Mea Kākau: William Ramirez
Lā O Ka Hana: 20 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 19 Iune 2024
Anonim
"Administration of Inhaled Medications" by Craig Smallwood for OPENPediatrics
Wikiō: "Administration of Inhaled Medications" by Craig Smallwood for OPENPediatrics

Anter

I kahi noiʻi hoʻokolohua nui, ʻoi aku ka nui o nā mea maʻi me ka hānō i hoʻohana i ka salmeterol i ʻike i nā ʻāpana koʻikoʻi o ka hānō e pono e mālama ʻia i ka haukapila a i make paha ma mua o nā mea maʻi me ka hānō i hoʻohana ʻole i ka salmeterol. Inā loaʻa ʻoe i ka hānō, hiki i ka hoʻohana ʻana i ka salmeterol ke hoʻonui i ka manawa e ʻike ai ʻoe i nā pilikia hānō a koʻikoʻi paha.

E kuhikuhi wale kāu kauka i ka salmeterol inā koʻikoʻi loa kāu hānō e pono ai nā lāʻau ʻelua e kāohi iā ia. ʻAʻole pono ʻoe e hoʻohana i ka salmeterol wale nō; pono ʻoe e hoʻohana mau me ia me kahi lāʻau steroid i inhaled. ʻO nā keiki a me nā ʻōpio e pono e mālama ʻia me ka salmeterol e mālama ʻia paha me kahi huahana e hoʻohui i ka salmeterol a me kahi lāʻau steroid i inhaled i hoʻokahi inhaler e maʻalahi ai iā lākou e hoʻohana i nā lāʻau ʻelua e like me ka mea i kauoha ʻia.

Ma muli o nā makaʻu o ka hoʻohana ʻana i ka salmeterol, pono ʻoe e hoʻohana i ka salmeterol wale nō e pono ai e lawe i kāu ʻōuli hānō ma lalo o ka kaohi. Ke kāohi ʻia kāu hānō, e ʻōlelo paha kāu kauka iā ʻoe e haʻalele i ka hoʻohana ʻana i ka salmeterol akā hoʻomau i ka hoʻohana ʻana i ka lāʻau hānō ʻē aʻe.


E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau.

E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me salmeterol 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) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

Hoʻohana ʻia ʻo Salmeterol e kaohi i ke kani ʻana, ka pōkole o ka hanu, ke kahe ʻana, a me ka paʻa o ka umauma i ka poʻe me ka maʻi pulmonary obstructive maʻi (COPD; kahi hui o nā maʻi pūpū e pili pū ana me ka bronchitis mau a me ka emphysema). Hoʻohana pū ʻia ia me kahi lāʻau steroid i inhaled e kāohi ai i ka hū ʻana, ka pōkole o ka hanu, ka ʻū ʻana, a me ka paʻa o ka umauma a me nā mākua a me nā keiki ʻo 4 mau makahiki a ʻoi aku me ka hānō. Hoʻohana ʻia ia e pale i ka bronchospasm (nā pilikia hanu) i ka wā hoʻoikaika i nā mākua a me nā keiki ʻo 4 mau makahiki a ʻoi paha. Aia ʻo Salmeterol i kahi papa o nā lāʻau i kapa ʻia he agonists beta hana lōʻihi (LABA). Hana ia me ka hoʻomaha a me ka wehe ʻana i nā ala ea i nā akemāmā, e maʻalahi ai i ka hanu.


Hele mai ʻo Salmeterol ma kahi pauka maloʻo e inhale e ka waha e hoʻohana ana i kahi inhaler hoʻolālā kūikawā. Ke hoʻohana ʻia ka salmeterol e mālama i ka hānō a i ʻole COPD, hoʻohana mau ʻia ia i ʻelua mau lā i ka lā, i ke kakahiaka a me ke ahiahi, ma kahi o 12 mau hola ke kaʻawale. E hoʻohana i ka salmeterol ma nā manawa like i kēlā me kēia lā. Ke hoʻohana ʻia ka salmeterol e pale i nā pilikia hanu i ka wā hoʻoikaika kino, hoʻohana mau ʻia ia ma kahi o 30 mau minuke ma mua o ka hoʻoikaika kino akā ʻaʻole ʻoi aku ka pinepine ma mua o hoʻokahi manawa i kēlā me kēia 12 hola. Inā ʻoe e hoʻohana ana i ka salmeterol ʻelua mau manawa i ka lā ma kahi maʻamau, mai hoʻohana i kahi lāʻau ʻē aʻe ma mua o ka hoʻoikaika kino. 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 ka salmeterol 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.

Mai hoʻohana i ka salmeterol e mālama ai i nā hōʻeha hikiwawe o ka hānō a i ʻole COPD. Na kāu kauka e kuhikuhi i kahi lāʻau beta agonist hana pōkole e like me albuterol (Accuneb, Proair, Proventil, Ventolin) e hoʻohana ai i ka wā hoʻouka. Inā ʻoe e hoʻohana nei i kēia ʻano lāʻau i kēlā me kēia manawa ma mua o ka hoʻomaka ʻana o ka mālama ʻana me ka salmeterol, e ʻōlelo paha kāu kauka iā ʻoe e haʻalele i ka hoʻohana mau ʻana akā e hoʻomau i ka hoʻohana ʻana iā ia e mālama i ka hōʻeha ʻana o nā hōʻailona hānō. E hāhai pono i kēia mau ʻōkuhi. Mai hoʻololi i ke ala e hoʻohana ai i kekahi o kāu lāʻau me ke kamaʻilio ʻole ʻana me kāu kauka.


Mai hoʻohana i ka salmeterol inā loaʻa ʻoe i ka hānō a i ʻole COPD e ʻino koke ana. Inā loaʻa iā ʻoe kekahi o nā hōʻailona o ka hōʻino ʻana o ka hānō a i ʻole COPD, e kāhea koke i kāu kauka.

  • ʻoi aku ka maikaʻi o kou hanu ʻana
  • ʻaʻole holo pono kāu inhaler hana pōkole e like me ka wā ma mua
  • pono ʻoe e hoʻohana i nā puffs hou aʻe ma mua o ka maʻamau o kāu inhaler hana pōkole a hoʻohana pinepine paha iā ia
  • pono ʻoe e hoʻohana i ʻehā a ʻoi paha nā puffs i kēlā me kēia lā o kāu inhaler hana pōkole no ʻelua a ʻoi mau lā i ka lālani
  • hoʻohana ʻoe ma mua o hoʻokahi pahu kini (200 inhalations) o kāu inhaler hana pōkole i loko o kahi manawa he 8 mau pule
  • kou mika kiʻekiʻe-kahe (ka home pono hana e hoʻāʻo i ka hanu ʻana) nā hopena e hōʻike ana i kāu mau pilikia hanu e piʻi nei
  • loaʻa ʻoe i ka hānō a ʻaʻole hoʻomaikaʻi kāu mau hōʻailona ma hope o kou hoʻohana maʻamau ʻana i ka salmeterol no hoʻokahi pule

Mālama ʻo Salmeterol i nā ʻōuli o ka hānō a me nā maʻi ākea ʻē aʻe akā ʻaʻole hoʻōla i kēia mau ʻano. Mai hooki i ka hoʻohana ʻana i ka salmeterol me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū koke ʻoe i ka hoʻohana ʻana i ka salmeterol, e pōʻino paha kāu mau ʻōuli.

Ma mua o kou hoʻohana ʻana i ka inhaler salmeterol i ka manawa mua, e noi i kāu kauka, kauka, a i ʻole ka mea hoʻohana hanu e hōʻike iā ʻoe pehea e hoʻohana ai. E hoʻomaʻamaʻa i ka hoʻohana ʻana i ka mea hoʻōha i kona nānā ʻana.

E hoʻohana ai i ka inhaler, e hāhai i kēia mau kaʻina hana:

  1. Inā ʻoe e hoʻohana ana i kahi inhaler hou no ka manawa mua, hemo iā ia mai ka pahu a me ka wahī. Hoʻopiha i nā hakahaka ma ka lepili inhaler me ka lā āu i wehe ai i ka ʻeke a me ka lā 6 mau pule ma hope ke pono ʻoe e pani i ka mea hoʻōha.
  2. E hoʻopaʻa i ka mea inhaler i hoʻokahi lima, a kau i ka manamana nui o kou lima ʻē aʻe ma ka manamana nui. E hoʻokuke aku i kou manamana nui mai iā ʻoe a hiki i ka wā e ʻike ʻia ai ka waha waha a kū i ke kūlana.
  3. E hoʻopaʻa i ka mea hoʻōha i kahi pae, ke kau ākea me ka waha waha iā ʻoe. E ho one i ka lever mai ou aku a hiki i ke kaomi ʻana.
  4. I kēlā me kēia manawa e hoʻokuʻi ʻia ka lepe i hope, mākaukau kahi lāʻau e hake. E ʻike ʻoe i ka helu i ka iho ʻana o ka lāʻau. Mai hoʻonele i nā kau ma ke pani ʻana a i ʻole ke kuhi ʻana i ka inhaler, ke pāʻani ʻana me ka lever, a i ʻole ke neʻe ʻana i ka lever i hoʻokahi manawa.
  5. Paʻa i ka pae inhaler a mamao aku mai kou waha, a hanu i kou hiki ke ʻoluʻolu.
  6. E mālama i ka inhaler i kahi pae, pālahalaha. E kau i ka waha i kou lehelehe. E hanu i ka wikiwiki a me ka hohonu ʻoiai ka inhaler, ʻaʻole ma o kou ihu.
  7. Wehe i ka inhaler mai kou waha, a paʻa i kou hanu no 10 kekona a i ʻole hiki iā ʻoe ke ʻoluʻolu. Hanu mālie.
  8. E ʻono a ʻae paha ʻoe i ka pauka salmeterol i hoʻokuʻu ʻia e ka mea ʻona. ʻOiai ʻaʻole ʻoe, mai inhale i kahi lāʻau ʻē aʻe. Inā ʻaʻole maopopo iā ʻoe ke loaʻa nei kāu lāʻau o salmeterol, e kāhea i kāu kauka a kauka paha.
  9. Kau i kou manamana nui ma ka thumbgrip a paheʻe iā ia i mua iā ʻoe i kahi e hele ai. E kaomi ka hāmeʻa.

Mai hoʻokuʻu i loko o ka mea hoʻopili, e hoʻokaʻawale i ka mea inhaler, a holoi paha i ka waha waha a i ʻole kekahi ʻāpana o ka inhaler. E mālama i ka mea inhaler e maloʻo. Mai hoʻohana i ka inhaler me kahi spacer.

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 hoʻohana ʻana i ka salmeterol,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka salmeterol, nā lāʻau ʻē aʻe, ka protein waiū, a i ʻole nā ​​meaʻai.
  • e haʻi i kāu kauka inā hoʻohana ʻoe i kekahi LABA e like me arformoterol (Brovana), fluticasone a me salmeterol hoʻohui (Advair), formoterol (Perforomist, ma Bevespi Aerosfer, Duaklir Pressair, Dulera, Symbicort), indacaterol (Arcapta), olodaterol (Striverdi Respimat, i Stiolto Respimat), a i ʻole vilanterol (i Anoro Ellipta, Breo Ellipta, Trelegy Ellipta). ʻAʻole pono e hoʻohana ʻia kēia mau lāʻau me ka salmeterol. E haʻi aku kāu kauka iā ʻoe i ka lāʻau e pono ai ʻoe e hoʻohana a i ka lāʻau hea ʻoe e haʻalele ai i ka hoʻohana ʻana.
  • 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 hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E haʻi pono i kekahi o kēia mau mea: antifungals e like me itraconazole (Onmel, Sporanox, Tolsura) a me ketoconazole; beta blockers e like me atenolol (Tenormin, ma Tenoretic), labetalol (Trandate), metoprolol (Kapspargo, Lopressor, Toprol XL, ma Dutoprol), nadolol (Corgard, ma Corzide), a me propranolol (Hemangeol, Inderal, Innopran); clarithromycin; diuretics ('pills wai'); Nā mea hoʻopalekana protease HIV e like me atazanavir (Reyataz, i Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, ma Kaletra, Viekira Pak), a me saquinavir (Invirase); nefazodone; a me telithromycin (Ketek). E haʻi aku i kāu kauka a kauka paha inā ʻoe e lawe nei i nā lāʻau aʻe a i ʻole ua oki ka lawe ʻana iā lākou i loko o nā pule he 2 i hala iho nei: antidepressants e like me amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine ( Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), a me trimipramine (Surmontil); a me nā mea hoʻopaneʻe monoamine oxidase (MAO) me isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Emsam, Zelapar), a me tranylcypromine (Parnate). 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 paha i kahi puʻuwai kīnā ʻole, ke koko kiʻekiʻe, QT hoʻolōʻihi (kahi puʻuwai puʻuwai kūpono ʻole e hiki ai i ka nāwaliwali, nalowale o ka ʻike, hopu ʻana, a make koke paha), diabetes, ka hopu ʻana, a i ʻole ke ake, thyroid , a i ʻole ka maʻi puʻuwai.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka salmeterol, e kāhea i kāu kauka.
  • oe e ike i salmeterol inhalation i kekahi manawa ke kumu o ke kaniʻuhū a me ka paʻakikī paʻakikī ka manawa koke ma hope o ka hanu ʻia ʻana. Inā kū kēia, e kāhea koke i kāu kauka. Mai hoʻohana hou i ka salmeterol inhalation ke ʻole kāu kauka e haʻi iā ʻoe e pono.

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

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

Hiki i ka Salmeterol ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ke hoʻoluliluli nei i kahi ʻāpana o kou kino i hiki ʻole iā ʻoe ke kāohi
  • ʻeha poʻo
  • hopohopo
  • ʻūpā
  • ʻūhā
  • ihu i ukuhi ʻia
  • ihu ihope
  • ʻeha pepeiao
  • ʻeha ʻeha, ʻoʻoleʻa, a i ʻole nā ​​ʻūlū
  • ʻeha pū
  • ʻeha, puʻu huhū
  • nā ʻōuli like flu
  • nausea
  • puʻuwai puʻuwai
  • ʻeha ka niho
  • waha maloo
  • ʻeha a keʻokeʻo paha i ka waha
  • maka ʻulaʻula a huhū paha
  • paʻakikī e hiamoe a hiamoe paha
  • ka puhi ʻana a i ʻole ke kani ʻana o nā lima a me nā wāwae

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

  • wikiwiki a kuʻi paha i ka puʻuwai puʻuwai
  • ʻeha ka umauma
  • hūwī
  • hives
  • pehu o ka maka, ʻāʻī, elelo, lehelehe, a i ʻole nā ​​maka
  • hulahula
  • ʻāpiki a paʻakikī paha i ka ale ʻana
  • hanu nui, kiʻekiʻe kiʻekiʻe

Hiki i ka Salmeterol ke hana i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia maʻamau ke lawe nei ʻoe 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 a mamao aku mai ka lā pololei, a me ka wela a me ka hou nui (ʻaʻole i loko o ka lua. E hoʻolei i ka mea inhaler 6 mau pule ma hope o kou hemo ʻana mai ka pepa i kau ʻia a ma hope paha o ka hoʻohana ʻia ʻana o kēlā me kēia blister (ke heluhelu ʻia ka hōʻailona hōʻailona 0), ʻo kēlā me kēia e hele mua.

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:

  • ka hopu ʻana
  • ʻeha ka umauma
  • ʻūpā
  • maule ana
  • ʻike hihi
  • wikiwiki, kuʻi, a i ʻole kuʻi puʻuwai puʻuwai
  • hopohopo
  • ʻeha poʻo
  • ke hoʻoluliluli nei i kahi ʻāpana o kou kino i hiki ʻole iā ʻoe ke kāohi
  • pulupulu nā mākala a i ʻole nāwaliwali
  • waha maloo
  • nausea
  • ʻūpā
  • luhi nui loa
  • nele i ka ikaika
  • paʻakikī e hiamoe a hiamoe paha

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 ke keʻena hoʻokolohua āu e hoʻohana nei i ka salmeterol.

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.

  • ʻO Serevent®
Nānā Hou - 10/15/2019

Hoihoi Ma Ka Pūnaewele

7 kumu o ka mimi ʻeleʻele a me ka mea e hana ai

7 kumu o ka mimi ʻeleʻele a me ka mea e hana ai

ʻOiai hiki ke kumu i ka hopohopo, ʻo ke ʻano o ka mimi ʻeleʻele ke kumu pinepine ʻia e nā loli liʻiliʻi, e like me ka ʻai ʻana i kekahi mau meaʻai a i ʻole ka hoʻohana ʻana i nā lāʻau hou i kuhikuhi ʻ...
ʻO Chicory: nā pono a me pehea e ʻai ai

ʻO Chicory: nā pono a me pehea e ʻai ai

ʻO Chicory, nona ka inoa ʻepekemaCich hall pumilum, he mea kanu waiwai i nā wikamina, nā minelala a me nā olonā a hiki ke hoʻopau maka ʻia, i nā alakeke hou, a i ʻole ke ʻano o ke kī, nā ʻāpana i hoʻo...