ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka 'Glucose Saline' (Dextrose) i hāʻawi ʻia ma nā haukapila

Ua nānā anei ʻoe i kekahi e moe ana ma kahi moe haukapila a ʻike i kahi ʻōmole saline i hoʻopili ʻia i ko lākou lima? Hoʻohana pinepine mākou iā lākou āpau he 'giving saline.' Akā, ʻoi aku ka nui o kēlā mau ʻōmole ma mua o kēlā. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka Dextrose a i ʻole ka glucose solution, kahi wai hoʻōla ola i hoʻohana pinepine ʻia ma nā haukapila.

I ka pōkole, he aha ka Dextrose?

He mea maʻalahi loa ka Dextrose. ʻO kēia kekahi hoʻohana lapaʻau o ka glucose a mākou e kamaʻilio nei i kēlā me kēia lā. I ka pololei, he kō maʻalahi kēia i hana ʻia mai nā mea kanu, ʻoiai ka kulina. Pono nā ʻāpana o ko mākou kino i ka ikehu e hana. E like me ka ʻaila no ke kaʻa. ʻO kēlā ikehu ka wahie nui a ko mākou kino e hoʻohana ai e kūkulu. No laila, ʻo Dextrose kahi kumu ikehu glucose maʻemaʻe hiki ke hāʻawi pololei ʻia i ke koko.

I nā kūlana hea e hoʻohana ʻia ai kēia lāʻau lapaʻau?

Hoʻohana ʻia ka wai Dextrose ma ka haukapila no ʻekolu mau kumu nui.

1. Ma ke ʻano he kākoʻo meaʻai

E noʻonoʻo i kekahi kanaka i loko o kahi kūlana kahi hiki ʻole iā lākou ke ʻai a inu paha a omo paha i nā meaʻai mai ko lākou ʻōpū ma hope o kahi ʻoki kino nui, ma muli o kahi maʻi koʻikoʻi, a i ʻole ma muli o kekahi maʻi ʻē aʻe. I kēlā kūlana, ʻaʻole hiki ke hoʻokē ʻai no nā lā. Nalowale ka ikehu o ke kino. I kēlā mau hihia, hāʻawi pololei ʻia ka meaʻai e pono ai i ke kino ma o kahi aʻa. Kāhea mākou i kēia "Total Parenteral Nutrition - TPN". Maanei, ʻo Dextrose ke kumu nui o ka ikehu i loko o kēia hui meaʻai. ʻO ia hoʻi, hāʻawi pololei ʻia ka ikehu i loaʻa mai ka meaʻai i ke koko.

2. Ke haʻahaʻa nā pae kō koko (Low Blood Sugar)

ʻO kēia ka hoʻohana maʻamau a wikiwiki hoʻi o Dextrose. Kāhea mākou i ka hypoglycemia ke hāʻule koke nā pae kō koko i lalo loa. Hiki ke hana kēia ke lawe nui ka mea maʻi diabetes i ka insulin, haʻalele i ka ʻai, a i ʻole he mau maʻi ʻē aʻe.

Eia ka mea maʻi,

• Pōʻino
• Haʻalulu
• Ka hou nui ʻana
• Ka huikau
• Hiki ke hana ʻia nā mea e like me ka nalowale ʻana o ka ʻike ma hope .

I loko o kahi pilikia e like me kēia, inā paʻakikī ke hāʻawi i ke kō i ka mea maʻi ma ka waha, ʻo ke ala maikaʻi loa e hoʻihoʻi koke i ka pae kō, ʻo ia ke hoʻokomo ʻana i ka Dextrose i loko o kahi aa. Hāʻawi koke kēia i ka lolo a me ke kino i ka ikehu e pono ai.

3. Ke piʻi aʻe ka pae potassium i loko o ke koko (Nā Pae Potassium Kiʻekiʻe)

He mea paʻakikī iki kēia. Aia i loko o ko kākou koko kahi mineral i kapa ʻia ʻo potassium. He mea nui ia no ka hana ʻana o ka puʻuwai, nā aʻalolo, a me nā ʻiʻo. Eia nō naʻe, inā lilo ka pae o ka potassium i loko o ke koko i mea kiʻekiʻe loa, inā paha ma muli o nā pilikia o nā puʻupaʻa a i ʻole nā ​​kumu ʻē aʻe, hiki iā ia ke hoʻōki i ka hana ʻana o ka puʻuwai.

I ia mau hihia, hāʻawi nā kauka i ka hopena Dextrose me ka insulin. A laila, me ke kōkua o ka insulin, hele ka potassium keu i loko o ke koko i loko o nā ʻāpana o ke kino. ʻO ia hoʻi, lawe ʻia ka potassium mai ke koko mai, e hōʻemi koke ana i ka pilikia i ka puʻuwai.

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

ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia ma kahi haukapila, he mea nui e ʻike kāu hui lapaʻau i kou mōʻaukala olakino. No laila e hōʻoia e haʻi iā lākou inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?

ʻAe, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma lalo o ka nānā ʻana a ke kauka pediatric inā pono. Eia nō naʻe, aia kekahi mau mea e makaʻala ai. Pono e helu pono ʻia nā mea e like me ka nui o ka lāʻau a me ka wikiwiki o ka lawelawe ʻana e like me ke kaumaha a me ke kūlana o ke keiki.

He aha ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau?

Ma muli o ka mālama ʻia ʻana o kēia lāʻau lapaʻau ma lalo o ka mākaʻikaʻi lapaʻau ma kahi haukapila, ua haʻahaʻa loa ka pilikia o ka overdose. E nānā mau ana ke kime lapaʻau i kou kūlana. Inā manaʻo ʻoe ua hana ʻia kekahi mea, e hoʻomaopopo koke i ke kauka a i ʻole ke kahu maʻi. I ka wā o kahi pilikia, e hana lākou i nā hana e pono ai. Inā he kānalua no ka lāʻau make, e hoʻokaʻaʻike aku lākou i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo, a i ʻole e kuhikuhi iā ʻoe i ka Emergency Treatment Unit (ETU) o ka haukapila.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i ka Dextrose ke hana i kekahi mau hopena ʻaoʻao. Eia nō naʻe, i ka hapa nui o ka manawa, he mau hopena liʻiliʻi kēia.

Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?

ʻAʻole pinepine ka hopena Dextrose i nā pilikia nui me nā lāʻau lapaʻau ʻē aʻe. Eia nō naʻe, he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (nā lāʻau lapaʻau no nā kūlana ʻē aʻe, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui). Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha. Hiki i kekahi mau mea ke hoʻopilikia i ka lāʻau i hāʻawi ʻia iā ʻoe.