Umbhali: Gregory Harris
Umhla Wokudalwa: 12 Utshazimpuzi 2021
Hlaziya Umhla: 9 Eyokwindla 2025
Anonim
Midazolam - Rapid Sequence Induction and Intubation
Ividiyo: Midazolam - Rapid Sequence Induction and Intubation

Umxholo

I-Midazolam inokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi ezinje nzulu, zicothise, okanye ziyeke ukuphefumla okwethutyana. Umntwana wakho kufuneka afumane kuphela la mayeza esibhedlele okanye kwiofisi kagqirha enesixhobo esifunekayo sokujonga intliziyo yakhe kunye nemiphunga kunye nokubonelela ngonyango olusindisa ubomi ngokukhawuleza ukuba ukuphefumla kwakhe kuhamba kancinci okanye kuyeka. Ugqirha okanye umongikazi womntwana wakho uya kumjonga ngokusondeleyo umntwana wakho emva kokuba efumene eli yeza ukuqinisekisa ukuba uphefumla kakuhle.Xelela ugqirha womntwana wakho ukuba umntwana wakho unesifo esosulelayo okanye ukuba unayo okanye wakha wanayo nayiphi na indlela yomoya okanye iingxaki zokuphefumla okanye isifo sentliziyo okanye semiphunga. Xelela ugqirha womntwana wakho kunye nosokhemesti ukuba umntwana wakho uthatha nawaphi na amayeza alandelayo: i-barbiturates efana ne-secobarbital (Seconal); idroperol (Inapsine); amayeza oxinzelelo, ukugula ngengqondo, okanye ukuxhuzula; amayeza e-narcotic kwiintlungu ezinje nge-fentanyl (Actiq, Duragesic, Sublimaze, abanye), morphine (Avinza, Kadian, MS Contin, abanye), kunye ne-meperidine (Demerol); ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo.


I-Midazolam inikwa abantwana ngaphambi kweenkqubo zonyango okanye ngaphambi kokubulawa kotyando ukubangela ukozela, ukunciphisa uxinzelelo kunye nokuthintela nakuphi na ukukhumbula umsitho. UMidazolam ukwiklasi yamayeza abizwa ngokuba yi-benzodiazepines. Isebenza ngokunciphisa umsebenzi kwingqondo ukuvumela ukuphumla nokulala.

IMidazolam iza njengesiraphu ukuyithatha ngomlomo. Ihlala inikwa njengedosi enye ngugqirha okanye ngumongikazi ngaphambi kwenkqubo yezonyango okanye yotyando.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha womntwana okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba umntwana wakho afumane i-midazolam,

  • xelela ugqirha womntwana wakho kunye nosokhemesti ukuba ngaba uyaliwa yi-midazolam, nawaphi na amanye amayeza, okanye iitsheri.
  • xelela ugqirha womntwana wakho ukuba umntwana wakho uthatha amayeza athile kwintsholongwane (i-HIV) kubandakanya amprenavir (Agenerase), atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), efavirenz (Sustiva, eAtripla), fosamprenavir (Lexiva) ), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), ritonavir (Norvir, e Kaletra), saquinavir (Invirase), kunye netipranavir (Aptivus). Ugqirha womntwana wakho unokugqiba ekubeni anganiki i-midazolam kumntwana wakho ukuba uthatha elinye okanye ngaphezulu kula mayeza.
  • xelela ugqirha womntwana wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, kunye nezongezo zesondlo umntwana wakho azithathayo okanye aceba ukuzithatha. Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: amiodarone (Cordarone, Pacerone); aminophylline (Truphylline); ii-antifungals ezifana ne-fluconazole (Diflucan), itraconazole (Sporanox), kunye ne-ketoconazole (Nizoral); iibhlokhi ezithile zekhalsiyam ezinje nge-diltiazem (iCartia, iCardizem, iTiazac, ezinye) kunye neverapamil (Calan, Isoptin, Verelan, nabanye); cimetidine (iTagamet); i-clarithromycin (i-Biaxin); dalfopristin-quinupristin (iSynercid); i-erythromycin (i-E-mycin, i-EES); i-fluvoxamine (iLuvox); amayeza athile okubanjwa njenge-carbamazepine (Tegretol), i-phenobarbital, kunye ne-phenytoin (iDilantin); methylphenidate (Concerta, Metadate, Ritalin, nabanye); nefazodone; i-ranitidine (iZantac); irifabutin (Mycobutin); Kunye nerifampin (Rifadin, Rimactane). Ugqirha womntwana wakho unokufuna ukutshintsha iidosi zamayeza omntwana wakho okanye ukongamela umntwana wakho ngononophelo kwiziphumo ebezingalindelekanga. Uninzi lwamanye amayeza anokusebenzisana ne-midazolam, ke qiniseka ukuxelela ugqirha womntwana wakho malunga nawo onke amayeza athathwa ngumntwana wakho, nkqu nalawo angaveli kolu luhlu.
  • xelela ugqirha womntwana wakho ukuba zeziphi iimveliso zamayeza ezenziwa ngumntwana wakho, ngakumbi iSt John's wort.
  • xelela ugqirha womntwana wakho ukuba umntwana wakho une-glaucoma. Ugqirha womntwana wakho unokugqiba ekubeni anganiki umntwana wakho i-midazolam.
  • xelela ugqirha womntwana wakho ukuba umntwana wakho unesifo sezintso okanye sesibindi.
  • xelela ugqirha womntwana wakho ukuba umntwana wakho ukhulelwe okanye usenokuba ukhulelwe, okanye uyancancisa.
  • Kuya kufuneka uyazi ukuba i-midazolam inokwenza umntwana wakho ozele kwaye inokuchaphazela inkumbulo yakhe, ukucinga kwakhe, kunye nokuhamba kwakhe. Musa ukuvumela umntwana wakho ukuba akhwele ibhayisekile, aqhube imoto, okanye enze ezinye izinto ezifuna ukuba alumke ngokupheleleyo kangangeeyure ezingama-24 emva kokufumana i-midazolam kwaye de kube lide laphela ixesha lonyango. Jonga umntwana wakho ngononophelo ukuze uqiniseke ukuba akawi ngelixa ehamba ngeli xesha.
  • Kuya kufuneka uyazi ukuba utywala bungenza mandundu imiphumo emibi ye-midazolam.

Ungamvumeli umntwana wakho atye iidiliya okanye asele ijusi yegrapefruit ngelixa ethatha la mayeza.


I-Midazolam inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha womntwana wakho ukuba ngaba ezinye zeempawu zinzima okanye azimki:

  • isicaphucaphu
  • ukugabha
  • irhashalala

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba umntwana wakho ufumana naziphi na kwezi mpawu, biza ugqirha wakhe ngokukhawuleza:

  • ukuphazamiseka
  • ukungazinzi
  • ukushukuma okungalawulekiyo kwilungu lomzimba
  • ukuqina nokuxhuzula kweengalo nemilenze
  • Ubundlongondlongo
  • ukubetha kwentliziyo kancinci okanye okungaqhelekanga

I-Midazolam inokubangela ezinye iziphumo ebezingalindelekanga. Tsalela umnxeba ugqirha womntwana wakho ukuba umntwana wakho uneengxaki ezingaqhelekanga ngelixa usela la mayeza.

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).

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 zokudlula ngaphezulu zinokubandakanya:

  • ukozela
  • ukudideka
  • iingxaki ngokulingana kunye nokunyakaza
  • ukuphefumla okucothayo kunye nokubetha kwentliziyo
  • ukulahleka kwengqondo

Gcina konke ukuqeshwa nogqirha womntwana wakho.

Buza usokhemesti womntwana wakho okanye ugqirha ukuba unemibuzo malunga ne-midazolam.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwayo yonke imigqaliselo kunye nokungabhalisi (i-counter-counter) amayeza athathwa ngumntwana wakho, kunye neemveliso ezininzi ezifana neevithamini, izimbiwa, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa umntwana wakho esiya kugqirha okanye ukuba wangeniswa esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Iindidi®
Ukuhlaziywa kokugqibela-08/15/2018

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