E aʻo kākou e pili ana i ka inikini Atracurium - kahi lāʻau lapaʻau i hoʻohana ʻia i nā ʻoki kino a me nā keʻena mālama koʻikoʻi.

E noʻonoʻo ʻoe a i ʻole kekahi mea kokoke iā ʻoe e hana ʻoki kino. A i ʻole aia paha ʻoe i loko o ka ʻāpana mālama koʻikoʻi (ICU) ma muli o kekahi kūlana olakino. I kēlā mau hihia, ua lohe paha ʻoe ua kuhikuhi nā kauka i kahi lāʻau "hoʻomaha ʻiʻo". He lāʻau kūikawā ʻo Atracurium i hoʻohana ʻia i kēlā mau hihia. ʻAʻole kēia he lāʻau hiki iā ʻoe ke kūʻai mai kahi hale kūʻai lāʻau. He inikini kēia i hāʻawi wale ʻia ma kahi haukapila, ma lalo o ka nānā ʻana a nā kauka loea. No laila, e kamaʻilio kākou e pili ana i kēia lāʻau me nā kikoʻī hou aku, me ka maʻalahi loa.

He aha ke ʻano lāʻau lapaʻau o kēia Atracurium?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Atracurium e hoʻomaha ai a hoʻopōʻino paha i nā ʻiʻo iwi o ko kākou kino no kekahi manawa. E noʻonoʻo e like me ke kau ʻana i nā ʻiʻo a kākou e kāohi ai no ka noʻonoʻo, e like me nā mea ma ko kākou mau lima, nā wāwae, ka ʻāʻī, a me ka ʻōpū, e hiamoe.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha ʻoe e hoʻomaha ai i kou mau ʻiʻo e like me kēlā?" ʻElua kumu nui no kēlā:

1. I ka wā o ke ʻoki kino: I ka wā e hana ai i kahi ʻoki kino nui, pono ke kauka ʻoki kino e hana me ke kūʻokoʻa a me ke keakea ʻole. He mea paʻakikī ke hana i kēia inā paʻa nā ʻiʻo o ke kino. Ke hāʻawi ʻia ʻo Atracurium, hoʻomaha loa nā ʻiʻo. Eia kekahi, i ka wā anesthesia, pono e hoʻokomo ʻia kahi paipu ma o ka trachea (intubation). He mea nui e hoʻomaha ʻia nā ʻiʻo o ka puʻu a me ka ʻāʻī i kēlā manawa.

2. ʻOiai ma luna o kahi Ventilator: I kekahi mau hihia koʻikoʻi, hiki i ka mea maʻi ke paʻakikī i ka hanu ʻana iā lākou iho. Hiki ke kau ʻia lākou ma luna o kahi ventilator, kahi mīkini hanu. I loko o kēia manawa, hiki ke ʻūlū nā ʻiʻo umauma o ka mea maʻi, hiki ke hoʻopilikia i ka hana a ka mīkini. Ke hāʻawi ʻia ka atracurium, hoʻomaha kēlā mau ʻiʻo, e ʻae ana i ka ventilator e hana i ka hana o ka hanu ʻana no ka mea maʻi.

Nā mea e haʻi aku i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau

He lāʻau lapaʻau ʻo Atracurium e pono e hoʻohana ʻia me ke akahele nui. No laila, he mea nui loa ia e haʻi ʻoe i ka ʻike ma lalo nei me ka hūnā ʻole i kekahi mea ke nīnau mai ke kauka anesthesiologist iā ʻoe ma mua o kou hana ʻoki kino ʻana.

Nā lāʻau ʻē aʻe e hiki ke launa pū me Atracurium

Hiki i kekahi mau lāʻau lapaʻau āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o Atracurium. ʻO ke ʻano kēia, hiki ke hoʻonui ʻia a hoʻemi ʻia paha nā hopena o Atracurium. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā huahana lāʻau lapaʻau, a me nā mea hoʻohui .

Eia kekahi o nā mea nui e hiki ke hoʻopilikia ʻia:

• Kekahi mau lāʻau antibiotic (e.g. amikacin, gentamicin)
• ʻO kekahi mau lāʻau anesthetics laulā (e.g. isoflurane, halothane)
• Litiuma
• Makenesium
• Nā lāʻau lapaʻau no nā maʻi puʻuwai e like me Quinidine a me Procainamide
• Nā lāʻau ʻē aʻe i hoʻohana ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana

Lāʻau lapaʻau a me ka overdose

Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini i loko o kahi aʻa a i ʻole ma o ka hoʻokomo ʻana o ka saline. Hana ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana o kahi hui lapaʻau. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka hala ʻana o kahi lāʻau a i ʻole ka loaʻa ʻana o ka overdose. Hana ʻia nā mea āpau ma ke ʻano i kāohi ʻia. Inā he kānalua no ka overdose, hana ka hui lapaʻau i nā hana e pono ai. Inā pono ka ʻike e pili ana i ia kūlana make, ʻo ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo kahi e hele ai. I ka wā pilikia, kuhikuhi ʻia ka mea maʻi i ka Emergency Treatment Unit (ETU) .

He aha nā hopena ʻaoʻao e hiki mai ana?

E like me nā lāʻau lapaʻau āpau, hiki iā Atracurium ke hana i kekahi mau hopena ʻaoʻao. Akā e hoʻomanaʻo, ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, ua hoʻopuni ʻia ʻoe e nā kauka a me nā kahu maʻi. No laila, inā kū mai kekahi pilikia, e mālama koke lākou.