Umbhali: Virginia Floyd
Umhla Wokudalwa: 14 Eyethupha 2021
Hlaziya Umhla: 15 Eyenkanga 2024
Anonim
Diphenoxylate/Atropine Nursing Considerations, Side Effects, and Mechanism of Action
Ividiyo: Diphenoxylate/Atropine Nursing Considerations, Side Effects, and Mechanism of Action

Umxholo

I-Diphenoxylate isetyenziswa kunye nezinye iindlela zonyango ezinje ngokutshintsha kwamanzi kunye ne-electrolyte kunyango lweswekile. I-Diphenoxylate akufuneki inikwe abantwana abangaphantsi kweminyaka emi-2 ubudala. I-Diphenoxylate ikudidi lwamayeza abizwa ngokuba ziiarhente zokuthintela urhudo. Isebenza ngokunciphisa umsebenzi wamathumbu.

I-Diphenoxylate iza njengecwecwe kunye nesisombululo (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa njengoko kufuneka ukuya kumaxesha ama-4 ngosuku. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-diphenoxylate ngokuchanekileyo njengoko kuyalelwe. Sukuyithatha ngaphezulu okanye uyithathe rhoqo kunokuyalelwa ngugqirha.

Isisombululo somlomo siza kwisitya esine-dropper ekhethekileyo yokulinganisa idosi. Buza usokhemesti wakho ukuba unemibuzo malunga nendlela yokulinganisa idosi.

Iimpawu zakho zorhudo kufuneka ziphuculwe ngaphakathi kweeyure ezingama-48 zonyango kunye ne-diphenoxylate. Ugqirha wakho unokukuxelela ukuba unciphise umthamo wakho njengoko iimpawu zakho ziphucula. Ukuba iimpawu zakho aziphucuki okanye ukuba ziya zisiba mbi ngaphakathi kweentsuku ezili-10 zonyango, tsalela ugqirha ugqibe ukuthatha idiphenoxylate.


I-Diphenoxylate inokuba ngumkhwa wokwenza umkhwa. Musa ukuthatha idosi enkulu, yithathe rhoqo, okanye ixesha elide kunokuba ugqirha ekuxelele. I-Atropine yongezwe kwiipilisi ze-diphenoxylate ukwenza iziphumo ezingathandekiyo ukuba eli yeza lithathwa ngeedosi eziphezulu kunokuba kucetyisiwe.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-diphenoxylate,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-diphenoxylate, i-atropine, nawaphi na amanye amayeza, okanye ezinye izithako kwiipilisi ze-diphenoxylate. Buza usokhemesti wakho uluhlu lwezithako.
  • xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zilandelayo: amayeza aqukethe utywala (i-Nyquil, i-elixirs, abanye); antihistamines; cyclobenzaprine (Amrix); ii-barbiturates ezinje nge-pentobarbital (Nembutal), phenobarbital, okanye secobarbital (Seconal); benzodiazepines ezifana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), kunye ne triaz buspirone; amayeza okugula ngengqondo; izihlunu ezonwabisayo; amanye amayeza ane-opioid anje nge meperidine (Demerol); ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Xelela ugqirha wakho okanye usokhemesti ukuba uthatha la mayeza alandelayo okanye uyekile ukuwathatha kwezi veki zimbini zidlulileyo: i-monoamine oxidase (MAO) inhibitors efana ne-isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) okanye tranylcypromine (Parnate). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-diphenoxylate, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
  • xelela ugqirha wakho ukuba une-jaundice (tyheli kolusu okanye amehlo abangelwa ziingxaki zesibindi); urhudo olunegazi; urhudo kunye nefiva, i-mucus kwisitulo sakho, okanye isisu esiswini, iintlungu, okanye ukudumba; okanye urhudo olwenzeka ngexesha okanye kungekudala emva kokuthatha amayeza okubulala iintsholongwane. Ugqirha wakho uya kukuxelela ukuba ungathathi idiphenoxylate.
  • xelela ugqirha wakho ukuba une-Down syndrome (imeko oyizuze njengelifa ebangela uluhlu lweengxaki zokukhula nezomzimba), okanye ukuba ukhe wanaso okanye wakha wanesifo (ulcerative colitis) (imeko ebangela ukudumba kunye nezilonda kuludwe lwekholoni [amathumbu amakhulu] kunye ne-rectum), isibindi, okanye isifo sezintso.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha idiphenoxylate, tsalela ugqirha wakho.
  • Phambi kokuba utyandwe, kubandakanya nonyango lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha eli yeza.
  • Kuya kufuneka uyazi ukuba eli chiza linokukwenza wozele kwaye ube nesiyezi. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha idiphenoxylate. Utywala bunokwenza iziphumo ebezingalindelekanga ukuba zibi ngakumbi kwi-diphenoxylate.

Qiniseka ukuba ulandela zonke iingcebiso zokutya ezenziwe ngugqirha wakho. Sela ulwelo oluninzi olucacileyo ukuze ubuyisele ulwelo olulahlekileyo ngelixa uhambisa.


Ukuba uthatha idosi emiselweyo yediphenoxylate, thatha idosi ephosiweyo kwakamsinya nje ukuba uyikhumbule. Nangona kunjalo, ukuba liphantse lafika ixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yedosi eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Diphenoxylate inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • isicaphucaphu
  • ukugabha
  • Ukuphelelwa ngumdla wokutya
  • intloko ebuhlungu
  • ukungazinzi
  • ukudinwa
  • ukudideka
  • utshintsho kwiimvakalelo
  • isisu esibuhlungu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

  • Ukuba ndindisholo ezingalweni nasemilenzeni
  • iintlungu eziqhubekayo eziqala kwindawo yesisu kodwa zinokusasazeka ngasemva
  • ukudumba kwesisu
  • ukuqhawukelwa ngumphefumlo
  • urhwebo
  • irhashalala
  • ukurhawuzelela
  • ukudumba kwamehlo, ubuso, ulwimi, imilebe, iintsini, umlomo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
  • ubunzima bokuginya okanye ukuphefumla
  • ukudinwa
  • ukubona izinto okanye ukuva amazwi angekhoyo

I-Diphenoxylate inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.


Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela) kunye nokukhanya. Lahla nasiphi na isisombululo esisele kwiintsuku ezingama-90 emva kokuvula ibhotile.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

  • umkhuhlane, ukubetha kwentliziyo okukhawulezayo, ukunciphisa ukuchama, ukugungxula, ukoma kolusu, impumlo, okanye umlomo
  • ukoma kolusu, impumlo, okanye umlomo
  • utshintsho kubungakanani babafundi (izangqa ezimnyama embindini wamehlo)
  • iintshukumo zamehlo ezingalawulekiyo
  • ukungazinzi
  • ukugungxula
  • ifiva
  • ukubetha kwentliziyo okukhawulezayo
  • ukuncipha kwengqondo
  • ukudinwa kakhulu
  • ubunzima bokuphefumla
  • ukulahleka kwengqondo
  • ukuxhuzula
  • kunzima ukuthetha
  • ukubona izinto okanye ukuva amazwi angekhoyo

Gcina lonke ixesha lokudibana nogqirha wakho.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya imethylene eluhlaza okwesibhakabhaka), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha idiphenoxylate.

Musa ukuvumela nabani na ukuba athathe amayeza akho. I-Diphenoxylate yinto elawulwayo. Imigqaliselo inokugcwaliswa kuphela linani eliqingqiweyo lamaxesha; buza usokhemesti wakho ukuba unayo nayiphi na imibuzo.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Colonaid® (Equlathe iAtropine, iDiphenoxylate)
  • I-Di-Atro® (Iqulethe iAtropine, iDiphenoxylate)
  • Lo-iTrol® (Equlathe iAtropine, iDiphenoxylate)
  • Ukuhamba® (Equlathe iAtropine, iDiphenoxylate)
  • Lomanate® (Iqulethe iAtropine, iDiphenoxylate)
  • Lomotil® (Iqulethe iAtropine, iDiphenoxylate)
  • ILonox® (Iqulethe iAtropine, iDiphenoxylate)
  • Umgangatho ophantsi® (Equlathe iAtropine, iDiphenoxylate)

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-04/15/2018

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