Mea Kākau: Virginia Floyd
Lā O Ka Hana: 6 Aukake 2021
HōʻAno Hou I Ka Lā: 20 Iune 2024
Anonim
Amiodarone - Critical Care Medications
Wikiō: Amiodarone - Critical Care Medications

Anter

Hoʻokumu paha ʻo Amiodarone i ka hōʻino māmā i hiki ke hōʻeha a hoʻoweliweli paha i ke ola. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa kekahi ʻano o ka maʻi ākea a i ʻole inā ua hoʻomāhuahua ʻia nā ʻino a me nā pilikia hanu iā ʻoe e lawe ana i ka amiodarone. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: fever, shortness of breath, wheezing, nā pilikia hanu ʻē aʻe, batukū, a me ka ʻeha a kuha ʻana paha i ke koko.

Hiki i ka Amiodarone ke hoʻopōʻino i ke ake. E haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi ate. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: nausea, luaʻi, mimi ʻeleʻele, luhi nui, melemele o ka ʻili a me nā maka, ʻili, a ʻeha paha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū.

Hiki i ka Amiodarone ke hoʻonāukiuki i kāu arrhythmia (ka puʻuwai puʻuwai ʻole) a i ʻole e hoʻokumu iā ʻoe i nā arrhythmia hou. E haʻi aku i kāu kauka inā ua hele a huʻi a hina paha ʻoe no ka mea ua lohi loa kou puʻuwai puʻuwai a inā i loaʻa a loaʻa paha iā ʻoe nā haʻahaʻa o ka potassium a me ka magnesium i loko o kou koko; ka maʻi puʻuwai a thyroid paha; a i ʻole nā ​​pilikia me ka puʻuwai o kou puʻuwai ma mua o ka arrhythmia e mālama ʻia. E haʻi i kāu kauka a me ka mea kauka inā ʻoe e lawe i kekahi o nā lāʻau aʻe: antifungals e like me fluconazole (Diflucan), ketoconazole (Nizoral), a me itraconazole (Onmel, Sporanox); azithromycin (Zithromax, Zmax); beta blockers e like me propranolol (Hemangeol, Inderal, Innopran); nā poloka channel calcium e like me diltiazem (Cardizem, Cartia, Diltzac, Tiazac, a me nā mea ʻē aʻe), a me verapamil (Calan, Covera, Verelan, ma Tarka); cisapride (Propulsid; ʻaʻole loaʻa i ka US); clarithromycin (Biaxin); clonidine (Catapres, Kapvay); diuretics ('pills wai'); dofetilide (Tikosyn); erythromycin (E.E.S., E-Mycin, Erythrocin); fluoroquinolone antibiotic e like me ciprofloxacin (Cipro), levofloxacin (Levaquin), lomefloxacin (ʻaʻole loaʻa i ka US), moxifloxacin (Avelox), norfloxacin (ʻaʻole i loaʻa i ka US), ofloxacin, a me sparfloxacin (ʻaʻole i loaʻa i ka US). nā lāʻau lapaʻau ʻē aʻe no ka puʻuwai kūlike ʻole e like me digoxin (Lanoxin), disopyramide (Norpace), flecainide, ivabradine (Corlanor), phenytoin (Dilantin, Phenytek), procainamide, quinidine (i Nuedexta), a me sotalol (Betapace, Sorine, Sotylize); a me thioridazine. Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: lightheadedness; maule ana; wikiwiki, lohi, a kuʻi paha i ka puʻuwai puʻuwai; a i ʻole ke kuhi nei ua haʻalele ʻole kou puʻuwai.


E hoʻomaha ʻia ʻoe i ka haukapila no hoʻokahi pule a ʻoi aku paha ke hoʻomaka ʻoe i kāu mālama me ka amiodarone. E nānā pono kāu kauka iā ʻoe i kēia manawa a no ka mea ke hoʻomau ʻoe i ka lawe amiodarone. E hoʻomaka paha kāu kauka iā ʻoe ma kahi mahele lāʻau amiodarone kiʻekiʻe a hoʻoliʻiliʻi hoʻi i kāu lāʻau i ka hoʻomaka ʻana o ka lāʻau. Hiki i kāu kauka ke hōʻemi i kāu lāʻau i ka wā o kāu mālama inā hoʻomohala ʻoe i nā hopena ʻaoʻao. E mālama pono i nā kuhikuhi a kāu kauka.

Mai hōʻoki i ka lawe amiodarone me ke kamaʻilio ʻole ʻana me kāu kauka. Pono ʻoe e kiaʻi pono ʻia a i ʻole ka haukapila ke haʻalele ʻoe i ka lawe amiodarone. E noho ʻo Amiodarone i kou kino no kekahi manawa ma hope o kou hōʻoki ʻana i ka lawe ʻana, no laila e nānā pono kāu kauka iā ʻoe i kēia manawa.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua, e like me nā hoʻokolohua koko, X-ray, a me nā electrocardiograms (EKGs, nā hoʻokolohua e hoʻopaʻa i ka hana uila o ka puʻuwai) ma mua a i kāu wā e hoʻomaʻamaʻa ai e mālama pono ia no ʻoe e lawe i ka amiodarone a i e nānā i ka pane o kou kino i ka lāʻau.


E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui a ka mea hana (Ke alakaʻi lāʻau) ke hoʻomaka ʻoe i ka lāʻau me amiodarone a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu.Hiki iā ʻoe ke loaʻa i ke alakaʻi lāʻau lapaʻau mai ka pūnaewele FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe amiodarone.

Hoʻohana ʻia ʻo Amiodarone e mālama a pale aku i kekahi ʻano o nā arrhythmia ventricular koʻikoʻi, hoʻoweliweli i ke ola (kahi ʻano o ka puʻuwai puʻuwai maʻamau ke kōkua ʻole a ʻae ʻia nā lāʻau ʻē aʻe. Aia ʻo Amiodarone i kahi papa lāʻau i kapa ʻia antiarrhythmics. Hana ia e hoʻomaha nāʻiʻo puʻuwai overactive.

Hele mai ʻo Amiodarone ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi a ʻelua paha manawa o ka lā. Hiki iā ʻoe ke lawe i ka amiodarone me ka ʻole o ka meaʻai ʻole, akā e mālama pono i ke ala like i kēlā me kēia manawa. E hāhai pono i nā kuhikuhi ma kāu lepili lāʻau, a noi aku i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe amiodarone 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.


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

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 lawe ʻana i amiodarone,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka amiodarone, iodine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa amiodarone. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
  • 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, a me nā mea hoʻopihaʻaiʻai 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 nā mea o kēia mau mea: antidepressants ('mood elevator') e like me trazodone (Oleptro); nā anticoagulants ('nā mea hōʻemi koko') e like me dabigatran (Pradaxa) a me warfarin (Coumadin, Jantoven); kekahi mau lāʻau hoʻohaʻahaʻa kolesterol e like me atorvastatin (Lipitor, i Caduet, i Liptruzet), cholestyramine (Prevalite), lovastatin (Altoprev, i Advicor), a me simvastatin (Zocor, i Simcor, i Vytorin); cimetidine; clopidogrel (Plavix); cyclosporine (Gengraf, Neoral, Sandimmune); dextromethorphan (kahi lāʻau i loko o nā hoʻomākaukau he nui); fentanyl (Actiq, Duragesic, Fentora, nā mea ʻē aʻe); Nā mea hoʻopalekana protease HIV e like me indinavir (Crixivan) a me ritonavir (Norvir, ma Kaletra, ma Viekira Pak); ledipasvir a me sofosbuvir (Harvoni); lithium (Lithobid); loratadine (Claritin); nā lāʻau no ka maʻi diabetes a me ka hopu ʻana paha; methotrexate (Otrexup, Rasuvo, Trexall); nā lāʻau narcotic no ka ʻeha; rifampin (Rifadin, Rimactane, ma Rifamate, ma Rifater); a me sofosbuvir (Solvaldi) me ka simeprevir (Olysio). Nui paha nā lāʻau ʻē aʻe e launa pū me amiodarone, 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. 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 i nā huahana lāʻau āu e lawe nei, ʻo ka wort ʻo St.
  • e haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi pākī a i ʻole i loaʻa i kekahi o nā kūlana i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT a i ʻole nā ​​pilikia me kou kaomi koko.
  • e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. E kamaʻilio me kāu kauka inā ʻoe e hoʻolālā e hāpai i ka wā o kāu mālama ʻana no ka mea e noho ka amiodarone i kou kino no kekahi manawa ma hope o kou hoʻōki ʻana i kāu lawe ʻana. Inā hāpai ʻoe i ka lawe ʻana i amiodarone, e kāhea koke i kāu kauka. Hiki i Amiodarone ke hōʻeha i ka fetal.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū. Mai hānai i ka wā e lawe ana ʻoe i ka amiodarone.
  • e kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i kēia lāʻau inā he 65 kou mau makahiki a ʻoi paha. ʻAʻole pono nā mākua i ka amiodarone maʻamau no ka mea ʻaʻole palekana a maikaʻi ʻole paha e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana ʻia e mālama ai i ke ʻano like.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho a me ka ʻoki ʻana o ka maka laser, e haʻi i kāu kauka a i ʻole kauka niho paha e lawe ʻoe i ka amiodarone.
  • e hoʻolālā e hōʻalo i ka pono ʻole a hoʻolōʻihi ʻia paha i ka lā a i ʻole nā ​​sunlamp a e komo i nā lole pale, nā aniani, a me nā sunscreen. Hoʻomaopopo ʻo Amiodarone i kou ʻili i ka lā o ka lā. E huli paha ka ʻili i hōʻike ʻia i uliuli a hina ʻole i ka maʻamau ma hope o kou oki ʻana i ka lawe ʻana i kēia lāʻau.
  • pono ʻoe e ʻike i ka amiodarone ke kumu o nā pilikia o ka hihi me ka makapō mau. E nānā pono i nā hoʻokolohua maka maʻamau i kou wā e lapaʻau ai a kāhea i kāu kauka inā maloʻo kou mau maka, maʻalahi i ka mālamalama, inā ʻoe e ʻike i ka halos, a i ʻole pohihihi ka ʻike a i ʻole nā ​​pilikia ʻē aʻe me kāu hihiʻo.
  • pono ʻoe e ʻike e noho ka amiodarone i kou kino no kekahi mau mahina ma hope o kou hōʻoki ʻana i ka lawe. Hiki paha iā ʻoe ke hoʻomau i ka ʻike i nā hopena ʻē aʻe o amiodarone i kēia manawa. E ʻike pono i kēlā me kēia kahu mālama ola nāna e mālama iā ʻoe a i ʻole kuhikuhi paha i nā lāʻau no ʻoe i kēia manawa ua kū koke ʻoe i ka lawe ʻana i ka amiodarone.

Mai inu i ka wai kawa i ka wā e lawe nei ʻoe i kēia lāʻau.

E haʻalele i ka lāʻau i haʻalele ʻia a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

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

  • kōpaʻa
  • nalo ʻai ʻole
  • ʻeha poʻo
  • hoʻēmi i ka hoʻokele moekolohe
  • paʻakikī e hiamoe a hiamoe paha
  • ʻōhinu
  • nā hoʻololi i ka hiki ke ʻono a honi
  • nā hoʻololi i ka nui o ka lawai

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 aku i kāu kauka a i ʻole e kiʻi i nā lāʻau lapaʻau pilikia.

  • hūwī
  • ka pohō a loaʻa kālā paha
  • hoʻomaha ʻole
  • nāwaliwali
  • hopohopo
  • ukiuki
  • ke ahonui i ka wela a i ʻole ke anuanu
  • lauoho lahilahi
  • sweating nui loa
  • nā hoʻololi i ka pōʻai menstrual
  • pehu i mua o ka ʻāʻī (goiter)
  • ka pehu o nā lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • luliluli ʻole ʻana i kahi ʻāpana o ke kino
  • hoʻoliʻiliʻi hoʻoliʻiliʻi
  • neʻe hiki ʻole iā ʻoe ke kāohi
  • kūlike ʻole a pilikia paha i ka hele wāwae
  • numbness a ʻūlū paha i nā lima, nā wāwae, a me nā wāwae
  • nāwaliwali o nā mākala

Hoʻokumu paha ʻo Amiodarone i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe 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).

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 mamao aku mai ka mālamalama, ka wela a me ka momona o ka wela (ʻaʻole i loko o 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:

  • ʻūlū puʻuwai
  • nausea
  • ʻike hihi
  • ʻālohilohi
  • maule ana

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.

  • Cordarone®
  • Pacerone®
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