I kekahi manawa, ke pono ʻoe e hoʻokomo ʻia i ka haukapila ma muli o kahi kūlana e like me ka hāʻule ʻana o ka puʻuwai, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi lāʻau lapaʻau kūikawā ma o kahi IV e kōkua i kou puʻuwai. ʻO Milrinone kekahi lāʻau lapaʻau koʻikoʻi i hāʻawi wale ʻia ma ka haukapila. No laila, e kamaʻilio pōkole kākou e pili ana i kēia lāʻau lapaʻau, kāna hana, a me nā mea āu e pono ai e ʻike i ka wā e hāʻawi ʻia ai.
He aha ke ʻano lāʻau lapaʻau ʻo Milrinone?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo milrinone e hana ana i ʻelua mau mea nui.
1. Hoʻoikaika i ka ʻiʻo puʻuwai: Hoʻonui kēia lāʻau lapaʻau i ka ikaika o nā ʻūmiʻi ʻiʻo o kou puʻuwai. Ua like ia me ka hāʻawi ʻana i kahi mīkini wai nāwaliwali i ka mana hou aʻe a hoʻomaikaʻi i ka pamu wai. ʻAe kēia i ka puʻuwai e pamu i ka nui o ke koko e pono ai ke kino me ka ʻoi aku ka maikaʻi.
2. Vasodilator: Hoʻonui pū kēia lāʻau i nā kīʻaha koko i loko o kou kino. E noʻonoʻo i ka wā e hoʻonui ai ʻoe i kahi paipu wai, e emi ana ke kaomi ma luna o ka wai a kahe maʻalahi ia, ʻeā? Pēlā nō, i ka wā e hoʻonui ai nā kīʻaha koko, pono ka puʻuwai e hana iki e pamu i ke koko.
Hāʻawi kēia mau hana ʻelua i ka hōʻoluʻolu nui i ka puʻuwai nāwaliwali.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
He mea nui loa e hāʻawi i kāu kauka i kahi moʻolelo piha o kou kūlana olakino. E hōʻoia e haʻi iā lākou e pili ana i kēia mau mea.
- Inā he maʻi puʻuwai kou ma mua.
- Inā he moʻolelo kou o ka puʻuwai puʻuwai kūpono ʻole.
- Inā he maʻi puʻupaʻa kou .
- Inā ua loaʻa iā ʻoe kahi maʻi allergy iā Milrinone a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
- Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai .
- Inā he makuahine hānai waiū ʻoe.
Ma muli o kēia ʻike, e hoʻoholo ke kauka inā kūpono kēia lāʻau lapaʻau iā ʻoe a ʻaʻole paha.
Pehea e hāʻawi ʻia ai kēia lāʻau i ke kino?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. ʻO Milrinone kahi inikini i hāʻawi ʻia i loko o kahi aa koko ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā limahana lapaʻau i aʻo ʻia wale nō.
ʻO ka maʻamau, ke noho ʻoe i loko o kahi keʻena mālama koʻikoʻi (ICU), e hoʻokomo ke kauka i kēia lāʻau lapaʻau i loko o kou kino e like me ka saline ma o kahi cannula ma kou lima. No laila, ʻaʻole pono ʻoe e noʻonoʻo pehea e hoʻohana ai, na nā limahana lapaʻau e mālama i nā mea āpau.
Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki?
ʻAe, i kekahi mau hihia kūikawā, hāʻawi ʻia kēia lāʻau lapaʻau i nā keiki ma ke ʻano o ke kauka. Akā, hana ʻia me ke akahele loa a me ka mālama kūikawā.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau ma kahi haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Inā hana ʻia kēlā mea, e hana koke nā limahana lapaʻau i nā hana e pono ai. ʻAʻole pono ʻoe e hopohopo no ia mea. Inā makemake ʻoe e ʻike i ka mea e hana ai inā lawe ʻoe i ka nui o ka lāʻau lapaʻau, hiki iā ʻoe ke hana koke. I kēlā hihia, ʻo ke kaʻina hana maʻamau ka hoʻomaopopo ʻana i ka Emergency Treatment Unit (ETU) o ka haukapila a i ʻole e kelepona i ke National Poison Information Centre ma ka Colombo National Hospital .
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka milrinone, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
- Nā lāʻau lapaʻau
- Nā lāʻau lapaʻau no ke koko kiʻekiʻe, nā maʻi puʻuwai ʻē aʻe, a i ʻole nā puʻuwai puʻuwai kūpono ʻole
Mai poina e haʻi i kāu kauka e pili ana i nā huaora, nā lāʻau lapaʻau kuʻuna, a me nā mea hoʻohui āu e lawe nei.
Nā mea e makaʻala ai i ka wā e lawe ana i ka lāʻau lapaʻau
E nānā pono ana nā kauka a me nā kahu maʻi iā ʻoe i ka manawa a pau e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe.
E hoʻopili ʻia ʻoe i nā mea nānā e nānā mau ana i kou helu puʻuwai, ke koko, a me nā hana kino ʻē aʻe. ʻAe kēia i ka hui lapaʻau e ʻike koke i nā loli i kou kūlana.
He aha nā hopena ʻaoʻao e hiki ke manaʻo ʻia?
E like me nā lāʻau lapaʻau āpau, hiki i ka milrinone ke hana i kekahi mau hopena ʻaoʻao. He koʻikoʻi kekahi o kēia a pono e hōʻike koke ʻia.
| Ka hoʻokaʻawale ʻana o nā hopena ʻaoʻao | |
|---|---|
| Nā mea e haʻi koke aku ai i kāu kauka a kahu maʻi paha | |
| Nā hōʻailona alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| ʻEha umauma | ʻO kēlā me kēia ʻano ʻeha a ʻūmiʻi paha i loko o ka puʻuwai. |
| Nā loli i ka helu o ka puʻuwai | Pōniuniu, puʻuwai wikiwiki loa a ʻano ʻē paha, nāwaliwali ke ʻano, paʻakikī ke hanu. |
| Nā hōʻailona o ke koko haʻahaʻa | Pōniuniu, manaʻo māmā ke poʻo, manaʻo luhi ʻē. |
| Nā pilikia ma ka wahi injection | ʻEha, ʻulaʻula, a pehu paha kahi i hoʻokomo ʻia ai ke cannula. |
| Ke kahe koko ʻano ʻē | Nā kiko e like me ka palapū ma ka ʻili a i ʻole ke kahe ʻana o ke koko ʻaʻole e pau mai kahi ʻeha liʻiliʻi. |
| Nā mea i maʻa mau ʻole i ka nui, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| ʻEha poʻo | ʻEha poʻo iki a kaulike. |
| Ka luaʻi a me ka luaʻi | ʻŌpū ʻeha, nausea, a luaʻi paha. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e ʻoluʻolu e haʻi koke i kāu kauka a kahu maʻi paha.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Milrinone i hāʻawi ʻia ma o ka intravenous ma ka haukapila wale nō e mālama i nā kūlana e like me ka hāʻule ʻana o ka puʻuwai.
- Hoʻoikaika kēia i nā ʻiʻo o ka puʻuwai, hoʻonui i nā kīʻaha koko, a e maʻalahi ai i ka puʻuwai ke pamu i ke koko.
- He mea nui e haʻi aku i kāu kauka e pili ana i kou mau kūlana olakino a pau a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ma mua o ka lawe ʻana i ka lāʻau.
- ʻAʻole pono ʻoe e hopohopo e pili ana i kou palekana no ka mea e nānā pono ana ke limahana lapaʻau iā ʻoe i ka wā e hāʻawi ʻia ai kēia lāʻau lapaʻau iā ʻoe.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao e like me ka ʻeha o ka umauma, ka poniuniu, a i ʻole nā hōʻailona maʻi ʻaleka, e hoʻomaopopo koke i ke limahana lapaʻau.
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