Ke loaʻa iā ʻoe ka ʻeha nui a ʻaʻole kōkua nā lāʻau ʻeha ʻē aʻe, hiki i kāu kauka ke kuhikuhi i kahi lāʻau i kapa ʻia ʻo "Meperidine." He lāʻau ʻeha ikaika kēia. No laila, he mea nui e ʻike pono i ke ʻano o kēia lāʻau. E kamaʻilio hou aku kākou e pili ana i ia mea?
He aha ke ʻano lāʻau lapaʻau kēia `(Meperidine)`?
I ka ʻōlelo maʻalahi, ʻo `(Meperidine)` kahi lāʻau lapaʻau i hoʻohana ʻia e kāohi i ka ʻeha nui. Kuhi pinepine ʻia ia i ka wā ʻaʻole hana nā lāʻau ʻeha ʻē aʻe iā ʻoe, a i ʻole inā ʻaʻole hiki iā ʻoe ke hoʻomanawanui iā lākou. Hana kēia lāʻau lapaʻau ma ke kāohi ʻana i nā hōʻailona ʻeha e hele ana i kou lolo. No kahi papa o nā lāʻau i kapa ʻia ʻo `(Opioid)`. Ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa `(Demerol)`.
Hiki ke hoʻohana ʻia kēia lāʻau lapaʻau no nā kūlana ʻē aʻe i kekahi manawa. Hiki iā ʻoe ke nīnau i kāu kauka a mea kūʻai lāʻau paha e pili ana i kēia.
He aha kaʻu e haʻi aku ai i ke kauka ma mua o ka hoʻohana ʻana i kēia lāʻau lapaʻau?
He mea nui loa kēia. Ma mua o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau kūlana:
- Inā he puʻupuʻu lolo kou .
- Inā he mea inu mau ʻoe.
- Inā ua loaʻa iā ʻoe kahi ʻeha poʻo .
- Inā he maʻi puʻuwai kou (`(Maʻi puʻuwai)`).
- Inā he maʻi puʻupaʻa kou .
- Inā he maʻi kou i ke akepaʻa .
- Inā loaʻa iā ʻoe ka maʻi māmā, ka hānō, a i ʻole nā pilikia hanu .
- Inā loaʻa iā ʻoe nā ʻōʻili .
- Inā he mau pilikia kou ma ka ʻōpū a i ʻole ka ʻōpū .
- Inā he maʻi hoʻohana ʻona kou .
- Inā ua hoʻohana ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo `(MAOI)` (no ka laʻana `(Marplan)`, `(Nardil)`, a i ʻole `(Parnate)`) i loko o nā lā 14 i hala.
- Inā loaʻa iā ʻoe kahi hopena maʻi i ka meperidine, nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala hana, a i ʻole nā mea mālama.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
E hoʻomanaʻo, ʻo ka haʻi ʻana i ke kauka i kēlā mau kikoʻī no kou palekana ponoʻī ia.
Pehea e pono ai iaʻu ke hoʻohana i kēia lāʻau lapaʻau?
Hiki mai kēia ma ke ʻano he wai. Pono ʻoe e lawe ma ka waha.
- E hoʻohana i kahi puna ana kūikawā a i ʻole ke kīʻaha e ana i ka lāʻau. Inā ʻaʻohe āu, e noi i kāu kauka lāʻau no hoʻokahi. ʻAʻole ʻoe e loaʻa i kahi ana pololei me nā puna maʻamau o ka hale.
- Pono e hoʻoheheʻe ʻia ka nui o ka lāʻau lapaʻau i ka hapalua kīʻaha wai ma mua o ka lawe ʻana.
- E hoʻohana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka (`(prescription label)`).
- E lawe i kāu lāʻau lapaʻau i ka manawa kūpono, i nā wā kūpono. Mai lawe ʻoe ma mua o ka mea i kauoha ʻia iā ʻoe.
Ke loaʻa iā ʻoe kēia lāʻau lapaʻau mai ka hale kūʻai lāʻau lapaʻau, e hāʻawi ʻia iā ʻoe kahi pepa kuhikuhi kūikawā (`(MedGuide)`). Pono ʻoe e heluhelu pono i kēlā me kēia manawa āu e loaʻa ai ka lāʻau lapaʻau a i ʻole `(refill)`.
Inā ʻoe e hāʻawi ana i kēia lāʻau lapaʻau i nā keiki: ʻOiai hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki i kekahi mau hihia i koho ʻia, aia nā hana palekana kūikawā. No laila, e kūkākūkā i kēia me kāu hui lapaʻau.
He aha kāu e hana ai inā lawe nui ʻoe i ka lāʻau lapaʻau?
Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau lapaʻau, e kāhea koke i kahi kikowaena hoʻomalu lāʻau make a i ʻole ke keʻena pilikia.
ʻO ka mea nui loa: Nou wale nō kēia lāʻau lapaʻau. Mai kaʻana like me kekahi.
He aha inā e hala wau i kahi manawa hoʻonohonoho lāʻau lapaʻau?
Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe i ka mea aʻe. Mai lawe i ʻelua mau lāʻau lapaʻau i ka manawa hoʻokahi.
He aha nā mea ʻē aʻe (`(Interactions)`) e hiki ke launa pū me kēia lāʻau lapaʻau?
He mea nui loa kēia. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia inā lawe pū ʻia me ka `(Meperidine).`
Mai lawe pū me kēia mau lāʻau lapaʻau ʻo Meperidine:
- `(Linezolid)`
- `(MAOIs)` (e laʻa. `(Marplan)`, `(Nardil)`, `(Parnate)`)
- `(Methylene blue)`
- ʻO ka Ritonavir
- `(Samidorphan)`
- `(Tedizolid)`
Eia kekahi, hiki i ka `(Meperidine)` ke launa pū me kēia mau mea. No laila, inā ʻoe e hoʻohana nei i kēia mau mea, pono ʻoe e haʻi i kāu kauka:
- ʻAcyclovir
- ʻAila
- Nā antihistamines no nā maʻi ʻaleka, nā ʻū, a me ke anu
- `(ʻAtropine)`
- Kekahi ʻano o nā `(Antibiotics)` (e.g. `(Erythromycin)`, `(Clarithromycin)`, `(Rifampin)`)
- ʻO kekahi mau lāʻau lapaʻau "(Antiviral)" i hāʻawi ʻia no ka "(HIV)" a i ʻole ka maʻi hepatitis
- ʻO kekahi mau lāʻau lapaʻau no ka hopohopo a i ʻole ka hiamoe
- Nā lāʻau lapaʻau no nā pilikia o ka ʻōpū mimi (e like me Oxybutynin, Tolterodine)
- ʻO kekahi mau lāʻau lapaʻau no ke kaumaha (e like me Amitriptyline, Fluoxetine, Sertraline)
- Nā lāʻau lapaʻau no nā maʻi fungal (e like me Ketoconazole, Itraconazole, Posaconazole)
- Kekahi mau lāʻau lapaʻau no ka migraines (e.g., `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`)
- Nā lāʻau lapaʻau i hoʻohana ʻia no ka maʻi o Parkinson (e like me Benztropine, Trihexyphenidyl)
- Nā lāʻau lapaʻau no nā hopu ʻana (e.g. `(Carbamazepine)`, `(Phenobarbital)`, `(Phenytoin)`, `(Primidone)`)
- Nā lāʻau lapaʻau no ka ʻeha o ka ʻōpū (e.g. `(Dicyclomine)`, `(Hyoscyamine)`)
- Nā lāʻau lapaʻau no ka maʻi neʻe (e like me Scopolamine)
- ʻO Cimetidine
- `(Diuretics)` (nā lāʻau lapaʻau e wehe i ka wai mai ke kino)
- Nā mea hoʻomaʻamaʻa i hoʻohana ʻia i ka wā o ke ʻoki kino (e.g., `(Halothane)`, `(Isoflurane)`, `(Methoxyflurane)`, `(Propofol)`)
- ʻIpratropium
- Nā lāʻau lapaʻau i hāʻawi ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana
- Nā lāʻau ʻeha ʻē aʻe (narcotics)
- Nā lāʻau lapaʻau i loko o ka hui `(Phenothiazines)` (e.g. `(Chlorpromazine)`, `(Mesoridazine)`, `(Prochlorperazine)`, `(Thioridazine)`)
ʻAʻole paha i piha kēia papa inoa. No laila, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā mea kanu, nā huaora, a me nā mea hoʻohui meaʻai āu e lawe ai, a inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau lapaʻau kū ʻole i ke kānāwai. Hiki i kekahi mau mea ke launa pū me kāu mau lāʻau lapaʻau.
He aha nā mea e makaʻala ai i ka wā e hoʻohana ai i kēia lāʻau lapaʻau?
- Inā ʻaʻole e nalowale kou ʻeha, inā e ʻoi aku ka ʻino, a inā he ʻano ʻeha hou kou, e haʻi i kāu hui mālama ola.
- Ke hoʻohana ʻoe i kēia lāʻau lapaʻau no ka manawa lōʻihi, hiki iā ʻoe ke hoʻomohala i kahi hoʻomanawanui i ka lāʻau lapaʻau . ʻO ke ʻano kēia, ʻaʻole lawa ka nui o ka lāʻau ma mua e kāohi i kou ʻeha, a pono paha ʻoe i kahi nui kiʻekiʻe aʻe. He mea maʻamau kēia, ʻoiai ke lawe ʻoe i ka lāʻau lapaʻau no ka manawa lōʻihi.
- Aia kekahi mau ʻano lāʻau ʻeha narcotic (i ʻike ʻia hoʻi he opioids). Inā ʻoe e lawe ma mua o hoʻokahi ʻano i ka manawa hoʻokahi, hiki ke loaʻa iā ʻoe nā hopena ʻaoʻao hou aʻe. No laila e haʻi i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei. E haʻi lākou iā ʻoe i ka nui e lawe ai. Mai lawe ʻoi aku ma mua o ka nui i kuhikuhi ʻia. Inā pilikia ʻoe i ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau ulia pōpilikia.
- Mai hoʻōki koke i ka lawe ʻana i kēia lāʻau lapaʻau. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi hopena koʻikoʻi. ʻO kēia no ka mea ua maʻa kou kino i ka lāʻau lapaʻau. ʻAʻole kēia manaʻo ua hoʻopili ʻia ʻoe i ka lāʻau lapaʻau. ʻO ka hoʻopili ʻana he ʻano hana e pili ana i ka loaʻa ʻana a me ka hoʻohana ʻana i kahi lāʻau lapaʻau no ke kumu ʻaʻole no ke olakino. Inā ʻeha ʻoe, he kumu olakino kou no ka lawe ʻana i kahi mea hoʻopau ʻeha. E haʻi aku kāu kauka iā ʻoe i ka nui o ka lāʻau lapaʻau āu e pono ai e lawe. Inā makemake lākou e hoʻōki i ka lāʻau lapaʻau, e hoʻemi mālie lākou i ka nui e hōʻemi i nā hopena ʻaoʻao.
- E kamaʻilio me kāu hui mālama ola e pili ana i ka lāʻau lapaʻau `(Naloxone)` a pehea e loaʻa ai. ʻO `(Naloxone)` kahi lāʻau lapaʻau ulia pōpilikia no ka overdose `(opioid)`. Inā lawe ʻoe i ka nui o ka lāʻau lapaʻau `(opioid)`, a inā lawe ʻoe me nā mea ʻē aʻe e like me ka waiʻona, hiki iā ʻoe ke loaʻa i kahi `(overdose)`. E ʻike i nā hōʻailona o kahi `(overdose).` No ka laʻana, ka pilikia o ka hanu ʻana, ka luhi a i ʻole ka hiamoe ʻole, a i ʻole ka hiki ʻole ke pane a ala aʻe. E haʻi i kāu poʻe mālama a me nā hoaaloha pili i kahi o kēia lāʻau lapaʻau a pehea e hoʻohana ai. Ma hope o ka hāʻawi ʻana iā `(Naloxone)`, pono ʻoe e kiʻi koke i ke kōkua lapaʻau ulia pōpilikia.He lāʻau lapaʻau no ka manawa pōkole ka Naloxone. I kekahi manawa, pono paha nā lāʻau i hana hou ʻia.
- Hiki paha iā ʻoe ke hiamoe a poniuniu paha . Mai hoʻokele kaʻa, hoʻohana i nā mīkini, a hana paha i kekahi mea e pono ai ke makaʻala a hiki i kou ʻike ʻana i ke ʻano o ka hopena o kēia lāʻau lapaʻau iā ʻoe. Mai kū koke a noho paha i luna, ʻoiai inā he ʻelemakule ʻoe. Hiki i kēia ke hōʻemi i ka poniuniu a me ka māʻule ʻana. Hiki i ka waiʻona ke hoʻopilikia i ke ʻano o ka hana a kēia lāʻau lapaʻau. No laila e pale i ka inu ʻana i ka waiʻona.
- Hiki i kēia lāʻau lapaʻau ke hoʻoulu i ka paʻa ʻana o ka ʻōpū . Inā ʻaʻole ʻoe e neʻe i ka ʻōpū ma hope o 3 mau lā, e kāhea i kāu hui mālama ola.
- Maloʻo paha kou waha . Hiki iā ʻoe ke kāohi i kēia ma ka nau ʻana i ka gum kō ʻole, ka omo ʻana i kahi ʻāpana kinika, a me ka inu ʻana i ka wai he nui. Inā hoʻomau kēia pilikia a lilo paha i mea koʻikoʻi, e haʻi i kāu kauka.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau ke loaʻa kekahi mau hopena ʻaoʻao.
Nā hopena ʻaoʻao e pono ʻoe e hōʻike koke i kāu kauka:
- Nā hopena maʻi ʻaleka - ka ʻulaʻula o ka ʻili, ka maneʻo, ka hives (nā kiko ʻulaʻula nui), ka pehu ʻana o ka maka, nā lehelehe, ke alelo, a i ʻole ka puʻu.
- (CNS depression ) — Hanu lohi a papau paha, paʻakikī ka hanu ʻana, maule, poniuniu, huikau, paʻakikī ke ala.
- (Hana haʻahaʻa o ke kelepa adrenal ) - nausea, luaʻi, nalowale o ka makemake e ʻai, nāwaliwali a luhi paha, poniuniu.
- (Ke koko haʻahaʻa ) — Pōniuniu, maule a poʻo māmā paha, ʻike pōwehiwehi.
Nā hopena ʻaoʻao ʻaʻole pono ka ʻōlelo aʻoaʻo lapaʻau (akā pono e hōʻike i ke kauka inā hoʻomau a hoʻopilikia paha):
- Ka paʻa ʻana o ka ʻōpū
- Pōʻino
- Hiamoe
- Waha maloʻo
- ʻEha poʻo
- Ka luaʻi
- Ka luaʻi ʻana
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. E kamaʻilio me kāu kauka no ka ʻike hou aku e pili ana i nā hopena ʻaoʻao.
Pehea e mālama ai i kēia lāʻau lapaʻau?
- E mālama iā ia mai ka hiki ʻana aku o nā keiki.
- Hiki ke hoʻohana hewa ʻia kēia lāʻau lapaʻau. No laila, e mālama iā ia ma kahi palekana e pale aku ai mai ka ʻaihue ʻia.
- Mai kaʻana like i kēia lāʻau lapaʻau me kekahi. He mea weliweli ke kūʻai aku a hāʻawi aku paha i kēia lāʻau lapaʻau i kekahi poʻe ʻē aʻe a kūʻē i ke kānāwai.
- E mālama ma ka mahana o ka lumi (ma waena o 15 a me 30 kekelē Celsius, ma waena o 59 a me 86 kekelē Fahrenheit). E pani paʻa i ka ʻōmole/pahu.
- Hiki i kēia lāʻau lapaʻau ke hōʻeha a pepehi paha i nā pākeke ʻē aʻe, nā keiki, a i ʻole nā holoholona inā lākou e lawe. E hoʻolei i nā lāʻau lapaʻau i hoʻohana ʻole ʻia ma kahi hoʻolei kūhelu.E nīnau i kou mau luna kūloko e ʻike i kahi e like me ia. Inā ʻaʻohe ʻano hoʻolei ʻana, e hoʻolei i loko o ka lua (he ʻōlelo aʻoaʻo kūikawā kēia, akā pono ʻoe e noʻonoʻo e pili ana i ke kaiapuni).
- Mai hoʻohana i ka lāʻau lapaʻau i pau ka lā palena pau.
Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i ka `(Meperidine)` i kēia manawa. I ka hōʻuluʻulu ʻana:
- He ʻano lāʻau opioid kēia i hoʻohana ʻia no ka ʻeha nui.
- E haʻi i kāu kauka i nā mea āpau e pili ana i kou kūlana olakino ma mua o ka hoʻohana ʻana i kēia.
- E lawe i ka nui i kuhikuhi ʻia, e like me ke kauoha. Mai lawe hou aku, a mai hoʻōki koke.
- Hiki iā ia ke launa pū me nā lāʻau lapaʻau ʻē aʻe, no laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ka hiamoe a me ka paʻa ʻana o ka ʻōpū. Inā loaʻa iā ʻoe kekahi mea koʻikoʻi, e like me ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau.
- E mālama i ka lāʻau lapaʻau ma kahi palekana mai ka hiki ʻana aku o nā keiki.
Manaʻolana mākou he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka a kauka lāʻau paha. Aia lākou ma laila e kōkua iā ʻoe.
ʻO Meperidine, Demerol, Opioid, Lāʻau hoʻopau ʻeha, ʻeha, Nā hopena ʻaoʻao, Lāʻau lapaʻau, Ola kino











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