe e lawe a loaʻa ana paha i nā mea ʻoihana monoamine oxidase (MAO) a i ʻole inā ua oki ʻoe i ka lawe ʻana iā lākou i loko o ʻelua mau pule i hala iho nei: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), a i ʻole tranylcypromine (Parnate). Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka nalbuphine, 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 aku i kāu kauka a kauka paha inā ʻoe e lawe i nā lāʻau narcotic no ka ʻeha a i ʻole inā ua lawe ʻoe i kēia mau lāʻau. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi puʻuwai puʻuwai hou loa, a i ʻole ke ake, a i ʻole nā ​​maʻi puʻupaʻa.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū.
  • inā ke ʻoki ʻia ʻoe, me ke kahakaha niho a i ʻole kahi ʻoki biliary tract, e haʻi i ke kauka a i ʻole kauka niho e hoʻohana nei ʻoe i ka nalbuphine.
  • E ʻike ʻoe i ka nalbuphine 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 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 hoʻohana ʻana i ka nalbuphine.

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

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

  • waha maloo
  • ʻeha poʻo

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • luhi loa
  • nausea, luaʻi, nalo o ka makemake ʻole, nāwaliwali, a me ka luʻuluʻu
  • 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.
  • hiki ʻole ke kiʻi a mālama i kahi kūkulu
  • kūlohelohe menstruation
  • hoʻemi i ka moekolohe

Hoʻokumu paha ka injection Nalbuphine i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau i ka hoʻohana ʻana 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).

ʻOiai e hoʻohana ana i ka injection nalbuphine, 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.

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:

  • hanu, pāpaʻu, a i ʻole hanu maʻamau
  • hiamoe
  • hiki ʻole ke pane a ala paha
  • anu, ʻili paʻalili
  • nā haumāna liʻiliʻi
  • ʻūlū puʻuwai
  • ʻike hihi
  • dilated pupils
  • ʻū hū ʻole

Mālama i nā manawa āpau me kāu kauka.

Ma mua o ka hoʻāʻo ʻana i kahi keʻena hoʻokolohua (ʻo ia hoʻi nā mea e pili ana i ka methylene polū), e haʻi i kāu kauka a me nā limahana o ka hale hana e hoʻohana nei ʻoe i ka nalbuphine.

ʻAʻole hoʻopiha hou ʻia kēia palapala kuhikuhi. Inā ʻoe e hoʻohana ana i ka nalbuphine 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 ʻoe e hoʻohana nei i ka nalbuphine i 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.

  • Nubain®

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

Nānā Hou - 02/15/2021

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