Umbhali: Janice Evans
Umhla Wokudalwa: 3 Eyekhala 2021
Hlaziya Umhla: 18 Eyenkanga 2024
Anonim
Diphenhydramine Nursing Considerations, Side Effects, Mechanism of Action Pharmacology for Nurses
Ividiyo: Diphenhydramine Nursing Considerations, Side Effects, Mechanism of Action Pharmacology for Nurses

Umxholo

I-Diphenhydramine isetyenziselwa ukukhulula umbala obomvu, ocaphukisayo, onwabileyo, onamanzi; ukuthimla; kunye nempumlo egudlukayo ebangelwa yi-hay fever, i-aleji, okanye ingqele eqhelekileyo. I-Diphenhydramine ikwasetyenziselwa ukunciphisa ukukhwehlela okubangelwa ngumqala omncinci okanye ukucaphuka komoya. I-Diphenhydramine ikwasetyenziselwa ukuthintela nokunyanga ukugula okunyakaza, kunye nokunyanga ukulala (kunzima ukulala okanye ukulala). I-Diphenhydramine ikwasetyenziselwa ukulawula iintshukumo ezingaqhelekanga ebantwini abanamanqanaba okuqala eparkinsonia syndrome (ukuphazamiseka kwenkqubo yemithambo-luvo ebangela ubunzima ngokuhamba, ukulawula izihlunu, kunye nokulingana) okanye abo bafumana iingxaki zokuhamba njengeziphumo ebezingalindelekanga zonyango.

I-Diphenhydramine iya kuzikhupha iimpawu zezi meko kodwa ayizukunyanga unobangela weempawu okanye ukubuyisa ngokukhawuleza. I-Diphenhydramine akufuneki isetyenziselwe ukubangela ukulala ebantwaneni. I-Diphenhydramine ikudidi lwamayeza abizwa ngokuba zii-antihistamines. Isebenza ngokuthintela isenzo se-histamine, into esemzimbeni ebangela ukungahambi kakuhle.


I-Diphenhydramine iza njengecwecwe, ukubola (kunye nokunyibilika) kwethebhulethi ngokukhawuleza, ityhubhu, ityhubhu egcwaliswe lulwelo, umcephe wokunyibilika, umgubo kunye nolwelo ekufuneka uluthathe ngomlomo. Xa i-diphenhydramine isetyenziselwa ukukhululeka komzimba, ukubanda kunye neempawu zokukhohlela, ihlala ithathwa rhoqo emva kweeyure ezi-4 ukuya kwezi-6. Xa idiphenhydramine isetyenziselwa ukunyanga ukugula kokuhamba, ihlala ithathwa imizuzu engama-30 ngaphambi kokumka kwaye, ukuba iyafuneka, ngaphambi kokutya kunye nexesha lokulala. Xa idiphenhydramine isetyenziselwa ukunyanga ukulala iyathathwa ngexesha lokulala (imizuzu engama-30 ngaphambi kokulala okucwangcisiweyo). Xa i-diphenhydramine isetyenziselwa ukunyanga iintshukumo ezingaqhelekanga, ihlala ithathwa kathathu ngemini kuqala emva koko ithathwe amaxesha amane ngosuku. Landela umkhombandlela kwiphakeji okanye kwileyibhile yakho kagqirha ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-diphenhydramine ngokuchanekileyo njengoko kuyalelwe. Sukuyithatha ngaphezulu okanye ngaphantsi okanye uyithathe rhoqo kunokuyalelwa ngugqirha okanye uyalele kwileyibhile.

I-Diphenhydramine iza yodwa kwaye idibene nokuthomalalisa iintlungu, ukunciphisa umkhuhlane kunye nezinto zokuthambisa. Buza ugqirha wakho okanye usokhemesti ngengcebiso ukuba yeyiphi imveliso efanelekileyo kwiimpawu zakho. Jonga ngokungabhalisi ukukhwehlela kunye neelebheli zemveliso ebandayo ngononophelo ngaphambi kokusebenzisa iimveliso ezimbini okanye nangaphezulu ngaxeshanye. Ezi mveliso zinokuba nezithako ezifanayo ezisebenzayo kunye nokuzithatha kunye kunokubangela ukuba ufumane i-overdose. Oku kubaluleke ngakumbi ukuba uza kunika umntwana isikhohlela kunye namayeza abandayo.


Ukukhwehlela okungabhaliswanga kunye neemveliso ezibandayo, kubandakanya iimveliso ezinediphenhydramine, kunokubangela iziphumo ebezingalindelekanga ezimbi okanye ukufa kubantwana abancinci. Musa ukunika le mveliso kubantwana abangaphantsi kweminyaka emi-4 ubudala. Ukuba unika ezi mveliso kubantwana abaneminyaka emi-4 ukuya kweli-11 ubudala, lumka kwaye ulandele umkhombandlela wephakheji ngononophelo.

Ukuba unika i-diphenhydramine okanye imveliso yokudibanisa equlathe i-diphenhydramine emntwaneni, funda ilebhile yephakeji ngononophelo ukuze uqiniseke ukuba yimveliso elungileyo yomntwana okwelo xesha. Musa ukunika iimveliso zediphenhydramine ezenzelwe abantu abadala ukuba babe ngabantwana.

Ngaphambi kokuba unike umntwana imveliso ye-diphenhydramine, jonga ileyibhile yephakeji ukufumanisa ukuba lingakanani iyeza ekufuneka lifunyenwe ngumntwana. Nika idosi ehambelana nobudala bomntwana kwitshathi. Buza ugqirha womntwana ukuba awazi ukuba ungaphi na amayeza omnika umntwana.

Ukuba uthatha ulwelo, musa ukusebenzisa icephe lasekhaya ukulinganisa idosi yakho. Sebenzisa icephe lokulinganisa okanye ikomityi eza neyeza okanye usebenzise icephe elenzelwe ngokukodwa ukulinganisa amayeza.


Ukuba uthatha imichilo yokunyibilika, beka imitya kulwimi lwakho enye ngexesha kwaye uginye emva kokuba zinyibilikile.

Ukuba uthatha iipilisi ezinyibilika ngokukhawuleza, beka ithebhulethi ngolwimi lwakho kwaye uvale umlomo. Ithebhulethi iya kunyibilika ngokukhawuleza kwaye iya kuginywa okanye ngaphandle kwamanzi.

Ukuba uthatha iifomsile, ziginye ziphelele. Ungazami ukwaphula iifomsile.

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

Ngaphambi kokuba uthathe i-diphenhydramine,

  • xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa idiphenhydramine, nawaphi na amanye amayeza, okanye nasiphi na isithako kumalungiselelo e-diphenhydramine. Buza ugqirha wakho okanye usokhemesti okanye ujonge ilebhile yephakheji kuluhlu 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 nayiphi na kwezi zinto zilandelayo: ezinye iimveliso ze-diphenhydramine (nditsho nezo zisetyenziswa kulusu); amanye amayeza emikhuhlane, ifiva, okanye komzimba; amayeza oxinzelelo, uxinzelelo, okanye ukuxhuzula; izihlunu ezonwabisayo; amayeza e-narcotic entlungu; ukuthomalalisa; iipilisi zokulala; kunye noxinzelelo.
  • xelela ugqirha wakho ukuba wakhe wanesifo sombefu, i-emphysema, i-bronchitis engapheliyo, okanye ezinye iintlobo zesifo semiphunga; i-glaucoma (imeko apho uxinzelelo olwandileyo kwiliso kunokukhokelela ekuphulukaneni nombono ngokuthe ngcembe); izilonda; ubunzima bokuchama (ngenxa yokwandiswa kwe-Prostate gland); isifo sentliziyo; igazi elonyukayo; ukuxhuzula; Ukuba uza kusebenzisa ulwelo, xelela ugqirha wakho ukuba uxelelwe ukuba ulandele ukutya okunesodiyamu ephantsi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-diphenhydramine, tsalela ugqirha wakho.
  • Kuya kufuneka uyazi ukuba i-diphenhydramine ngokubanzi akufuneki isetyenziswe kubantu abadala, ngaphandle kokulawula iimpendulo ezinobungozi, kuba ayikhuselekanga okanye ayisebenzi njengamanye amayeza ukunyanga imeko yakho. Ukuba uneminyaka engama-65 ubudala okanye ngaphezulu, thetha nogqirha wakho malunga nomngcipheko kunye nezibonelelo zokuthatha eli yeza.
  • ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha idiphenhydramine.
  • Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
  • khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza. Gwema iziselo ezinxilisayo ngelixa uthatha la mayeza.
  • Ukuba une-phenylketonuria (PKU, imeko efunyanwa njengelifa apho ukutya okukhethekileyo kufuneka kulandelwe ukuthintela ukudodobala kwengqondo), kuya kufuneka wazi ukuba ezinye iimveliso zamacwecwe ahlafunwayo kunye namacwecwe adilikayo aqulathe i-diphenhydramine inokuswiti kunye ne-aspartame, umthombo we-phenylalanine .

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

I-Diphenhydramine ihlala ithathwa njengoko kufuneka. Ukuba ugqirha ukuxelele ukuba uthathe i-diphenhydramine rhoqo, thatha idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

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

  • umlomo owomileyo, impumlo nomqala
  • ukozela
  • isiyezi
  • isicaphucaphu
  • ukugabha
  • Ukuphelelwa ngumdla wokutya
  • ukuqhina
  • ukunyuka kwesifuba
  • intloko ebuhlungu
  • ubuthathaka bemisipha
  • uchulumanco (ngakumbi ebantwaneni)
  • uvalo

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

  • iingxaki zombono
  • ubunzima bokuchama okanye ukuchama kabuhlungu

I-Diphenhydramine inokubangela ezinye iziphumo ebezingalindelekanga. Fowunela ugqirha wakho ukuba unazo naziphi na iingxaki ezingaqhelekanga 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.

Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nediphenhydramine.

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.

  • Isilumkiso-Dryl®
  • Isifo seAllergia-C®
  • Allermax®
  • I-Altaryl®
  • Banophen®
  • UBen Tann®§
  • UBenadryl®
  • Bromanate AF®
  • ICompoz yoNcedo lokulala ebusuku®
  • IDicopanol®§
  • Idiphedryl®
  • Idiphen®
  • Idiphenadryl®
  • I-Diphenhist®
  • Idiphenylin®
  • UDytan®
  • IHydramine®
  • Nytol®
  • Pardryl®
  • I-PediaCare yaBantwana yokuNzonda®
  • Igama loqhagamshelwano Siladryl®
  • Isilphen®
  • Sominex®
  • Unisom®
  • PM embi® (Iqulethe iDiphenhydramine, Ibuprofen)
  • I-Alahist LQ® (Equlathe iDiphenhydramine, iPhenylephrine)
  • IAldex CT® (Equlathe iDiphenhydramine, iPhenylephrine)
  • Aleve PM® (iqulethe iDiphenhydramine, iNaproxen)
  • Anacin P.M. Aspirin Simahla® (iqulethe i-Acetaminophen, iDiphenhydramine)
  • I-Bayer Aspirin PM® (iqulethe i-Aspirin, iDiphenhydramine)
  • I-Benadryl-D yokuNwa komzimba kunye neSinus® (Equlathe iDiphenhydramine, iPhenylephrine)
  • I-Dimetapp yabantwana yasebusuku ebandayo kunye nokuxinana® (Equlathe iDiphenhydramine, iPhenylephrine)
  • Izikhundla ze-PM® (iqulethe iDiphenhydramine, iMagnesium Salicylate)
  • Endal HD® (Equlathe iDiphenhydramine, iPhenylephrine)§
  • Excedrin PM® (iqulethe i-Acetaminophen, iDiphenhydramine)
  • Inkulumbuso kaGoody® (iqulethe i-Acetaminophen, iDiphenhydramine)
  • Inkulumbuso ye-Legatrin® (iqulethe i-Acetaminophen, iDiphenhydramine)
  • IMasophen PM® (iqulethe i-Acetaminophen, iDiphenhydramine)
  • Midol PM® (iqulethe i-Acetaminophen, iDiphenhydramine)
  • Motrin PM® (Iqulethe iDiphenhydramine, Ibuprofen)
  • I-PediaCare yaBantwana kunye nezoBandayo® (Equlathe iDiphenhydramine, iPhenylephrine)
  • Ixesha lasebusuku leRobitussin likhohlela kunye neCold® (Equlathe iDiphenhydramine, iPhenylephrine)
  • Usuku lwe-PE oluhlaselweyo / ubushushu bobusuku® (Iqulethe iAcetaminophen, iDextromethorphan, iDiphenhydramine, iGuaifenesin, iPhenylephrine)
  • Ukuxinana kwemini ye-PE / yoBusuku yokuDibana® (Equlathe iDiphenhydramine, iPhenylephrine)
  • Ibanda kakhulu kwi-PE ebandayo® (iqulethe i-Acetaminophen, iDiphenhydramine, iPhenylephrine)
  • Itekral® (iqulethe iDiphenhydramine, iPseudoephedrine)§
  • Ubusuku beTraflu obuBandayo kunye nokuKhwehlela® (iqulethe i-Acetaminophen, iDiphenhydramine, iPhenylephrine)
  • Ixesha lobusuku laseTriaminic liyabanda kwaye likhohlela® (Equlathe iDiphenhydramine, iPhenylephrine)
  • I-Tylenol Allergy yamaxesha amaninzi kwiimpawu ezininzi zobusuku® (iqulethe i-Acetaminophen, iDiphenhydramine, iPhenylephrine)
  • UTylenol Allergy ngamandla® (iqulethe i-Acetaminophen, iDiphenhydramine)
  • Unisom ngoNcedo lweNtlungu® (iqulethe i-Acetaminophen, iDiphenhydramine)

§ Ezi mveliso azamkelwa okwangoku yi-FDA yokhuseleko, ukusebenza kunye nomgangatho. Umthetho waseburhulumenteni ngokubanzi ufuna ukuba amayeza amiselweyo e-US aboniswe ukuba akhuselekile kwaye ayasebenza ngaphambi kokuthengisa. Nceda ubone iwebhusayithi ye-FDA ngolwazi oluthe kratya ngeziyobisi ezingavunyelwanga (http://www.fda.gov/AboutFDA/Transparency/Basics/ucm213030.htm) kunye nenkqubo yokuvunywa (http://www.fda.gov/Drugs/ResourceForYou /Abathengi/ucm054420.htm).

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-08/15/2018

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