Mlembi: Gregory Harris
Tsiku La Chilengedwe: 12 Epulo 2021
Sinthani Tsiku: 20 Novembala 2024
Anonim
Midazolam - Rapid Sequence Induction and Intubation
Kanema: Midazolam - Rapid Sequence Induction and Intubation

Zamkati

Midazolam imatha kubweretsa mavuto opumira kapena owopsa monga kupuma pang'ono, kuchepa, kapena kupuma kwakanthawi. Mwana wanu amangolandira mankhwalawa kuchipatala kapena kuofesi ya dokotala yomwe ili ndi zida zofunika kuwunika mtima wake ndi mapapo ake komanso kupereka chithandizo chamankhwala chopulumutsa moyo mwachangu ngati kupuma kwake kumachedwetsa kapena kutha. Dokotala kapena namwino wa mwana wanu amayang'anitsitsa mwana wanu atalandira mankhwalawa kuti awonetsetse kuti akupuma bwino.Uzani dokotala wa mwana wanu ngati mwana wanu ali ndi matenda opatsirana kwambiri kapena ngati adakhalapo kapena adakhalapo ndi vuto lakumpweya kapena kupuma kapena matenda amtima kapena m'mapapo. Uzani dokotala ndi wamankhwala wa mwana wanu ngati mwana wanu amamwa mankhwala aliwonsewa: barbiturates monga secobarbital (Seconal); mankhwala osokoneza bongo (Inapsine); mankhwala a nkhawa, matenda amisala, kapena kugwidwa; mankhwala opatsirana pogonana opweteka monga fentanyl (Actiq, Duragesic, Sublimaze, ena), morphine (Avinza, Kadian, MS Contin, ena), ndi meperidine (Demerol); mankhwala ogonetsa; mapiritsi ogona; kapena opondereza.


Midazolam amapatsidwa kwa ana asanalandire chithandizo chamankhwala kapena asanachite dzanzi kuti achitidwe opaleshoni kuti athetse tulo, kuchepetsa nkhawa, komanso kupewa kukumbukira chilichonse. Midazolam ali mgulu la mankhwala otchedwa benzodiazepines. Zimagwira pochepetsa zochitika muubongo kuti zithandizire kupumula ndi kugona.

Midazolam imabwera ngati madzi oti mutenge pakamwa. Nthawi zambiri amaperekedwa ngati mlingo umodzi ndi dokotala kapena namwino asanalandire chithandizo chamankhwala kapena opaleshoni.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala kapena wamankhwala wa mwana wanu kuti mumve zambiri.

Mwana wanu asanalandire midazolam,

  • uzani dokotala ndi wamankhwala wa mwana wanu ngati ali ndi vuto la midazolam, mankhwala ena aliwonse, kapena yamatcheri.
  • Uzani dokotala wa mwana wanu ngati mwana wanu amamwa mankhwala ena a kachilombo ka HIV kuphatikizapo amprenavir (Agenerase), atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), efavirenz (Sustiva, ku Atripla), fosamprenavir (Lexiva) ), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Viracept), ritonavir (Norvir, ku Kaletra), saquinavir (Invirase), ndi tipranavir (Aptivus). Dokotala wa mwana wanu angasankhe kuti asapereke midazolam kwa mwana wanu ngati amamwa mankhwala amodzi kapena angapo.
  • auzeni dokotala ndi wamankhwala wa mwana wanu zomwe mankhwala ena akuchipatala ndi osapereka, mavitamini, ndi zowonjezera zakudya zomwe mwana wanu amamwa kapena akufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi zina mwa izi: amiodarone (Cordarone, Pacerone); aminophylline (Truphylline); antifungals monga fluconazole (Diflucan), itraconazole (Sporanox), ndi ketoconazole (Nizoral); zotchinga zina za calcium monga diltiazem (Cartia, Cardizem, Tiazac, ena) ndi verapamil (Calan, Isoptin, Verelan, ena); cimetidine (Tagamet); clarithromycin (Biaxin); dalfopristin-quinupristin (Synercid); erythromycin (E-mycin, EES); fluvoxamine (Luvox); mankhwala ena ogwidwa monga carbamazepine (Tegretol), phenobarbital, ndi phenytoin (Dilantin); methylphenidate (Concerta, Metadate, Ritalin, ena); nefazodone; ranitidine (Zantac); rifabutin (Mycobutin); ndi rifampin (Rifadin, Rimactane). Dokotala wa mwana wanu angafunike kusintha mlingo wa mankhwala a mwana wanu kapena kuyang'anira mwana wanu mosamala za zotsatirapo zake. Mankhwala ena ambiri amathanso kulumikizana ndi midazolam, chifukwa chake onetsetsani kuti mumauza dokotala wa mwana wanu za mankhwala onse omwe mwana wanu amamwa, ngakhale omwe sapezeka pamndandandawu.
  • uzani dokotala wa mwana wanu za mankhwala azitsamba omwe mwana wanu akutenga, makamaka wort ya St.
  • uzani dokotala wa mwana wanu ngati mwana wanu ali ndi glaucoma. Dokotala wa mwana wanu angasankhe kuti asapatse mwana wanu midazolam.
  • Uzani dokotala wa mwana wanu ngati mwana wanu ali ndi matenda a impso kapena chiwindi.
  • uzani dokotala wa mwana wanu ngati mwana wanu ali ndi pakati kapena akhoza kukhala ndi pakati, kapena akuyamwitsa.
  • muyenera kudziwa kuti midazolam imamupangitsa mwana wanu kugona kwambiri ndipo imatha kukhudza kukumbukira, kuganiza, komanso mayendedwe ake. Musalole mwana wanu kukwera njinga, kuyendetsa galimoto, kapena kuchita zina zomwe zimafunikira kuti akhale tcheru kwa maola 24 atalandira midazolam komanso mpaka mankhwalawo atatha. Yang'anirani mwana wanu mosamala kuti atsimikizire kuti sagwa akuyenda panthawiyi.
  • muyenera kudziwa kuti mowa umatha kukulitsa mavuto obwera chifukwa cha midazolam.

Musalole kuti mwana wanu adye zipatso zamphesa kapena kumwa madzi amphesa akamamwa mankhwalawa.


Midazolam ikhoza kuyambitsa zovuta. Uzani dokotala wa mwana wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • nseru
  • kusanza
  • zidzolo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mwana wanu akukumana ndi izi, pitani kuchipatala nthawi yomweyo:

  • kubvutika
  • kusakhazikika
  • kugwedezeka kosalamulirika kwa gawo lina la thupi
  • kuuma ndi kugwedeza kwa manja ndi miyendo
  • kupsa mtima
  • kugunda pang'onopang'ono kapena kosasinthasintha

Midazolam ikhoza kuyambitsa zovuta zina. Itanani dokotala wa mwana wanu ngati mwana wanu ali ndi mavuto achilendo akamamwa 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).

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:

  • Kusinza
  • chisokonezo
  • mavuto osamala komanso kuyenda
  • kupuma pang'ono ndi kugunda kwamtima
  • kutaya chidziwitso

Sungani maimidwe onse ndi dokotala wa mwana wanu.

Funsani wamankhwala kapena mwana wa mwana wanu ngati muli ndi mafunso okhudza midazolam.

Ndikofunikira kuti musunge mndandanda wamankhwala onse omwe amalembedwa komanso osalembedwa (owerengera) omwe mwana wanu amamwa, komanso zinthu zambiri monga mavitamini, michere, kapena zowonjezera zakudya. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mwana wanu akamapita kuchipatala kapena akamugoneka kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

  • Ndondomeko®
Idasinthidwa Komaliza - 08/15/2018

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