Umbhali: Janice Evans
Umhla Wokudalwa: 26 Eyekhala 2021
Hlaziya Umhla: 19 Isilimela 2024
Anonim
Hydromorphone Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Ividiyo: Hydromorphone Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Umxholo

IHydromorphone inokuba ngumkhwa wokwenza, ngakumbi ngokusetyenziswa kwexesha elide. Thatha i-hydromorphone ngokuchanekileyo njengoko kuyalelwe. Sukuyithatha ngaphezulu, yithathe rhoqo, okanye uthathe ngendlela eyahlukileyo kunokuba uyalelwe ngugqirha. Ngelixa uthatha i-hydromorphone, xoxa kunye nomboneleli wakho wezempilo ngeenjongo zonyango lwakho, ubude bonyango, kunye nezinye iindlela zokulawula iintlungu zakho. Tshela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho usela utywala okanye wakha wasela izixa ezikhulu zotywala, wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni, okanye wasebenzisa kakhulu amayeza kagqirha, okanye wagqithisa, okanye wakha wanengxaki yoxinzelelo okanye esinye isifo sengqondo. Kukho umngcipheko omkhulu wokuba uyisebenzise kakubi i-hydromorphone ukuba unayo okanye wakha wanayo nayiphi na kwezi meko. Thetha nomboneleli wakho wezempilo ngokukhawuleza kwaye ucele isikhokelo ukuba ucinga ukuba une-opioid okanye ungatsalela umnxeba i-U.S. Iziyobisi kunye noLawulo lweeNkonzo zeMpilo yeNgqondo (SAMHSA) kwiNombolo yoNcedo yeSizwe e-1-800-662-HELP.

I-Hydromorphone inokubangela iingxaki zokuphefumla ezinzulu okanye ezisongela ubomi, ngakumbi kwiiyure zokuqala ezingama-24 ukuya kwezingama-72 zonyango lwakho nangaliphi na ixesha elonyukayo. Ugqirha wakho uya kukujonga ngononophelo ngexesha lonyango lwakho. Tshela ugqirha wakho ukuba uthe chu ukuphefumla okanye wakha wanesifo sombefu. Ugqirha wakho uya kukuxelela ukuba ungathathi i-hydromorphone. Xelela ugqirha wakho ukuba ukhe okanye unesifo semiphunga esifana nesifo esinganyangekiyo semiphunga (iqela lezifo ezichaphazela imiphunga kunye neendlela zomoya), ukwenzakala entloko, ithumba lobuchopho, okanye nayiphi na imeko eyonyusa uxinzelelo kwingqondo yakho. , okanye i-kyphoscoliosis (ukugoba komqolo okunokubangela iingxaki zokuphefumla). Umngcipheko wokuba uza kuba neengxaki zokuphefumla unokuba phezulu ukuba sele umdala, okanye ubuthathaka okanye ungondleki ngenxa yesifo. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango lonyango: ukuphefumla okucothayo, ikhefu elide phakathi kokuphefumla, okanye ukuphefumla kancinci.


Ukuthatha amayeza athile ngexesha lonyango nge-hydromorphone kunokunyusa umngcipheko wokuba ube neengxaki zokuphefumla okanye zokubeka ubomi esichengeni, okanye ucoceke. Tshela ugqirha wakho ukuba uthatha okanye uceba ukuthatha nawaphi na amayeza alandelayo: i-benzodiazepines efana ne-alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan) , oxazepam, temazepam (Restoril), kunye netriazolam (Halcion); amayeza okugula ngengqondo okanye isicaphucaphu; izihlunu ezonwabisayo; ezinye iyeza zentlungu; ukuthomalalisa; iipilisi zokulala; okanye izinto ezizolisayo. Ugqirha wakho unokufuna ukutshintsha amayeza akho kwaye uza kukujonga ngononophelo. Ukuba usebenzisa i-hydromorphone ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo: isiyezi esingaqhelekanga, ubukhaphukhaphu, ukulala kakhulu, ukucothisa okanye ukuphefumla nzima, okanye ukungaphenduli. Qiniseka ukuba umnakekeli wakho okanye amalungu osapho ayazi ukuba zeziphi iimpawu ezinokubanzima ukuze babize ugqirha okanye ukhathalelo lonyango olungxamisekileyo ukuba awukwazi ukuzifunela unyango wedwa.


Ukusela utywala, ukuthatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye ukusebenzisa iziyobisi ezitalatweni ngexesha lonyango nge-hydromorphone kukonyusa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi. Musa ukusela utywala, thatha amayeza kagqirha okanye ongabhalisiyo aqukethe utywala, okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho.

Ginya iipilisi zokukhupha ezandisiweyo ngokupheleleyo. Musa ukwahlulahlula, ukuhlafuna, ukunyibilikisa, okanye ukuchoboza. Ukuba uyaginya iipilisi ezaphukileyo, ezihlafunwayo, ezaphukileyo, okanye ezinyibilikisiweyo unokufumana i-hydromorphone eninzi kakhulu ngaxeshanye endaweni yokufumana amayeza kancinci ixesha. Oku kunokubangela iingxaki zokuphefumla okanye ukufa.

Musa ukuvumela nabani na ongomnye ukuba athathe amayeza akho. IHydromorphone inokulimaza okanye ibangele ukufa kwabanye abantu abathatha amayeza akho, ngakumbi abantwana. Gcina i-hydromorphone kwindawo ekhuselekileyo ukuze kungabikho namnye onokuyithatha ngengozi okanye ngenjongo. Lumka ngakumbi ukugcina i-hydromorphone ingafumaneki ebantwaneni. Gcina umkhondo wokuba zingaphi iipilisi okanye ukuba ungakanani ulwelo oseleyo ukuze wazi ukuba akukho naliphi na iyeza elilahlekileyo. Lahla iipilisi ezingafunekiyo okanye ezingasafunekiyo, iipilisi ezandisiweyo, kunye nolwelo ngokugalela amayeza kwindlu yangasese. (Jonga UKUGCINWA NOKULAHLWA.)


Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba uthatha i-hydromorphone rhoqo xa ukhulelwe, umntwana wakho unokuba neempawu ezisongela ubomi emva kokuzalwa. Xelela ugqirha wosana lwakho ngoko nangoko ukuba umntwana wakho unazo naziphi na kwezi mpawu zilandelayo: ukucaphuka, ukuxhalaba, ukulala ngendlela engaqhelekanga, ukukhala okuphezulu, ukungcangcazela okungalawulekiyo kwenxalenye yomzimba, ukugabha, urhudo, okanye ukusilela ukutyeba.

Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango lwakho nge-hydromorphone kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.

Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-hydromorphone.

IHydromorphone isetyenziselwa ukunciphisa iintlungu. Iipilisi zokukhupha ezandisiweyo zeHydromorphone zisetyenziselwa ukunciphisa iintlungu eziqatha kubantu ekulindeleke ukuba badinge amayeza eentlungu ubusuku nemini kwaye abanokunyangwa ngamanye amayeza. Iipilisi zokukhupha ezandisiweyo zeHydromorphone kufuneka zisetyenziselwe ukunyanga abantu abanganyamezelaniyo (kusetyenziswa iziphumo zonyango) kumayeza eopioid kuba bathathe olu hlobo lwamayeza ubuncinci iveki enye kwaye akufuneki ukuba isetyenziselwe ukunyanga kancinci okanye ngokuphakathi. iintlungu, iintlungu zexeshana elifutshane, iintlungu emva kotyando okanye inkqubo yezonyango okanye yamazinyo, okanye iintlungu ezinokulawulwa ngamayeza athatyathwa xa kufuneka. IHydromorphone ikwiklasi yamayeza abizwa ngokuba yi-opiate (narcotic) analgesics. Isebenza ngokutshintsha indlela ingqondo kunye nenkqubo yovalo ephendula ngayo kwintlungu.

IHydromorphone iza njengamanzi, ithebhulethi, kunye nokukhutshwa okwandisiweyo (ukusebenza ixesha elide) ukuthatha ngomlomo. Ulwelo luhlala luthathwa qho kwiiyure ezi-3 ukuya kwezi-6 kwaye iipilisi zihlala zithathwa rhoqo emva kweeyure ezi-4 ukuya kwezi-6. Amacwecwe okukhululwa athathwa kanye yonke imihla kunye okanye ngaphandle kokutya. Thatha i-hydromorphone malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-hydromorphone ngokuchanekileyo njengoko kuyalelwe.

Sukuvumela ukuba i-hydromorphone engamanzi ichukumise ulusu okanye impahla yakho. Ukuba unxibelelwano olunjalo luyenzeka, susa naziphi na iimpahla ezivezwe kulwelo lomlomo kwaye uhlambe isikhumba sakho kakuhle ngamanzi apholileyo.

Ugqirha wakho unokukuqala kwidosi ephantsi ye-hydromorphone kwaye ngokuthe ngcembe wandise idosi yakho, hayi rhoqo rhoqo kube kanye kwiintsuku ezi-3 ukuya kwezi-4. Ugqirha wakho unokunciphisa umthamo wakho ukuba unemiphumo emibi. Xelela ugqirha wakho ukuba ngaba uziva ukuba iintlungu zakho azilawulwa okanye ukuba uneziphumo ebezingalindelekanga ngexesha lonyango lwakho nge-hydromorphone. Sukutshintsha idosi yonyango ngaphandle kokuthetha nogqirha wakho.

Sukuyeka ukuthatha i-hydromorphone ngaphandle kokuthetha nogqirha wakho. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba uyeka ngequbuliso ukuthatha i-hydromorphone, unokufumana iimpawu zokurhoxa kubandakanya ukungazinzi, amehlo aneenyembezi, ukuphuma kwempumlo, ukuzamla, ukubila, ukubanda, iinwele zimile, umsipha okanye iintlungu ezidibeneyo, ukwandisa abafundi (izangqa ezimnyama embindini wamehlo ), ukuba nochuku, ixhala, umqolo obuhlungu, ubuthathaka, isisu, ubunzima bokulala okanye ukuhlala ulele, isicaphucaphu, ukuphelelwa ngumdla, ukugabha, urhudo, ukuphefumla ngokukhawuleza, okanye ukubetha kwentliziyo okukhawulezayo. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe. Ukuba awuthathi iipilisi zokukhupha i-hydromorphone ixesha elide kuneentsuku ezi-3 ngaso nasiphi na isizathu, thetha nogqirha wakho ngaphambi kokuba uqale ngokuthatha amayeza kwakhona.

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

Ngaphambi kokuthatha i-hydromorphone,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-hydromorphone, nawaphi na amanye amayeza, iisulfite, okanye naziphi na izithako ezikwiipilisi zehidromorphone, isisombululo, okanye iipilisi ezandisiweyo. Buza usokhemesti wakho okanye ujonge isiKhokelo seyeza ukuze ufumane uluhlu lwezithako.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: buprenorphine (Buprenex, Butrans, in Suboxone, in Zubsolv, others); ifomoranol; cyclobenzaprine (Amrix); i-dextromethorphan (efumaneka kumayeza amaninzi okukhohlela; kwiNuedexta); ipratropium (Atrovent); amayeza e-glaucoma, isifo sesisu esibuhlungu, isifo sika-Parkinson, izilonda, kunye neengxaki zomchamo; lithium (Lithobid); amayeza e-migraine iintloko ezinje nge-almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Alsuma, Imitrex, eTreximet), kunye zolmitriptan (Zomig); i-mirtazapine (iRemeron); nalbuphine; ipentazocine (Talwin); 5HT3 i-serotonin blockers ezinje ngealosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), okanye palonosetron (Aloxi); i-inhibitors ekhethiweyo ye-serotonin-reuptake inhibitors enjenge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), kunye sertraline (Zoloft); i-serotonin kunye ne-norepinephrine reuptake inhibitors enje nge-desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran (Savella), kunye ne-venlafaxine (Effexor); Itrazodone (Oleptro); kunye ne-tricyclic antidepressants (’mood elevators’) ezinje ngeamitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactiline), kunye neTrimipramine. Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye ufumana nayiphi na inhibitors elandelayo ye-monoamine oxidase (MAO) okanye uyekile ukuzithatha kwiiveki ezi-2 ezidlulileyo: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil) , selegiline (Eldepryl, Emsam, Zelapar), okanye tranylcypromine (iParnate). Uninzi lwamanye amayeza anokusebenzisana ne-hydromorphone, ke qiniseka ukuxelela ugqirha wakho malunga nawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi iSt John's wort kunye ne tryptophan.
  • xelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zidweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye ileus ekhubazekileyo (imeko apho ukutya kungahambeli emathunjini), okanye ukuvaleka esiswini okanye emathunjini. Ugqirha wakho unokukuxelela ukuba ungathathi i-hydromorphone.
  • ukuba uza kuthatha iipilisi ezikhutshiweyo, xelela ugqirha wakho ukuba ukhe wenza utyando olubangele utshintsho kwindlela ukutya kuhamba ngayo esiswini okanye emathunjini okanye ukuba unayo nayiphi na imeko ebangela ukunciphisa umqala (ityhubhu uthwala ukutya emlonyeni uye esiswini), isisu, okanye amathumbu anje ngecystic fibrosis (imeko ebangela ukuba umzimba uvelise amafinyila angqindilili, ancangathi anokuvala ipancreas, imiphunga kunye namanye amalungu omzimba), peritonitis (ukudumba umgca wesisu (isisu), i-Meckel's diverticulum (i-bulge in the lining of the intestine encane ekhoyo ekuzalweni), isisu esingapheliyo sokukhusela isisu (imeko apho izihlunu emathunjini zingahambisi ukutya kakuhle amathumbu), okanye isifo sokudumba (IBD; iqela leemeko ezibangela ukudumba kwembombo yamathumbu. Ugqirha wakho unokukuxelela ukuba ungathathi iipilisi zokukhupha i-hydromorphone.
  • xelela ugqirha wakho ukuba ubukhe wanalo uxinzelelo lwegazi oluphantsi; Isifo iAddison's (imeko apho iadrenal gland ivelisa ihomoni encinci kunesiqhelo); ukuxhuzula; nayiphi na imeko ebangela ubunzima ekuchameni, njenge-prostate eyandisiweyo (idlala lokuzala) okanye ukuqina kwendlela yokubuyisa (ukuvalwa kwetyhubhu evumela umchamo ukuba uphume emzimbeni); okanye i-gallbladder, i-pancreas, isibindi, i-thyroid, okanye isifo sezintso.
  • xelela ugqirha wakho ukuba uncelisa.
  • Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma emadodeni nakwabasetyhini. Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-hydromorphone.
  • ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-hydromorphone.
  • Kuya kufuneka uyazi ukuba i-hydromorphone inokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • Kuya kufuneka uyazi ukuba i-hydromorphone inokubangela ukuba nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume.
  • Kuya kufuneka uyazi ukuba i-hydromorphone inokubangela ukuqhina. Thetha nogqirha wakho malunga nokutshintsha indlela otya ngayo okanye ukusebenzisa amanye amayeza ukuthintela okanye ukunyanga ukuqhina ngelixa uthatha i-hydromorphone.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Ukuba uthatha iipilisi okanye isisombululo, thabatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

Ukuba uthatha iipilisi zokukhupha ezandisiweyo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo. Musa ukuthatha ngaphezulu kwedosi enye yamacwecwe akhulisiweyo kwiiyure ezingama-24.

IHydromorphone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • intloko ebuhlungu
  • ubunzima bokulala okanye ukulala
  • umlomo owomileyo
  • intloko elula
  • ukozela
  • ukubila kakhulu
  • intlungu, umqolo okanye iintlungu ezidibeneyo
  • isisu esibuhlungu
  • ixhala
  • ukugungxula
  • ukurhawuzelela
  • ukudakumba

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:

  • irhashalala
  • urhwebo
  • ukudumba kwamehlo, ubuso, imilebe, ulwimi, umlomo, umqala, iingalo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
  • ubunzima bokuphefumla okanye ukugwinya
  • ukudinwa
  • Ukuphazamiseka, ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angekhoyo), umkhuhlane, ukubila, ukudideka, ukubetha kwentliziyo okukhawulezayo, ukungcangcazela, ukuqina kwemisipha okanye ukujijeka, ukulahleka kokulungelelaniswa, isicaphucaphu, ukugabha okanye urhudo
  • isicaphucaphu, ukugabha, ukungabi namdla wokutya, ukuba buthathaka okanye isiyezi
  • ukungakwazi ukufumana okanye ukugcina ulwakhiwo
  • ukuya exesheni ngokungaqhelekanga
  • ukunciphisa umnqweno wesondo
  • ukuxhuzula
  • iintlungu zesifuba
  • Ukozela kakhulu
  • isiqaqa
  • ukukhanya xa usitshintsha isikhundla

IHydromorphone 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). Kufuneka ulahle ngoko nangoko nawaphi na amayeza aphelelwe lixesha okanye angasafunekiyo ngenkqubo yokubuyisa amayeza. Ukuba awunayo inkqubo yokubuyisela kufutshane okanye enye onokufikelela kuyo ngokukhawuleza, coca nayiphi na i-hydromorphone liquid okanye iipilisi eziphelelwe lixesha okanye ezingasafuneki kwindlu yangasese. Thetha kumachiza wakho malunga nokulahla ngokufanelekileyo amayeza akho.

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

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.

Ngelixa uthatha i-hydromorphone, kuya kufuneka uthethe nogqirha wakho malunga neyeza lokuhlangula elibizwa ngokuba yi-naloxone ngokulula (umzekelo, ikhaya, iofisi). I-Naloxone isetyenziselwa ukuguqula iziphumo ezisongela ubomi kwi-overdose. Isebenza ngokuthintela iziphumo ze-opiates ukunciphisa iimpawu ezinobungozi ezibangelwa ngamanqanaba aphezulu ee-opiates egazini. Ugqirha wakho unokukuyalela i-naloxone ukuba uhlala kwikhaya apho kukho abantwana abancinci okanye umntu osebenzise gwenxa isitalato okanye amayeza amiselweyo. Kuya kufuneka uqiniseke ukuba wena kunye namalungu osapho lwakho, abakhathaleli, okanye abantu abachitha ixesha kunye nawe bayayazi indlela yokwazi ukuba libanda, indlela yokusebenzisa naloxone, kunye nento onokuyenza de kufike uncedo lwezonyango olungxamisekileyo. Ugqirha wakho okanye usokhemesti uza kukubonisa kunye namalungu osapho lwakho ukuba ulisebenzisa njani eliyeza. Buza usokhemesti wakho ngemiyalelo okanye undwendwele iwebhusayithi yomenzi ukuze ufumane imiyalelo. Ukuba iimpawu zokudlula ngaphezulu zenzeka, umhlobo okanye ilungu losapho kufuneka linike idosi yokuqala ye-naloxone, fowunela i-911 kwangoko, kwaye uhlale nawe kwaye ujonge kufutshane kude kufike uncedo lwezonyango olungxamisekileyo. Iimpawu zakho zinokubuya emva kwemizuzu embalwa emva kokuba ufumane i-naloxone. Ukuba iimpawu zakho zibuya, umntu lowo kufuneka akunike enye idosi ye-naloxone. Amanqanaba ongezelelweyo anokunikwa yonke imizuzu emi-2 ukuya kwemi-3, ukuba iimpawu ziyabuya ngaphambi kokuba uncedo lonyango lufike.

Iimpawu libanda kungaquka oku kulandelayo:

  • ukuphefumla kancinci okanye kancinci
  • ubunzima bokuphefumla
  • ukozela
  • andikwazi kuphendula okanye ukuvuka
  • ubuthathaka bemisipha
  • Kuyabanda, ulusu olunombala
  • Ukunciphisa okanye ukwandisa abafundi (izangqa ezimnyama embindini wamehlo)
  • yacotha okanye yamisa ukubetha kwentliziyo
  • isiyezi
  • isiqaqa

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho unokuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-hydromorphone.

Ngaphambi kokuba uvavanywe elebhu (ngakumbi ezo zibandakanya i-methylene blue), xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-hydromorphone.

Ukuba uthatha ithebhulethi ekhulisiweyo kwaye unayo nayiphi na imvavanyo ye-x-ray, xelela uchwepheshe ukuba uthatha la mayeza.

Lo myalelo awugcwaliseki. Ukuba uqhubeka unentlungu emva kokuba ugqibe i-hydromorphone, tsalela ugqirha wakho.

Ukuba uthatha iipilisi ezandisiweyo, unokubona iqokobhe leetafile kwisitulo sakho. Oku kuqhelekile kwaye akuthethi ukuba awufumenanga idosi epheleleyo yamayeza.

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.

  • UDilaudid®
  • Exalgo®
  • dihydromorphinone
Ukuhlaziywa kokugqibela-01/15/2021

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