Mea Kākau: Gregory Harris
Lā O Ka Hana: 16 Apelila 2021
HōʻAno Hou I Ka Lā: 21 Iune 2024
Anonim
NCLEX Question Review - Desmopressin
Wikiō: NCLEX Question Review - Desmopressin

Anter

Hiki i ka nasal Desmopressin ke kumu i hyponatremia koʻikoʻi a hoʻoweliweli paha i ke ola (pae haʻahaʻa o ka sodium i kou koko). E haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe kahi pae sodium liʻiliʻi i loko o kou koko, make wai i ka hapa nui o ka manawa, inu i ka nui o nā wai, a i ʻole inā loaʻa ʻoe i ka maʻi o ka hormone antidiuretic kūpono ʻole (SIADH; ke ʻano e hana ai ke kino. ʻo ka nui loa o kekahi mea kūlohelohe e kumu ai i ke kino e mālama i ka wai), a i ʻole nā ​​maʻi maʻi puʻupaʻa. E haʻi aku i kāu kauka inā loaʻa ʻoe i ka maʻi, ke kuni, a i ʻole ka ʻōpū a me nā maʻi ʻōpū me ka luaʻi a i ʻole ka diarrhea. E haʻi i kāu kauka inā ʻike ʻoe i kekahi o kēia mau mea i ka wā o kāu mālama ʻana: ʻeha ke poʻo, kahoʻi, luaʻi, hoʻomaha ʻole, loaʻa waiwai, lilo o ka makemake nui, nāukiuki, nā luhi, ka hiamoe, ka poniuniu, ka ʻūpī ʻana i nāʻiʻo, ka hopu ʻana, ka nalowale, ka nalowale o ka ʻike, a i ʻole nā ​​maʻalea. .

E haʻi i kāu kauka inā lawe ʻoe i kahi loop diuretic ("pills wai") e like me bumetanide, furosemide (Lasix), a i ʻole torsemide; kahi steroid i inhaled e like me beclomethasone (Beconase, QNasl, Qvar), budesonide (Pulmicort, Rhinocort, Uceris), fluticasone (Advair, Flonase, Flovent), a i ʻole mometasone (Asmanex, Nasonex); aiʻole kahi steroid steroid e like me dexamethasone, methylprednisolone (Medrol), a i ʻole prednisone (Rayos). E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka nasal desmopressin inā ʻoe e hoʻohana a lawe ana paha i kekahi o kēia mau lāʻau.


E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i nā hoʻokolohua e nānā i kāu mau pae sodium ma mua a i kou wā e mālama ai e nānā i ka pane o kou kino i ka nasal desmopressin.

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

Nasal Desmopressin (DDAVP®) hoʻohana ʻia e kaohi i nā ʻōuli o kekahi ʻano diabetes insipidus ('diabetes wai'; ke ʻano e hoʻopuka ai ke kino i kahi nui o ka mimi nui ʻole). Desmopressinnasal (DDAVP®) hoʻohana pū ʻia e kaohi i ka make wai nui a me ka hele ʻana o kahi nui nui o ka mimi e kū mai ma hope o kahi poʻo poʻo a ma hope paha o kekahi ʻano o ke ʻoki. Nasal Desmopressin (Noctiva®) hoʻohana ʻia e kaohi i ka urination pinepine ʻana i ka pō i nā mākua i ala aʻe ma kahi o 2 mau manawa i ka pō e mimi. Nasal Desmopressin (Stimate®) hoʻohana ʻia e hōʻoki i kekahi ʻano o ke kahe ʻana o ke koko i ka poʻe me ka hemophilia (ke ʻano ʻaʻohe pili ke koko) a me ka maʻi ʻo von Willebrand (kahi maʻi kahe o ke kahe) me kekahi pae o ke koko. Aia ʻo Desmopressin nasal i kahi papa o nā lāʻau i kapa ʻia he hormones antidiuretic. Hana ia ma ke kuapo ʻana i ka vasopressin, kahi hōmona i hana maʻamau ʻia i ke kino e kōkua i ke kaulike i ka nui o ka wai a me ka paʻakai.


Hele mai ka Desmopressin nasal ma ke ʻano he wai i lawelawe ʻia i loko o ka ihu ma o ka ʻōpala rhinal (paipu ea lahilahi i kau ʻia i ka ihu e lawelawe i nā lāʻau), a me kahi ʻāhā ihu. Hoʻohana maʻamau ia hoʻokahi i ʻekolu mau manawa i ka lā. Ke desmopressin nasal (Stimate®) hoʻohana ʻia e mālama i ka hemophilia a me ka maʻi ʻo von Willebrand, hāʻawi ʻia he 1 a 2 mau spray (s) i kēlā me kēia lā. Inā Stimate® Hoʻohana ʻia ma mua o ke kaha ʻana, hāʻawi pinepine ʻia ia 2 mau hola ma mua o ke kaʻina hana. Ke desmopressin nasal (Noctiva®) hoʻohana ʻia e mālama pinepine i ka urination i ka pō, hāʻawi pinepine ʻia kahi ʻehu ma ka puka hema a ʻākau paha 30 mau minuke ma mua o ka hiamoe ʻana. E hoʻohana i ka nasal desmopressin 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. E hoʻohana pono i nasal desmopressin 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.

Loaʻa ka Desmopressin nasal spray (Noctiva) i nā ikaika ʻelua. ʻAʻole hiki ke pani ʻia kēia huahana i kekahi. I kēlā me kēia manawa āu i hoʻopihapiha ai kāu kuhikuhi, e ʻike pono ua loaʻa iā ʻoe ka huahana kūpono. Inā manaʻo ʻoe ua loaʻa iā ʻoe ka ikaika hewa, e kamaʻilio koke me kāu kauka a me kāu kauka lāʻau.


E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o desmopressin nasal a hoʻoponopono i kāu lāʻau ma muli o kou kūlana. E hāhai pono i kēia mau ʻōkuhi.

Inā ʻoe e hoʻohana ana i ka ehu ihu, pono ʻoe e nānā i ka ʻike o ka mea hana e ʻike ai i ka nui o nā spray i loaʻa i kāu ʻōmole. E mālama i ka helu o nā sprays āu e hoʻohana ai, ʻaʻole me nā sprays priming. E hoʻolei i ka ʻōmole ma hope o kāu hoʻohana ʻana i ka helu o nā sprays i ʻōlelo ʻia, ʻoiai inā loaʻa kekahi mau lāʻau i loko, no ka mea ʻaʻole i piha i nā sprays kahi piha o ka lāʻau. Mai hoʻāʻo e hoʻololi i ka lāʻau i koe i kahi ʻōmole ʻē aʻe.

Ma mua o kou hoʻohana ʻana i ka nasal desmopressin no ka manawa mua, e heluhelu i nā ʻōkuhi i kākau ʻia e hele pū me ka lāʻau. E hoʻomaopopo pono ʻoe pehea e hoʻomākaukau ai i ka ʻōmole ma mua o ka hoʻohana mua a pehea e hoʻohana ai i ka ʻehu a me ka Tube Rhinal. E nīnau i kāu kauka a kauka paha inā he nīnau kāu e pili ana i ka hoʻohana ʻana i kēia lāʻau.

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 hoʻohana ʻana i ka nasal desmopressin,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka desmopressin, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka desmopressin nasal spray. 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 ʻōlelo pono i nā lāʻau i helu ʻia ma ka ʻĀINA WAIWAI a me kekahi o kēia mau mea: aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); carbamazepine (Equetro, Tegretol, Teril); chlorpromazine; nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia i ka ihu; lamotrigine (Lamictal); nā lāʻau narcotic (opiate) no ka ʻeha; nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine, paroxetine (Paxil), a me sertraline (Zoloft); thiazide diuretics ('pills wai') e like me hydrochlorothiazide (Microzide, nā huahana hoʻohui he nui), indapamide, a me metolazone (Zaroxolyn); a i ʻole tricyclic antidepressants ('mood elevators') e like me amitriptyline, desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a i ʻole trimipramine (Surmontil). 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 paha iā ʻoe ka maʻi puʻuwai, ke koko kiʻekiʻe, a i ʻole nā ​​maʻi puʻuwai. E haʻi paha kāu kauka iā ʻoe ʻaʻole e hoʻohana i ka nasal desmopressin.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa iā ʻoe ka mālama ʻana o ka urinary a i ʻole cystic fibrosis (kahi maʻi hānau i kū i nā pilikia me ka hanu ʻana, digestion, a me ka reproduction). E haʻi aku i kāu kauka inā he ʻoki poepoe ʻoe o ke poʻo a i ʻole ke alo, a inā he ihu i piha a holo paha i ka ihu, ʻāʻī a huʻu paha o loko o ka ihu, a i ʻole atrophic rhinitis (ke ʻano e ʻū a uhi ka ihu a piha ka loko o ka ihu i nā ʻāpana maloʻo). Kāhea i kāu kauka inā hoʻomohala ʻoe i kahi ihu i hoʻopihapiha ʻia a holo paha i kēlā me kēia manawa i kāu mālama ʻana.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i desmopressin, e kāhea i kāu kauka.

E haʻi paha kāu kauka iā ʻoe e kaohi i ka nui o ka wai āu e inu ai, keu hoʻi i ke ahiahi, i kāu mālama ʻana me desmopressin. E mālama pono i nā kuhikuhi a kāu kauka e pale ai i nā hopena koʻikoʻi.

Inā ʻoe e hoʻohana ana i nasal desmopressin (DDAVP®) a i ʻole (Stimate®) a haʻo i kahi lāʻau, e hoʻohana 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 hoʻohana i kahi lāʻau pālua e pani no kahi mea i hala.

Inā ʻoe e hoʻohana ana i nasal desmopressin (Noctiva®) a haʻo i kahi lāʻau, e lele i ka lāʻau i hala a lawe i ka lāʻau aʻe i kāu manawa maʻamau. Mai hoʻohana i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ka ihu Desmopressin i nā hopena ʻaoʻao. Kāhea i kāu kauka inā koʻikoʻi kekahi o nā hōʻailona aʻe a mai hele aku paha.

  • ʻeha ka ʻōpū
  • puʻuwai puʻuwai
  • nāwaliwali
  • paʻakikī e hiamoe a hiamoe paha
  • manaʻo mehana
  • ihu ihu
  • ʻeha ihu, hōʻoluʻolu, a i ʻole ke kūpikipiki
  • ʻalohi a maka maka ʻole paha
  • ʻeha kua
  • ʻeha ka ʻāʻī, ka ʻū, ʻū, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
  • ʻōhinu

Nui paha nā hopena ʻē aʻe. Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

  • ka luaʻi
  • ʻeha ka umauma
  • wikiwiki a kuʻi paha i ka puʻuwai puʻuwai
  • hūwī
  • hives
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hoʻokumu paha ka ihu Desmopressin i nā hopena ʻē aʻe. E haʻi i kāu kauka inā ʻike ʻoe i nā pilikia kūlohelohe 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).

Mālama i ka ihu sprays i loko o ka ipu i hele mai ai i loko, paʻa paʻa ʻia, a mai kahi hiki aku o nā keiki.

Hale Kūʻai ʻo Stimate® kū pololei ka ihu ihal i kahi mahana wela o ka lumi ʻaʻole i ʻoi aku ma mua o 25 ° C; hoʻolei i ka ʻehu nasal 6 mau mahina ma hope o ka wehe ʻana.

Hale Kūʻai DDAVP® kū pololei ka ihu ihu ma 20 a 25 ° C. Hale Kūʻai DDAVP® ʻōiwi rhinal ma 2 a 8 ° C; paʻa nā ʻōmole paʻa no 3 mau pule ma 20 a 25 ° C.

Ma mua o ka wehe ʻana iā Noctiva® ʻehu ihu, mālama kū aʻe i 2 a 8 ° C. Ma hope o ka wehe ʻana iā Noctiva®, mālama i ka ehu ihu ma luna o 20 a 25 ° C; hoʻolei iā ia ma hope o 60 mau lā.

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:

  • huikau
  • hiamoe
  • ʻeha poʻo
  • pilikia urino
  • loaʻa kaumaha kaumaha
  • ka hopu ʻana

Mai ʻae i kekahi e hoʻohana 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.

  • Konohou®
  • DDAVP® Nasal
  • ʻO Minirin® Nasal
  • Noctiva® Nasal
  • Stimate® Nasal

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

Nānā Hou - 05/24/2017

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