Ua pono anei ʻoe e hana ʻoki kino? A i ʻole ua ʻike anei ʻoe i kekahi i hoʻopili ʻia me kahi mīkini hanu/ventilator? I nā hihia e like me kēia, ke kamaʻilio nei mākou e pili ana i kahi inikini kūikawā i hāʻawi ʻia e hoʻomaha loa i nā ʻiʻo o ke kino. Ua kapa ʻia ʻo Mivacurium. He mea nui loa ka ʻike e pili ana i kēia.
He aha ka Mivacurium?
I ka ʻōlelo maʻalahi, he mea hoʻomaha ʻiʻo iwi ʻo Mivacurium. Hoʻomaha ia no kekahi manawa, a i ʻole e hoʻolohi i nā ʻiʻo e pili ana i nā iwi o ko kākou kino.
I kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha ʻoe e hana ai i kēlā?" ʻElua kumu 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 i kāna hana me ke keakea ʻole. He mea paʻakikī ke hana pēlā inā ʻūlū ko kākou mau ʻiʻo. Ke hāʻawi ʻia kēia lāʻau lapaʻau, hoʻomaha loa nā ʻiʻo, no laila hiki i nā kauka ke hana maʻalahi i kā lākou hana.
2. Ke hoʻopili ʻia i nā mīkini hanu/mea hanu: Ke pilikia kekahi mau maʻi maʻi koʻikoʻi i ka hanu ʻana iā lākou iho, hoʻopili mākou iā lākou i kahi mīkini hanu. Akā i kekahi manawa hoʻomaka ke kino o ka mea maʻi e "hakakā" me ka mīkini. ʻO ia hoʻi, ke hanu ka mīkini i loko, ʻūlū nā ʻiʻo umauma o ka mea maʻi a hoʻāʻo e hanu i waho. Ke hāʻawi ʻia kēia lāʻau lapaʻau, hoʻomaha kēlā mau ʻiʻo, e ʻae ana i ka mīkini e hana maʻalahi i kāna hana.
ʻO ka mea nui loa, ʻo ia ke hāʻawi wale ʻia ʻana o kēia ma ka haukapila, ma lalo o ka nānā ʻana a kahi loea e like me ke kauka anesthesiologist.
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 kēia. Ke nīnau mai ke kauka anesthesiologist iā ʻoe ma mua o kou hana ʻoki kino ʻana, inā loaʻa iā ʻoe kekahi o kēia mau mea, pono ʻoe e haʻi iā lākou . No ka mea, ʻo kēlā ʻike e hoʻoholo i ka nui o ka lāʻau lapaʻau e hāʻawi ʻia iā ʻoe a me ke ʻano o ka lāʻau lapaʻau e hoʻohana ʻia.
| Ke kūlana āu e pono ai e hōʻike | Wehewehena |
|---|---|
| Nā maʻi ʻaleka | E hōʻoia e haʻi i kāu kauka inā loaʻa iā ʻoe kekahi mau maʻi allergies i Mivacurium a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Maʻi puʻuwai | He mea nui e makaʻala i kekahi maʻi puʻuwai. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | Inā maikaʻi ʻole kāu hana puʻupaʻa a akepaʻa paha, e loli paha ka manawa e pono ai kēia lāʻau lapaʻau e haʻalele i kou kino. |
| Nā pilikia hanu | E haʻi mai iā mākou inā loaʻa iā ʻoe kekahi mau maʻi māmā e like me ka hānō. |
| Nā maʻi neurological e like me Myasthenia Gravis | Hiki ke ʻokoʻa loa nā hopena o kēia lāʻau lapaʻau no ka poʻe me ia mau maʻi ʻōnaehana nerve. |
| Ka maloʻo ʻana o ka wai a i ʻole ke kaulike ʻole o ka electrolyte | Inā nele ka wai i ke kino a i ʻole he loli i nā pae o nā paʻakai e like me ka calcium, potassium, a me ka magnesium. |
| Nā kuni nui | Inā ua puhi ʻia kahi ʻāpana nui o ke kino, hiki i kēlā ke hoʻopilikia i ka pono o kēia lāʻau lapaʻau. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kēia. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
Hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano he inikini i loko o kahi aʻa.He "injection" a he "infusion" paha, ʻo ia hoʻi ka hoʻokomo mau ʻana e like me ka saline. Hana wale ʻia kēia e ke kauka, kahi anesthesiologist, a i ʻole kahi kahu maʻi i aʻo ʻia. No laila, ʻaʻole pono ʻoe e hoʻohana ma ka home.
Hoʻohana ʻia kēia lāʻau lapaʻau i kekahi mau hihia kūikawā no nā keiki ʻōpio, ʻoi aku hoʻi ka poʻe ma luna o 2 mau makahiki. Akā hana ʻia me ke akahele nui a ma ke ʻōlelo aʻo a ke kauka wale nō.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa kūpono o ka overdose. No ka mea, ke nānā mau nei ke kime lapaʻau iā ʻoe. Akā inā hana ʻia kekahi mea e like me ia, ʻo ia hoʻi, inā piʻi nui ka hopena o ka lāʻau lapaʻau, loaʻa i ka haukapila nā pono āpau e mālama ai. I kahi pilikia, e hoʻomaopopo nā kauka i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui a i ʻole ka Emergency Treatment Unit (ETU) o ka haukapila a loaʻa i nā ʻōlelo aʻoaʻo e pono ai.
He aha nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke hoʻololi i nā hopena o Mivacurium. ʻO ia hoʻi, hiki iā lākou ke hoʻonui a hoʻemi paha i kona ikaika. ʻO ia ke kumu e pono ai ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora a me nā lāʻau lapaʻau kuʻuna) ma mua o ke ʻoki ʻana.
| Māhele lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Kekahi mau lāʻau antibiotic | Nā lāʻau lapaʻau e like me Amikacin, Gentamicin, Tobramycin, Tetracyclines, Clindamycin. |
| Nā lāʻau hoʻomaha laulā | Nā kinoea i hoʻohana ʻia e hoʻoulu ai i ka ʻike ʻole i ka wā o ke ʻoki ʻana, e like me Enflurane, Isoflurane, a me Halothane. |
| Nā lāʻau lapaʻau no nā hopu ʻana | ʻO Carbamazepine, Phenytoin. |
| Nā lāʻau lapaʻau ʻē aʻe | Lithium, Magnesium, Quinidine, Procainamide, Steroids (e like me Prednisone), MAOIs. |
ʻAʻole i piha kēia papa inoa, no laila ʻoi aku ka palekana o ka haʻi ʻana i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Mivacurium ke hana i nā hopena ʻaoʻao. Akā no ka mea aia ʻoe ma lalo o ka nānā ʻana o ke kauka ma ka haukapila, ua mākaukau lākou e mālama koke iā ia inā loaʻa kekahi mea e like me kēia.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā mea e haʻi koke aku ai i kāu kauka a kahu maʻi paha | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe a i ʻole ke alelo, paʻakikī ke hanu. |
| Ke koko haʻahaʻa | Pōniuniu , manaʻo māmā ke poʻo, nā maka polū. |
| ʻO ka ʻulaʻula o ka maka | ʻUlaʻula koke o ka maka. |
| Nā hōʻailona o ka hōʻino ʻana o nā ʻiʻo | Mimi ʻeleʻele, paʻakikī ke mimi, luhi loa, ʻeha nā ʻiʻo. |
| Nā mea i maʻa mau ʻole i ke koʻikoʻi, akā pono e hōʻike ʻia inā hoʻomau lākou | |
| ʻEha/nāwaliwali o nā ʻiʻo | Inā ʻoe e manaʻo nei i ka ʻeha a i ʻole ka nāwaliwali i kou mau ʻiʻo ma hope o ka pau ʻana o ka lāʻau lapaʻau. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻUlaʻula, ʻeha, a pehu paha a puni ka wahi i inikini ʻia. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Mivacurium i hoʻohana ʻia e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana a i ka wā e hoʻopili ʻia ai i kahi mīkini hanu.
- ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. Hoʻohana wale ʻia ia ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka.
- He mea nui e haʻi aku i kāu kauka e pili ana i kekahi mau maʻi āu, nā lāʻau lapaʻau āu e lawe nei, a me nā mea maʻi allergies āu ma mua o ke ʻoki ʻana.
- Aia paha he mau hopena ʻaoʻao, akā ʻaʻole pono ʻoe e hopohopo no lākou no ka mea aia ʻoe ma ka haukapila. Ke mālama nei ke kime lapaʻau i nā mea āpau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
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