Mlembi: Marcus Baldwin
Tsiku La Chilengedwe: 19 Kuni 2021
Sinthani Tsiku: 20 Novembala 2024
Anonim
Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Kanema: Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Zamkati

Diazepam itha kukulitsa chiopsezo cha mavuto opumira kapena owopsa, kupuma pansi, kapena kukomoka ngati agwiritsidwa ntchito limodzi ndi mankhwala ena. Uzani dokotala wanu ngati mukumwa kapena mukukonzekera kumwa mankhwala ena opiate a chifuwa monga codeine (ku Triacin-C, ku Tuzistra XR) kapena hydrocodone (ku Anexsia, ku Norco, ku Zyfrel) kapena kupweteka monga codeine (ku Fiorinal ), fentanyl (Actiq, Duragesic, Subsys, ena), hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (ku Oxycet, ku Percocet, mu Roxicet, ena), ndi tramadol (Conzip, Ultram, mu Ultracet). Dokotala wanu angafunike kusintha mlingo wa mankhwala anu ndipo adzakuyang'anirani mosamala. Ngati mumamwa diazepam ndi iliyonse yamankhwalawa ndipo mukukhala ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwachangu: chizungulire chosazolowereka, kupepuka mopepuka, kugona kwambiri, kupuma pang'ono kapena kuvuta, kapena kusayankha. Onetsetsani kuti amene akukusamalirani kapena abale anu akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala kapena chithandizo chamankhwala mwadzidzidzi ngati simungathe kupeza chithandizo chamankhwala panokha.


Diazepam atha kukhala chizolowezi chopanga. Musatenge mlingo waukulu, tengani nthawi zambiri, kapena kwa nthawi yayitali kuposa momwe dokotala akukuuzani. Uzani dokotala wanu ngati munamwapo mowa wambiri, ngati mumamwa kapena munagwiritsapo ntchito mankhwala osokoneza bongo, kapena mumwa mankhwala osokoneza bongo. Musamwe mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala. Kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo mumsewu mukamamwa mankhwala a diazepam kumawonjezeranso chiopsezo choti mudzakumana ndi zovuta zoyipa izi. Uzaninso dokotala wanu ngati mwakhalapo ndi vuto la kukhumudwa kapena matenda amisala.

Diazepam ikhoza kuyambitsa kudalira kwakuthupi (vuto lomwe zizindikilo zosasangalatsa zakuthupi zimachitika ngati mankhwala ayimitsidwa mwadzidzidzi kapena kumwa pang'ono), makamaka ngati mumamwa masiku angapo mpaka milungu ingapo. Osasiya kumwa mankhwalawa kapena kumwa ochepa osalankhula ndi dokotala. Kuyimitsa diazepam mwadzidzidzi kumatha kukulitsa vuto lanu ndikupangitsa zizindikiritso zomwe zitha kukhala milungu ingapo kupitirira miyezi 12. Dokotala wanu mwina amachepetsa mlingo wanu wa diazepam pang'onopang'ono. Itanani dokotala wanu kapena pitani kuchipatala mwadzidzidzi mukakumana ndi izi: kulira m'makutu anu; nkhawa; mavuto okumbukira; zovuta kulingalira; mavuto ogona; kugwidwa; kugwedeza; kugwedezeka kwa minofu; kusintha kwa thanzi; kukhumudwa; kutentha kapena kumenyedwa m'manja mwanu, mikono, miyendo kapena mapazi; kuwona kapena kumva zinthu zomwe ena sawona kapena kumva; malingaliro odzivulaza kapena kudzipha nokha kapena ena; kupambanitsa; kapena kutaya kulumikizana ndi zenizeni.


Diazepam imagwiritsidwa ntchito kuthetsa nkhawa ndikuwongolera kupsyinjika komwe kumachitika chifukwa chosiya mowa. Amagwiritsidwanso ntchito limodzi ndi mankhwala ena kuti athetse kupindika kwa minyewa komanso kupindika komwe kumachitika chifukwa cha zovuta zina zamitsempha monga ubongo wam'mimba (vuto lomwe limayambitsa vuto la kuyenda ndi kulimbitsa thupi), paraplegia (kulephera kusuntha ziwalo zina za thupi), athetosis (kutsekeka kwapadera kwa minofu ), ndi matenda owuma (matenda osowa omwe amakhala ndi kulimba kwa minofu ndi kuuma). Diazepam imagwiritsidwanso ntchito limodzi ndi mankhwala ena kuti athetse kugwidwa. Diazepam ali mgulu la mankhwala otchedwa benzodiazepines. Zimagwira ntchito pochepetsa kuchepa kwazomwe zimachitika muubongo.

Diazepam imabwera ngati piritsi, yankho, komanso monga madzi (madzi) oti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kanayi patsiku ndipo amatha kumwedwa kapena wopanda chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani diazepam ndendende momwe mwalangizira.


Maganizo a Diazepam amabwera ndi chojambula chodziwikiratu choyezera mlingo. Funsani wamankhwala wanu kuti akuwonetseni momwe mungagwiritsire ntchito dropper. Sakanizani chidwi chanu m'madzi, madzi, kapena zakumwa za kaboni musanamwe. Zitha kuphatikizidwanso ndi maapulosi kapena pudding musanamwe mankhwalawo. Onetsetsani kusakaniza pang'ono kwa masekondi pang'ono. Tengani chisakanizo chonse nthawi yomweyo; osasunga kuti adzagwiritse ntchito mtsogolo.

Ngati mukumwa diazepam pamodzi ndi mankhwala ena kuti muchepetse kugwidwa, musaleke kumwa diazepam osalankhula ndi dokotala, ngakhale mutakumana ndi zovuta monga kusintha kosasintha kwamakhalidwe kapena malingaliro. Mukaleka kumwa diazepam mwadzidzidzi, khunyu lanu limatha kukulira. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono.

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

Musanadye diazepam,

  • Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la diazepam, alprazolam (Xanax), chlordiazepoxide (Librium, ku Librax), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), estazolam, flurazepam, lorazepam (Ativan), oxazep temazepam (Restoril), triazolam (Halcion), mankhwala ena aliwonse, kapena zosakaniza zilizonse za mankhwala a diazepam. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala wanu komanso wamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, ndi zakudya zopatsa thanzi.Onetsetsani kuti mwatchulapo izi: antihistamines; barbiturates monga phenobarbital (Luminal); cimetidine (Tagamet); digoxin (Lanoxin); disulfiram (Antabuse); fluoxetine (Prozac); fluvoxamine (Luvox); isoniazid (Laniazid, ku Rifamate, ku Rifater); ketoconazole; mankhwala a nkhawa, kukhumudwa, matenda amisala, khunyu, matenda a Parkinson, mphumu, chimfine, kapena chifuwa; metoprolol (Lopressor, Toprol XL); monoamine oxidase (MAO) inhibitors kuphatikiza isocarboxazid (Marplan), linezolid (Zyvox), methylene buluu, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate); zotsegula minofu; mankhwala a phenothiazine a matenda amisala kapena nseru monga chlorpromazine, fluphenazine, prochlorperazine (Compro, Procomp), ndi promethazine (Promethegan); omeprazole (Prilosec); probenecid (Probalan, mu Col-Probenecid); mankhawala (Hemangeol, Inderal, Innopran); ranitidine (Zantac); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); mankhwala ogonetsa; mapiritsi ogona; theophylline (Elixophyllin, Theo 24, Theochron); zotetezera; kapena valproic acid (Depakene). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • uzani dokotala ngati muli ndi myasthenia gravis (vuto lamanjenje lomwe limapangitsa kufooka kwa minofu), kugona tulo (vuto lomwe munthu amasiya kupuma kanthawi kochepa usiku), kapena matenda am'mapapo kapena a chiwindi. Komanso, uzani dokotala ngati muli ndi khungu lochepetsetsa la glaucoma (vuto lalikulu la diso lomwe lingapangitse kuti musawone bwino. Dokotala wanu angakuuzeni kuti musamwe diazepam.
  • auzeni dokotala ngati mwakhalapo kapena munakhalapo ndi glaucoma yotseguka (onjezerani kuthamanga kwamaso kwamkati komwe kumawononga mitsempha yamagetsi); kukhumudwa kapena matenda ena amisala; kugwidwa; kapena matenda amtima.
  • Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukamamwa diazepam, itanani dokotala wanu mwachangu.
  • Uzani dokotala wanu ngati mukuyamwitsa. Osamayamwa mukamwa diazepam.
  • lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga diazepam ngati muli ndi zaka 65 kapena kupitilira apo. Okalamba sayenera kumwa diazepam chifukwa sakhala otetezeka ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi zomwezo.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa diazepam.
  • muyenera kudziwa kuti mankhwalawa atha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • muyenera kudziwa kuti thanzi lanu lamisala lingasinthe m'njira zosayembekezereka ndipo mutha kudzipha (kuganiza zodzipweteka kapena kudzipha nokha kapena kukonzekera kapena kuyesa kutero) mukamamwa diazepam pochiza khunyu. Chiwerengero chochepa cha achikulire ndi ana azaka 5 zakubadwa kapena kupitilira (pafupifupi munthu m'modzi mwa anthu 500) omwe adatenga ma anticonvulsants monga diazepam kuti athetse zovuta zosiyanasiyana panthawi yamaphunziro azachipatala adadzipha panthawi yomwe amawalandira. Ena mwa anthuwa adayamba kudzipha sabata limodzi atayamba kumwa mankhwalawo. Pali chiopsezo kuti mutha kusintha thanzi lanu lam'mutu mukamamwa mankhwala a anticonvulsant monga diazepam, koma pakhoza kukhala pachiwopsezo kuti musinthe thanzi lanu lam'mutu ngati matenda anu sakuchiritsidwa. Inu ndi dokotala wanu muwona ngati kuopsa kokumwa mankhwala a anticonvulsant ndiokulirapo kuposa kuopsa kosamwa mankhwalawo. Inu, banja lanu, kapena amene amakusamalirani muyenera kuyimbira dokotala nthawi yomweyo mukakumana ndi izi: mantha; kusakhazikika kapena kusakhazikika; kukwiya kwatsopano kapena kukulira, nkhawa, kapena kukhumudwa; kuchita zofuna zawo; kuvuta kugona kapena kugona; aukali, aukali, kapena achiwawa; mania (kukwiya, kusangalala modabwitsa); kuyankhula kapena kuganiza zofuna kudzipweteka kapena kudzipha; kudzipatula kwa abwenzi ndi abale; kutanganidwa ndi imfa ndi kufa; kupereka zinthu zamtengo wapatali; kapena kusintha kwina kulikonse pamakhalidwe kapena malingaliro. Onetsetsani kuti banja lanu kapena amene akukusamalirani akudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati mukulephera kupeza chithandizo chanokha.

Ngati mumamwa mankhwala angapo patsiku ndikusowa mlingo, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Diazepam ikhoza kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • Kusinza
  • chizungulire
  • kutopa
  • kufooka kwa minofu
  • mutu
  • pakamwa pouma
  • nseru
  • kudzimbidwa
  • chisokonezo
  • kuvuta kukodza
  • kukodza pafupipafupi
  • Zosintha pakugonana kapena kuthekera

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

  • kusowa kwa kayendedwe ka thupi
  • kugwedezeka kosalamulirika kwa gawo lina la thupi
  • mawu osalankhula
  • kupuma pang'ono ndi kugunda kwamtima

Diazepam ikhoza kuyambitsa 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. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

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:

  • Kusinza
  • chisokonezo
  • kutopa
  • kupuma pang'ono ndi kugunda kwamtima
  • kutaya chidziwitso

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone yankho lanu ku diazepam.

Ngati mukumwa diazepam pamodzi ndi mankhwala ena kuti muchepetse khunyu ndikuchulukirachulukira kapena kulimba, pitani kuchipatala. Mlingo wanu wa diazepam kapena mankhwala ena angafunike kusintha. Ngati mumagwiritsa ntchito diazepam kuti mugwedezeke, tengani chizindikiritso (Medic Alert) chonena kuti muli ndi khunyu komanso kuti mukumwa diazepam ndi mankhwala ena.

Musalole kuti aliyense azimwa mankhwala anu. Diazepam ndi chinthu chowongoleredwa. Malangizo amatha kudzazidwanso kangapo; funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

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.

  • Diazepam Intensol®
  • Valium®
  • Valrelease®

Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.

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