E noʻonoʻo inā ua lilo
koke ke koko o kekahi i mea hiki ʻole ke kāohi ʻia, a inā paha he
pilikia puʻuwai ko lākou? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau kūikawā a ikaika hoʻi e hoʻohana ai nā kauka ma nā haukapila i nā hihia koʻikoʻi. ʻO Nitroprusside ka inoa o kēia lāʻau. ʻAʻole kēia he lāʻau i kūʻai pinepine ʻia mai kahi hale kūʻai lāʻau a hoʻohana ʻia ma ka home. No laila, he mea nui loa ka makaʻala i kēia.
I ka ʻōlelo maʻalahi, he aha ka nitroprusside?
He lāʻau lapaʻau wai kēia i hāʻawi ʻia i ke kino (
infusion ) e like me ka saline ma o kahi aa. I ka ʻōlelo maʻalahi, hana kēia lāʻau lapaʻau ma ka hoʻonui ʻana i nā kīʻaha koko i loko o ko mākou kino a me ka hōʻemi ʻana i ko lākou ʻoʻoleʻa. Ua like ia me ke pani ʻana i kahi paipu wai haiki me kahi paipu nui. He aha ka mea e hana ai? Pono ka puʻuwai e hana iki e pamu i ke koko. ʻO ka hopena, hiki ke hoʻomalu koke ʻia ke koko kiʻekiʻe weliweli. No kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo nitrates kēia lāʻau lapaʻau.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
No ka mea he lāʻau ikaika loa ka nitroprusside, he mea nui i kāu kauka ke makaʻala i nā kūlana olakino ʻē aʻe āu e loaʻa ai. Inā loaʻa iā ʻoe kekahi o nā kūlana i helu ʻia ma ka papa ma lalo nei, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou.
| Kou kūlana olakino | No ke aha he mea nui ka ʻike? |
|---|
| Maʻi maka | Hiki i kēia lāʻau lapaʻau ke hoʻopilikia i kekahi mau kūlana, e like me ke kaomi o nā maka. |
| He ʻeha poʻo | He mea nui e makaʻala i kēia lāʻau lapaʻau no ka mea hiki iā ia ke hoʻopilikia i ke kaomi a puni ka lolo. |
| Maʻi puʻupaʻa | Inā ʻaʻole hana pono nā puʻupaʻa, hiki ke hōʻiliʻili kekahi o nā mea hoʻohui o kēia lāʻau i loko o ke kino. |
| Maʻi akepaʻa | Inā pilikia ka hana o ke akepaʻa, hiki ke wāwahi ʻia ka lāʻau lapaʻau i loko o ke kino. |
| Helu koko haʻahaʻa | He mea nui e makaʻala i kēia, ʻoiai inā he haʻahaʻa kou mau hunaola koko ʻulaʻula. |
| ʻAleʻaleʻa i kekahi mea | E hōʻoia e haʻi mai iā mākou inā he mau maʻi ʻaleka kou i ka nitroprusside a i ʻole kekahi lāʻau lapaʻau a meaʻai paha. |
| Inā hāpai ʻoe a i ʻole e kali ana i kahi pēpē | Pono ke kauka e hoʻoholo e pili ana i nā hopena o kēia lāʻau i ka wā hāpai. |
| Inā hānai waiū ka makuahine i kāna keiki | Pono ʻoe e makaʻala inā paha e hele ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma a i ʻole. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole hiki ke lawe ʻia kēia lāʻau lapaʻau i ka home.
He lāʻau lapaʻau ia e hāʻawi wale ʻia ana ma kahi haukapila a i ʻole ke keʻena lapaʻau, ma lalo o ka nānā ʻana a ke kauka. Hoʻohana pinepine ʻia ia ma kahi e like me kahi keʻena mālama koʻikoʻi (ICU). ʻOiai no nā keiki liʻiliʻi, inā pono, ua kuhikuhi ʻia kēia lāʻau lapaʻau e nā kauka i nā hihia kūikawā. Akā me ke akahele nui.
ʻOiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e nānā mau nā kauka a me nā kahu maʻi i kou koko a me ka helu o ka puʻuwai , no laila e palekana ʻoe.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ua haʻahaʻa loa ka manawa e hiki ai kēlā. No ka mea, hana nā mea āpau ma lalo o ka mana. Akā inā manaʻo ʻoe ua overdose ka lāʻau lapaʻau ma kekahi ʻano, pono ʻoe e hoʻomaopopo koke i nā limahana lapaʻau. ʻO ka maʻamau, inā lawe ʻoe i ka nui o nā lāʻau ʻē aʻe, ʻo ka mea mua e hana ai, ʻo ke kelepona ʻana
i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele koke
i ka Emergency Treatment Unit (ETU) o kahi haukapila.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
He mea nui loa 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 lāʻau). Hiki i kekahi mau lāʻau lapaʻau ke loaʻa nā hopena weliweli ke hui pū ʻia me ka nitroprusside.
Mai lawe pū me kēia mau mea me ka Nitroprusside.
| ʻO kekahi mau lāʻau lapaʻau no ka hana moekolohe | Nā lāʻau lapaʻau e like me Sildenafil lāua ʻo Tadalafil. ʻO ka lawe pū ʻana i kēia mau mea ʻelua hiki ke hoʻohaʻahaʻa i ke koko. |
| ʻO Riociguat | He lāʻau lapaʻau no ke koko kiʻekiʻe i loko o nā māmā. Inā e lawe pū ʻia me kēia, hiki ke emi nui ke kaomi. |
Pono ʻoe e makaʻala me kēia lāʻau lapaʻau.
| Nā lāʻau lapaʻau koko ʻē aʻe | Ke hāʻawi ʻia me nā lāʻau lapaʻau koko ʻē aʻe, hiki ke hāʻule haʻahaʻa loa ke koko. E nānā nā kauka i kēia. |
| Nā lāʻau hoʻomaʻamaʻa laulā | Hiki i kēia lāʻau lapaʻau ke launa pū me ka lāʻau i hāʻawi ʻia e hoʻoulu ai i ka ʻike ʻole i ka wā o ke ʻoki ʻana. |
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka nitroprusside ke hana i nā hopena ʻaoʻao. No ka mea e noho ana ʻoe i ka haukapila i ka wā e hāʻawi ʻia ai kēia lāʻau lapaʻau, inā manaʻo ʻoe i kekahi mea ʻē
, e haʻi koke i ke kauka a i ʻole ke kahu maʻi ma laila. E haʻi
koke aku i
kāu kauka /kahu hānai inā loaʻa iā ʻoe kēia mau hōʻailona. ʻAʻole koʻikoʻi kēia mau mea, akā inā hoʻomau lākou, e haʻi aku i
kāu kauka. | Ka hopena ʻaoʻao | He aha ka mea e hana nei? |
|---|
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, a me ke alelo. |
| Ke koko haʻahaʻa loa | Pōniuniu , maka polū , mae wale . |
| Ke kūlana methemoglobinemia | Nā hōʻailona e like me ke poʻo ʻeha nui, ka luhi nui, ka paʻakikī o ka hanu ʻana, ka nausea, ka luaʻi ʻana, ka puʻuwai wikiwiki, a me ka ʻili polū a i ʻole nā lehelehe . |
| Hoʻonui ʻia ka acidity i loko o ke kino | Paʻakikī ka hanu ʻana, luhi loa, hoʻomaha ʻole, puʻuwai wikiwiki. |
| Hoʻonui ʻia ke kaomi a puni ka lolo | ʻEha nui ke poʻo, ʻike maka pōwehiwehi, nausea, luaʻi. |
| ʻO ka ʻulaʻula o ka maka | Hoʻonui ka lāʻau lapaʻau i ke kahe o ke koko i ka maka, e hana ana i ka ʻulaʻula. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻUlaʻula, ʻeha, a mumū paha kahi i hoʻokomo ʻia ai ke cannula. |
Leka Lawe-Home
- He lāʻau ikaika ka Nitroprusside i hāʻawi ʻia ma o ka intravenous wale nō ma ka haukapila i nā pilikia e like me ke koko kiʻekiʻe a me nā hōʻeha puʻuwai .
- Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, e haʻi pono i kāu kauka e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻAʻohe mea e hopohopo ai no ka mea e nānā mau ana nā limahana lapaʻau iā ʻoe i ka wā e hāʻawi ʻia ana ka lāʻau lapaʻau iā ʻoe.
- ʻEha poʻo , poniuniu,Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē , e like me ka paʻakikī o ka hanu ʻana, e hoʻomaopopo koke i ke kahu maʻi a kauka paha.
- ʻOiai he lāʻau lapaʻau kēia e hāʻawi ʻia ana ma lalo o ka nānā ʻana a kekahi loea, e ʻoluʻolu e nīnau i kāu kauka i nā nīnau āu e pili ana i ia mea.
Nitroprusside, koko kiʻekiʻe, hāʻule puʻuwai, hoʻokomo IV, mālama ulia pōpilikia, lāʻau lapaʻau haukapila
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