Mlembi: Virginia Floyd
Tsiku La Chilengedwe: 14 Ogasiti 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
Diphenoxylate/Atropine Nursing Considerations, Side Effects, and Mechanism of Action
Kanema: Diphenoxylate/Atropine Nursing Considerations, Side Effects, and Mechanism of Action

Zamkati

Diphenoxylate imagwiritsidwa ntchito limodzi ndi mankhwala ena monga madzi ndi ma electrolyte m'malo mwa chithandizo cha kutsegula m'mimba. Diphenoxylate sayenera kuperekedwa kwa ana ochepera zaka ziwiri. Diphenoxylate ali mgulu la mankhwala otchedwa antidiarrheal agents. Zimagwira ntchito pochepetsa kuchepa kwa matumbo.

Diphenoxylate imabwera ngati piritsi ndi yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa ngati amafunikira mpaka kanayi patsiku. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani diphenoxylate ndendende momwe mwalangizira. Musamamwe zochuluka kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Yankho lakamwa limabwera mu chidebe chokhala ndi chozembera chapadera poyezera mlingo. Funsani wamankhwala wanu ngati muli ndi mafunso okhudza kuyeza mlingo.

Zizindikiro zanu zotsekula m'mimba ziyenera kusintha mkati mwa maola 48 akuchipatala ndi diphenoxylate. Dokotala wanu angakuuzeni kuti muchepetse mlingo wanu pamene zizindikiro zanu zikuyenda bwino. Ngati zizindikiro zanu sizikukula kapena zikukula mkati mwa masiku 10 akuchipatala, itanani dokotala wanu ndikusiya kumwa diphenoxylate.


Diphenoxylate imatha kukhala chizolowezi. Musatenge mlingo waukulu, tengani nthawi zambiri, kapena kwa nthawi yayitali kuposa momwe dokotala akukuuzani. Atropine yawonjezeredwa m'mapiritsi a diphenoxylate kuti ayambitse zovuta ngati mankhwalawa atamwa kwambiri kuposa momwe amafunira.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge diphenoxylate,

  • Uzani dokotala ndi wamankhwala ngati muli ndi vuto la diphenoxylate, atropine, mankhwala ena aliwonse, kapena zina zilizonse m'mapiritsi a diphenoxylate kapena yankho. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: mankhwala okhala ndi mowa (Nyquil, elixirs, ena); mankhwala; cyclobenzaprine (Amrix); barbiturates monga pentobarbital (Nembutal), phenobarbital, kapena secobarbital (Seconal); benzodiazepines monga alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), ndi triazol busipulo; mankhwala a matenda amisala; zotsegula minofu; mankhwala ena opioid monga meperidine (Demerol); mankhwala ogonetsa; mapiritsi ogona; kapena opondereza. Komanso uzani dokotala wanu kapena wamankhwala ngati mukumwa mankhwala otsatirawa kapena mwasiya kuwamwa m'masabata awiri apitawa: monoamine oxidase (MAO) inhibitors monga isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar) kapena tranylcypromine (Parnate). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi diphenoxylate, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • Uzani dokotala wanu ngati muli ndi jaundice (khungu lachikasu kapena maso omwe amabwera chifukwa cha vuto la chiwindi); kutsegula m'mimba; kutsegula m'mimba pamodzi ndi malungo, ntchofu mu chopondapo chanu, kapena kukokana m'mimba, kupweteka, kapena kutupa; kapena kutsekula m'mimba komwe kumachitika nthawi kapena mutangomaliza kumwa mankhwala opha tizilombo. Dokotala wanu angakuuzeni kuti musatenge diphenoxylate.
  • uzani dokotala wanu ngati muli ndi matenda a Down (matenda obadwa nawo obweretsa mavuto osiyanasiyana amakulidwe ndi akuthupi), kapena ngati mwakhalapo kapena munayamba mwakhalapo ndi zilonda zam'mimba (matenda omwe amachititsa kutupa ndi zilonda m'kati mwa kholalo [matumbo akulu] ndi rectum), chiwindi, kapena matenda a impso.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga diphenoxylate, itanani dokotala wanu.
  • musanachite opareshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa mankhwalawa.
  • muyenera kudziwa kuti mankhwalawa atha kukupangitsani kuti muzisinza komanso kuzungulirani. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa diphenoxylate. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku diphenoxylate.

Onetsetsani kuti mwatsatira malangizo onse azakudya omwe dokotala wanu wapereka. Imwani zakumwa zambiri zomveka bwino m'malo mwa madzi omwe amataya m'mimba.


Ngati mukumwa mankhwala a diphenoxylate, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Diphenoxylate imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • nseru
  • kusanza
  • kusowa chilakolako
  • mutu
  • kusakhazikika
  • kutopa
  • chisokonezo
  • amasintha malingaliro
  • Kusapeza bwino m'mimba

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

  • dzanzi mikono ndi miyendo
  • kupweteka komwe kumayambira m'mimba koma kumafalikira kumbuyo
  • Kutupa m'mimba
  • kupuma movutikira
  • ming'oma
  • zidzolo
  • kuyabwa
  • kutupa kwa maso, nkhope, lilime, milomo, chingamu, pakamwa, manja, mapazi, akakolo, kapena miyendo yakumunsi
  • zovuta kumeza kapena kupuma
  • ukali
  • kuwona zinthu kapena kumva mawu omwe kulibe

Diphenoxylate ingayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.


Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani pa firiji komanso kutali ndi kutentha ndi chinyezi (osati kubafa) ndi kuwala. Chotsani yankho lililonse lotsala masiku 90 mutatsegula botolo.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

  • malungo, kugunda kwamtima, kuchepa pokodza, kutsuka, kuuma kwa khungu, mphuno, kapena pakamwa
  • kuuma kwa khungu, mphuno, kapena pakamwa
  • kusintha kwa kukula kwa ophunzira (mabwalo akuda pakati pa maso)
  • mayendedwe osalamulirika amaso
  • kusakhazikika
  • kuchapa
  • malungo
  • kuthamanga kwa mtima
  • kuchepa kwa malingaliro
  • kutopa kwambiri
  • kuvuta kupuma
  • kutaya chidziwitso
  • kugwidwa
  • zovuta kuyankhula
  • kuwona zinthu kapena kumva mawu omwe kulibe

Sungani maimidwe onse ndi dokotala wanu.

Musanayesedwe mu labotale (makamaka yomwe imakhudza methylene buluu), uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukumwa diphenoxylate.

Musalole kuti aliyense azimwa mankhwala anu. Diphenoxylate ndi chinthu cholamulidwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu ngati muli ndi mafunso.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

  • Colonaid® (okhala ndi Atropine, Diphenoxylate)
  • Chidziwitso® (okhala ndi Atropine, Diphenoxylate)
  • Lo-Trol® (okhala ndi Atropine, Diphenoxylate)
  • Logen® (okhala ndi Atropine, Diphenoxylate)
  • Lomanate® (okhala ndi Atropine, Diphenoxylate)
  • Lomotil® (okhala ndi Atropine, Diphenoxylate)
  • Lonox® (okhala ndi Atropine, Diphenoxylate)
  • Kutsika Kwambiri® (okhala ndi Atropine, Diphenoxylate)

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