Ketorolac

Anter

• Ma mua o ka lawe ʻana i ka ketorolac,
• Hoʻokumu paha ʻo Ketorolac i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka. Mai lawe hou i ka ketorolac a hiki i kou wā e ʻōlelo ai i kāu kauka.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Hoʻohana ʻia ʻo Ketorolac no ka hoʻomaha manawa pōkole o ka ʻehaʻeha loa a ʻaʻole pono e hoʻohana no ka lōʻihi ma mua o 5 mau lā, no ka ʻeha haʻahaʻa, a no ka ʻeha mai nā kūlana lōʻihi (lōʻihi). E loaʻa iā ʻoe kāu kau mua o ka ketorolac e ka intravenous (i loko o kahi aa) a i ʻole intramuscular (i kahi mākala) i loko o ka haukapila a i ʻole ke keʻena lapaʻau. Ma hope o kēlā, koho paha kāu kauka e hoʻomau i kāu mālama ʻana me ka ketorolac waha. Pono ʻoe e hoʻōki i ka lawe ʻana i ka ketorolac waha ma ka lima o ka lā ma hope o kou loaʻa ʻana i kāu injection ketorolac mua. E kamaʻilio me kāu kauka inā ʻeha mau ʻoe ma hope o 5 mau lā a i ʻole inā ʻaʻole kaohi ʻia kou ʻeha me kēia lāʻau. Hiki i ka Ketorolac ke hana i nā hopena ʻino, keu hoʻi ke lawe kūpono ʻole ʻia.E lawe i ka ketorolac e like me ke kuhikuhi. Mai lawe i nā mea hou aʻe a lawe pinepine paha ma mua o ka mea i kauoha ʻia e kāu kauka.

ʻO ka poʻe e lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (ʻē aʻe ma mua o ka aspirin) e like me ketorolac e ʻoi aku paha ka nui o ka hopena o ka puʻuwai puʻuwai a i ʻole ka hahau ma mua o ka poʻe ʻaʻole e lawe i kēia mau lāʻau. Hiki paha kēia mau hanana me ka ʻōlelo ʻole ʻole a make paha. Kiʻekiʻena paha kēia kiʻekiʻe no nā poʻe e lawe i nā NSAID no kekahi manawa lōʻihi. Mai lawe i kahi NSAID e like me ketorolac inā he maʻi puʻuwai kāu i neʻi nei, ke ʻole ke kuhikuhi ʻia e kāu kauka. E haʻi i kāu kauka inā ʻoe a i ʻole kekahi o kou ʻohana i loaʻa a loaʻa paha i ka maʻi puʻuwai, kahi puʻuwai puʻuwai, a i ʻole hahau a i ʻole 'ministroke;' inā ʻoe e puhi; a inā loaʻa iā ʻoe a i ʻole loaʻa iā ʻoe ke kiʻekiʻe o ke kōkōhō, ke koko kiʻekiʻe, ke kahe ʻana o ke koko a i ʻole ke kōpulu ʻana, a i ʻole ka maʻi diabetes. E kiʻi koke i ke kōkua olakino pilikia inā ʻike ʻoe i kekahi o nā ʻōuli penei: ka ʻeha o ka umauma, ka pōkole o ka hanu, nāwaliwali ma kahi ʻāpana a ʻaoʻao paha o ke kino, a i ʻole ʻōlelo lohi.

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 nei ʻoe i ketorolac. Inā ʻoe e hana i kahi bypass coronaary bypass (CABG; kahi ʻano o ke ʻoki puʻuwai), ʻaʻole pono ʻoe e lawe i ka ketorolac ma mua a ma hope pono paha o ke ʻoki.

Hiki i nā NSAID e like me ketorolac ke kumu i nā ulcer, ke kahe ʻana o ke kō, a i ʻole nā ​​puka o ka ʻōpū a me ka ʻōpū. E ulu paha kēia mau pilikia i kēlā me kēia manawa i ka wā o ka mālama ʻana. ʻOi aku ka kiʻekiʻe o ka makaʻu no nā poʻe e lawe i nā NSAID no ka manawa lōʻihi, ʻelemakule i ka makahiki, maikaʻi ʻole ke olakino, a inu paha i ka nui o ka waiʻona i ka wā e lawe ana i ka ketorolac. E haʻi i kāu kauka inā lawe ʻoe i kekahi o nā lāʻau aʻe: anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); aspirin; nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, ma Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), a me sertraline (Zoloft); aiʻole nā ​​serotonin norepinephrine reuptake inhibitors (SNRI) e like me desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), a me venlafaxine (Effexor XR). Mai lawe i ka aspirin a i ʻole nā ​​NSAID ʻē aʻe e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn) ʻoiai ʻoe e lawe nei i ka ketorolac. E haʻi pū aku i kāu kauka inā loaʻa paha iā ʻoe ka maʻi ulcer a i ʻole ke kahe ʻana i kou ʻōpū a i ʻole nā ​​ʻōpū. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hoʻōki i ka lawe ʻana i ka ketorolac a kāhea aku i kāu kauka: ʻeha ka ʻōpū, ʻeha ka puʻuwai, ka luaʻi e pili koko ana a i ʻole ke nānā aku e like me ka papa kope, ke koko i loko o ka pahu, a i ʻole nā ​​papa noho ʻeleʻele a lohi hoʻi.

Hiki i ka Ketorolac ke kumu i ka holo pono ʻole ʻana o ka hakuʻala. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi puʻupaʻa a me ke akepaʻa, inā ua loaʻa ʻoe i ka luaʻi nui a i ʻole diarrhea a i ʻole manaʻo ʻoe e make wai ʻoe, a inā ʻoe e lawe i nā mea hoʻonāuki angiotensin-hoʻololi i nā enzyme (ACE) e like me benazepril (Lotensin, ma Lotrel), captopril , enalapril (Vasotec, ma Vaseretic), fosinopril, lisinopril (i Zestoretic), moexipril (Univasc), perindopril (Aceon, i Prestalia), quinapril (Accupril, i Quinaretic), ramipril (Altace), a me trandolapril (Mavik, i Tarka ); aiʻole nā ​​diuretics ('nā pila wai'). Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka ketorolac a kāhea aku i kāu kauka: ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; waiwai kaumaha i wehewehe ʻole ʻia; huikau; aiʻole ka hopu ʻana.

Loaʻa i kekahi poʻe i nā hopena maʻi ʻino i ketorolac. E haʻi i kāu kauka inā maʻi ʻoe i ka ketorolac, aspirin a i ʻole nā ​​NSAID ʻē aʻe e like me ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn), a i ʻole nā ​​lāʻau ʻē aʻe. E haʻi aku i kāu kauka inā loaʻa iā ʻoe a i loaʻa paha ʻoe i ka hānō, keu hoʻi inā ʻoe i ukuhi pinepine a i ʻole ka ihu ihu a i ʻole nā ​​polyps nasal (ka pehu ʻana o ka uhi o ka ihu). Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka ketorolac a kāhea koke aku i kāu kauka. hives; ʻumeʻume; ka pehu o nā maka, ka maka, ka ʻāʻī, ke alelo, nā lima, nā lima, nā kuʻekuʻe wāwae, a me nā wāwae lalo; pilikia i ka hanu ʻana a i ʻole ke ale ʻana; a i ʻole ke olohe.

Mai hānai i ka wā e lawe ana ʻoe i ka ketorolac.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E nānā pono kāu kauka i kāu mau ʻōuli a e kauoha paha i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ketorolac. E ʻike pono i kāu kauka pehea kou ʻano i hiki i kāu kauka ke kuhikuhi i ka nui kūpono o ka lāʻau e mālama ai i kou ʻano me ka makaʻu haʻahaʻa o nā hopena ʻino.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi lāʻau) ke hoʻomaka ʻoe i ka lāʻau me ketorolac 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 kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) e kiʻi i ke alakaʻi Medication.

Hoʻohana ʻia ʻo Ketorolac e hōʻoluʻolu i ka ʻehaʻeha loa, ma hope o ke kahakaha ʻana. Aia ʻo Ketorolac i kahi papa o nā lāʻau i kapa ʻia ʻo NSAIDs. Hana ia ma ka hoʻōki ʻana i ka hana a ke kino i kahi mea e hana i ka ʻeha, ke kuni, a me ka mumū.

Hele mai ʻo Ketorolac ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i kēlā me kēia 4 a 6 mau hola ma ka papa kuhikuhi a i ʻole e pono ai no ka ʻeha. Inā ʻoe e lawe i ka ketorolac ma kahi papa manawa, lawe 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 kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai.

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 ketorolac,

• E haʻi i kāu kauka inā lawe ʻoe i pentoxifylline (Pentoxil) a i ʻole probenecid (Probalan, ma Col-Probenecid). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka ketorolac inā ʻoe e lawe i hoʻokahi a ʻoi paha o kēia mau 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 kuhikuhi pono i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: antidepressants; Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, i Lotrel), captopril, enalapril (Vasotec, i Vaseretic), fosinopril, lisinopril (i Zestoretic), moexipril (Univasc), perindopril (Aceon, i Prestalia), quinapril (Accupril, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, ma Tarka); angiotensin receptor blockers like candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, in Hyzaar), olmesartan (Benicar, in Azor, in Benicar HCT, in Tribenzor), telmisartan (Micardis, ma Micardis HCT, ma Twynsta), a me valsartan (i Exforge HCT); beta blockers e like me atenolol (Tenormin, ma Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ma Dutoprol), nadolol (Corgard, ma Corzide), a me propranolol (Hemangeol, Inderal, InnoPran); nā lāʻau no ka hopohopo a i ʻole nā ​​maʻi noʻonoʻo; nā lāʻau no ka hopu ʻana e like me ka carbamazepine (Epitol, Tegretol, Teril, a me nā mea ʻē aʻe) a i ʻole phenytoin (Dilantin, Phenytek); methotrexate (Otrexup, Rasuvo, Trexall); nā mea hoʻonanea; paina moe; a me nā tranquilizers. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono paha iā ʻoe no nā hopena ʻaoʻao.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i nā kūlana i ʻōlelo ʻia i ka ʻĀINA WAIWAI nui a i ʻole nā ​​puʻuwai a i ʻole nā ​​pehu o nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo.
• e haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai. aiʻole e hānai umauma ana. Hiki paha iā Ketorolac ke hōʻeha i ka fetus a hana i nā pilikia me ka lawe ʻana inā lawe ʻia ma kahi o 20 mau pule a i ʻole ma ka wā hāpai. Mai lawe i ka ketorolac a puni a ma hope paha o 20 mau pule o ka hāpai ʻana, ke ʻole ʻoe e haʻi ʻia e kāu kauka. Inā hāpai ʻoe i ka lawe ʻana i ketorolac, e kāhea i kāu kauka.
• e kamaʻilio i kāu kauka e pili ana i nā pilikia a me nā pōmaikaʻi o ka lawe ʻana i ketorolac inā he 65 ou mau makahiki a ʻoi paha. ʻAʻole pono nā mākua kahiko e lawe i ka ketorolac no ka mea ʻaʻole palekana ia e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana e mālama ai i ke ʻano like.
• pono ʻoe e ʻike i kēia lāʻau ʻana e hiamoe ai ʻole ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
• e kamaʻilio me kāu kauka e pili ana i ka hoʻohana palekana ʻana o ka waiʻona i ka lawe ʻana i kēia lāʻau. Hiki i ka waiʻona ke hana i nā hopena ʻino o ketorolac i ʻoi aku ka maikaʻi.

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

Inā ua haʻi aku kāu kauka iā ʻoe e lawe mau i ka ketorolac, 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.

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

• ʻeha poʻo
• ʻūpā
• hiamoe
• pāhoehoe
• kōpaʻa
• ʻenekini
• ʻeha ma ka waha
• ka houʻu ʻana

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka. Mai lawe hou i ka ketorolac a hiki i kou wā e ʻōlelo ai i kāu kauka.

• fiva
• ʻōhū
• loaʻa kaumaha kaumaha ʻole
• pōkole o ka hanu a paʻakikī hoʻi i ka hanu ʻana
• pehu i ka ʻōpū, nā kuʻekuʻe wāwae, nā wāwae, a me nā wāwae
• melemele o ka ʻili a me nā maka
• luhi nui loa
• kahe koko ʻole ʻana a palapū paha
• nele i ka ikaika
• nausea
• nalo ʻai ʻole
• ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
• nā ʻōuli like flu
• ʻili mae
• puʻuwai wikiwiki
• ʻōpua, paʻalulu, a i ʻole mimi koko
• ʻeha kua
• urination paʻakikī a ʻeha paha

Hoʻokumu paha ʻo Ketorolac 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 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:

• nausea
• ka luaʻi
• ʻeha ka ʻōpū
• nā noho koko, ʻeleʻele, a i ʻole nā ​​papa noho
• luaʻi ka mea koko a nānā paha e like me nā kahua kope
• hiamoe
• hanu lohi a wikiwiki paha, hanu pāpaʻu
• koma (nalo o ka noʻonoʻo no kahi manawa o ka manawa)

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.

• Toradol^®¶

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