Umbhali: Marcus Baldwin
Umhla Wokudalwa: 19 Isilimela 2021
Hlaziya Umhla: 18 Eyenkanga 2024
Anonim
Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Ividiyo: Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Umxholo

I-Diazepam inokunyusa umngcipheko weengxaki ezinzulu okanye ezisongela ubomi zokuphefumla, i-sedation, okanye i-coma xa isetyenziswa kunye namayeza athile. Xelela ugqirha wakho ukuba uthatha okanye uceba ukuthatha amayeza athile opiate okhohlela njenge-codeine (e-Triacin-C, e-Tuzistra XR) okanye i-hydrocodone (e-Anexsia, e-Norco, e-Zyfrel) okanye yeentlungu ezifana ne-codeine (e-Fiorinal ), fentanyl (Actiq, Duragesic, Subsys, abanye), hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (kwi-Oxycet, ePercocet, KwiRoxet, abanye), kunye ne-tramadol (i-Conzip, i-Ultram, kwi-Ultracet). Ugqirha wakho unokufuna ukutshintsha iidosi zamayeza akho kwaye uza kukujonga ngononophelo. Ukuba uthatha i-diazepam ngalo naliphi na kula mayeza kwaye uphuhlisa naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufune unyango olukhawulezileyo kwangoko: isiyezi esingaqhelekanga, intloko ebuthongweni, ukulala kakhulu, ukuphefumla okunzima okanye ukuphefumla okunzima, 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.


I-Diazepam inokuba ngumkhwa wokwenza. Musa ukuthatha idosi enkulu, yithathe rhoqo, okanye ixesha elide kunokuba ekuxelele ugqirha. Xelela ugqirha wakho ukuba ukhe wasela utywala kakhulu, ukuba usebenzisa iziyobisi esitratweni, okanye usebenzise amayeza kagqirha. Musa ukusela utywala okanye usebenzise iziyobisi zasesitalatweni ngexesha lonyango lwakho. Ukusela utywala okanye ukusebenzisa iziyobisi ezisesitalatweni ngexesha lokunyanga i-diazepam kukonyusa umngcipheko wokuba uza kuba neziphumo ezibi, ezisongela ubomi. Xelela ugqirha wakho ukuba ukhe wanalo okanye wakha wanokudakumba okanye esinye isifo sengqondo.

I-Diazepam inokubangela ukuxhomekeka emzimbeni (imeko apho iimpawu ezingathandekiyo zomzimba zenzeka xa iyeza limiswa ngesiquphe okanye lithathwa ngeedosi ezincinci), ngakumbi ukuba ulithatha iintsuku ezininzi ukuya kwiiveki ezininzi. Sukuyeka ukuthatha la mayeza okanye uthathe amanani ambalwa ngaphandle kokuthetha nogqirha wakho. Ukuyekisa i-diazepam ngequbuliso kungoyenza mandundu imeko yakho kwaye kubangele iimpawu zokurhoxa ezinokuhlala iiveki ezininzi ngaphezulu kweenyanga ezili-12. Ugqirha wakho mhlawumbi uya kunciphisa umthamo wakho we-diazepam ngokuthe ngcembe. Fowunela ugqirha wakho okanye ufumane unyango olukhawulezileyo ukuba ufumana naziphi na kwezi mpawu zilandelayo: iintshukumo ezingaqhelekanga; ukukhala ezindlebeni zakho; ixhala; iingxaki zememori; ubunzima bokugxila; iingxaki zokulala; ukuxhuzula; ukungcangcazela; ukuxubana kwezihlunu; utshintsho kwimpilo yengqondo; ukudakumba; Ukutshisa okanye ukujija ukuva ezandleni zakho, iingalo, imilenze okanye iinyawo; ukubona okanye ukuva izinto abanye abangaziboniyo okanye abazivayo; iingcinga zokuzenzakalisa okanye ukuzibulala okanye ukubulala abanye; ukugqithisa; okanye ukuphulukana nokunxibelelana nenyani.


I-Diazepam isetyenziselwa ukunciphisa uxinzelelo kunye nokulawula ukuphazamiseka okubangelwa kukususwa kotywala. Ikwasetyenziswa kunye namanye amayeza okulawula ukungqubana kwemisipha kunye nokuqaqamba okubangelwa ziziphazamiso ezithile zemithambo-luvo ezinje nge-cerebral palsy (imeko ebangela ubunzima ngokuhamba kunye nokulingana), i-paraplegia (ukungakwazi ukuhambisa amalungu omzimba), i-athetosis (ukuphambana kwemisipha okungaqhelekanga ), kunye ne-stiff-man syndrome (ingxaki enqabileyo yokuqina kwemisipha kunye nokuqina). I-Diazepam iphinda isetyenziswe kunye namanye amayeza ukulawula ukuxhuzula. UDiazepam ukwiklasi yamayeza abizwa ngokuba yi-benzodiazepines. Isebenza ngokuthomalalisa ukungaqheleki kokusebenza kwengqondo.

IDiazepam iza njengecwecwe, isisombululo, kwaye njenge-concentrate (ulwelo) oluthathwa ngomlomo. Ihlala ithathwa i-1 amaxesha ama-4 ngosuku kwaye inokuthathwa kunye okanye ngaphandle kokutya. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-diazepam ngokuchanekileyo njengoko kuyalelwe.


Ugxininiso lwe-Diazepam luza ne-dropper ephawulwe ngokukodwa yokulinganisa idosi. Buza usokhemesti wakho akubonise ukuba uyisebenzisa njani i-dropper. Nciphisa ukugxila emanzini, kwijusi, okanye kwiziselo ezi-carbonated ngaphambi nje kokuba uthathe. Inokudityaniswa neapilesauce okanye ipudding ngaphambi nje kokuba uthathe idosi. Gquba umxube ngobunono imizuzwana embalwa. Thatha wonke umxube kwangoko; sukuyigcina ukuze uyisebenzise kwixesha elizayo.

Ukuba uthatha i-diazepam kunye namanye amayeza ukulawula ukuxhuzula, musa ukuyeka ukuthatha i-diazepam ungakhange uthethe nogqirha wakho, nokuba ngaba uneziphumo ebezingalindelekanga ezinje ngotshintsho olungaqhelekanga kwindlela oziphethe ngayo okanye kwimood. Ukuba ngequbuliso uyeka ukuthatha i-diazepam, ukubanjwa kwakho kunokuba mandundu. Ugqirha wakho uya kunciphisa umthamo wakho ngokuthe ngcembe.

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

Ngaphambi kokuba uthathe i-diazepam,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uyaliwa yi-diazepam, alprazolam (Xanax), chlordiazepoxide (Librium, eLibrax), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), estazolam, flurazepam, lorazepam (Ativan), oxazep i-temazepam (i-Restoril), i-triazolam (i-Halcion), nawaphi na amanye amayeza, okanye naziphi na izithako kwimveliso ye-diazepam. Buza usokhemesti wakho uluhlu lwezithako.
  • xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo, ozithathayo.Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: antihistamines; i-barbiturates efana ne-phenobarbital (Luminal); cimetidine (iTagamet); idigoxin (Lanoxin); disulfiram (Antabuse); i-fluoxetine (Prozac); i-fluvoxamine (iLuvox); isoniazid (Laniazid, eRifamate, eRifater); ketoconazole; amayeza oxinzelelo, uxinzelelo, ukugula ngengqondo, ukuxhuzula, isifo sika-Parkinson, isifuba, ukubanda, okanye i-aleji; iMetoprolol (iLopressor, iTrolrol XL); I-monoamine oxidase (MAO) inhibitors kubandakanya isocarboxazid (Marplan), linezolid (Zyvox), methylene luhlaza, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), kunye ne-tranylcypromine (iParnate); izihlunu ezonwabisayo; Imithi ye-phenothiazine yokugula ngengqondo okanye isicaphucaphu efana ne-chlorpromazine, i-fluphenazine, i-prochlorperazine (i-Compro, i-Procomp), kunye ne-promethazine (i-Promethegan); omeprazole (Prilosec); i-probenecid (i-Probalan, kwi-Col-Probenecid); ipropranolol (IHemangeol, Inderal, i-Innopran); i-ranitidine (iZantac); irifampin (Rifadin, Rimactane, eRifamate, eRifater); ukuthomalalisa; iipilisi zokulala; i-theophylline (i-Elixophyllin, iTheo 24, iTochron); izinto zokuthomalalisa; okanye i-valproic acid (iDepakene). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba une-myasthenia gravis (ingxaki yenkqubo yemithambo-luvo ebangela ubuthathaka bemisipha), i-apnea yokulala (imeko apho umntu emisa kancinci ukuphefumla amaxesha amaninzi ebusuku), okanye isifo semiphunga okanye sesibindi. Kwakhona xelela ugqirha wakho ukuba une-engile encinci ye-glaucoma (imeko yamehlo enzulu enokubangela ukulahleka kombono. Ugqirha wakho uya kuthi mhlawumbi angakuthathi diazepam.I-Diazepam akufuneki isetyenziswe kwiintsana ezingaphantsi kweenyanga ezi-6 ubudala.
  • xelela ugqirha wakho ukuba unayo okanye wakha wanayo i-glaucoma evulekileyo-engile (ukwanda koxinzelelo lwamehlo lwangaphakathi olonakalisa imithambo-luvo ye-optic); ukudakumba okanye esinye isifo sengqondo; ukuxhuzula; okanye isifo sentliziyo.
  • xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba ukhulelwa ngelixa uthatha i-diazepam, biza ugqirha wakho ngokukhawuleza.
  • xelela ugqirha wakho ukuba uncelisa. Musa ukuncancisa ngelixa uthatha i-diazepam.
  • thetha nogqirha wakho malunga nemingcipheko kunye nezibonelelo zokuthatha i-diazepam ukuba uneminyaka engama-65 ubudala okanye ngaphezulu. Abantu abadala abadala akufuneki bathathe i-diazepam kuba ayikhuselekanga njengamanye amayeza anokusetyenziswa ukunyanga iimeko ezifanayo.
  • ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-diazepam.
  • Kuya kufuneka uyazi ukuba eli chiza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • Kuya kufuneka uyazi ukuba impilo yakho yengqondo inokutshintsha ngeendlela ezingalindelekanga kwaye ungazibulala (ucinga ngokuzenzakalisa okanye ukuzibulala okanye ukucwangcisa okanye ukuzama ukwenza njalo) ngelixa uthatha i-diazepam kunyango lwesifo sokuwa. Inani elincinci labantu abadala kunye nabantwana abaneminyaka emi-5 ubudala nangaphezulu (malunga ne-1 kubantu abangama-500) abathathe ii-anticonvulsants ezinje nge-diazepam ukunyanga iimeko ezahlukeneyo ngexesha lezifundo zeklinikhi bazibulala ngexesha lonyango lwabo. Abanye baba bantu bakhulise iingcinga zokuzibulala kunye nokuziphatha kwiveki nje enye emva kokuba beqalisile ukuthatha amayeza. Kukho umngcipheko wokuba unokufumana utshintsho kwimpilo yakho yengqondo ukuba uthatha iyeza le-anticonvulsant elinjenge-diazepam, kodwa kusenokubakho umngcipheko wokuba uya kuba neenguqu kwimpilo yakho yengqondo ukuba imeko yakho ayinyangwa. Wena kunye nogqirha wakho niya kuthatha isigqibo sokuba ngaba ingozi yokuthatha iyeza le-anticonvulsant inkulu kuneengozi zokungawasebenzisi amayeza. Wena, usapho lwakho, okanye umntu omkhathalelayo kufuneka ubize ugqirha wakho ngoko nangoko ukuba unazo naziphi na kwezi mpawu zilandelayo: uloyiko; ukuphazamiseka okanye ukungazinzi; okutsha okanye ukuhla kokucaphuka, uxinzelelo, okanye uxinzelelo; ukwenza izinto eziyingozi; ubunzima bokuwa okanye ukulala; ndlongondlongo, umsindo okanye ubundlobongela; i-mania (i-frenzied, i-mood engaqhelekanga) ukuthetha okanye ukucinga ngokufuna ukuzenzakalisa okanye ukuzibulala; Ukurhoxa kubahlobo nakusapho; ukuxakeka kukufa nokufa; ukuphisa ngezinto ezixabisekileyo; okanye naluphi na olunye utshintsho olungaqhelekanga kwindlela oziphethe ngayo okanye kwimood. Qiniseka ukuba usapho lwakho okanye umntu okhathalelayo uyazi ukuba zeziphi iimpawu ezinokuba nobuzaza ukuze babize ugqirha ukuba awukwazi ukuzifunela unyango ngokwakho.

Ukuba uthatha idosi ezininzi ngosuku kwaye uphulukane nethamo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yesiqhelo yedosi. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

  • ukozela
  • isiyezi
  • ukudinwa
  • ubuthathaka bemisipha
  • intloko ebuhlungu
  • umlomo owomileyo
  • isicaphucaphu
  • ukuqhina
  • ukudideka
  • ubunzima bokuchama
  • ukuchama rhoqo
  • utshintsho kwi-sex drive okanye kubuchule

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

  • ukulahleka kolawulo lweentshukumo zomzimba
  • ukushukuma okungalawulekiyo kwilungu lomzimba
  • intetho engacacanga
  • ukuphefumla okucothayo kunye nokubetha kwentliziyo

I-Diazepam 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).

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 zokudlula ngaphezulu zinokubandakanya:

  • ukozela
  • ukudideka
  • ukudinwa
  • ukuphefumla okucothayo kunye nokubetha kwentliziyo
  • ukulahleka kwengqondo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yakho kwi-diazepam.

Ukuba uthatha i-diazepam kunye namanye amayeza ukulawula ukuxhuzula kunye nokwanda kokuhamba okanye ubungqongqo babo, tsalela ugqirha wakho. Idosi yakho ye diazepam okanye amanye amayeza anokufuna uhlengahlengiso. Ukuba usebenzisa i-diazepam ukuxhuzula, phatha i-identification (i-Medic Alert) echaza ukuba unesathuthwane kwaye uthatha i-diazepam kunye namanye amayeza.

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

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.

  • IDiazepam Intensol®
  • Valium®
  • Valrelease®

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-05/15/2021

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