He hopena no nā pilikia puʻuwai koke? E aʻo kākou e pili ana i ka inikini Esmolol!

Ua lohe paha ʻoe i kekahi kanaka i loaʻa koke i ke koko kiʻekiʻe loa, a i ʻole ka puʻuwai puʻuwai kūpono ʻole, a ua hoʻokomo ʻia i ka haukapila? I kekahi manawa, i loko o ia mau pilikia a me nā hihia koʻikoʻi, aia nā lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai ma ke ʻano he lāʻau lapaʻau wikiwiki. ʻO kekahi o ia mau lāʻau lapaʻau ʻo Esmolol. Hāʻawi pinepine ʻia ia ma ke ʻano he inikini. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau lapaʻau i kapa ʻia ʻo Esmolol me nā kikoʻī hou aku a maʻalahi hoʻi.

He aha kēia Esmolol? He aha kāna hana?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Esmolol i hoʻohana ʻia e mālama i ke koko kiʻekiʻe . Hoʻohana ʻia nō hoʻi ia e kāohi i nā arrhythmias, ʻo ia hoʻi nā puʻuwai puʻuwai kūpono ʻole a i ʻole ke kuʻi wikiwiki loa ka puʻuwai.

No loko kēia o kahi papa o nā lāʻau i kapa ʻia ʻo `(Beta blockers)`. E noʻonoʻo i kou puʻuwai e like me kahi ʻenekini liʻiliʻi. ʻO ka hana a kēia mau `(Beta blockers)`, ʻo ia ke kāohi iki i ka wikiwiki o kēlā ʻenekini. ʻO ia hoʻi, hoʻolohi lākou i ka helu o kou puʻuwai, hoʻohaʻahaʻa lākou i kou koko. A laila hiki i ka puʻuwai ke pamu i ke koko me ka maʻalahi ma ke kino holoʻokoʻa. Hoʻemi pū kēia i ka ukana hana ma ka puʻuwai. I kekahi manawa hiki iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma lalo o ka inoa inoa `(Brevibloc)`.

I ka manawa hea e hoʻohana ʻia ai ʻo Esmolol?

Hoʻohana nui nā kauka i kēia lāʻau lapaʻau i kapa ʻia ʻo Esmolol ma nā kūlana ʻelua.

1. No ke kāohi ʻana i ke koko kiʻekiʻe:

I kekahi manawa, ʻoiai i ka wā a ma hope paha o ke ʻoki kino a i ʻole i nā pilikia ʻē aʻe, hiki koke ke piʻi aʻe ke koko. He kūlana weliweli loa kēia. No ka mea, hiki i ke koko kiʻekiʻe ke hōʻino i ka puʻuwai, ka lolo, a me nā puʻupaʻa. I ia mau hihia, kōkua ʻo Esmolol i ka hoʻomalu koke ʻana i ke koko.

2. No ka hoʻomalu ʻana i ka puʻuwai wikiwiki a i ʻole ka puʻuwai kūpono ʻole (Arrhythmia):

ʻO ka maʻamau, kuʻi ko mākou puʻuwai i kahi ʻano mele. Eia nō naʻe, ma muli o kekahi mau kūlana olakino, hiki i ka wikiwiki o ka puʻuwai ke lilo i mea wikiwiki loa (Tachycardia) a i ʻole hiki i ka puʻuwai ke lilo i mea maʻamau ʻole (Arrhythmia). I ia mau hihia, pilikia ka puʻuwai i ka pamu koko pono ʻana, a hiki i ka mea maʻi ke loaʻa ka ʻoluʻolu ʻole, ka ʻeha o ka umauma, a me ka poniuniu. Kōkua ʻo Esmolol i ka hoʻomalu ʻana i kēia puʻuwai wikiwiki a maʻamau ʻole a hoʻihoʻi i ka hana maʻamau o ka puʻuwai.

Mea nui: Hoʻohana pinepine ʻia kēia lāʻau lapaʻau i nā poʻe maʻi i ka haukapila, ma lalo o ka nānā ʻana a ke kauka. ʻAʻole ia he lāʻau lapaʻau no ka hoʻohana ʻana ma ka home.

Pehea e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe?

Hāʻawi ʻia kēia lāʻau lapaʻau i kapa ʻia ʻo Esmolol iā ʻoe ma ke kī ʻana i loko o kahi aa koko., ʻo ia hoʻi, ma ke ʻano "Intravenous a i ʻole IV". Hana ʻia kēia ma kahi haukapila a i ʻole ke keʻena lapaʻau, e nā limahana lapaʻau i aʻo ʻia. ʻO ke ʻano kēia, ʻaʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kiʻi ma kahi hale kūʻai lāʻau lapaʻau a lawe i ka home.

E hoʻokomo ke kauka a kahu maʻi paha i ka nui kūpono a me ka wikiwiki o ka hoʻokomo ʻana ma muli o kou kūlana. E nānā mau ʻia kou puʻuwai a me ke koko i kou wā e loaʻa ana i kēia lāʻau.

Ke hoʻohana ʻia nei kēia lāʻau lapaʻau no nā keiki?

ʻAe, i kekahi mau hihia kūikawā, hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki. Akā, pono ia i ka mālama kūikawā . Hoʻoholo ʻia ka nui o ka lāʻau ma muli o ke kaumaha o ke keiki, ka makahiki, a me ke kūlana olakino. No laila, inā pono i kahi keiki kēia lāʻau lapaʻau, pono e kūkākūkā pono ʻia me ka hui lapaʻau a pono e hoʻoholo ʻia.

He aha nā mea e pono ai ʻoe e haʻi aku i kāu hui lapaʻau ma mua o ka lawe ʻana iā Esmolol?

He mea nui loa kēia. Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka inikini Esmolol, he mea nui e haʻi i kāu kauka a kahu maʻi paha i kēia ʻike. ʻO ka hūnā ʻana i kēia mau mea e hōʻeha paha iā ʻoe.

• Inā loaʻa iā ʻoe ka dehydration: Ke maloʻo kou kino, hiki i kekahi mau lāʻau lapaʻau ke hana ʻokoʻa.
• Inā loaʻa iā ʻoe ka Diabetes Mellitus: Hiki i nā Beta blockers ke uhi i nā hōʻailona o ka hypoglycemia (e.g., ka puʻuwai wikiwiki). No laila, pono e mālama pono i ka hāʻawi ʻana i kēia lāʻau lapaʻau i nā poʻe maʻi diabetes.
• Inā loaʻa iā ʻoe nā maʻi puʻuwai ʻē aʻe: No ka laʻana, inā loaʻa iā ʻoe kahi maʻi e like me "Bradycardia" kahi i lohi loa ai ka helu o ka puʻuwai, a i ʻole "Heart block", ʻaʻole kūpono paha kēia lāʻau lapaʻau.
• Inā loaʻa iā ʻoe ka maʻi puʻupaʻa: ʻO nā puʻupaʻa ke kuleana no ka kānana ʻana a me ka wehe ʻana i ka hapa nui o nā lāʻau lapaʻau mai ke kino. Inā ʻaʻole hana pono nā puʻupaʻa, hiki i nā lāʻau lapaʻau ke hōʻiliʻili i loko o ke kino a hoʻonui i ka pilikia o nā hopena ʻaoʻao.
• Inā loaʻa iā ʻoe ka maʻi māmā a i ʻole ka maʻi hanu, e like me ka hānō: Hiki i kekahi mau beta blockers ke hoʻonui i ka hānō. No laila he mea nui e haʻi aku i kāu kauka e pili ana i kēia.
• Inā loaʻa iā ʻoe a i ʻole ua loaʻa iā ʻoe kahi hopena maʻi i ka Esmolol, nā mea pale beta ʻē aʻe, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā ​​mea mālama: He mea nui loa kēia. E haʻi mai iā mākou, ʻoiai inā manaʻo ʻoe he mea liʻiliʻi ia.
• Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai: Hiki i kekahi mau lāʻau lapaʻau i ka wā hāpai ke hoʻopilikia i ka pēpē.
• Inā ʻoe e hānai waiū ana: Hiki i kekahi mau lāʻau lapaʻau ke hele i kāu pēpē ma o ka waiū umauma.

Inā ʻike pololei ʻoe i kēia ʻike, hiki i ka hui lapaʻau ke hāʻawi iā ʻoe i ka lāʻau kūpono a palekana loa.

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

ʻOiai he lāʻau lapaʻau ʻo Esmolol i hāʻawi ʻia ma kahi haukapila ma lalo o ka mākaʻikaʻi lapaʻau, he liʻiliʻi ka manawa kūpono o ka overdose no ka mea ke nānā mau nei nā kauka a me nā kahu maʻi iā ia.

Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i ka lāʻau lapaʻau, a inā ʻike ʻoe i nā hōʻailona e like me ka lohi o ka puʻuwai, ka poniuniu nui, a i ʻole ka nalowale o ka ʻike, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau.

E hoʻomanaʻo: Nou wale nō kēia lāʻau lapaʻau. Mai hāʻawi aku i kekahi a i ʻole e kaʻana like me nā poʻe ʻē aʻe. (He lāʻau lapaʻau IV kēia, no laila ʻaʻole ia he mea hiki iā ʻoe ke lawe i ka home, akā he ʻōlelo aʻoaʻo koʻikoʻi kēia e pili ana i ka lāʻau lapaʻau ma ke ʻano laulā.)

He aha inā e hala iaʻu kahi mahele lāʻau lapaʻau?

ʻAʻole pili kēia nīnau ma ʻaneʻi. No ka mea, ʻaʻole ʻo Esmolol kahi lāʻau lapaʻau e pono ai ʻoe e lawe i kēlā me kēia lā, i kahi manawa i hoʻonohonoho ʻia. He lāʻau lapaʻau kēia i hāʻawi ʻia e nā kauka ma ka haukapila, e like me ka mea e pono ai.

He aha nā mea ʻē aʻe e hiki ke launa pū me kēia lāʻau lapaʻau? (Nā Hana like ʻana)

ʻO ke ʻano o ka "Pilipili ʻana" ʻo ia hoʻi, hoʻopili kekahi lāʻau āu e lawe ai i ke ʻano o ka hana ʻana o kekahi lāʻau āu e lawe ai. I kekahi manawa hiki i kēia ke hoʻonui i nā hopena ʻaoʻao a i ʻole e hoʻemi i ka maikaʻi o ka lāʻau.

ʻO kekahi mau lāʻau lapaʻau e hiki ke launa pū me Esmolol:

• ʻO kekahi mau lāʻau lapaʻau ʻē aʻe no ke koko, ka maʻi puʻuwai, a me ka puʻuwai naʻau kūpono ʻole.
• ʻO Digoxin (he lāʻau lapaʻau hoʻi no ka maʻi puʻuwai)
• ʻO Mivacurium (kahi lāʻau lapaʻau i hoʻohana ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana)
• ʻO Succinylcholine (he mea hoʻomaha ʻiʻo nō hoʻi)

ʻAʻole i piha kēia papa inoa. No laila, e haʻi i kāu kauka a kahu maʻi paha e pili ana i nā lāʻau lapaʻau āpau , nā mea kanu , nā lāʻau lapaʻau i kauoha ʻole ʻia , a me nā mea hoʻohui meaʻai āu e lawe ai. Eia kekahi, e hōʻoia e haʻi iā lākou inā ʻoe e puhipaka , inu waiʻona , a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai . Hiki i kekahi o kēia mau mea ke launa pū me kāu lāʻau lapaʻau.

He aha kaʻu e makaʻala nui ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?

ʻOiai ʻoe e mālama ʻia ana me Esmolol, e nānā pono ʻia kou kūlana e nā limahana lapaʻau. ʻO ke ʻano kēia e nānā mau ʻia kou koko, ka helu o ka puʻuwai a me ke ʻano o kou naʻau, a me ka hanu ʻana. No laila, ʻaʻohe mea e hopohopo ai. Aia ʻoe i kahi palekana.

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

E like me nā lāʻau lapaʻau āpau, hiki iā Esmolol ke hana i nā hopena ʻaoʻao i kekahi poʻe, ʻoiai ʻaʻole loaʻa i nā kānaka a pau.

Nā hopena ʻaoʻao e pono e hōʻike koke ʻia i ka hui lapaʻau:

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​mai manaʻo he mea liʻiliʻi ia, akā e haʻi koke aku i kāu kauka a kahu maʻi paha .

• Nā hopena alerika:
• ʻŌhū ʻili
• ʻĀnai
• Nā hives
• Ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu - Hiki i kēia ke pilikia i ka hanu ʻana.
• Nā Hōʻailona o ka Pōʻino o ka Puʻuwai: (ʻO kēia nā hōʻailona o ka nāwaliwali o ka hana o ka puʻuwai)
• Pōkole o ka hanu
• Ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a i ʻole nā ​​​​lima
• Piʻi koke ke kaumaha
• Ka nāwaliwali a luhi paha maʻamau ʻole
• Ka nui o ka potassium i loko o ke koko:
• Nāwaliwali o nā ʻiʻo
• Puʻuwai wikiwiki a ʻano ʻole paha
• Ke koko haʻahaʻa:
• Pōʻino
• Manaʻo nāwaliwali a poʻo māmā paha
• ʻIke pōwehiwehi
• Ka puʻuwai lohi:
• Pōʻino
• Manaʻo nāwaliwali a poʻo māmā paha
• Ka huikau, ka paʻakikī o ka noʻonoʻo ʻana
• Ka pilikia o ka hanu ʻana
• Ka nāwaliwali a luhi paha maʻamau ʻole

Nā hopena ʻaoʻao ʻaʻole pono ka mālama lapaʻau, akā pono e hōʻike ʻia i ka hui lapaʻau inā hoʻomau a hoʻopilikia paha lākou:

ʻAʻole koʻikoʻi kēia mau hopena ʻaoʻao a e nalo wale nō ma hope o kekahi manawa. Eia nō naʻe, inā hoʻomau lākou a hoʻopilikia paha iā ʻoe, e haʻi i kāu hui lapaʻau e pili ana iā lākou.

• Pōʻino
• Luhi
• ʻEha poʻo
• Nausea - manaʻo e like me ka luaʻi
• ʻEha, ʻulaʻula, a huhū paha ma kahi i inikini ʻia

ʻAʻole kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e ʻoluʻolu e nīnau i kāu kauka.

Ma hea ʻoe e mālama ai i kēia lāʻau lapaʻau?

He mea maʻalahi loa kēia. He lāʻau lapaʻau ʻo Esmolol i hāʻawi ʻia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila a i ʻole ke keʻena lapaʻau. No laila, ʻaʻole ia he mea hiki iā ʻoe ke lawe i ka home a mālama. E loaʻa iā ʻoe ka lāʻau lapaʻau āu e pono ai ma ka haukapila.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

ʻAe, i kēia manawa ua maopopo iā ʻoe ka mea a mākou i kamaʻilio ai i kēia lā, e Esmolol. E nānā hou kākou i nā mea nui loa:

• He lāʻau lapaʻau intravenous (IV) ʻo Esmolol i hoʻohana ʻia e kāohi i ke koko kiʻekiʻe a me ka puʻuwai puʻuwai kūpono ʻole i nā pilikia.
• He lāʻau lapaʻau kēia no ka papa `(Beta blocker)`.
• He mea nui loa ia e hoʻomaopopo i ka hui lapaʻau e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ma mua o ka loaʻa ʻana o kēia lāʻau.
• E nānā pono ʻia ʻoe i ka wā e mālama ʻia ai.
• Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē a i ʻole nā ​​​​hopena ʻaoʻao, e hoʻomaopopo koke i ke limahana lapaʻau.
• He lāʻau lapaʻau kēia i hāʻawi ʻia ma ka haukapila, ʻaʻole no ka hoʻohana ʻana ma ka home.

Manaʻolana mākou e ʻike ʻoe he kōkua kēia ʻike. E hoʻomanaʻo, inā he mau nīnau hou kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka, kahu maʻi, a kauka lāʻau paha.

ʻesmolol , ke koko kiʻekiʻe, ka helu o ka puʻuwai, ka mea pale beta, ka arrhythmia, ka mea pale beta, Brevibloc, ka lāʻau lapaʻau pilikia